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17 pages, 1633 KB  
Article
Lactic Acid Bacteria Isolated from Kefir Grains Inhibit Staphylococcus aureus in Yogurt: Potential Implications for Food Hygiene
by Jorge Ramsés Dorantes-Gutiérrez, Jeiry Toribio-Jiménez, Benjamín Maldonado-Del Moral, Lorena Jacqueline Gómez-Godínez, Gustavo Cuaxinque-Flores, Juan Ramos-Garza and José Luis Aguirre-Noyola
Hygiene 2026, 6(2), 21; https://doi.org/10.3390/hygiene6020021 (registering DOI) - 11 Apr 2026
Abstract
Foodborne diseases represent a major public health concern, particularly those associated with dairy products contaminated with Staphylococcus aureus, a pathogen capable of producing heat-stable enterotoxins. This study evaluated the potential of native lactic acid bacteria (LAB) isolated from artisanal kefir grains as [...] Read more.
Foodborne diseases represent a major public health concern, particularly those associated with dairy products contaminated with Staphylococcus aureus, a pathogen capable of producing heat-stable enterotoxins. This study evaluated the potential of native lactic acid bacteria (LAB) isolated from artisanal kefir grains as natural biocontrol agents in fermented dairy foods. Kefir grains obtained from three artisanal producers were microbiologically characterized, revealing LAB as the dominant group and the absence of Enterobacteriaceae. Strains belonging mainly to the genera Lactobacillus sensu lato, Leuconostoc, and Pediococcus were isolated and exhibited differentiated metabolic profiles. Safety assessment showed no hemolytic activity and an overall susceptibility to clinically relevant antibiotics, although genus-dependent intrinsic resistance patterns were observed. Several strains displayed enzymatic activities related to carbohydrate digestion and high tolerance to simulated gastrointestinal conditions, with survival rates exceeding 90% during both gastric and intestinal phases. Neutralized cell-free supernatant (CFS) demonstrated differential inhibitory activity, with significant antagonism of S. aureus and E. coli, comparable to those of commercial reference strains. In a yogurt model system stored at 4 °C, selected Lactobacillus and Pediococcus strains induced a progressive and significant reduction in S. aureus populations, achieving complete elimination to undetectable levels in shorter times than commercial probiotic strains. Overall, these results demonstrate that native LAB from artisanal kefir grains exhibit an adequate safety and functional profile, together with strong antagonistic activity, supporting their potential application as natural protective cultures to improve the food hygiene of fermented dairy products. Full article
(This article belongs to the Special Issue Food Hygiene and Human Health)
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14 pages, 1906 KB  
Article
Ultrasensitive Detection of Staphylococcus aureus Based on Photonic Crystal Microsphere Suspension Array-Assisted Loop-Mediated Isothermal Amplification
by Xiang Li, Qiaofeng Li, Qianjin Li, Jianlin Li and Zhouping Wang
Biosensors 2026, 16(4), 209; https://doi.org/10.3390/bios16040209 - 9 Apr 2026
Abstract
The development of high-throughput, sensitive and portable strategies for detecting foodborne pathogens is urgently needed in food safety, especially during an outbreak. Herein, an ultrasensitive suspension array was constructed by designing photonic crystal microsphere (PCM)-assisted loop-mediated isothermal amplification (LAMP) for Staphylococcus aureus detection. [...] Read more.
The development of high-throughput, sensitive and portable strategies for detecting foodborne pathogens is urgently needed in food safety, especially during an outbreak. Herein, an ultrasensitive suspension array was constructed by designing photonic crystal microsphere (PCM)-assisted loop-mediated isothermal amplification (LAMP) for Staphylococcus aureus detection. The PCM-LAMP suspension array integrated the optical signal enhancement capability of the biomimetic microporous three-dimensional PCM surface with the thousand-fold signal amplification of LAMP. The biomimetic PCMs displayed a periodic dielectric nanostructure and enhanced the fluorescence intensity of the LAMP reaction, leading to high sensitivity. The PCM-LAMP suspension array allowed sensitive detection of the target DNA of S. aureus without long-term culture. Under optimal conditions, the limit of detection for S. aureus genomic DNA reached as low as 0.18 fM, and the assay exhibited excellent specificity against other bacteria. Furthermore, trace target DNA in food samples was accurately quantified, demonstrating its potential for practical applications. Therefore, the developed PCM-LAMP suspension array holds great promise for ultrasensitive and rapid detection of foodborne pathogens. Full article
(This article belongs to the Section Optical and Photonic Biosensors)
14 pages, 1370 KB  
Review
Hepatitis E in Thailand: From Seroprevalence to Foodborne and Transfusion-Associated Risks
by Yong Poovorawan, Sitthichai Kanokudom, Pornjarim Nilyanimit and Jiratchaya Puenpa
J. Clin. Med. 2026, 15(8), 2837; https://doi.org/10.3390/jcm15082837 - 9 Apr 2026
Viewed by 82
Abstract
Background: Hepatitis E virus (HEV) is an increasingly recognized cause of acute viral hepatitis in Thailand as the burden of hepatitis A, B, and C has declined. HEV is a positive-sense RNA virus in the family Hepeviridae with three major open reading frames [...] Read more.
