Catching food poisoning before it’s too late

Researchers create novel, rapid platform to detect pathogens on produce before reaches stores and restaurants
Researchers create novel, rapid platforms to detect pathogens on produce before it reaches stores and restaurants.

Produce such as lettuce and spinach is routinely tested for foodborne pathogenic bacteria like salmonella, listeria monocytogenes and pathogenic types of E. coli in an effort to protect consumers from getting sick.

Rapid testing of foods may occur, but it still takes time to figure out who is sick and from where the contaminated product originated. That’s far too late for the many Americans who already ate the produce. The current solution, often a multi-state recall, then becomes damage control. 

University of Delaware researchers want to spot these bacteria before anyone ever falls ill. As detailed in an article published in the Journal of Food Safety, UD and Delaware-based startup Biospection are about to speed up testing — a lot. Faculty members Harsh Bais and Kali Kniel, alongside former graduate student Nick Johnson, teamed up with Andy Ragone of Biospection to detect foodborne pathogens in three to six hours. 

A microbiologist by trade, Kniel is an expert on crossover pathogens like salmonella, which gleefully jump to new hosts like that delicious, fresh lettuce. 

“While the produce industry is working diligently to reduce risks associated with microbial contamination, tools like this have incredible potential to improve risk reduction strategies,” said Kniel, professor of microbial food safety who works regularly with industry and government agencies to reduce risk of foodborne illness. “Collaborations like ours between academics and biotechnology companies can enhance technology and impact food safety and public health.”

These pathogens easily find their way into plants, which are unfortunately very welcoming hosts — hosts that can’t tell you where their guests are. 

Just like humans, plants use defense mechanisms to fight disease. But some human-borne pathogens learned to push open a plant’s open-entry gates called stomates — pores in the leaves or stem — and make themselves at home. 

“Because these bacteria are not true pathogens for plants, you cannot physically see early signs that the plant is under stress,” said Bais, UD professor of plant biology. “Biospection’s technology allows us to say, very quickly, if the opportunistic human pathogen is present in the plant.”

As a chemical physicist working in Wilmington, Ragone got to know Kniel and Bais through Delaware’s scientific community and lab equipment sharing. A relationship built over time, culminating when Kniel, Bais and Ragone applied for and received research funding from a Delaware Biotechnology Institute Center for Advanced Technology (CAT) grant for scientific technology and intellectual property.

The researchers married their interdisciplinary expertise to reduce the risk of foodborne illness, a task that industry and academic researchers struggled with for many years. The result? The team created a multi-spectral imaging platform to look at plant sentinel response. A goal is to use this technique directly on a conveyor, scanning your lettuce before it ever heads to the grocery store.

So how do you see a symptom that you can’t see? The researchers’ technique scans leaves via multispectral imaging and deep UV sensing when the plant is attracting these pathogens. When the researchers looked at benign bacteria, they observed little change. But, with harmful, human-borne pathogens, the test can spot differences in the plant under attack. 

“Using listeria as an example, in three to six hours, we see a sharp drop of chlorophyll pigments,” Bais said. “That’s a strong signal that the plant is responding physiologically — a marker of unusual bacteria.”

The new, multi-spectral imaging technique is non-invasive, and lightning fast compared to current tests, where a lab scientist extracts a leaf, grinds it up, plates the bacteria and looks for disease. The current method is not commercially available, but Biospection was awarded a National Science Foundation Small Business Innovation Research grant in 2022 to develop and commercialize it into a real time imaging sensor to inspect plants for disease and other stresses. 

“Harsh and Kali were certainly instrumental in the techniques that we developed with multi-spectral imaging and the use of deep ultraviolet fluorescence,” said Ragone, founder and chief technology officer of Biospection. “We built a portable instrument that could be commercialized.”

Vertical farming is an agricultural sector that stands to reap the benefits of this new technology. Using less water and less space, vertical farms are a vital step towards more sustainable agriculture. But when it comes to disease, these farms are just as vulnerable as traditional, outdoor agriculture. An incidence of E. coli means a vertical farm must throw away an entire harvest. 

Biospection is already working with agricultural companies to embed the imaging sensor into vertical farms’ shelves and, for outdoor farms, crop drones. 

“Working with UD, we’ve laid the scientific foundation to create better instruments,” Ragone said. “We’re working toward an instrument that’s portable, automated and can give an answer in a matter of seconds.”

For future research, Bais has his eye on determining if this technology can differentiate between different microbes.

“If the sentinel response is different from one microbe to the other, that gives us the identity of the microbe based on plant sentinel response. We haven’t gone there yet, but that would be the ultimate achievement,” Bais said. “In one sentinel, then you could differentiate between what benign and harmful microbes does this in terms of one sentinel.”

