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Applied and Environmental Microbiology, June 2006, p. 4313-4322, Vol. 72, No. 6
0099-2240/06/$08.00+0 doi:10.1128/AEM.02288-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Danish Institute for Fisheries Research, Department of Seafood Research, Søltofts Plads, DTU Bldg. 221, DK-2800 Kgs. Lyngby, Denmark,1 Danish Institute for Food and Veterinary Science, Department of Veterinary Diagnostics and Research, Bülowsvej 27, DK-1790 Copenhagen, Denmark2
Received 29 September 2005/ Accepted 20 March 2006
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Although most raw materials in food processing may harbor the organism, its presence in RTE foods is primarily caused by contamination during processing (1, 9, 23). Subsequent growth of L. monocytogenes in the product is an important risk factor since the disease is primarily caused by the ingestion of high levels of the organism (11). Products such as cold-smoked salmon, in which the bacterium is detected in ca. 4% of retail packages and in which it can grow, are therefore a significant public health concern. The risk of listeriosis on a per-serving basis for smoked seafood is 6.2 x 109, which categorizes smoked seafood as a high-risk food (11). A number of countries have established a zero-tolerance policy for L. monocytogenes in RTE products, whereas other countries accept levels up to 100 CFU/g depending on the potential for growth of the organism in the product (19). Recalls of products due to the zero-tolerance policy has severe economic consequences for producers all over the world. Elucidating the sources of food contamination and the factors influencing this are important parameters in controlling the organism.
The incidence of L. monocytogenes in raw fish is typically low, whereas the contamination on the processing equipment in cold-smoking fish plants can be quite high. Molecular subtyping of strains from raw fish, processing environments, and packed products has suggested that contamination during processing rather than contamination directly from raw fish is the principal cause of product contamination (1, 9, 23, 24). The production process for cold-smoked salmon and other cold-smoked fish does not include a listeriacidal step, and only a better understanding of the sources and contamination routes of L. monocytogenes can specifically reduce the contamination of the product. Some types of L. monocytogenes can persist for months or years in cold-smoked fish producing plants (2, 6, 9, 13, 17, 23). Such persistent types appear to be unique to each processing unit; however, a multiple-processing-plant comparison has not been made since most studies have investigated only few smokehouses in parallel. A recent study of four fish smokehouses found that between 0 and 30% of the samples from the processing environment were positive for L. monocytogenes (24). A total of 83 strains were isolated and ribotyped; however, none of the ribotypes appeared to reside in more than one processing environment. It could, however, be hypothesized that specific traits are required for a specific L. monocytogenes strain to persist, e.g., a special resistance to cleaning and disinfecting agents or a special attachment capability. In that case, control procedures targeting such specific strains must be established.
Despite several studies addressing the contamination patterns of cold-smoked fish (1, 9, 23, 24), it is still not clear how important raw material contamination is and whether particular physiological traits allow some strains to persist over many years. Also, most studies have sampled only during processing and have not addressed the issue of strains surviving the regular cleaning and disinfection schedule.
In the present study, the objective was to compare the contamination patterns of L. monocytogenes in a number of fish smoke- and slaughterhouses to determine the similarity of strains that dominate the processing environment across the sector. Two levels of cold-smoked fish production were examined by the inclusion of both fish slaughterhouses and smokehouses (four of each plant type), and an overview of the contamination levels was determined by examination for the presence of L. monocytogenes both during production and after cleaning and disinfection. L. monocytogenes strains have been typed by the random amplified polymorphic DNA (RAPD) technique, and the RAPD grouping of strains was verified by using the amplified fragment length polymorphism (AFLP) technique. The presence of Listeria spp. was also determined to approach the long-debated question of whether Listeria spp. could be used as an indicator for the possible presence of L. monocytogenes.
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Cleaning was carried out in the four plants at the end of each production day using low-pressure chloride foam cleaners in three plants, whereas one plant used high-pressure chloride-based foam cleaning. Once a week a decalcification procedure was performed in two plants. Three plants used a daily cleaning and disinfection procedure with hypochlorite as the disinfecting agent. A similar cleaning and disinfection procedure was performed only on the weekend in the fourth plant.
Smokehouses and product manufacturing.
Environmental samples and samples of raw material and products were collected between November 2002 and April 2003 at four Danish smokehouses. Totals of 134, 99, 111, and 121 samples were collected during production, and 44, 79, 47, and 51 samples were collected after cleaning and disinfection from smokehouses 1, 2, 3, and 4, respectively. Samplings were done 1 to 3 months apart. Cold-smoked salmon was the main product of the smokehouses; however, they also produced products such as cold-smoked rainbow trout, cold-smoked Greenland halibut, cold-smoked tuna, and "gravad" salmon. The main raw material was Norwegian or Faroese ocean-raised salmon (Salmo salar) received iced (0°C) or occasionally frozen. Head cutting, washing by commercial fish washers, filleting, pinboning, and manual trimming were done in one flow in the raw fish processing area of the smokehouses. The fillets were brined either by injection of saturated brine or by dry salting (ripening at 0°C for at least 12 h). The fish were transported by conveyer belts between the different steps of raw material manufacture. The skin was removed mechanically either before smoking or after smoking. The cold smoking and drying were performed in ovens (22 to 27°C for 8 to 16 h). Most fillets were quick-frozen and then brought to 14°C before slicing; however, in some instances, the fillets were sliced when cooled to 0 to 5°C. Frozen fillets were sliced on mass slicers, whereas thawed or cooled fillets were sliced on other types of slicing machines, separated into portions, and vacuum packed.