Background: Hepatitis E virus (HEV) is an increasingly recognized cause of acute viral hepatitis in Thailand as the burden of hepatitis A, B, and C has declined. HEV is a positive-sense RNA virus in the family Hepeviridae with three major open reading frames encoding replication proteins (ORF1), the capsid protein (ORF2), and an accessory protein involved in viral egress (ORF3). Unlike highly endemic regions where genotypes 1 and 2 are linked to waterborne outbreaks, infections in Thailand are reported mainly as sporadic cases associated with zoonotic transmission, most commonly genotype 3. Objectives: This review summarizes the epidemiology, transmission routes, and public health implications of HEV infection in Thailand. Methods: Peer-reviewed studies on HEV seroprevalence, molecular epidemiology, and transmission in Thailand were identified through PubMed using combinations of the keywords “HEV” and “Thailand”. Two investigators independently screened titles, abstracts, and full texts. Eligible studies were synthesized qualitatively. Results: Earlier studies suggested low population exposure, but more recent evidence indicates substantial cumulative risk. A nationwide survey among blood donors reported anti-HEV IgG seroprevalence of about 30%, with geographic variation and increasing prevalence with age. Detection of HEV RNA in pigs, slaughterhouse environments, and retail pork products, together with links to raw or undercooked pork consumption, supports pigs as the principal reservoir and foodborne exposure as an important route. Transfusion-associated infection has also been documented. Conclusions: In Thailand, HEV infection is linked mainly to zoonotic and foodborne transmission involving genotype 3. Stronger surveillance, food safety measures, and risk-based blood safety policies are needed. Full article
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15 pages, 4789 KB  
Article
A Rapid and Sensitive LAMP Assay for the Detection of Klebsiella aerogenes in Food Matrices
by Mila Djisalov, Marija Pavlović, Ljiljana Janjušević, Ljiljana Šašić Zorić, Željko D. Popović and Ivana Gadjanski
Foods 2026, 15(8), 1277; https://doi.org/10.3390/foods15081277 - 8 Apr 2026
Viewed by 185
Abstract
Foodborne pathogens such as Klebsiella aerogenes pose a threat to food safety, highlighting the need for rapid, reliable detection methods amid rising contamination risks in production chains. In this study, a loop-mediated isothermal amplification (LAMP) assay was developed and validated to detect the [...] Read more.
Foodborne pathogens such as Klebsiella aerogenes pose a threat to food safety, highlighting the need for rapid, reliable detection methods amid rising contamination risks in production chains. In this study, a loop-mediated isothermal amplification (LAMP) assay was developed and validated to detect the histidine decarboxylase (HDC) gene of K. aerogenes. The assay was optimized for specificity and sensitivity, tested on pure bacterial genomic DNA and artificially contaminated food matrices (vegetables and meats), and evaluated against real-time PCR (qPCR). To evaluate performance under different DNA quality conditions and simulate laboratory versus on-site workflows, two extraction approaches were compared: a standard laboratory protocol yielding high-purity DNA and a crude extraction method producing low-purity DNA, mimicking the presence of inhibitors commonly encountered in routine analysis and enabling practical on-site detection where commercial kits are not feasible. The developed LAMP assay achieved maximum specificity with no cross-reactivity to related species, limits of detection of 240 fg/reaction for pure bacterial DNA and 0.4 pg/µL in K. aerogenes artificially contaminated food samples, and a reaction time under 30 min—outperforming real-time PCR in speed and robustness. This cost-effective method provides a scalable tool for near-real-time monitoring of K. aerogenes in food production, enhancing safety and enabling early outbreak detection. Full article
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12 pages, 8454 KB  
Article
Functionalized Persistent Luminescence Nanoparticle-Based Magnetic Separation Aptasensor for Autofluorescence-Free Determination of Salmonella enteritidis
by Lixia Yan, Liufeng Yu, Ling Sun, Beibei Wang and Yi Zhang
Foods 2026, 15(8), 1273; https://doi.org/10.3390/foods15081273 - 8 Apr 2026
Viewed by 158
Abstract
Salmonella enteritidis (SE) is recognized as a primary etiological agent of foodborne infection and food poisoning. Selective and sensitive determination of SE in animal-derived products is of great importance for ensuring safety in the food industry. Here, we report a highly sensitive and [...] Read more.
