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1.
BMC Infect Dis ; 24(1): 191, 2024 Feb 13.
Article in English | MEDLINE | ID: mdl-38350855

ABSTRACT

BACKGROUND: Food borne diseases is a challenging problem nowadays. Salmonella and Shigella species are great concern of food-born outbreaks. Thus, this study was aimed to assess the prevalence, antimicrobial susceptibility test and associated factors of Salmonella and Shigella species in fruit juices and salads. METHODS: A community based cross sectional study design was carried out on 50 juice houses from December to March 2020 in Mekelle. One hundred fifty samples were collected aseptically from the juice houses for laboratory analysis. Information related to risk factors was obtained using a structured questionnaire. In the laboratory, samples were homogenized using peptone water and incubated overnight for enrichment. Then, Salmonella and Shigella species were isolated on Salmonella-Shigella agar and Xylose Lysine Deoxycholate agar. Disc diffusion method was used to perform antimicrobial susceptibility test. Using SPSS (version 22) package, descriptive statistics and Chi square test (χ2) were used to analyze the data, and p < 0.05 was considered as statistically significant. RESULT: The overall prevalence of Salmonella and Shigella species was 41/150 (27.33%; 95% CI: 20.20 - 34.46) with 33 (22%) Salmonella spp. and 8(5.33%) Shigella spp. Antimicrobial susceptibility tests of both Salmonella and Shigella spp.showed high resistance against ampicillin (100%), tetracycline (63.6 and 62.5%, respectively) and amoxicillin-clavulanic acid (100%). Accessibility of fruits to flies and dust had statistical association (p = 0.021) with occurrence of Salmonell a and/or Shigella spp. CONCLUSION: The overall prevalence of Salmonella and Shigella spp. was found to be significant. The resistant rate of isolates against ampicillin, tetracycline and amoxicillin-clavulanic acid was high. Storage sites for fruits should be inaccessible to flies and dust. Therefore, routine monitoring of juice houses should be promoted and regular evaluation of bacterial resistance pattern should be done for selective antimicrobial therapy. Furthermore, consistent training of juice makers on food safety and hygiene should be implemented by the concerned body.


Subject(s)
Anti-Infective Agents , Salads , Shigella , Amoxicillin-Potassium Clavulanate Combination , Ethiopia/epidemiology , Prevalence , Cross-Sectional Studies , Agar , Fruit and Vegetable Juices , Microbial Sensitivity Tests , Salmonella , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Ampicillin , Tetracycline , Dust
2.
Euro Surveill ; 29(10)2024 Mar.
Article in English | MEDLINE | ID: mdl-38456218

ABSTRACT

In September 2022, the Public Health Agency of Sweden observed an increase in domestic Salmonella Typhimurium cases through the Swedish electronic notification system, and an outbreak strain was identified with whole genome sequencing. Overall, 109 cases with symptom onset between 17 September and 24 November 2022 were reported from 20 of 21 Swedish regions. The median age of cases was 52 years (range 4-87 years) and 62% were female. A case-control study found cases to be associated with consumption of rocket salad (adjusted odds ratio (aOR) = 4.9; 95% confidence interval (CI): 2.4-10, p value < 0.001) and bagged mixed salad (aOR = 4.0; 95% CI: 1.9-8.1, p value < 0.001). Trace-back, supported by Finnish authorities who identified the Swedish outbreak strain in a Finnish cluster during the same time period, identified rocket salad, cultivated, pre-washed and pre-packed in Sweden as the likely source of the outbreak. No microbiological analyses of rocket salad were performed. Our investigation indicates that bagged leafy greens such as rocket salad, regardless of pre-washing procedures in the production chain, may contain Salmonella and cause outbreaks, posing a health risk to consumers. We emphasise the need for primary producers of leafy greens to identify possible contamination points to prevent outbreaks.