Complete cleaning and disinfection programs were carried out in the four plants at the end of each production day, fulfilling legal requirements, and once a week a decalcification procedure was performed. Cleaning was performed by using low-pressure and foam cleaners. Peroxyacetic acid was used as the disinfecting agent in one smokehouse, whereas hypochlorite was used in the other three smokehouses.
Surveillance program sampling.
To determine whether the very frequently occurring RAPD type of L. monocytogenes was a true persistent strain, samples from the processing environment of one of the smokehouses were collected over a 1.5-year period both during processing and after cleaning and disinfection. Between 12 and 22 samples were collected at 22 visits between February 2003 and September 2004; a total of 167 samples were collected during production, and 213 samples were collected after cleaning and disinfection.
Sampling procedure.
Raw fish were sampled by swabbing five fish using dry sponges (CS-100-1 Solar-Cult; Solar Biological, Inc., Ogdensburg N.Y.) for each sample. Samples from the processing environments in the smokehouses were collected by using swabs or sponges moistened with 0.1% peptone-0.85% saline (BS-10BPW-5 Solar-Cult; Solar Biological) and were taken no sooner than 2 h after the start of production. The area of sampling varied depending on the sampling location. Minimum areas were screw heads or needles for brine injection (ca. 1 cm2); maximum areas were surfaces of conveyor belts, floors, or doors (up to 1 m2). Sampling locations were chosen to represent those most likely to harbor L. monocytogenes. Sampling sites included zone 1 (product contact surfaces, e.g., equipment surfaces such as conveyer belts, knifes, and gloves), zone 2 (surfaces close to the product, e.g., the back side of tables or other equipment or the floor below the equipment), and zone 3 areas (surfaces away from product, e.g., walls, trucks, drains, and equipment not in use). Sampling of surface areas after cleaning and disinfection was done with sterile sponges remoistened with neutralizing buffer (BS-10NB-1 Solar-Cult; Solar Biological) Product samples consisted of 25 g taken from two retail packages of cold-smoked salmon, gravad salmon, or other cold-smoked fish (e.g., halibut).
Bacteriological analyses.
Swabs, sponges, or 25-g fish samples were suspended in 10, 40, or 225 ml of UVM 1 (Oxoid Listeria enrichment broth base [CM863] with Oxoid Listeria selective supplement UVM 1 [SR 142]), respectively. After 24 h of incubation at 30°C, 1 ml was transferred to tubes containing 10 ml of UVM2 broth (Oxoid Listeria selective supplement UVM 2 [SR 143]) and incubated for 24 h at 30°C, followed by selection on PALCAM agar. To enhance the possibility of obtaining both L. monocytogenes and other Listeria species, three putative Listeria colonies, preferably of different morphological appearances, were isolated, pure cultured, and identified by biochemical criteria according to NMKL 136 (18).
BAX PCR.
For the specific detection of L. monocytogenes by PCR, the commercial BAX for screening Listeria monocytogenes (DuPont Qualicon) was used on the majority of environmental samples where growth was seen on PALCAM after the UVM enrichment. A total of 100 µl of UVM 2 enrichment culture was transferred to 10 ml of morpholinepropanesulfonic acid-buffered Listeria enrichment broth (MOPS-BLEB), followed by incubation at 37°C for 24 h. Then, 5 µl of MOPS-BLEB culture was transferred to 200 µl of lysis buffer (provided with the BAX kit) and lysed for 60 min at 55°C, followed by 10 min at 95°C and 10 min at 4°C. Next, 50 µl of the lysed cells was transferred to the BAX PCR tubes, which contained tablets consisting of all PCR reagents and a positive control. The reaction mixtures were amplified at 94°C for 2 min, followed by 38 cycles of 15 s at 94°C and 3 min at 70°C, and then cooled to 25°C. Then, 15 µl of loading dye (provided with the BAX kit) was added to each tube. A portion (12 µl) of the mixture was analyzed on a 2% agarose gel and visualized by staining with ethidium bromide. A portion (12 µl) of a mass ladder (provided with the BAX kit) was included as a standard.
RAPD typing.
One L. monocytogenes isolate from each positive sample was typed by RAPD analysis with four primers. RAPD typing was performed as described previously (10), using the primers UBC155 (5'-CTGGCGGCTG-3'), HLWL85 (5'-ACAACTGCTC-3'), OMP-01 (5'-GTTGGTGGCT-3'), and DAF4 (5'-CGGCAGCGCC-3') (DNA Technology, Aarhus, Denmark). The PCR was run as follows. After denaturing for 2 min at 95°C, the next 10 cycles consisted of 1 min of denaturing at 95°C, followed by annealing at 45 to 36°C, reducing the temperature with 1°C for each cycle, and this was followed by 2 min at 72°C. The last 30 cycles used denaturing at 95°C for 1 min, followed by annealing at 35°C for 1 min and extension at 72°C for 2 min, followed by 10 min at 72°C. The patterns from the four primers were compared visually for all strains and, when required, amplification or gel separation was repeated. RAPD types identified in our earlier studies (9, 10) were given the same numbers, whereas new types were numbered after identification. Assignment to a RAPD type required that the strain was identical to specific patterns with all four primers.