Bagged salads ‘pose salmonella risk,’ say researchers




Salmonella

Salmonella





“Bagged salad can fuel the growth of food-poisoning bugs like salmonella and make them more dangerous,” BBC News reports.

Researchers found evidence that the environment inside a salad bag offers an ideal breeding ground for salmonella, a type of bacteria that is a leading cause of food poisoning.

They grew salmonella in salad juice and leaves at different temperatures to see what happened, and found salad leaf juice – released from the leaves when they’re damaged or broken – supports the growth of salmonella, even at fridge temperature.

They also found that if leaves are contaminated, the bacteria aren’t removed by washing in water.

However, the chances of a salad bag being contaminated by salmonella or other bacteria in the first place are thought to be low.

An independent expert commented: “The rates of produce that have been found to be contaminated are between 0-3%.”

That said, it is important not to be complacent. An E. coli outbreak in July this year, thought to be linked to contaminated salad, killed two people and hospitalised 62 others.

You should wash your hands thoroughly with soap and water, then dry them carefully, after using the toilet and before eating or preparing food.

You should also wash fruit and vegetables before eating them – although washing did not remove salmonella in this study – and pay attention to use-by dates.

Read more advice about washing fruit and vegetables and how to best wash your hands.

Where did the story come from?

The study was carried out by researchers from the University of Leicester. No sources of financial support are reported.

It was published in the peer-reviewed journal Applied and Environmental Microbiology on an open access basis, so it is free to download (PDF, 2.33 Mb).

The UK media’s reporting was accurate, but some of the headlines could imply that salad bags have suddenly been found to be contaminated with salmonella: they haven’t.



The potential for contamination is nothing new and something that the food industry tries to guard against.

What the study shows is that if salmonella is present, it will quickly grow to levels that could trigger food poisoning, even if the salad bag is placed in a fridge.

What kind of research was this?

This laboratory study aimed to examine the “behaviour” of salmonella bacteria if present in a bag of salad leaves.

Consumption of salad leaves like lettuce and spinach has increased considerably in recent years.

But they are highly perishable and require rapid processing and special packaging to keep them fresh.

They are particularly at risk of colonisation from the gut microbes E. coli, salmonella and listeria.

These may be present in contaminated soil or be transferred during the various processes of trimming, washing, packaging and transport, or through contaminated water or poor hygiene among people involved in food production.

The potentially contaminated leaves are usually eaten raw, which doesn’t give any further opportunities to eradicate the bacteria through cooking, for example.

Salad leaves are said to be ranked as the second most common source of outbreaks of foodborne illness.

This study aimed to look at the factors that could enhance the growth of bacteria present in salad – for example, the effects of opening the bag or storing it at room temperature.

What did the research involve?

The laboratory tests involved a variety of salad juices, which were prepared by crushing and mixing cos lettuce, baby green oak lettuce, red romaine, spinach and red chard – each obtained from a selection of pre-prepared bagged salads.

The researchers conducted a series of tests. In one experiment, they put salmonella cultures into a fluid medium and incubated salad leaf juice in this fluid for 18 hours at 37C (98.6F).

To model what may happen in a salad bag, they also cultured salmonella in sterile water mixed with 2% leaf juices and refrigerated this at 4C (39.2F) for five days.

The researchers also looked at the growth on salad leaves by mixing salmonella with sterile water, 2% leaf juice and three spinach leaf pieces.

These were incubated at room temperature for 30 minutes, after which the leaves were washed in sterile water.

The researchers similarly tested growth on plastic salad bags and looked at the effect of washing.

What were the basic results?

As would be expected, the researchers found that when they incubated the mix of salmonella, water and leaf juice at the high 37C temperature, salmonella grew on all varieties of leaf juice.

Even though the 4C temperature restricted growth, the bacteria still grew in number over the course of five days in the fridge.

Higher concentrations of leaf juice fluid further increased growth, suggesting the bugs may be able to use the leaf nutrients leached into the bag to support their growth.

This happened with increased concentration of any of the leaf juices, but spinach seemed to have the strongest effect.

The researchers also found salmonella attached to both the plastic bag and the salad leaves. The presence of salad juice increased the ability of salmonella to colonise both of these surfaces.

Bacteria better colonised cut leaf surfaces because the leaked leaf juice supported their growth.

The bacteria attachment to salad leaves was resistant to several washings in water.

How did the researchers interpret the results?

The researchers say their results show that, “exposure to salad leaf juice may contribute to the persistence of salmonella on salad leaves, and strongly emphasises the importance of ensuring the microbiological safety of fresh produce”.

Conclusion

This laboratory study principally demonstrates that salad leaf juice – released from salad leaves when they are damaged or broken – supports the growth of salmonella bacteria, even at fridge temperature. If leaves are contaminated with salmonella, this isn’t removed by washing in water.