Salmonella enteritidis (SE) is recognized as a primary etiological agent of foodborne infection and food poisoning. Selective and sensitive determination of SE in animal-derived products is of great importance for ensuring safety in the food industry. Here, we report a highly sensitive and specific competition assay for detecting SE in eggs without interference from background fluorescence, by using persistent luminescent nanoparticles (PLNPs) as luminescent probes in combination with aptamer recognition and magnetic separation. Initially, the SE-specific aptamer (SEapt), as previously reported, was conjugated onto the surface of Fe3O4 magnetic nanoparticles to serve as both the recognition and separation unit. Meanwhile, the ZnGa2O4:Cr (PLNPs) were functionalized with the aptamer-complementary DNA (cDNA), serving as the PL signal generator. The constructed PL aptasensor is composed of the aptamer-conjugated MNPs (MNPs-SEapt) and cDNA-functionalized PLNPs (PLNPs-cDNA), integrating the merits of the long-lasting luminescence of PLNPs, the magnetic separation ability of MNPs and the selectivity of the aptamer. This integration offers a promising approach for autofluorescence-free determination of SE in food samples. The proposed aptasensor exhibited excellent linearity in the range from 1.0 × 102–1.0 × 107 CFU mL−1 with a limit of detection as low as 32 CFU mL−1. The precision for 11 replicate determinations of 1.0 × 103 CFU mL−1 SE was 3.4% (relative standard deviation). The developed aptasensor achieved recoveries ranging from 98.8% to 102.8% for the determination of SE in the presence of common foodborne bacterial interferents. The method was successfully applied to the analysis of Salmonella genus in egg samples. In principle, the proposed platform may be adapted to other food matrices by substituting the target-specific aptamer, pending target-dependent optimization and validation. Full article
(This article belongs to the Section Food Quality and Safety)
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15 pages, 1605 KB  
Article
Impact of Encapsulated Iron Availability on the Growth Kinetics of Campylobacter jejuni
by Elena G. Olson, Emily A. Matiak, Joshua A. Jendza and Steven C. Ricke
Pathogens 2026, 15(4), 400; https://doi.org/10.3390/pathogens15040400 - 7 Apr 2026
Viewed by 156
Abstract
Background: Campylobacter jejuni, a leading foodborne pathogen in poultry, relies heavily on iron for survival and colonizes the gastrointestinal tract (GIT). Iron supplementation in poultry diets can inadvertently promote pathogen growth, particularly when excess or poorly absorbed iron accumulates in the lower [...] Read more.
