foodborne diseases

食源性疾病
  • 文章类型: Journal Article
    单核细胞增生李斯特菌,一种主要的食源性病原体,常见于牛奶和乳制品中。本研究旨在使用基于PubMed,Embase,WebofScience,和Scopus数据库。本荟萃分析共纳入173项研究。供应链环境中的集合患病率为8.69%(95%置信区间[CI]:5.30%-12.78%),高于乳制品(4.60%,95%CI:1.72%-8.60%)和奶制品(2.93%,95%CI:2.14%-3.82%)。亚组分析显示,原奶中单核细胞增生李斯特菌的患病率(3.44%,95%CI:2.61%-4.28%)显著高于巴氏杀菌乳(0.60%,95%CI:0.00%-2.06%)。在北美观察到牛奶和乳制品中单核细胞增生李斯特菌的最高患病率(5.27%,95%CI:2.19%-8.35%)和南美(13.54%,95%CI:3.71%-23.37%)。此外,使用培养和分子方法的研究(5.17%,95%CI:2.29%-8.06%)患病率高于其他检测方法。血清组1/2a和3a(45.34%,95%CI:28.74%-62.37%),血清组1/2b和3b(14.23%,95%CI:6.05%-24.24%),和血清组4b/4e(13.71%,95%CI:6.18%-22.83%)在这些研究中占主导地位。这项研究的结果提供了更好地了解牛奶和乳制品供应链中单核细胞增生李斯特菌的患病率,并提出了潜在的食源性病原体负担。
    Listeria monocytogenes, one of the main foodborne pathogens, is commonly found in milk and dairy products. This study aimed to estimate the presence of L. monocytogenes in milk and dairy product supply chains using a meta-analysis based on PubMed, Embase, Web of Science, and Scopus databases. A total of 173 studies were included in this meta-analysis. The pooled prevalence in the supply chain environment was 8.69% (95% confidence interval [CI]: 5.30%-12.78%), which was higher than that in dairy products (4.60%, 95% CI: 1.72%-8.60%) and milk products (2.93%, 95% CI: 2.14%-3.82%). Subgroup analysis showed that L. monocytogenes prevalence in raw milk (3.44%, 95% CI: 2.61%-4.28%) was significantly higher than in pasteurized milk (0.60%, 95% CI: 0.00%-2.06%). The highest prevalence of L. monocytogenes in milk and dairy products was observed in North America (5.27%, 95% CI: 2.19%-8.35%) and South America (13.54%, 95% CI: 3.71%-23.37%). In addition, studies using culture and molecular methods (5.17%, 95% CI: 2.29%-8.06%) had higher prevalence than other detection methods. Serogroup 1/2a and 3a (45.34%, 95% CI: 28.74%-62.37%), serogroup 1/2b and 3b (14.23%, 95% CI: 6.05%-24.24%), and serogroup 4b/4e (13.71%, 95% CI: 6.18%-22.83%) were dominant in these studies. The results of this study provide a better understanding of the prevalence of L. monocytogenes in milk and dairy product supply chains and suggest a potential foodborne pathogen burden.
