Numerous outbreak investigations and case-control studies for campylobacteriosis have provided evidence that handling Campylobacter-contaminated chicken products is a risk factor for infection and illness. There is currently extremely limited quantitative data on the levels of Campylobacter cross-contamination in the kitchen, hindering risk assessments for the pathogen commodity combination of Campylobacter and chicken meat. An exposure assessment needs to quantify the transfer of the bacteria from chicken to hands and the kitchen environment and from there onto ready-to-eat foods. We simulated some typical situations in kitchens and quantified the Campylobacter transfer from naturally contaminated chicken parts most commonly used in Germany. One scenario simulated the seasoning of five chicken legs and the reuse of the same plate for cooked meat. In another, five chicken breast filets were cut into small slices on a wooden board where, without intermediate cleaning, a cucumber was sliced. We also investigated the transfer of the pathogen from chicken via hands to a bread roll. The numbers of Campylobacter present on the surfaces of the chicken parts, hands, utensils, and ready-to-eat foods were detected by using Preston enrichment and colony counting after surface plating on Karmali agar. The mean transfer rates from legs and filets to hands were 2.9 and 3.8%. The transfer from legs to the plate (0.3%) was significantly smaller (P < 0.01) than the percentage transferred from filets to the cutting board and knife (1.1%). Average transfer rates from hands or kitchen utensils to ready-to-eat foods ranged from 2.9 to 27.5%.Most of the case-control studies and outbreak investigations for infections with the zoonotic bacteria Campylobacter jejuni and C. coli have identified consumption and handling of raw chicken as an important risk factor for human illness (1, 2, 8, 10, 13). Consumers' exposure to Campylobacter takes place either through consumption of undercooked, internally contaminated chicken meat or via cross-contamination to readyto-eat food during the preparation of externally contaminated chicken parts and carcasses. There are currently limited quantitative data on Campylobacter cross-contamination available in the literature. Quantification of the transfer of Campylobacter from chicken via hands and the kitchen environment to ready-to-eat foods during handling of contaminated products is a central part of all risk assessments for this pathogen commodity combination. Using naturally contaminated fresh chicken parts purchased in retail stores, experiments were performed that simulated some of the typical situations and handling procedures that are common in German kitchens and presumably in many other countries as well. MATERIALS AND METHODSSampling and quantification of Campylobacter on chicken parts. From June to November 2004 we bought random, independent packages containing several fresh chicken legs (drumstick plus thigh) or fresh, skinless and boneless chicken breast filets at various supermarkets in B...

This is the first longitudinal study conducted over the entire 5-month fattening period in pigs to investigate the infection dynamics of Salmonella Typhimurium and the association between antibody response and the prevalence of these bacteria in feces. A total of 16 weaning pigs were infected with Salmonella Typhimurium DT104 followed by clinical examination and blood and fecal sampling until slaughter 138 days postinoculation. To investigate fecal shedding rates and distribution patterns of Salmonella in internal organs regarding premortem stress, one group of swine was transported before slaughter; the other group was slaughtered without being transported. A positive correlation between bacteremia-associated fever and fecal shedding rate was observed, although 69% (11 of 16) of infected pigs had no diarrhea. All animals excreted Salmonella Typhimurium at high levels within 2 weeks postinoculation; thereafter, the number of positive pigs declined and Salmonella shedding became intermittent. In contrast, the proportion of pigs that tested seropositive was higher over the entire fattening period (except during the first 3 weeks postinoculation), revealing the advantage of enzyme-linked immunosorbent assay for Salmonella screening on herd level. Concerning the distribution in internal organs and cross-contamination during slaughter, the highest level of Salmonella was detected in tonsils and jejunal and ileocecal lymph nodes, whereas salmonellae could not be detected in muscle, spleen, and liver. No specific influence of transport-induced stress on Salmonella shedding rates in feces and distribution patterns in organs was observed.

Noroviruses and rotaviruses are the leading causes of non-bacterial gastroenteritis in humans worldwide. Virus-contaminated food and surfaces represent an important risk to public health. However, established detection methods for the viruses in food products are laborious and time-consuming. Here, we describe a detailed swabbing protocol combined with real-time RT-PCR for norovirus and rotavirus detection on artificially contaminated food and environmental surfaces. Recovery rates between 2 and 78% for norovirus and between 8 and 42% for rotavirus were determined for contaminated food surfaces of apple, pepper, cooked ham and salami. From contaminated environmental surfaces (stainless steel, ceramic plate, polyethylene, wood), recovery rates between 26 and 52% (norovirus) and between 10 and 58% (rotavirus) were determined. The results demonstrate the suitability of the swab sample method for virus detection on food and environmental surfaces. Compared to other methods, it is easy to perform and significantly time-saving, predestining it for routine testing.

In many temperate countries Campylobacter spp. are the most common bacterial causes of human infectious intestinal disease. Yet the aetiology of this infection has only partly been described. A majority of human campylobacteriosis cases are associated with food of animal origin. Despite being very sensitive to environmental stressors Campylobacter spp. are able to persist in the food chain and can pose a threat to the consumer. In this review, the survival potential and stress response of Campylobacter spp. in food will be summarized and the importance of food preservation technologies will be discussed.

BackgroundNorovirus is often transmitted from person-to-person. Transmission may also be food-borne, but only few norovirus outbreak investigations have identified food items as likely vehicles of norovirus transmission through an analytical epidemiological study.During 7-9 January, 2009, 36 persons at a military base in Germany fell ill with acute gastroenteritis. Food from the military base's canteen was suspected as vehicle of infection, norovirus as the pathogen causing the illnesses. An investigation was initiated to describe the outbreak's extent, to verify the pathogen, and to identify modes of transmission and source of infection to prevent further cases.MethodsFor descriptive analysis, ill persons were defined as members of the military base with acute onset of diarrhoea or vomiting between 24 December 2008, and 3 February 2009, without detection of a pathogen other than norovirus in stools. We conducted a retrospective cohort study within the headquarters company. Cases were military base members with onset of diarrhoea or vomiting during 5-9 January. We collected information on demographics, food items eaten at the canteen and contact to ill persons or vomit, using a self-administered questionnaire. We compared attack rates (AR) in exposed and unexposed persons, using bivariable and multivariable logistic regression modelling. Stool specimens of ill persons and canteen employees, canteen food served during 5-7 January and environmental swabs were investigated by laboratory analysis.ResultsOverall, 101/815 (AR 12.4%) persons fell ill between 24 December 2008 and 3 February 2009. None were canteen employees. Most persons (n = 49) had disease onset during 7-9 January. Ill persons were a median of 22 years old, 92.9% were male. The response for the cohort study was 178/274 (72.1%). Of 27 cases (AR 15.2%), 25 had eaten at the canteen and 21 had consumed salad. Salad consumption on 6 January (aOR: 8.1; 95%CI: 1.5-45.4) and 7 January (aOR: 15.7; 95%CI: 2.2-74.1) were independently associated with increased risk of disease.Norovirus was detected in 8/28 ill persons' and 4/25 canteen employees' stools, 6/55 environmental swabs and 0/33 food items. Sequences were identical in environmental and stool samples (subtype II.4 2006b), except for those of canteen employees. Control measures comprised cohort isolation of symptomatic persons, exclusion of norovirus-positive canteen employees from work and disinfection of the canteen's kitchen.ConclusionsOur investigation indicated that consumption of norovirus-contaminated salad caused the peak of the outbreak on 7-9 January. Strict personal hygiene and proper disinfection of environmental surfaces remain crucial to prevent norovirus transmission.