Subject(s)
Salads , Salmonella Food Poisoning , Humans , Female , Child, Preschool , Child , Adolescent , Young Adult , Adult , Middle Aged , Aged , Aged, 80 and over , Male , Salmonella typhimurium/genetics , Salmonella Food Poisoning/epidemiology , Salmonella Food Poisoning/microbiology , Sweden/epidemiology , Case-Control Studies , Disease Outbreaks
3.
Foodborne Pathog Dis ; 21(5): 331-338, 2024 May.
Article in English | MEDLINE | ID: mdl-38346315

ABSTRACT

Staphylococcus aureus causes various toxigenic and invasive diseases in humans worldwide. This study examined the prevalence, virulence genes, and antibiotic resistance of S. aureus isolates collected from 894 retail food samples in Ardabil, Iran. Staphylococcal cassette chromosome mec (SCCmec), spa, and multilocus sequence typing methods were employed to further investigate the molecular characteristics of methicillin-resistant S. aureus (MRSA) isolates. The results revealed that 11.18% (n = 100) of food samples exhibited contamination with S. aureus (10.50% methicillin-sensitive S. aureus [MSSA] and 0.67% MRSA). Notably, raw minced meat (29.41%), Faloodeh (25%), and Olivier salad (21.42%) emerged as the most frequently contaminated food items. Among the 100 isolates of S. aureus, 94% were characterized as MSSA, with the remaining 6% identified as MRSA. The highest resistance was observed for penicillin (12%). MRSA isolates exhibited significantly higher resistance rates. Seventy-nine percent of the isolates were positive for sea, 14% for seb, 8% for a sec, and 0% for sed enterotoxin-encoding genes. Sixteen percent of isolates harbored two or more staphylococcal enterotoxin genes, simultaneously. Moreover, 97%, 94%, 24%, and 22% of isolates were positive for hla, hld, tst, and pvl virulence-encoding genes, respectively. No isolate was positive for the exfoliative toxins encoding eta and etb genes. MRSA isolates belonged to CC8 (n = 4) and CC22 (n = 2). Isolates in CC8 belonged to lineage ST239-MRSA-III and spa type t030; the isolates in CC22 belonged to ST22-MRSA-IV and spa types t310 and t223. In conclusion, a relatively high proportion of our retail food samples were contaminated with S. aureus. The high incidence of isolates with toxigenic genes raises serious health concerns. Furthermore, the presence of MRSA lineages linked to humans suggests that retail foods may be contaminated with human origin.


Subject(s)
Enterotoxins , Food Contamination , Food Microbiology , Methicillin-Resistant Staphylococcus aureus , Multilocus Sequence Typing , Staphylococcus aureus , Iran/epidemiology , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Methicillin-Resistant Staphylococcus aureus/genetics , Staphylococcus aureus/genetics , Staphylococcus aureus/isolation & purification , Food Contamination/analysis , Enterotoxins/genetics , Anti-Bacterial Agents/pharmacology , Virulence Factors/genetics , Microbial Sensitivity Tests , Meat/microbiology , Humans , Salads/microbiology
4.
Foodborne Pathog Dis ; 21(7): 440-446, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38597592

ABSTRACT

Salmonella spp. and Citrobacter spp. are among the microorganisms causing important foodborne outbreaks. In this study, it was tried to determine the presence and rate of Salmonella spp. and Citrobacter spp. in salad samples collected from certain regions of province of Isparta in Türkiye. A total of 50 salad samples were analyzed. Classical culture technique was used for microbiological analysis of salad samples. Suspected isolates obtained were identified using the VITEK-2 system. Although no negative visual changes were observed in the salad samples used in the study, it was determined that the number of Gram-negative microorganisms was very high and six salad samples were not suitable for public health. In 50 salad samples, 2% Salmonella and 4% Citrobacter freundii were detected. In addition, it was determined that the Salmonella strain isolated from the salad sample was resistant to three different antibiotics and Citrobacter was resistant to two different antibiotics. Salmonella spp. and Citrobacter spp. are considered very dangerous to public health because they are associated with foodborne outbreaks and can develop antibiotic resistance very quickly. Salad producers should try to reduce the possibility of microbial contamination by using different technologies.


Subject(s)
Citrobacter , Food Microbiology , Public Health , Salmonella , Salmonella/isolation & purification , Citrobacter/isolation & purification , Humans , Turkey , Salads/microbiology , Food Contamination/analysis , Microbial Sensitivity Tests , Fast Foods/microbiology , Anti-Bacterial Agents/pharmacology , Colony Count, Microbial , Citrobacter freundii/isolation & purification , Foodborne Diseases/microbiology , Foodborne Diseases/prevention & control , Drug Resistance, Bacterial
5.
Compr Rev Food Sci Food Saf ; 23(5): e13423, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39169547