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  • 文章类型: Journal Article
    由于细菌病原体及其毒素引起的食源性疾病暴发已成为全球公共卫生和安全的严重关切。寻找具有针对当前腐败和食源性细菌病原体的独特作用机制的新型抗菌剂是克服抗生素抗性的中心策略。这项研究检查了无机纳米颗粒(NPs)对食源性细菌病原体的抗菌活性和作用机理。用英语写的文章是从寄存器和数据库中恢复的(PubMed,ScienceDirect,WebofScience,谷歌学者,和开放存取期刊目录)和其他来源(网站,组织,和引文搜索)。\"纳米粒子,\"\"无机纳米粒子,\"\"金属纳米颗粒,\"\"金属氧化物纳米颗粒,\“\”抗菌活性,\"\"抗菌活性,\"\"食源性细菌病原体,“\”行动机制,“”和“食源性疾病”是用于检索文章的搜索词。PRISMA-2020清单适用于文章搜索策略,文章选择,数据提取,和审查过程的结果报告。从不同的搜索策略获得的3,575篇文章中,共包括27篇原始研究文章。所有研究都证明了无机NPs的抗菌效果,并强调了它们对食源性细菌病原体的不同作用机制。在本研究中,小尺寸,球形,工程,封顶,与水的低溶解,高浓度NP,在革兰氏阴性细菌类型中,与它们的对应物相比具有很高的抗菌活性。细胞壁相互作用和膜渗透,活性氧的产生,DNA损伤,和蛋白质合成抑制是当前研究中公认的一些广义机制。因此,这项研究建议在食品加工行业中正确使用无毒的无机纳米颗粒产品,以确保食品的质量和安全,同时最大限度地减少食源性细菌病原体对抗生素的耐药性。
    Foodborne disease outbreaks due to bacterial pathogens and their toxins have become a serious concern for global public health and security. Finding novel antibacterial agents with unique mechanisms of action against the current spoilage and foodborne bacterial pathogens is a central strategy to overcome antibiotic resistance. This study examined the antibacterial activities and mechanisms of action of inorganic nanoparticles (NPs) against foodborne bacterial pathogens. The articles written in English were recovered from registers and databases (PubMed, ScienceDirect, Web of Science, Google Scholar, and Directory of Open Access Journals) and other sources (websites, organizations, and citation searching). \"Nanoparticles,\" \"Inorganic Nanoparticles,\" \"Metal Nanoparticles,\" \"Metal-Oxide Nanoparticles,\" \"Antimicrobial Activity,\" \"Antibacterial Activity,\" \"Foodborne Bacterial Pathogens,\" \"Mechanisms of Action,\" and \"Foodborne Diseases\" were the search terms used to retrieve the articles. The PRISMA-2020 checklist was applied for the article search strategy, article selection, data extraction, and result reporting for the review process. A total of 27 original research articles were included from a total of 3,575 articles obtained from the different search strategies. All studies demonstrated the antibacterial effectiveness of inorganic NPs and highlighted their different mechanisms of action against foodborne bacterial pathogens. In the present study, small-sized, spherical-shaped, engineered, capped, low-dissolution with water, high-concentration NPs, and in Gram-negative bacterial types had high antibacterial activity as compared to their counterparts. Cell wall interaction and membrane penetration, reactive oxygen species production, DNA damage, and protein synthesis inhibition were some of the generalized mechanisms recognized in the current study. Therefore, this study recommends the proper use of nontoxic inorganic nanoparticle products for food processing industries to ensure the quality and safety of food while minimizing antibiotic resistance among foodborne bacterial pathogens.
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  • 文章类型: Systematic Review
    本系统综述旨在汇编有关微生物组相关营养干预措施的现有知识体系,有助于改善鸡的健康,并对减少食源性病原体在肠道中的定植产生影响。在Scopus和PubMed中系统地搜索了2012年至2022年之间发表的原始研究文章。共检索到1,948篇文章,140篇符合纳入标准。总的来说,73篇论文描述了99种针对大肠杆菌和相关生物定植的干预措施;10篇论文描述了15种针对弯曲杆菌的干预措施。36篇论文描述了针对沙门氏菌的54种干预措施;40篇论文描述了针对产气荚膜梭菌的54种干预措施。总共有197个与微生物组相关的干预措施被确定为对一种或多种列出的病原体有效,包括益生菌(n=80)。益生元(n=23),植物生物(n=25),合生元(n=12),有机酸(n=12),酶(n=4),精油(n=14)和这些组合(n=27)。确定的干预措施主要是在饲料(173/197)或通过口服灌胃(11/197),在饮用水中(7/197),在ovo(2/197),羊膜腔内(2/197),新鲜或重复使用的垃圾(1/197)或饲料和水(1/197)。这些干预措施增强了肉仔鸡肠道中有益的微生物群落,如乳酸菌,主要是乳酸菌。,或调节多种微生物种群。促进防止食源性病原体定植的机制包括竞争性排斥,短链脂肪酸的生产,肠道pH值降低,菌群失调事件后微生物组的恢复,促进更稳定的微生物生态,改善肠粘膜完整性的基因表达,增强粘蛋白的产生和改善宿主的免疫应答。从文献中提取的所有研究都描述了体内试验,但在实验环境下对有限数量的动物进行了研究。此外,他们详细介绍了干预措施对鸡肠的影响,但没有详细说明对禽肉安全的进一步影响。
