| Literature DB >> 35010159 |
Luigi Lanni1, Valeria Morena1, Adriana Scattareggia Marchese1, Gessica Destro2, Marcello Ferioli2, Paolo Catellani3, Valerio Giaccone3.
Abstract
Over 23 million cases of foodborne disease (FBD) occur in Europe each year, with over 4700 deaths. Outbreaks of FBD have a significant impact on our society due to the high economic losses they cause (hospital treatment of affected patients and destruction of contaminated food). Among its health objectives, the European Union has set itself the goal of reducing the incidence of the main FBDs, approving various regulations that codify requirements in order to produce food that is "safe" for human consumption. Among these rules, Regulation 2005/2073 establishes precise food safety criteria for foods that are judged to be most at risk of causing episodes of FBD. The food business operator (FBO) must know their food better and know how to estimate whether a food can support the growth of food pathogens or if they are able to hinder it during the food's shelf life. It is becoming crucial for each FBO to schedule specific laboratory tests (challenge tests) to establish the growth potential of individual pathogens and their maximum growth rate. In 2008 the European Union published the guidelines for programming the challenge tests for Listeria monocytogenes in RTE foods. These guidelines were further implemented in 2014 and again in 2019. In June 2019 the UNI EN ISO 20976-1 was published, which contains indications for setting up and carrying out challenge tests for all foodborne pathogens in all foods. In this article, we compare the three official documents to highlight their common aspects and differences, highlighting the advantages and disadvantages that each of them offers for those who have to set up a challenge test for the various foodborne pathogens. Our conclusion is that the challenge test is today the most effective tool to estimate the dynamics and growth potential of pathogenic microorganisms in food, if it is designed and implemented in a scrupulous way. It is important to develop a rational experimental design for each challenge test, and for each food, and this requires professionals who are experts in this specific field of study and who must be properly trained.Entities:
Keywords: challenge test; food microbiology; risk assessment
Year: 2021 PMID: 35010159 PMCID: PMC8750539 DOI: 10.3390/foods11010032
Source DB: PubMed Journal: Foods ISSN: 2304-8158
Number confirmed cases, hospitalized cases and number of death of Listeriosis oubreaks in EU/EEA (31 States) from 2007 to 2020.
| Year | Number of Confirmed Cases 1 | Hospitalized Cases | Number of Deaths |
|---|---|---|---|
| 2007 | 1634 | N.R. | 165 |
| 2008 | 1459 | N.R. | 136 |
| 2009 | 1706 | 314 | 132 |
| 2010 | 1686 | 634 | 183 |
| 2011 | 1539 | 568 | 136 |
| 2012 | 1754 | 652 | 202 |
| 2013 | 1905 | 731 | 184 |
| 2014 | 2250 | 839 | 215 |
| 2015 | 2201 | 982 | 272 |
| 2016 | 2519 | 980 | 248 |
| 2017 | 2497 | 1010 | 232 |
| 2018 | 2570 | 1073 | 229 |
| 2019 | 2652 | 1260 | 306 |
| 2020 | 1931 | 817 | 168 |
1 Confirmed cases: number of sick persons clinically compatible with a diagnosis of L. monocytogenes; N.R.: data not reported; Source: European CDC data Base [18]. Data taken from the database and completely redrawn by the authors.
Some foodborne disease outbreaks of listeriosis registered around the world caused by the consumption of ready-to-eat (RTE) Foods.