Background: Campylobacter jejuni, a leading foodborne pathogen in poultry, relies heavily on iron for survival and colonizes the gastrointestinal tract (GIT). Iron supplementation in poultry diets can inadvertently promote pathogen growth, particularly when excess or poorly absorbed iron accumulates in the lower GIT. Encapsulated iron products, such as SQM® Iron, offer a controlled-release mechanism that may mitigate this risk by reducing iron availability to microbes. Objective: This study evaluated the effects of free (FeSO4) versus polysaccharide–iron complex (PIC) on C. jejuni growth under iron-limited conditions, hypothesizing that encapsulated iron would support slower and more limited bacterial proliferation due to delayed iron release. Methods: Growth kinetics of C. jejuni ATCC 700819 were assessed in chelated Mueller–Hinton broth supplemented with three iron concentrations (10, 20, and 50 ppm) of FeSO4, PIC, or PIC matrix without iron. Optical density was measured every 20 min over 48 h under microaerophilic conditions. Maximum growth rate (µmax) and carrying capacity (K) were derived using non-linear curve modeling. ANOVA evaluated statistical significance with Tukey’s HSD post hoc comparisons. Results: Free iron (FeSO4) consistently supported the highest µmax and K values across both trials, indicating rapid and robust C. jejuni proliferation. The effect of encapsulated iron was variable: at higher concentrations (50 ppm) it approached FeSO4 performance, but at lower concentrations (10 ppm) its effect differed markedly between trials, sometimes supporting growth comparable to free iron and sometimes supporting substantially slower growth. The PIC matrix alone did not promote growth. These variable results indicate that the relationship between encapsulated iron and C. jejuni proliferation is complex and concentration-dependent. Conclusions: Free iron consistently promotes robust C. jejuni growth due to immediate bioavailability. The impact of encapsulated iron on C. jejuni proliferation is nuanced and variable, particularly at lower concentrations, suggesting its role in pathogen control is not straightforward and requires further investigation under controlled conditions. Furthermore, in vivo research is warranted to validate its utility in poultry pathogen management strategies. Full article
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14 pages, 1758 KB  
Article
Genome-Informed Identification of Species-Specific Diagnostic Markers for Listeria Using Pangenome Analysis
by Viona Osei, Emmanuel Kuufire, Rejoice Nyarku, Kingsley E. Bentum, Tyric James, Asmaa Elrefaey, Temesgen Samuel and Woubit Abebe
Pathogens 2026, 15(4), 397; https://doi.org/10.3390/pathogens15040397 - 7 Apr 2026
Viewed by 214
Abstract
The genus Listeria comprises diverse bacteria with significant public health relevance, particularly Listeria monocytogenes. A comparative genomic analysis of ten representative Listeria species was conducted using 33 high-quality genome assemblies to investigate core and accessory genome dynamics and identify candidate diagnostic loci. [...] Read more.
The genus Listeria comprises diverse bacteria with significant public health relevance, particularly Listeria monocytogenes. A comparative genomic analysis of ten representative Listeria species was conducted using 33 high-quality genome assemblies to investigate core and accessory genome dynamics and identify candidate diagnostic loci. Pangenome reconstruction was performed using the Roary Integer Linear Programming Bacterial Annotation Pipeline (RIBAP) to classify core, soft-core, and accessory genes, while average nucleotide identity (ANI) analysis assessed genomic relatedness across thresholds of 60–95%. Functional annotation of core and species-specific genes was conducted using Genome Annotation and Information Analysis (GAIA). Core genes were highly conserved and associated with essential cellular functions, whereas the accessory genome contributed to species-level diversification and ecological adaptation. Candidate molecular markers were derived from accessory genes and evaluated based on presence/absence across genomes, retaining loci present in ≥80% of target strains and absent in non-target strains. Experimental validation of selected primers was performed using two L. monocytogenes reference strains (ATCC 19117 and ATCC BAA-679) with conventional PCR and gel electrophoresis to confirm expected amplicon sizes and specificity. These findings establish a genome-informed, specificity-driven framework for marker development and highlight the accessory genome as a valuable source of diagnostic loci, supporting accurate detection, epidemiological surveillance, and food safety monitoring. Full article
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17 pages, 8460 KB  
Review
Advances of Digital Detection for Foodborne Pathogens
by Ruonan He, Diming Hua, Wenwen Wu, Mojun Shi, Xuejiao Huang, Xuhan Xia and Ruijie Deng
Foods 2026, 15(7), 1250; https://doi.org/10.3390/foods15071250 - 6 Apr 2026
Viewed by 295
Abstract
The implementation of stringent regulatory policies for foodborne pathogens necessitates ultra-sensitive analytical methods. Digital detection, characterized by absolute quantification and tolerance to complex matrices, serves as a robust approach for food safety monitoring. This review summarizes recent advances in digital detection for foodborne [...] Read more.