ABSTRACT

The ability of foodborne pathogens to grow in food products increases the associated food safety risks. Listeria monocytogenes (Lm) is a highly adaptable pathogen that can survive and grow under a wide range of environmental circumstances, including otherwise inhibitory conditions, such as restrictive cold temperatures. It can also survive long periods under adverse environmental conditions. This review examines the experimental evidence available for the survival and growth of Lm on fresh vegetables and ready-to-eat vegetable salads. Published data indicate that, depending on certain intrinsic (e.g., nutrient composition) and extrinsic factors (e.g., storage temperature, packaging atmosphere), Lm can survive on and in a wide variety of vegetables and fresh-cut minimally processed vegetable salads. Studies have shown that temperature, modified atmosphere packaging, relative humidity, pH, water activity, background microbiota of vegetables, microbial strain peculiarities, and nutrient type and availability can significantly impact the fate of Lm in vegetables and vegetable salads. The influence of these factors can either promote its growth or decline. For example, some studies have shown that background microbiota inhibit the growth of Lm in vegetables and minimally processed vegetable salads, but others have reported a promoting, neutral, or insignificant effect on the growth of Lm. A review of relevant literature also indicated that the impact of most influencing factors is related to or interacts with other intrinsic or extrinsic factors. This literature synthesis contributes to the body of knowledge on possible strategies for improving food safety measures to minimize the risk of Lm-associated foodborne outbreaks involving vegetables and vegetable salads.


Subject(s)
Food Microbiology , Listeria monocytogenes , Vegetables , Listeria monocytogenes/growth & development , Vegetables/microbiology , Vegetable Products/microbiology , Temperature , Salads/microbiology , Food Contamination/prevention & control , Food Contamination/analysis
6.
Biosci Biotechnol Biochem ; 87(10): 1212-1218, 2023 Sep 21.
Article in English | MEDLINE | ID: mdl-37370223

ABSTRACT

This study aims to confirm the "vegetable-first" effect. In addition, because we aimed dietary fiber in vegetable salad, the effect after the ingestion of vegetable salad extract (vegetable salad from which solids have been removed) before carbohydrates on postprandial serum glucose level was also evaluated. A total of 13 healthy men were given meals after one-night of fasting: rice-vegetable salad, vegetable salad-rice, and vegetable salad extract-rice. Blood samples were taken at 0, 30, 45, 60, 90, and 120 min after the ingestion of the test meal to measure serum glucose levels. Serum glucose levels were significantly lower after 45 and 60 min in the vegetable salad-rice group compared to the rice-vegetable salad group. No significant difference was found between the vegetable salad extract-rice group and the vegetable salad-rice/rice-vegetable salad group. The result suggested that it might be important to ingest vegetables to obtain the "vegetable-first" effect.


Subject(s)
Oryza , Salads , Male , Humans , Vegetables , Healthy Volunteers , Glucose , Eating , Blood Glucose , Postprandial Period , Cross-Over Studies , Insulin
7.
Lett Appl Microbiol ; 76(6)2023 Jun 01.
Article in English | MEDLINE | ID: mdl-37312402

ABSTRACT

The objectives of this study were to determine the effect of high-pressure processing (HPP) on the survival of Listeria monocytogenes, Salmonella serotype Typhimurium, and Escherichia coli O157:H7 in egg salad and to evaluate the number of sub-lethally injured cells based on treatment conditions. HPP at 500 MPa for 30 s was sufficient for the complete inactivation of L. monocytogenes and Salm. Typhimurium directly plated on selective agar or plated after resuscitation, while 2 min treatment was required for E. coli O157:H7. HPP at 600 MPa for 30 s completely inactivated L. monocytogenes and Salm. Typhimurium, while 1 min treatment was needed for E. coli O157:H7. HPP at 400‒500 MPa injured a large number of pathogenic bacteria. No significant changes (P  > 0.05) in pH and color of egg salad were observed between HPP-treated and non-treated samples during 28 days of storage at refrigerated temperature. Our findings could be useful in predicting the HPP-mediated inactivation patterns of foodborne pathogens in egg salad for practical applications.