| Year | State | RTE Food | Confirmed Cases (*) | Deaths | Prevalent Serovar | Reference |
|---|---|---|---|---|---|---|
| 1983 | Massachusetts | Pasteurized whole milk | 49 | 14 | 4b | [ |
| 1985 | California | Soft cheese | 142 | 48 | 4b | [ |
| 1989 | Connecticut | Shrimp | 10 | 0 | 4b | [ |
| June–October 1993 | France | Rillettes (pork meat product) | 31 | 0 | 4b | [ |
| August 1998 | USA (multistate) | Hot dogs and deli meat | 38 | 3 | 4b | [ |
| 2000 | USA (multistate) | Deli turkey meat | 29 | 4 | Un. | [ |
| November 2008 | Canada | Delicatessen meat | 57 | 24 | Un. | [ |
| 2009 | Austria and Germany | Quargel (sour milk curd cheese) | 14 | 5 | 1/2a | [ |
| April–July 2011 | Switzerland | Cooked ham | 6 | 0 | 1/2a | [ |
| 2009–2012 | Portugal | Queijo fresco (fresh cheese) | 30 | 11 | 4b | [ |
| August 2012 | Spagna | Latin-style fresh cheese | 2 | 0 | 1/2b | [ |
| 2012 | USA (multistate) | Italian-style cheese (ricotta salata) | 22 | 4 | 1/2a | [ |
| January–February 2016 | Switzerland | Meat pâté | 5 | 0 | 4b | [ |
| May 2016 | Italy | Beef ham | 217 (**) | 0 | 1/2b | [ |
| January 2017–July 2018 | South Africa | Processed meat products | 1060 | 216 | Un. | [ |
| August 2017 | Denmark and France | Probable cold-smoked salmon | 5 | 1 | Un. | [ |
| December 2018 | Austria | Smoked meat and liver pâté | 13 | 0 | 4b | [ |
(*): Confirmed cases: number of sick persons clinically compatible with a diagnosis of L. monocytogenes. (**): Probable cases. They have the typical clinical features of the illness but without laboratory confirmation. Un.: undefined.
Key points that the FBO must keep in mind to design and implement an effective challenge test: questions and answers.
| Question | Answer (According to the Guidelines Considered) [ |
|---|---|
| What purpose can the challenge have? | A challenge test can be designed for any kind of bacterium, mold, or yeast which does not form a mycelium (adopt ISO 20976-1) |
| In which matrices can a challenge test be planned? | A challenge test can be carried out by inoculating microorganisms in any type of food and feed |
| What guidelines should we consider when planning a challenge test with | If the challenge test concerns |
| What product conditions must be evaluated before setting up the challenge test? | Determine if there is a significant inter-batch difference based on the pH and Aw values of the individual product |
| How many batches of food do we need to perform a challenge test? | If the inter-batch difference is not significant, the challenge test can be performed on a single batch of food. If the inter-batch difference of the product is significant, plan and perform the challenge test on three different batches of food |
| How many strains of the same microorganism do we need to inoculate? | Inoculate the food with a mixture of at least two strains of the same microorganism to be tested. It would be appropriate that the inoculated strains are “wild” (strains isolated from foods of the same type as the one subject to the challenge test) |
| What characteristics should the individual inoculated microbial strains have? | Document as much as possible the biochemical, serological, and genomic characteristics of the wild strains that are inoculated in the food subject to the challenge test |
| How many “test units” must be inoculated for each scheduled analysis time? | If the purpose of the challenge test is to calculate the growth potential of the microorganism studied, inoculate a series of test units sufficient to perform analytical determinations on 3 test units at five different times of analysis, between the first day of production and the end of the product’s shelf life |
| How many “test units” must be inoculated for each scheduled analysis time? | If the purpose of the challenge test is to calculate the “maximum growth rate” of the microorganism studied, inoculate a series of test units sufficient to perform analytical determinations on 3 test units at eight different times of analysis, between the first day of production and the end of the product’s shelf life |
| Should other “test units” be programmed in addition to those with the microorganisms subjected to challenge tests? | For every three inoculated test units add a fourth “accessory unit” on which to determine the pH and Aw values of the food and the background microbial flora |
| Under what storage conditions should test units and accessory ones be kept? | Plan to keep the inoculated test units and accessory units in programmed environmental conditions, evaluating the possibility of conducting the challenge not only at refrigeration temperature, but also in conditions of “planned thermal abuse” |
| How should the growth potential of the inoculated organisms be calculated? | The growth potential is calculated by subtracting the logarithm of the initial concentration inoculated from the logarithm of the maximum concentration reached by the bacterium in the challenge test, regardless of the moment of analysis in which this value was reached |
| Are there specific concentrations to be inoculated for each individual microorganism selected? | In each single test unit inoculate a concentration of the chosen microorganism between 50 and 10,000 cfu/g (only for |
| How should we document the results obtained from the challenge test? | At the end of the test, it is mandatory to draw up a final report containingall the information required by the ISO 20976-1: 2019 standard |
| If the challenge test is conducted on three batches, what is the growth potential that we have to consider valid? | The growth potential of the microorganism subject to challenge testing in three batches is the highest value recorded in the three lots under examination |
| Who is responsible for interpreting and evaluating the results obtained with a challenge test? | Based on the results obtained, it is up to the FBO to establish whether its product is a food that allows or does not allow the growth of the microorganism subject to the challenge test |