    This systematic review aimed to compile the available body of knowledge about microbiome-related nutritional interventions contributing to improve the chicken health and having an impact on the reduction of colonization by foodborne pathogens in the gut. Original research articles published between 2012 and 2022 were systematically searched in Scopus and PubMed. A total of 1,948 articles were retrieved and 140 fulfilled the inclusion criteria. Overall, 73 papers described 99 interventions against colonization by Escherichia coli and related organisms; 10 papers described 15 interventions against Campylobacter spp.; 36 papers described 54 interventions against Salmonella; 40 papers described 54 interventions against Clostridium perfringens. A total of 197 microbiome-related interventions were identified as effective against one or more of the listed pathogens and included probiotics (n = 80), prebiotics (n = 23), phytobiotics (n = 25), synbiotics (n = 12), organic acids (n = 12), enzymes (n = 4), essential oils (n = 14) and combination of these (n = 27). The identified interventions were mostly administered in the feed (173/197) or through oral gavage (11/197), in the drinking water (7/197), in ovo (2/197), intra amniotic (2/197), in fresh or reused litter (1/197) or both in the feed and water (1/197). The interventions enhanced the beneficial microbial communities in the broiler gut as Lactic acid bacteria, mostly Lactobacillus spp., or modulated multiple microbial populations. The mechanisms promoting the fighting against colonization by foodborne pathogens included competitive exclusion, production of short chain fatty acids, decrease of gut pH, restoration of the microbiome after dysbiosis events, promotion of a more stable microbial ecology, expression of genes improving the integrity of intestinal mucosa, enhancing of mucin production and improvement of host immune response. All the studies extracted from the literature described in vivo trials but performed on a limited number of animals under experimental settings. Moreover, they detailed the effect of the intervention on the chicken gut without details on further impact on poultry meat safety.
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  • 文章类型: Journal Article
    海鲜产品被全球消费,消费者对这些产品的质量和安全性的需求越来越大。在自然环境或养殖养殖过程中,一些海鲜很容易受到海洋生物毒素的污染。当人类摄入海鲜中积累的不同毒素时,他们可能会表现出不同的中毒症状。根据调查,有害藻类和其他各种海洋生物产生的海洋毒素主要积聚在海鲜动物的肝脏和消化道等身体器官中。世界上有几个地区报道了生物毒素引起的海产品中毒事件,对人类健康构成威胁。因此,大多数国家已经立法规定了海鲜中这些生物毒素的允许水平。因此,海鲜生产商和供应商有必要在收获前后对海鲜中的毒素进行必要的测试,以禁止含有过量毒素的海鲜进入市场,因此可以减少海产品中毒事件的发生。近年来,一些技术可以快速,方便,灵敏地检测海鲜中的生物毒素,已经开发和验证,这些技术有可能帮助海鲜生产者,供应商和监管机构。本文综述了海鲜毒素的来源和种类,海洋毒素的作用机制和生物累积,以及官方和渔民监督的海鲜中生物毒素的立法和快速检测技术。
    Seafood products are globally consumed, and there is an increasing demand for the quality and safety of these products among consumers. Some seafoods are easily contaminated by marine biotoxins in natural environments or cultured farming processes. When humans ingest different toxins accumulated in seafood, they may exhibit different poisoning symptoms. According to the investigations, marine toxins produced by harmful algal blooms and various other marine organisms mainly accumulate in the body organs such as liver and digestive tract of seafood animals. Several regions around the world have reported incidents of seafood poisoning by biotoxins, posing a threat to human health. Thus, most countries have legislated to specify the permissible levels of these biotoxins in seafood. Therefore, it is necessary for seafood producers and suppliers to conduct necessary testing of toxins in seafood before and after harvesting to prohibit excessive toxins containing seafood from entering the market, which therefore can reduce the occurrence of seafood poisoning incidents. In recent years, some technologies which can quickly, conveniently, and sensitively detect biological toxins in seafood, have been developed and validated, these technologies have the potential to help seafood producers, suppliers and regulatory authorities. This article reviews the seafood toxins sources and types, mechanism of action and bioaccumulation of marine toxins, as well as legislation and rapid detection technologies for biotoxins in seafood for official and fishermen supervision.