Subject(s)
Listeria monocytogenes , Salads , Escherichia coli , Food Microbiology , Food Preservation , Salmonella typhimurium , Colony Count, Microbial
8.
Food Microbiol ; 112: 104238, 2023 Jun.
Article in English | MEDLINE | ID: mdl-36906321

ABSTRACT

The trends toward healthy living, vegetarianism, and busy schedules have increased salad popularity. Salads are usually consumed raw without any thermal treatment, and therefore, without proper care they can become major vehicles for foodborne illness outbreaks. This review examines the microbial quality of 'dressed' salads which contain two or more vegetables/fruits and salad dressings. The possible sources of ingredient contamination, recorded illnesses/outbreaks, and overall microbial quality observed worldwide, besides the antimicrobial treatments available are discussed in detail. Noroviruses were most frequently implicated in outbreaks. Salad dressings usually play a positive role in influencing microbial quality. However, this depends on several factors like the type of contaminating microorganism, storage temperature, dressing pH and ingredients, plus the type of salad vegetable. Very limited literature exists on antimicrobial treatments that can be used successfully with salad dressings and 'dressed' salads. The challenge with antimicrobial treatments is to find ones sufficiently broad in spectrum, compatible with produce flavour which can be applied at competitive cost. It is evident that renewed emphasis on prevention of produce contamination at the producer, processor, wholesale and retail levels plus enhanced hygiene vigilance at foodservice will have a major impact on reducing the risk of foodborne illnesses from salads.


Subject(s)
Foodborne Diseases , Salads , Humans , Food Microbiology , Disease Outbreaks , Foodborne Diseases/prevention & control , Hygiene , Vegetables
9.
J Infect Dis ; 225(12): 2176-2180, 2022 06 15.
Article in English | MEDLINE | ID: mdl-34606577

ABSTRACT

Cyclosporiasis is a diarrheal illness caused by the foodborne parasite Cyclospora cayetanensis. Annually reported cases have been increasing in the United States prompting development of genotyping tools to aid cluster detection. A recently developed Cyclospora genotyping system based on 8 genetic markers was applied to clinical samples collected during the cyclosporiasis peak period of 2020, facilitating assessment of its epidemiologic utility. While the system performed well and helped inform epidemiologic investigations, inclusion of additional markers to improve cluster detection was supported. Consequently, investigations have commenced to identify additional markers to enhance performance.


Subject(s)
Cyclospora , Cyclosporiasis , Salads , Cyclospora/genetics , Cyclosporiasis/diagnosis , Cyclosporiasis/epidemiology , Cyclosporiasis/parasitology , Disease Outbreaks , Genotype , Humans , United States/epidemiology
10.
Emerg Infect Dis ; 28(6): 1254-1256, 2022 06.
Article in English | MEDLINE | ID: mdl-35608817

ABSTRACT

Quantifying the effect of public health actions on population health is essential when justifying sustained public health investment. Using modeling, we conservatively estimated that rapid response to a multistate foodborne outbreak of Salmonella Typhimurium in the United States in 2018 potentially averted 94 reported cases and $633,181 in medical costs and productivity losses.


Subject(s)
Public Health , Salads , Salmonella Food Poisoning/epidemiology , Salmonella typhimurium , Animals , Chickens , Disease Outbreaks , Humans , Public Health/methods , Salads/adverse effects , Salads/microbiology , Salmonella Food Poisoning/economics , Salmonella Food Poisoning/etiology , Salmonella typhimurium/isolation & purification , Salmonella typhimurium/pathogenicity , United States/epidemiology
11.
Epidemiol Infect ; 149: e178, 2021 08 10.
Article in English | MEDLINE | ID: mdl-34635196

ABSTRACT

In October 2019, public health surveillance systems in Scotland identified an increase in the number of reported infections of Shiga toxin-producing Escherichia coli (STEC) O26:H11 involving bloody diarrhoea. Ultimately, across the United Kingdom (UK) 32 cases of STEC O26:H11 stx1a were identified, with the median age of 27 years and 64% were male; six cases were hospitalised. Among food exposures there was an association with consuming pre-packed sandwiches purchased at outlets belonging to a national food chain franchise (food outlet A) [odds ratio (OR) = 183.89, P < 0.001]. The common ingredient identified as a component of the majority of the sandwiches sold at food outlet A was a mixed salad of Apollo and Iceberg lettuce and spinach leaves. Microbiological testing of food and environmental samples were negative for STEC O26:H11, although STEC O36:H19 was isolated from a mixed salad sample taken from premises owned by food outlet A. Contamination of fresh produce is often due to a transient event and detection of the aetiological agent in food that has a short-shelf life is challenging. Robust, statistically significant epidemiological analysis should be sufficient evidence to direct timely and targeted on-farm investigations. A shift in focus from testing the microbiological quality of the produce to investigating the processes and practices through the supply chain and sampling the farm environment is recommended.