The implementation of stringent regulatory policies for foodborne pathogens necessitates ultra-sensitive analytical methods. Digital detection, characterized by absolute quantification and tolerance to complex matrices, serves as a robust approach for food safety monitoring. This review summarizes recent advances in digital detection for foodborne pathogens, including nucleic acid amplification-based platforms such as droplet digital PCR and digital isothermal amplification, as well as emerging preamplification-free approaches based on enzyme-mediated signal conversion, functional nanomaterials, and microfluidic devices. We also profile the applications of digital detection technologies for achieving highly specific and accurate detection of foodborne pathogens and discuss their capabilities in viable bacteria quantification, antimicrobial resistance analysis, and multiplex detection. We finally discuss emerging trends, including partition-free digital detection and artificial intelligence-assisted analysis. These advances are expected to promote the development of intelligent and data-driven food safety surveillance strategies. Full article
(This article belongs to the Special Issue Advanced Detection and Control Techniques for Foodborne Pathogens)
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32 pages, 7169 KB  
Article
Phage Frontiers: Genomic and Functional Profiling of Novel Virulent Agents Targeting Foodborne Enterobacteriaceae
by Ramy Abdelreheim Qabel, Miao Xu, Chunwen Li, Chuhan Zhang, Chuanzhi Zhang, Yong Huang, Guangming Xiong, Edmund Maser and Liquan Guo
Biology 2026, 15(7), 578; https://doi.org/10.3390/biology15070578 - 4 Apr 2026
Viewed by 343
Abstract
Foodborne pathogens of Enterobacteriaceae are becoming an increasing global concern, with multidrug-resistant strains posing significant risks to food safety and public health, especially in high-risk products like dairy. This research focused on isolating, biologically characterizing, and genomically profiling new bacteriophages that target key [...] Read more.
Foodborne pathogens of Enterobacteriaceae are becoming an increasing global concern, with multidrug-resistant strains posing significant risks to food safety and public health, especially in high-risk products like dairy. This research focused on isolating, biologically characterizing, and genomically profiling new bacteriophages that target key Enterobacteriaceae members as potential biocontrol agents. Eight phages were isolated from wastewater using four bacterial hosts and analyzed through transmission electron microscopy, one-step growth analysis, adsorption kinetics, host range evaluation, whole-genome sequencing, comparative genomics, phylogenetic analysis, proteomic profiling, and virion assembly pathway characterization. All eight isolates exhibited icosahedral heads with contractile tails typical of Myoviridae morphology, demonstrated broad-spectrum lytic activity against 21 bacterial strains (infectivity: 47.6–95.2%), showed high adsorption efficiencies (84.75–99.98%), and had burst sizes ranging from 11 to 166 particles per cell. Genome sizes varied from 103 to 170 kb with coding densities between 92–96%. Importantly, none contained antimicrobial resistance genes, virulence factors, or lysogeny-associated elements, confirming their strictly lytic lifestyles and favorable biosafety profiles. Phylogenetic and comparative analyses indicated mosaic genomic structures influenced by horizontal gene transfer rather than host phylogeny. These findings provide a robust biological and genomic basis for evaluating these phages as potentially safe and effective alternatives to antibiotics in controlling foodborne Enterobacteriaceae, pending further in situ validation. Full article
(This article belongs to the Special Issue Advances in Foodborne Pathogens)
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17 pages, 1903 KB  
Article
Epidemiological, Phenotypic, and Genomic Characterization of Salmonella from Food and Clinical Sources in Liaoning, China, 2022–2024
by Mingyan Zhang, Lianzheng Yu, Menghan Li, Meimei Zhang, Weijie Wang, Haixia Liu, Yingzhi Geng, Miao Yu, Jinghong Ma, Qingyuan Wang, Wenli Diao and Yan Wang
Microorganisms 2026, 14(4), 823; https://doi.org/10.3390/microorganisms14040823 - 3 Apr 2026
Viewed by 266
Abstract
Salmonella is a major cause of foodborne illness worldwide, posing significant risks to public health and food safety. This study investigated the prevalence, serovar distribution, genotypic characteristics, and antimicrobial resistance (AMR) profiles of Salmonella. A total of 2515 food samples were collected from [...] Read more.