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  • 文章类型: Review
    沙门氏菌是人类和动物健康的重要病原体,家禽是与全球食源性疾病相关的最常见来源之一。由于消费者需求和世界人口结构的变化,过去十年或更长时间内,禽肉和产品的全球产量显着增加。禽肉占饮食的很大一部分。此外,鸟类的相对较快的生长速度明显高于其他肉类物种,这也对家禽生产的加剧起到了作用。为了满足对禽肉和产品的更大需求,现代家禽生产和加工实践已经改变,并且已经实施了目标控制和减少食源性病原体如沙门氏菌的实践。这些策略是沿着从父母和祖父母羊群到育种者的连续体实施的,农场和成品肉鸡运输和加工,最后从零售到消费者。这篇综述侧重于常见的做法,干预措施和策略,对从农场到盘子的家禽生产连续过程中沙门氏菌的控制具有潜在影响。
    Salmonella is a significant pathogen of human and animal health and poultry are one of the most common sources linked with foodborne illness worldwide. Global production of poultry meat and products has increased significantly over the last decade or more as a result of consumer demand and the changing demographics of the world\'s population, where poultry meat forms a greater part of the diet. In addition, the relatively fast growth rate of birds which is significantly higher than other meat species also plays a role in how poultry production has intensified. In an effort to meet the greater demand for poultry meat and products, modern poultry production and processing practices have changed and practices to target control and reduction of foodborne pathogens such as Salmonella have been implemented. These strategies are implemented along the continuum from parent and grandparent flocks to breeders, the farm and finished broilers to transport and processing and finally from retail to the consumer. This review focuses on common practices, interventions and strategies that have potential impact for the control of Salmonella along the poultry production continuum from farm to plate.
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  • 文章类型: Journal Article
    沙门氏菌是一种胞内细菌,当宿主特异性血清型到达宿主胃肠道时,会导致许多人死亡。非伤寒沙门氏菌在全球范围内引起许多食源性暴发和产品召回,而伤寒沙门氏菌在发展中国家引起伤寒病例。然而,通过其食物和水污染,沙门氏菌相关的食源性疾病爆发已敦促提高快速和敏感的沙门氏菌检测方法,以保护公共卫生。虽然传统的检测方法对于监测保质期短的食品耗时且无效,微生物学的进步,分子生物学和生物传感器方法加速了检测。这里,这篇综述讨论了沙门氏菌的致病机制及其检测技术的进步(基本概念,特点,实现,效率,好处,局限性和前景)。讨论了每种快速测试方法的时间效率与其检测极限(LOD)以及从样品富集到最终数据分析所需的时间有关。重要的是,在方法中比较了基质效应(LODs和样品富集),以潜在地推测沙门氏菌从环境中检测,使用某些技术的临床或食物基质。尽管生物技术的进步已经导致了各种省时的沙门氏菌检测技术,人们应该考虑使用先进的设备来由受过适度培训的人员进行分析。最终,一个快速的,准确的沙门氏菌筛查,容易由来自各种矩阵的未经训练的人员执行,是公共卫生采购所需要的。
    Salmonella is as an intracellular bacterium, causing many human fatalities when the host-specific serotypes reach the host gastrointestinal tract. Nontyphoidal Salmonella are responsible for numerous foodborne outbreaks and product recalls worldwide whereas typhoidal Salmonella are responsible for Typhoid fever cases in developing countries. Yet, Salmonella-related foodborne disease outbreaks through its food and water contaminations have urged the advancement of rapid and sensitive Salmonella-detecting methods for public health protection. While conventional detection methods are time-consuming and ineffective for monitoring foodstuffs with short shelf lives, advances in microbiology, molecular biology and biosensor methods have hastened the detection. Here, the review discusses Salmonella pathogenic mechanisms and its detection technology advancements (fundamental concepts, features, implementations, efficiency, benefits, limitations and prospects). The time-efficiency of each rapid test method is discussed in relation to their limit of detections (LODs) and time required from sample enrichment to final data analysis. Importantly, the matrix effects (LODs and sample enrichments) were compared within the methods to potentially speculate Salmonella detection from environmental, clinical or food matrices using certain techniques. Although biotechnological advancements have led to various time-efficient Salmonella-detecting techniques, one should consider the usage of sophisticated equipment to run the analysis by moderately to highly trained personnel. Ultimately, a fast, accurate Salmonella screening that is readily executed by untrained personnels from various matrices, is desired for public health procurement.