Subject(s)
Disease Outbreaks , Escherichia coli Infections/epidemiology , Fast Foods/microbiology , Foodborne Diseases/epidemiology , Shiga-Toxigenic Escherichia coli/isolation & purification , Adult , Diarrhea/epidemiology , Diarrhea/microbiology , Epidemiological Monitoring , Escherichia coli Infections/microbiology , Fast Foods/poisoning , Fast Foods/supply & distribution , Female , Foodborne Diseases/microbiology , Genome, Bacterial/genetics , Humans , Male , Salads/microbiology , Salads/poisoning , Salads/supply & distribution , Serogroup , Shiga Toxin/genetics , Shiga-Toxigenic Escherichia coli/genetics , United Kingdom/epidemiology
12.
Food Microbiol ; 98: 103802, 2021 Sep.
Article in English | MEDLINE | ID: mdl-33875194

ABSTRACT

Recently, outbreaks of Cyclospora cayetanensis in the U.S. were linked to the consumption of a variety of salads containing romaine and/or iceberg lettuce, carrots and/or red cabbage. The Bacteriological Analytical Manual (BAM) Chapter 19b method was validated for the detection of C. cayetanensis in carrots, cabbage and romaine lettuce, but has not been previously evaluated in ready-to-eat (RTE) salad mixes. In addition, the only samples available for traceback investigations are sometimes leftovers in bad conditions. This study evaluated the validated BAM method for detection of C. cayetanensis in two different RTE mixed salads (mix 1: romaine and iceberg lettuces, carrots, and red cabbage and mix 2: romaine and iceberg lettuces, carrots, red cabbage, radish, and pea pods) in good condition and after their sell by date. Individual samples (25 g) were seeded with five and 200 C. cayetanensis oocysts. Unseeded produce was used as negative control. The method included washing of the produce, concentration and extraction of C. cayetanensis DNA and molecular detection of C. cayetanensis 18 S rRNA gene. As few as five oocysts were detected in both fresh and after sell by date mix salads. All unseeded samples were negative, and all samples of both salad types seeded with 200 oocysts were positive. In samples seeded with 200 oocysts, average 18 S rRNA C. cayetanensis CT values were significantly higher in fresh salad mix 1 compared to fresh salad mix 2; CT values were significantly higher in the after sell by date salads compared to their respective fresh mixes (p < 0.05). In conclusion, the BAM method was able to detect as few as five oocysts even in after sell by date RTE mix salads. However, the differences in detection observed, highlight the importance of evaluating the performance of the validated C. cayetanensis detection method in different food matrices and conditions, in advance for future outbreak investigations.


Subject(s)
Cyclospora/growth & development , Food Analysis/methods , Food Analysis/standards , Salads/parasitology , Vegetables/parasitology , Cyclospora/genetics , Cyclospora/isolation & purification , Food Contamination/analysis , Food Packaging , Food Storage , Oocysts/genetics , Oocysts/growth & development , Oocysts/isolation & purification , Salads/economics , United States , United States Food and Drug Administration , Vegetables/economics
13.
J Sci Food Agric ; 101(14): 5872-5879, 2021 Nov.
Article in English | MEDLINE | ID: mdl-33788976

ABSTRACT

BACKGROUND: This study investigated the chemical profile and biological activity of Diplotaxis erucoides subsp. erucoides (L.) DC. (Brassicaceae) collected in Sicily (Italy). RESULTS: Liquid chromatography coupled with electrospray ionization and high-resolution mass spectrometry (LC-ESI/HRMS) analysis of the ethanol extract revealed the presence of 42 compounds - glucosinolates, hydroxycinnamic acids, flavonoids, and oxylipins. The extract was tested for its antioxidant activity using 2,2-diphenyl-1-picrylhydrazyl (DPPH), 2,2'-azinobis(3-ethylbenzothiazoline-6-sulfonic) acid (ABTS), ferric reducing ability power (FRAP), and ß-carotene bleaching tests. Promising protection from lipid peroxidation was observed after 30 min of incubation in a ß-carotene bleaching test (IC50 of 3.32 µg mL-1 ). The inhibition of carbohydrates-hydrolyzing enzymes resulted in IC50 values of 85.18 and 92.36 µg mL-1 for α-amylase and α-glucosidase, respectively. Significant inhibition against lipase enzyme was observed (IC50 of 61.27 µg mL-1 ). CONCLUSION: Diplotaxis erucoides can be considered a potential source of antioxidant, hypoglycemic, and hypolipidemic bioactives. © 2021 Society of Chemical Industry.