Salmonella is a major cause of foodborne illness worldwide, posing significant risks to public health and food safety. This study investigated the prevalence, serovar distribution, genotypic characteristics, and antimicrobial resistance (AMR) profiles of Salmonella. A total of 2515 food samples were collected from retail markets, supermarkets, and food processing facilities, and 13,670 stool samples were obtained from sentinel hospitals across 14 cities in Liaoning. The Kruskal–Wallis test was used to compare genetic features among serovars, followed by Dunn’s post hoc test for pairwise comparisons. A total of 314 Salmonella strains were identified, with raw poultry showing the highest detection rate (28.88%) among food sources and children aged 0–6 years (3.47%) the highest among the clinical age groups. Among food samples, S. Enteritidis was the most prevalent serovar (42.6%), and it was also the most common in clinical samples (35.8%); in contrast, S. 4,[5],12:i:- was dominant in pediatric clinical cases. According to AMR analysis, 90.13% of strains were resistant to at least one antibiotic and 67.83% were multidrug-resistant (MDR), with the highest resistance to ampicillin (68.47%). Analysis revealed that S. 4,[5],12:i:- harbored the ASSuT resistance module (blaTEM-1B, aph(3″)-Ib/aph(6)-Id, sul2, tet(B)). Extensive MDR phenotypes were observed in S. Indiana and S. Kentucky, associated with abundant insertion sequences (IS) and resistance genes (ARGs), including clinically critical determinants (blaNDM-9, mcr-1.1, rmtB). The highest mean virulence factor (VF) count (111.17) was observed in S. Enteritidis, contributing to its epidemiological success. Conversely, S. Indiana and S. Kentucky, predominantly food-associated serovars, exhibited reduced virulence but served as critical AMR reservoirs. These findings highlight the epidemiological characteristics and AMR risks of Salmonella in food and clinical settings, providing critical data for food safety and clinical antimicrobial stewardship. Full article
(This article belongs to the Special Issue Salmonella and Food Safety)
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11 pages, 592 KB  
Article
The Effect of Food Delivery on Microbial Load and Presence of Escherichia coli in Ground Beef
by Angel McJunkin, Molly Parker, Kathleen Ferris and Ginny Webb
Hygiene 2026, 6(2), 19; https://doi.org/10.3390/hygiene6020019 - 3 Apr 2026
Viewed by 378
Abstract
Background: The emergence of alternative methods of obtaining groceries since the COVID-19 pandemic has raised new concerns regarding food safety. In this study, we sought to evaluate these concerns by evaluating how the procurement method of ground beef impacts the microbial load in [...] Read more.
Background: The emergence of alternative methods of obtaining groceries since the COVID-19 pandemic has raised new concerns regarding food safety. In this study, we sought to evaluate these concerns by evaluating how the procurement method of ground beef impacts the microbial load in the beef, as this has not been thoroughly studied. Methods: Specifically, we compared beef samples obtained from in-store shopping, grocery delivery, and meal kit delivery services to determine if these new, more convenient methods of grocery shopping impact the total microbial load or Escherichia coli present in the beef. We homogenized a total of 65 beef samples and plated dilutions on trypticase soy agar, MacConkey agar, and CHROMagar. Results: We found that in-store samples had the highest microbial load with an average of 5.06 log CFU/g, while grocery delivery samples resulted in an average of 4.76 log CFU/g and meal kit samples had an average of 4.23 log CFU/g when plated on TSA. This represents a 6.7-fold change between in-store samples and meal kit samples. These differences were not statistically significant (p = 0.1, ANOVA). When plated on MacConkey agar, in-store samples had a bacterial count at 3.0 log CFU/g, while grocery delivery samples had 2.99 log CFU/g and meal kit delivered samples had 3.05 log CFU/g. Suspected E. coli O157 colonies were detected using CHROMagar plates, as these plates function to change the coloration of positive E. coli O157 colonies to pink. Suspected E. coli O157 colonies were observed in three in-store samples, two grocery delivery samples, and one meal kit sample. After confirmatory agglutination testing, one meal kit sample was confirmed as E. coli O157. Conclusions: While trends suggest possible lower microbial contamination in delivery methods versus in-store shopping procurement, no statistical significance between methods was found. These findings indicate no significant changes in microbial loads in delivered ground beef, and the high variance suggests that all procurement methods still pose some level of risk. Full article
(This article belongs to the Special Issue Food Hygiene and Human Health)
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10 pages, 463 KB  
Article
Epidemiology of Foodborne Botulism Outbreaks in Romania, 2007–2024
by Bianca Georgiana Enciu, Rodica Popescu, Alina Daniela Zaharia, Barbara Schimmer, Daniela Pițigoi, Anca Mirela Sîrbu and Adriana Pistol
Microorganisms 2026, 14(4), 819; https://doi.org/10.3390/microorganisms14040819 - 2 Apr 2026
Viewed by 483
Abstract
Foodborne botulism, caused by ingestion of pre-formed botulinum neurotoxin, is the most common form of botulism. While large outbreaks linked to commercial foods are rare, smaller outbreaks associated with home-processed products are more frequent, reflecting local dietary habits and traditional preservation practices. The [...] Read more.