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  • 文章类型: Meta-Analysis
    背景:南亚仍然是由弧菌引起的食源性疾病的家园。我们旨在收集和更新有关南亚弧菌病流行病学的信息。
    方法:对于本系统综述和荟萃分析,我们搜索了PubMed,WebofScience,EMBASE,以及截至2023年5月发表的南亚弧菌病相关研究的谷歌学者。使用随机效应荟萃分析来估计非霍乱引起的弧菌物种的合并分离率。
    结果:共纳入38项研究。其中7例是病例报告,22例纳入荟萃分析。报告的弧菌病病例由非O1/非O139霍乱弧菌引起,五、副溶血病,V.Fluvialis,和V.创伤。腹泻患者的总体合并隔离率为4.0%(95%CI:3.0-5.0%)。异质性高(I2=98.0%)。非O1/非O139霍乱弧菌的分离率,五、副溶血病,流静脉为9.0(95%CI:7.0-10.0%),1.0(95%CI:1.0-2.0%),和2.0(95%CI:1.0-3.0%),分别。关于副溶血性弧菌,O3:K6是最常见的分离血清型。病例在夏季达到高峰。一些研究报告了抗生素抗性菌株和那些具有超广谱β-内酰胺酶基因的菌株。
    结论:这项研究表明,在南亚,由非霍乱引起的弧菌引起的感染负担很高。
    OBJECTIVE: South Asia remains home to foodborne diseases caused by the Vibrio species. We aimed to compile and update information on the epidemiology of vibriosis in South Asia.
    METHODS: For this systematic review and meta-analysis, we searched PubMed, Web of Science, EMBASE, and Google Scholar for studies related to vibriosis in South Asia published up to May 2023. A random-effects meta-analysis was used to estimate the pooled isolation rate of non-cholera-causing Vibrio species.
    RESULTS: In total, 38 studies were included. Seven of these were case reports and 22 were included in the meta-analysis. The reported vibriosis cases were caused by non-O1/non-O139 V. cholerae, V. parahaemolyticus, V. fluvialis, and V. vulnificus. The overall pooled isolation rate was 4.0% (95% confidence interval [CI] 3.0-5.0%) in patients with diarrhea. Heterogeneity was high (I2 = 98.0%). The isolation rate of non-O1/non-O139 V. cholerae, V. parahaemolyticus, and V. fluvialis were 9.0 (95% CI 7.0-10.0%), 1.0 (95% CI 1.0-2.0%), and 2.0 (95% CI: 1.0-3.0%), respectively. Regarding V. parahaemolyticus, O3:K6 was the most frequently isolated serotype. Cases peaked during summer. Several studies reported antibiotic-resistant strains and those harboring extended-spectrum beta-lactamases genes.
    CONCLUSIONS: This study demonstrates a high burden of infections caused by non-cholera-causing Vibrio species in South Asia.
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  • 文章类型: Review
    葡萄球菌肠毒素(SE),金黄色葡萄球菌的主要毒力因子,在生产的不同阶段渗透食品供应链,导致广泛的食物中毒,严重威胁人类健康,进程,分布,和市场。金黄色葡萄球菌的显著流行要求高效,快,和早期检测SE的敏感方法。这里,我们全面审查了受污染食品中SEs的危害,SE的特点和世界性规定,以及SEs的各种检测方法,对利弊进行了广泛的比较和讨论,主要包括生物检测,基因检测,以及质谱检测和生物传感器。我们重点介绍了用于筛查SE的生物传感器,根据不同的识别元素如抗体分类,适体,分子印迹聚合物,T细胞受体,和传感器,如光学,电化学,和压电生物传感器。我们分析了生物传感器监测SEs的挑战,并总结了新型生物传感器的发展趋势,应注意提高样品的预处理效率。采用创新的纳米材料,开发便携式仪器。这篇评论提供了新的信息和有见地的评论,对食品样品中SEs进一步检测方法的发展和创新具有重要意义。
    Staphylococcal enterotoxins (SEs), the major virulence factors of Staphylococcus aureus, cause a wide range of food poisoning and seriously threaten human health by infiltrating the food supply chain at different phases of manufacture, processes, distribution, and market. The significant prevalence of Staphylococcus aureus calls for efficient, fast, and sensitive methods for the early detection of SEs. Here, we provide a comprehensive review of the hazards of SEs in contaminated food, the characteristic and worldwide regulations of SEs, and various detection methods for SEs with extensive comparison and discussion of benefits and drawbacks, mainly including biological detection, genetic detection, and mass spectrometry detection and biosensors. We highlight the biosensors for the screening purpose of SEs, which are classified according to different recognition elements such as antibodies, aptamers, molecularly imprinted polymers, T-cell receptors, and transducers such as optical, electrochemical, and piezoelectric biosensors. We analyzed challenges of biosensors for the monitoring of SEs and conclude the trends for the development of novel biosensors should pay attention to improve samples pretreatment efficiency, employ innovative nanomaterials, and develop portable instruments. This review provides new information and insightful commentary, important to the development and innovation of further detection methods for SEs in food samples.