Subject(s)
Brassicaceae/chemistry , Glucosinolates/chemistry , Oxylipins/chemistry , Plant Extracts/chemistry , Antioxidants/chemistry , Chromatography, Liquid , Enzyme Inhibitors/chemistry , Flavonoids/chemistry , Glycoside Hydrolase Inhibitors , Humans , Mass Spectrometry , Salads/analysis , Sicily , alpha-Amylases/antagonists & inhibitors , alpha-Amylases/chemistry , alpha-Glucosidases/chemistry
14.
J Appl Microbiol ; 129(5): 1402-1409, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32374900

ABSTRACT

AIM: Public health promotion of fruit and vegetables as healthier sources of nutrition in Nigeria has led to an increase in consumption of fruit and vegetables, particularly in the form of ready-to-eat (RTE) salads. However, the continual association of drug-resistant bacteria with fruit and vegetables creates an additional challenge for consumer safety. Hence this study was carried out to determine the prevalence of multidrug-resistant bacteria (MRB) in, and characterization of MRB isolated from, RTE salads. METHODS AND RESULTS: RTE vegetable salad samples were randomly selected for bacterial analysis with Wei's Urn iterative randomization technique and a One Way Analysis of Variance performed with Kruskal-Wallis test. Total viable bacteria count (TVC) was performed with pour-plate technique. Bacterial colonies from Petri plates were tested for multidrug resistance with Kirby Bauer disc diffusion test and prevalence/counts of MRB, as well as multiple antibiotic resistance indices (MAR), was/were subsequently deduced. Mean prevalence of MRB in all RTE salad samples was estimated at 54·38% while mean counts of MRB were estimated at 6·83 ± 6·42 log10 CFU per g. Prevalence of bacterial resistance to all antibiotics tested ranged from 5·92 to 100·00%. Mean MAR obtained for all RTE salad samples was estimated at 0·51 (recommended limit = 0·20) indicating that RTE salads were a potential source of MRB, with significant health risk. MRB isolated from RTE salads included Proteus vulgaris strain ATU 243, Bacillus thuringiensis strain AND 236, Citrobacter freundii strain ABC 2 and Serratia marcescens strain ADJ 212. CONCLUSION: This study showed that MRB constitute a significant proportion of the bacterial community present in RTE salads served in Nigerian restaurants. SIGNIFICANCE AND IMPACT OF THE STUDY: Our study provided empirical evidence which showed that RTE salads served in Nigerian restaurants were a potential source of MRB, with significant health risk.


Subject(s)
Bacteria/isolation & purification , Drug Resistance, Multiple, Bacterial , Restaurants/statistics & numerical data , Salads/microbiology , Vegetables/microbiology , Anti-Bacterial Agents/pharmacology , Bacteria/classification , Bacteria/drug effects , Bacterial Load , Drug Resistance, Multiple, Bacterial/drug effects , Food Microbiology , Humans , Nigeria/epidemiology , Prevalence
15.
Public Health Nurs ; 37(4): 487-493, 2020 07.
Article in English | MEDLINE | ID: mdl-32342571

ABSTRACT

BACKGROUND: The effects of social marginalization and health are well-documented, revealing a complex association between health perceptions and health behavior. This is especially evident among socially marginalized men. OBJECTIVE: This study aims to explore health perceptions and health behaviors influencing overall health among socially marginalized men who seem to not benefit from existing municipal health care in a large Danish municipality. These men have varying health challenges and engage in risky health behaviors, such as alcohol drinking, tobacco smoking, and lack of physical activity. DESIGN AND SAMPLE: This was an ethnographic study including 200 hr of participant observations and 25 interviews with socially marginalized men aged 45-65. RESULTS: Health was perceived as related to the ability to participate in daily life activities, such as getting around effortlessly and the ability to work. Alcohol drinking appeared to be part of a complex approach in managing everyday life, including various personal physical and mental health challenges and admission to social networks. CONCLUSION: Overall, the results provide important insight into how health perceptions and health behaviors are embedded in the men's everyday lives. This knowledge may be used by public health nurses and other health professionals in providing and developing health services.