Foodborne botulism, caused by ingestion of pre-formed botulinum neurotoxin, is the most common form of botulism. While large outbreaks linked to commercial foods are rare, smaller outbreaks associated with home-processed products are more frequent, reflecting local dietary habits and traditional preservation practices. The aim of this paper is to provide a public health overview of reported foodborne botulism outbreaks in Romania over an 18-year period to raise awareness among clinicians and public health officials. Between 2007 and 2024, a total of 337 foodborne botulism cases were reported in Romania, of which 43% (147) were related to 55 outbreaks (median number of cases per outbreak: 2; IQR: 2–3). Most outbreaks were reported in Bihor County (11 outbreaks with 29 cases) and its neighboring county, Satu Mare (seven outbreaks, accounting for a total number of 20 cases). Outbreak-related cases were observed in younger persons with a median age of 31 years (compared to 45 years for sporadic cases) and were statistically significantly associated with consumption of pork products (p < 0.001). Fifteen deaths occurred (case fatality ratio: 4%), including three outbreak-related cases (case fatality ratio: 2%). These findings highlight the ongoing public health challenge of foodborne botulism in Romania and the need for robust surveillance, targeted educational initiatives in high-incidence counties to deliver information about safe food preparation and preservation practices, and the continuous availability of botulinum antitoxin supplies. Full article
(This article belongs to the Special Issue Infectious Disease Surveillance in Romania: Third Edition)
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32 pages, 619 KB  
Review
Salmonella Infections: Global Trends and Emerging Challenges
by Adishi Ranjan, Mahek Chandna, Nicole J. Stevens, Jana Kandil, Brianna Dinh, Macy Kuhn, Noor Mian, Bach Tran, Abdullah Hamid, Peter Kim and Taseen S. Desin
Microorganisms 2026, 14(4), 816; https://doi.org/10.3390/microorganisms14040816 - 2 Apr 2026
Viewed by 708
Abstract
Salmonella remains a leading cause of foodborne illness worldwide, with non-typhoidal Salmonella (NTS) responsible for an estimated 93.8 million infections and substantial global morbidity and mortality. This review synthesizes current evidence on the epidemiology, molecular pathogenesis, and prevention of both typhoidal and nontyphoidal [...] Read more.
Salmonella remains a leading cause of foodborne illness worldwide, with non-typhoidal Salmonella (NTS) responsible for an estimated 93.8 million infections and substantial global morbidity and mortality. This review synthesizes current evidence on the epidemiology, molecular pathogenesis, and prevention of both typhoidal and nontyphoidal Salmonella, with emphasis on emerging challenges in disease control. We highlight key virulence mechanisms, including Salmonella pathogenicity islands and Type III secretion systems, that mediate host cell invasion, intracellular survival, and immune modulation, alongside differences in host adaptation, reservoirs, and clinical outcomes between major serotypes. Epidemiological synthesis demonstrates marked geographic variability in disease burden, driven by underreporting, limited diagnostic capacity, and social determinants of health, with particularly high mortality from invasive NTS (iNTS) disease in sub-Saharan Africa. This review further identifies major challenges, including the global rise of multidrug-resistant Salmonella lineages, the emergence of high-risk serotypes such as monophasic S. Typhimurium and S. Infantis, and the increasing complexity of transmission across the farm-to-fork continuum. While advances in whole genome sequencing and integrated surveillance platforms (e.g., PulseNet and GenomeTrakr) have improved outbreak detection and source attribution, gaps in cross-sector coordination persist. Collectively, the evidence underscores the need for integrated One Health approaches that link human, animal, and environmental systems, alongside strengthened surveillance, targeted prevention strategies, and antimicrobial stewardship. Advances in vaccination, including licensed typhoidal vaccines such as Ty21a and Vi polysaccharide, and conjugate vaccines, as well as emerging live attenuated and glycoconjugate candidates targeting NTS, represent promising strategies for reducing the global burden of Salmonella infections. Future efforts should focus on improving global surveillance harmonization, addressing environmental and climate-related drivers of transmission, and advancing vaccine development and implementation. Full article
(This article belongs to the Special Issue Salmonella Infections: Trends and Updates)
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19 pages, 3161 KB  
Review
A Bibliometric and Systematic Review of Quantitative Microbial Risk Assessment in Food Safety (1995–2024)
by Amil Orahovac, Nađa Raičević, Aleksandra Martinović, Werner Ruppitsch and Robert L. Mach
Foods 2026, 15(7), 1197; https://doi.org/10.3390/foods15071197 - 2 Apr 2026
Viewed by 267
Abstract
Quantitative microbial risk assessment (QMRA) has become a central framework for evaluating foodborne microbial hazards by integrating microbiological data, exposure assessment, dose–response modelling, and probabilistic simulation. Over the past three decades, its rapid expansion has created challenges in obtaining a coherent overview of [...] Read more.
