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食品加工设施中的单核细胞增生李斯特菌、食品污染与人类李斯特菌病:巴西的情况

Listeria monocytogenes in Food-Processing Facilities, Food Contamination, and Human Listeriosis: The Brazilian Scenario.

作者信息

Camargo Anderson Carlos, Woodward Joshua John, Call Douglas Ruben, Nero Luís Augusto

机构信息

1 Departamento de Veterinária, Universidade Federal de Viçosa , Viçosa, Minas Gerais, Brazil .

2 Department of Microbiology, University of Washington , Seattle, Washington.

出版信息

Foodborne Pathog Dis. 2017 Nov;14(11):623-636. doi: 10.1089/fpd.2016.2274. Epub 2017 Aug 2.

Abstract

Listeria monocytogenes is a foodborne pathogen that contaminates food-processing environments and persists within biofilms on equipment, utensils, floors, and drains, ultimately reaching final products by cross-contamination. This pathogen grows even under high salt conditions or refrigeration temperatures, remaining viable in various food products until the end of their shelf life. While the estimated incidence of listeriosis is lower than other enteric illnesses, infections caused by L. monocytogenes are more likely to lead to hospitalizations and fatalities. Despite the description of L. monocytogenes occurrence in Brazilian food-processing facilities and foods, there is a lack of consistent data regarding listeriosis cases and outbreaks directly associated with food consumption. Listeriosis requires rapid treatment with antibiotics and most drugs suitable for Gram-positive bacteria are effective against L. monocytogenes. Only a minority of clinical antibiotic-resistant L. monocytogenes strains have been described so far; whereas many strains recovered from food-processing facilities and foods exhibited resistance to antimicrobials not suitable against listeriosis. L. monocytogenes control in food industries is a challenge, demanding proper cleaning and application of sanitization procedures to eliminate this foodborne pathogen from the food-processing environment and ensure food safety. This review focuses on presenting the L. monocytogenes distribution in food-processing environment, food contamination, and control in the food industry, as well as the consequences of listeriosis to human health, providing a comparison of the current Brazilian situation with the international scenario.

摘要

单核细胞增生李斯特菌是一种食源性病原体,它会污染食品加工环境,并在设备、器具、地板和排水管道上的生物膜内持续存在,最终通过交叉污染进入最终产品。这种病原体即使在高盐条件或冷藏温度下也能生长,在各种食品中保持存活直至保质期结束。虽然李斯特菌病的估计发病率低于其他肠道疾病,但由单核细胞增生李斯特菌引起的感染更有可能导致住院和死亡。尽管已经描述了巴西食品加工设施和食品中单核细胞增生李斯特菌的存在情况,但缺乏与食品消费直接相关的李斯特菌病病例和疫情的一致数据。李斯特菌病需要迅速用抗生素治疗,大多数适用于革兰氏阳性菌的药物对单核细胞增生李斯特菌有效。到目前为止,仅描述了少数临床抗生素耐药的单核细胞增生李斯特菌菌株;而从食品加工设施和食品中分离出的许多菌株对不适合治疗李斯特菌病的抗菌药物表现出耐药性。食品工业中对单核细胞增生李斯特菌的控制是一项挑战,需要进行适当的清洁和应用消毒程序,以从食品加工环境中消除这种食源性病原体并确保食品安全。本综述重点介绍了单核细胞增生李斯特菌在食品加工环境中的分布、食品污染情况、食品工业中的控制措施,以及李斯特菌病对人类健康的影响,并将巴西目前的情况与国际形势进行了比较。

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