Subject(s)
Attitude to Health , Health Behavior , Social Marginalization , Aged , Anthropology, Cultural , Denmark , Humans , Male , Middle Aged , Salads
16.
Emerg Infect Dis ; 25(8): 1461-1468, 2019 08.
Article in English | MEDLINE | ID: mdl-31310227

ABSTRACT

We investigated an outbreak of listeriosis detected by whole-genome multilocus sequence typing and associated with packaged leafy green salads. Nineteen cases were identified in the United States during July 5, 2015-January 31, 2016; isolates from case-patients were closely related (median difference 3 alleles, range 0-16 alleles). Of 16 case-patients interviewed, all reported salad consumption. Of 9 case-patients who recalled brand information, all reported brands processed at a common US facility. The Public Health Agency of Canada simultaneously investigated 14 cases of listeriosis associated with this outbreak. Isolates from the processing facility, packaged leafy green salads, and 9 case-patients from Canada were closely related to US clinical isolates (median difference 3 alleles, range 0-16 alleles). This investigation led to a recall of packaged leafy green salads made at the processing facility. Additional research is needed to identify best practices and effective policies to reduce the likelihood of Listeria monocytogenes contamination of fresh produce.


Subject(s)
Disease Outbreaks , Food Microbiology , Foodborne Diseases/epidemiology , Foodborne Diseases/microbiology , Listeria , Listeriosis/epidemiology , Listeriosis/microbiology , Salads/microbiology , Adolescent , Adult , Aged , Aged, 80 and over , Canada/epidemiology , Child , Child, Preschool , Disease Notification , Female , Genome, Bacterial , Geography, Medical , Humans , Listeria/classification , Listeria/genetics , Listeria/isolation & purification , Listeriosis/transmission , Male , Middle Aged , Multilocus Sequence Typing , Pregnancy , Public Health Surveillance , Seasons , United States/epidemiology , Young Adult
17.
Public Health Nutr ; 22(6): 976-987, 2019 04.
Article in English | MEDLINE | ID: mdl-30767843

ABSTRACT

OBJECTIVE: To verify the previously untested assumption that eating more salad enhances vegetable intake and determine if salad consumption is in fact associated with higher vegetable intake and greater adherence to the Dietary Guidelines for Americans (DGA) recommendations. DESIGN: Individuals were classified as salad reporters or non-reporters based upon whether they consumed a salad composed primarily of raw vegetables on the intake day. Regression analyses were applied to calculate adjusted estimates of food group intakes and assess the likelihood of meeting Healthy US-Style Food Pattern recommendations by salad reporting status. SETTING: Cross-sectional analysis of data collected in 2011-2014 in What We Eat in America, the dietary intake component of the National Health and Nutrition Examination Survey.ParticipantsUS adults (n 9678) aged ≥20 years (excluding pregnant and lactating women). RESULTS: On the intake day, 23 % of adults ate salad. The proportion of individuals reporting salad varied by sex, age, race, income, education and smoking status (P<0·001). Compared with non-reporters, salad reporters consumed significantly larger quantities of vegetables (total, dark green, red/orange and other), which translated into a two- to threefold greater likelihood of meeting recommendations for these food groups. More modest associations were observed between salad consumption and differences in intake and likelihood of meeting recommendations for protein foods (total and seafood), oils and refined grains. CONCLUSIONS: Study results confirm the DGA message that incorporating more salads in the diet is one effective strategy (among others, such as eating more cooked vegetables) to augment vegetable consumption and adherence to dietary recommendations concerning vegetables.


Subject(s)
Diet/methods , Guideline Adherence/statistics & numerical data , Nutrition Policy , Nutrition Surveys/methods , Salads/statistics & numerical data , Adult , Age Distribution , Cross-Sectional Studies , Diet/statistics & numerical data , Female , Humans , Male , Middle Aged , Nutrition Surveys/statistics & numerical data , Sex Distribution , United States , Young Adult
18.
Appetite ; 142: 104344, 2019 11 01.
Article in English | MEDLINE | ID: mdl-31325475

ABSTRACT

Food cravings are an important phenomena/concept within approaches to overeating in Western contexts. However, the cross-cultural research on craving has so far been modest, despite a wide range of literature in anthropology and other fields that demonstrate the broad variations not only in eating practices but in the experiences and motivations for eating. This examines quantitative data collected using a variation of the Food Craving Inventory (FCI) collected in the context of a long-term ethnographic study of Japanese eating practices in order to examine cravings within a mixed age and gender Japanese sample. While the results show widespread experiences of craving, not only do the types of foods craved vary markedly from commonplace Western ones-which tend to be calorie dense and restricted-but also differ from one another in motivations for/experiences of craving. Beyond providing cross-cultural comparison, then, the study suggests a need for conceptual rethinking of craving itself and of the range of factors that drive it.