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  • 文章类型: Journal Article
    沙门氏菌是人类食源性疾病的主要病因之一。它是全世界特有的,将不同的动物和动物食品作为感染的宿主和媒介。确定沙门氏菌的动物宿主和潜在的传播途径对于预防和控制至关重要。源归因有很多方法,每个都使用不同的统计模型和数据流。一些旨在识别动物水库,而其他人则旨在确定暴露发生的点。随着全基因组测序(WGS)技术的进步,新的来源归因模型将极大地受益于WGS获得的鉴别力。这篇综述讨论了一些关键的来源归因方法及其数学和统计工具。我们还重点介绍了利用WGS进行来源归因的最新研究,并讨论了开发新WGS方法的开放问题和挑战。我们的目标是更好地了解这些方法的现状,并应用于沙门氏菌和其他食源性病原体,这些病原体是家禽和人类部门的常见疾病来源。
    Salmonella is one of the main causes of human foodborne illness. It is endemic worldwide, with different animals and animal-based food products as reservoirs and vehicles of infection. Identifying animal reservoirs and potential transmission pathways of Salmonella is essential for prevention and control. There are many approaches for source attribution, each using different statistical models and data streams. Some aim to identify the animal reservoir, while others aim to determine the point at which exposure occurred. With the advance of whole-genome sequencing (WGS) technologies, new source attribution models will greatly benefit from the discriminating power gained with WGS. This review discusses some key source attribution methods and their mathematical and statistical tools. We also highlight recent studies utilizing WGS for source attribution and discuss open questions and challenges in developing new WGS methods. We aim to provide a better understanding of the current state of these methodologies with application to Salmonella and other foodborne pathogens that are common sources of illness in the poultry and human sectors.
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  • 文章类型: Journal Article
    食源性疾病是由不适当的食品处理方法引起的,但是通过经营者和消费者实施食品安全原则,预防是可能的。本文概述了海湾国家食品经营者和消费者的食品安全知识和实践,确定影响知识和实践的因素,并为促进经营者和消费者的食品安全提供建议。采用综合综述法进行文献检索。使用了以下描述符的各种组合:(食品安全,食品卫生),(知识,实践),和(沙特阿拉伯,卡塔尔,阿联酋,巴林,阿曼,和科威特)。在筛选的164项研究中,37符合资格标准。食品处理人员研究报告食品安全知识不足,将现有知识转化为实践的情况很差。消费者研究显示,食品安全知识水平各不相同,将现有知识转化为实践也被发现不一致。培训和教育水平是积极影响食品安全知识和实践的主要因素。总的来说,海湾地区的食品处理人员和消费者在知识和实践方面存在重大差距。这些差距需要海湾监管机构的紧急关注,以制定有针对性的食品安全培训和教育计划,以提高对食品安全原则的认识和实施。
    Foodborne illnesses result from inadequate food handling practices, but prevention is possible through implementing food safety principles by handlers and consumers. This paper presents an overview of food safety knowledge and practices among food handlers and consumers in the Gulf countries, identifies factors affecting knowledge and practice, and offers recommendations for promoting food safety among handlers and consumers. A literature search was conducted using an integrative review method. Various combinations of the following descriptors were used: (food safety, food hygiene), (knowledge, practice), and (Saudi Arabia, Qatar, UAE, Bahrain, Oman, and Kuwait). Out of 164 studies screened, 37 met the eligibility criteria. Food handler studies reported insufficient food safety knowledge, with poor translation of existing knowledge into practice. Consumer studies showed varying levels of food safety knowledge, and the translation of existing knowledge into practice was also found to be inconsistent. Training and educational level were the primary factors positively affecting food safety knowledge and practices. Overall, significant gaps in knowledge and practices were identified among food handlers and consumers in the Gulf. These gaps require urgent attention from the Gulf regulatory bodies to develop targeted food safety training and education programs to enhance awareness and implementation of food safety principles.
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