Quantitative microbial risk assessment (QMRA) has become a central framework for evaluating foodborne microbial hazards by integrating microbiological data, exposure assessment, dose–response modelling, and probabilistic simulation. Over the past three decades, its rapid expansion has created challenges in obtaining a coherent overview of the field’s structure, dominant themes, and research trajectories. This study presents a bibliometric and systematic review of QMRA research in food safety. Bibliographic data were retrieved from the Scopus database (search conducted in January 2026), including peer-reviewed articles published in English between 1995 and 2024, and analysed using performance analysis and science mapping techniques to assess publication trends, influential contributors, collaboration patterns, and thematic evolution. Risk of bias assessment was not applicable due to the bibliometric nature of the study. The results indicate steady long-term growth of QMRA research, based on a final dataset of 186 articles across multiple journals and countries, with a concentrated influence structure dominated by a limited number of specialised journals, institutions, and research groups. International collaboration is particularly strong within European networks. Thematic analysis identifies probabilistic exposure assessment, Monte Carlo simulation, predictive microbiology, and dose–response modelling as the methodological core, with a primary focus on major foodborne pathogens such as Campylobacter, Salmonella, Listeria monocytogenes, and Escherichia coli. Persistent emphasis on uncertainty, cross-contamination, and dose–response relationships highlights key methodological challenges. Limitations include reliance on a single database and potential exclusion of studies using alternative terminology. These findings provide a structured overview of the QMRA landscape and identify priorities for methodological refinement and future application in food safety risk assessment. This study received no external funding and was not prospectively registered. Full article
(This article belongs to the Section Food Microbiology)
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12 pages, 747 KB  
Case Report
Non-Typhoidal Salmonella enterica Bacteremia Complicated by Native Shoulder Septic Arthritis in a Patient with Sickle Cell Disease Following Foodborne Exposure: A Case Report and Literature Review
by Gabriel A. Godart, Vidit Yadav, Joseph M. Bestic, Bradley S. Schoch, Bryan D. Springer, Ravi V. Durvasula, Sammer M. Elwasila and Justin M. Oring
Infect. Dis. Rep. 2026, 18(2), 30; https://doi.org/10.3390/idr18020030 - 2 Apr 2026
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Abstract
Background/Objectives: Non-typhoidal Salmonella (NTS) species are well-recognized causes of invasive infection in patients with sickle cell disease (SCD), with a particular predilection for the musculoskeletal system. Although Salmonella osteomyelitis is well described in this population, septic arthritis is uncommon, especially involving the shoulder [...] Read more.
Background/Objectives: Non-typhoidal Salmonella (NTS) species are well-recognized causes of invasive infection in patients with sickle cell disease (SCD), with a particular predilection for the musculoskeletal system. Although Salmonella osteomyelitis is well described in this population, septic arthritis is uncommon, especially involving the shoulder joint. We describe a case of NTS bacteremia complicated by native shoulder septic arthritis in a patient with SCD and review its clinical implications. Methods: We report the clinical course, diagnostic evaluation, microbiologic findings, imaging studies, and management of a 22-year-old man with homozygous SCD who presented with a vaso-occlusive pain crisis and subsequently developed severe sepsis with persistent Salmonella enterica bacteremia following ingestion of undercooked poultry. Persistent bacteremia prompted further evaluation for metastatic infection using advanced imaging and diagnostic arthrocentesis. Results: Whole-body imaging identified septic arthritis of the native right shoulder, which was confirmed by synovial fluid cultures growing Salmonella species. The patient underwent arthroscopic irrigation and debridement for source control. Antimicrobial therapy was narrowed to intravenous ceftriaxone based on susceptibility data and continued for six weeks. The patient demonstrated clinical improvement with resolution of bacteremia and was discharged to rehabilitation to complete therapy. Conclusions: This case highlights the importance of a careful exposure history, including foodborne sources, in patients with SCD presenting with invasive Salmonella infection. Persistent bacteremia should prompt early investigation for metastatic foci, and timely surgical source control combined with targeted antimicrobial therapy is essential for optimal outcomes in this population. Full article
(This article belongs to the Section Bacterial Diseases)
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