Subject(s)
Beer , Craving/physiology , Food Preferences/psychology , Oryza , Salads , Adult , Age Factors , Aged , Chocolate , Cross-Cultural Comparison , Diet Surveys , Female , Humans , Japan , Male , Middle Aged , Sex Factors , Taste
19.
Foodborne Pathog Dis ; 16(4): 269-275, 2019 04.
Article in English | MEDLINE | ID: mdl-30484714

ABSTRACT

A total of 189 samples of fresh products (leafy salads, ready-to-eat mixed salads, and fresh herbs) bought in retail in Southwest Germany were investigated for their microbiological quality and the presence of pathogenic bacteria, including Salmonella spp., Listeria monocytogenes, and presumptive Bacillus cereus. Total aerobic mesophilic plate counts (TAC) ranged from 5.5 to 9.6 log colony-forming units (CFUs) per gram. Enterobacteria and pseudomonads were the predominant microorganisms and were detected in all samples with counts between 5.0 and 9.2 log CFU/g. Strains of Escherichia coli were detected in 9 salad (7.9%) and 25 herb samples (33.3%). Significant differences in bacterial counts were found between conventionally and organically-grown products: in herbs the counts of moulds were significantly higher in organically-grown products, while E. coli was only detected in conventionally-grown products. In conventionally-grown salad samples, yeast counts were significantly higher. Salmonella Enteritidis was only detected in two conventionally- and in one organically-produced salad samples (2.6%). No coagulase-positive staphylococci were detected in fresh salads as well as in herbs. High levels of B. cereus sensu lato (≥3 log CFU/g) were detected in 19 vegetable salads (16.7%) and even in 55 samples of fresh herbs (73.3%). Listeria monocytogenes could not be detected in fresh herbs; however, three L. monocytogenes strains were isolated from two conventionally-produced salad samples and belonged to PCR serogroup IIa. Although our results indicate a high microbial load in fresh salads and herbs in Southwest Germany in 2015, the incidences of human pathogenic bacteria, that is, L. monocytogenes, Salmonella spp., and coagulase-positive staphylococci strains, were low.


Subject(s)
Food Contamination , Food Microbiology , Vegetables/microbiology , Bacillus cereus/drug effects , Colony Count, Microbial , Commerce , Germany , Humans , Listeria monocytogenes/isolation & purification , Salads/microbiology , Salmonella/isolation & purification
20.
Ann Ig ; 31(4): 374-384, 2019.
Article in English | MEDLINE | ID: mdl-31268122

ABSTRACT

BACKGROUND: Vegetables are major components of a healthy and balanced diet. However, 25% of foodborne diseases are linked to the consumption of vegetables. STUDY DESIGN: The aim of this work was to assess the microbiological risks associated with consumption of ready to eat salads (RTE). METHODS: Microbiological challenge tests were carried out for the evaluation of the L. monocytogenes growth potential in RTE salads stored at different temperatures. RESULTS: The results indicate that L.monocytogenes was able to grow (δ ≥ 0.5) in all storage conditions considered at the end of shelf life. In order to evaluate the virulence role of L. monocytogenes, the temperature-dependent transcription of major virulence genes was also investigated by RT-PCR. CONCLUSIONS: The microbiological challenge test allowed us to confirm, as also demonstrated by other authors, that RTE salads are able to support the growth of L. monocytogenes strains (d δ≥ 0.5) stored under different temperatures.


Subject(s)
Food Microbiology , Listeria monocytogenes/isolation & purification , Salads/microbiology , Vegetables/microbiology , Foodborne Diseases/prevention & control , Humans , Listeria monocytogenes/pathogenicity , Reverse Transcriptase Polymerase Chain Reaction , Temperature , Virulence
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