Berends B R, Van Knapen F, Mossel D A, Burt S A, Snijders J M
Department of the Science of Food of Animal Origin, Faculty of Veterinary Medicine, Utrecht University, The Netherlands.
Int J Food Microbiol. 1998 Nov 10;44(3):207-17. doi: 10.1016/s0168-1605(98)00122-6.
This article describes the contamination of pork with Salmonella spp. in cutting plants and butchers' shops in The Netherlands and quantifies the influence of several risk factors. When contaminated carcasses are being processed, the main risk factors regarding cross contamination are inapt cleaning and disinfection (OR 12.8), manipulation of contaminated materials as such (OR 4.7) and (re)contaminated surfaces (OR 4.4). However, in the current situation, where contaminated carcasses are constantly being brought into cutting lines, interim cleaning and disinfection of surfaces and utensils during breaks and at the end of the working day will most likely prevent not more than about 10% of all cross contamination that takes place during a working day. Thus, as long as contaminated carcasses are being processed, about 90% of the cross contamination that occurs in cutting plants is practically unavoidable. It can therefore also be concluded that under these circumstances the implementation of codes of good manufacturing practices (GMP) and Hazard Analysis Critical Control Point (HACCP)-inspired production methods will only be marginally effective in the control of Salmonella spp. cross contamination in cutting lines. The same is more or less true for the processing of contaminated cuts or carcasses by butchers in shops and supermarkets. Furthermore, in contrast to the situation in cutting plants, it may be that up to 10% of butcher's shops or kitchens of restaurants become colonized for several weeks or months with their own endemic 'house flora' of Salmonella spp., which are originally introduced via the purchased contaminated products of animal origin. Though there are no hard data to substantiate this, it can be suspected that these shops and restaurants represent the more badly managed, i.e. poorly cleaned and disinfected, enterprises. However, several analytical limitations hinder an exact determination of the prevalence of Salmonella spp. contaminated pork and an exact quantification the influence of risk factors. The diagnostic value (i.e. the sensitivity, specificity, precision and predictive value) of the combination of swabbing of carcasses and cuts and the usually employed culturing methods, in particular, is largely unknown, and there are indications that it may be seriously questioned. Without a more thorough knowledge about the diagnostic value of current and future methods of sampling and identification, it is impossible to provide for more accurate estimations of the prevalence of Salmonella positive carcasses and cuts. Based on the research data, the incidence of contaminated cuts and retail-ready pork can not be estimated more precise than as somewhere between 5-40%. When compensating for the discussed methodological flaws, it must be assumed that currently the true prevalence of contaminated primal cuts and retail-ready pork in butchers' shops is about 25-30%, and that of minced pork and pork sausages about 50-55%. Lastly it is concluded that if carcasses were Salmonella-free, consumers could in principle be provided with virtually Salmonella-free pork. It is therefore recommended that the EU allows for a decontamination step in slaughterhouses with a substance that is generally recognized as safe, provided that the producers strictly adhere to GMP-principles.
本文描述了荷兰肉类加工厂和肉铺中猪肉被沙门氏菌污染的情况,并对多种风险因素的影响进行了量化。在处理受污染的胴体时,交叉污染的主要风险因素包括清洗和消毒不当(比值比为12.8)、直接处理受污染的材料(比值比为4.7)以及(重新)受污染的表面(比值比为4.4)。然而,在当前情况下,受污染的胴体不断进入切割生产线,在休息期间和工作日结束时对表面和器具进行临时清洗和消毒,很可能最多只能防止工作日期间发生的所有交叉污染的10%左右。因此,只要继续处理受污染的胴体,肉类加工厂中约90%的交叉污染实际上是不可避免的。由此还可以得出结论,在这种情况下,实施良好生产规范(GMP)和基于危害分析与关键控制点(HACCP)的生产方法,在控制切割生产线中沙门氏菌的交叉污染方面只能产生微不足道的效果。肉铺和超市中屠夫处理受污染的切块或胴体的情况或多或少也是如此。此外,与肉类加工厂的情况不同,可能有高达10%的肉铺或餐厅厨房会在数周或数月内被其自身特有的沙门氏菌“店内菌群”定植,这些菌群最初是通过购买受污染的动物源性产品引入的。虽然没有确凿数据证实这一点,但可以怀疑这些店铺和餐厅的管理较差,即清洗和消毒不彻底。然而,一些分析上的局限性阻碍了对受沙门氏菌污染猪肉的流行率进行精确测定,以及对风险因素的影响进行精确量化。特别是,胴体和切块擦拭与通常采用的培养方法相结合的诊断价值(即灵敏度、特异性、精密度和预测价值)在很大程度上尚不清楚,并且有迹象表明可能会受到严重质疑。如果没有更深入了解当前和未来采样及鉴定方法的诊断价值,就无法更准确地估计沙门氏菌呈阳性的胴体和切块的流行率。根据研究数据,受污染切块和可供零售猪肉的发生率估计误差在5%至40%之间。在弥补所讨论的方法缺陷后,必须假定目前肉铺中原始切块和可供零售猪肉的实际污染率约为25%至30%,碎肉和猪肉香肠的污染率约为50%至55%。最后得出结论,如果胴体不含沙门氏菌,原则上可以为消费者提供几乎不含沙门氏菌的猪肉。因此,建议欧盟允许在屠宰场采用一种普遍认可的安全物质进行去污处理,前提是生产商严格遵守GMP原则。