The results don’t show that all packaged salad leaves are contaminated with gut bacteria like salmonella.

What they do show is that if the bags have been contaminated with gut bacteria, these bacteria will replicate, even in the fridge, and there’s little you can do to remove them.

The best thing to do is to throw the bag out, although there’s no way of knowing whether a particular bag is contaminated or not.

The study also cannot tell us whether we may be safer buying packaged salads unwashed, washed in spring water, or washed in chlorinated water.

And neither can it tell us whether we may be safer buying non-packaged lettuce – it’s still possible that an unpacked lettuce may have been contaminated at some point along the line.

But any risk of food poisoning is far outweighed by the health benefits of eating fresh veg, such as reducing the risk of heart disease, stroke and some cancers.

You should be reassured that the contamination levels in the food chain are in reality very low, with only 0-3% of raw food products found to be contaminated.

Commonsense precautions will also reduce the risk:

Hands should be thoroughly washed with soap and water, and dried, after using the toilet and before eating or preparing food.

Keep salad in the fridge as, although it will not be prevented, growth of salmonella can be reduced.

Discard leaves that look damaged or “mushy”.

Always wash salad before eating it – while this may have a limited effect on salmonella, washing can remove soil and debris.

Follow use-by dates and use salad within a few days of opening the packet.

Giving a stool sample – a users guide!


Stool sample

Stool sample

Yea I know not a nice thought but at some point we all have to give them. So we thought we would share a brief users guide as to how to best give a stool sample!

Thousands of people every year will be asked by their GP or other healthcare professional to give a stool (poo) sample for testing. A lot of people find the idea of this unpleasant and the pot is small so how do you fill it?

A team in Public Health England’s (PHE) Primary Care Unit in the South West explored some of the barriers to people returning poo samples and have developed a leaflet which will be launched soon to show how it can be done easily and with minimum unpleasantness.

Poo is a very important material for doctors as it can be used to test for a wide range of diseases and conditions. These include salmonella, E.coli, cryptosporidium, campylobacter, and bowel cancer, to name a few.


The team interviewed 26 patients to ask them about their experiences of collecting a poo sample and the responses were analysed by theme.

The main barriers were seen as:
• Embarrassment
• Fear of the results
• Concerns about hygiene and contamination with taking the sample
• Discretion and privacy in the surgery when returning the sample
• Lack of information about how to collect it and most patients emphasised the need for a leaflet

The main reason people would give a sample, despite these barriers, was for personal benefit – they wanted to know the results.

Dr Cliodna McNulty, head of the Primary Care Unit, said: “Although most people think of poo as being disgusting it does have its uses and is the main way that doctors can test for gastro-intestinal infections and other bowel conditions like cancer. Lack of a sample can hinder diagnosis and so we need to encourage people to submit samples when they are asked to do so.

“We realise that most people find collecting poo an unpleasant thing to do. However there are ways that doctors can help patients to feel confident to fill the pot in the easiest way possible. Without guidance some people did actually think they had to just poo directly into the pot which adds to their distress. We want to encourage healthcare staff to take time to explain the importance of the sample in the patient’s treatment and to give our leaflet to help the collection process. Together these will help to increase the numbers of stool samples sent for testing which will help the patient’s care.”

The NHS Choices guide to collecting a stool sample.

Your GP or another healthcare professional such as a nurse should explain to you how to collect the stool sample. The stool sample should be collected in a clean, dry screw-top container. Your doctor or the hospital will provide you with a plastic (specimen) container to use, although you can use any clean container as long as you can seal it.
Try not to collect urine or water (from the toilet) with the stool sample but don’t worry if you do. If you need to urinate, do this first, and then collect the stool sample.
To collect a stool sample:
• label the container with your name, date of birth and the date
• place something in the toilet to catch the stool, such as a potty or an empty plastic food container, or spread clean newspaper or plastic wrap over the rim of the toilet
• make sure the sample doesn’t touch the inside of the toilet
• use the spoon or spatula that comes with the container to place the sample in a clean screw-top container and screw the lid shut
• if you’ve been given a container, aim to fill around a third of it (that’s about the size of a walnut if you’re using your own container)
• put anything you used to collect the sample in a plastic bag, tie it up and put it the bin
• wash your hands thoroughly with soap and warm running water
If your doctor gives you any other instructions, follow these also.

2. Bowel cancer screening consists of a home test kit known as a faecal occult blood (FOB) test. It works by detecting tiny amounts of blood which cannot normally be seen in poo. The FOB test does not diagnose bowel cancer, but the results will indicate whether further investigation (usually a colonoscopy) is needed. The risk of bowel cancer increases with age so it is important to return the sample if you are asked to give one by your doctor.