AFLP typing.
A subset of 35 strains containing 23 strains of the most frequently occurring RAPD types (types 6, 7, 9, and 57) and 12 strains originating from other studies were also typed by AFLP analysis as described previously (9). Briefly, genomic DNA was extracted by using the Easy-DNA kit (Invitrogen, De Schelp, The Netherlands) according to the manufacturer's instructions. Bacterial DNA was digested with BamHI and EcoRI, ligated to adaptors, and PCR amplified. Amplification products and internal-lane size standards labeled with ROX (GeneScan-500 [ROX] size standard [Perkin-Elmer Applied Biosystems, Warrington, England]) were analyzed by electrophoresis in 5% denaturing polyacrylamide gels for 3.5 h using an ABI 377 automated sequencer (Applied Biosystems, Foster City, CA). The AFLP patterns were collected by using GeneScan software (Applied Biosystems, Foster City, CA). Numerical pattern analyses were performed as described previously (8). AFLP types identified in our earlier study (8) were given the same numbers, whereas new types were numbered after identification.
PCR-RFLP typing.
The hly virulence gene was characterized by PCR-restriction fragment length polymorphism (RFLP) analysis of the subset of 35 strains according to the method of Wiedmann et al. (26).
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TABLE 1. Distribution based on sample type and on zones of total numbers of samples collected and numbers of L. monocytogenes-positive samples from slaughterhouses A to D
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None of the unprocessed raw fish were positive for L. monocytogenes, but 4 of 15 (27%) fish samples, each sample taken by swabbing five fish, were positive after processing (Table 1).
Occurrence of L. monocytogenes in smokehouses.
A total of 686 samples were collected from the four smokehouses, and 600 of these were collected from the processing environment, 12 were collected from unprocessed raw fish (representing 60 fish), and 74 were collected from finished products (representing 148 retail packages) (Table 2).
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TABLE 2. Distribution based on sample type and on zones of total numbers of samples collected and numbers of L. monocytogenes-positive samples from smokehouses 1 to 4
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Of 12 samples of unprocessed fish, 5 (42%), each taken by the swabbing of five fish, received at the smokehouses were positive for L. monocytogenes, whereas 13 of 74 samples of finished product (each sample representing two retail packages) were positive (18%). However, the prevalence in cold-smoked salmon was much lower (4%) than in other types of smoked products, where 11 of 23 samples (48%) were positive (Table 2).
Distribution of RAPD types in slaughterhouses.
Slaughterhouse A was dominated by the presence of RAPD type 9 (Fig. 1A and Table 3). This RAPD type was isolated from 64% of the L. monocytogenes-positive samples during production and from 67% of the positive samples taken after cleaning and disinfection. RAPD types 5 and 30 were also found both during production and after cleaning and disinfection.
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FIG. 1. Distribution of L. monocytogenes RAPD types in slaughterhouses A, B, C, and D. Each symbol represents an L. monocytogenes-positive sample. Symbols denote different RAPD types. "+" represents an L. monocytogenes-positive sample detected only by PCR and from which no isolates were recovered. Strains in boxes were found after cleaning and disinfection.
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TABLE 3. Distribution of L. monocytogenes RAPD types in smokehouses and slaughterhousesa
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Distribution of RAPD types in smokehouses.
The L. monocytogenes contamination patterns were different in the different smokehouses (Fig. 2). Many different RAPD types were identified in the first smokehouse and the organism was mainly found in the raw fish area where six different RAPD types (types 5, 9, 42, 44, 45, and 57) were detected on unprocessed fish and in the raw fish processing environment during production (Fig. 2A and Table 3). Two RAPD types (types 41 and 45) were also detected at sampling after cleaning and disinfection. None of the RAPD types were dominant. RAPD type 45 was found in the four L. monocytogenes-positive samples of finished products, and this RAPD type was also found in the raw fish area both during production and after cleaning and disinfection (Fig. 2A).
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FIG. 2. Distribution of L. monocytogenes RAPD types in smokehouses. Each symbol represents an L. monocytogenes-positive sample. Symbols denote different RAPD types. "+" represents an L. monocytogenes-positive sample detected only by PCR and from which no isolates were recovered. Strains in boxes were found after cleaning and disinfection.
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A different contamination pattern was seen in the third smokehouse, where two dominant RAPD types (types 6 and 57) were found during production. RAPD type 6 was mainly seen in the raw fish area, whereas the RAPD type 57 dominated the areas situated after the smoking process. Only RAPD type 6 was isolated after cleaning and disinfection in the raw fish area, and only RAPD type 57 was found in finished products (Fig. 2C and Table 3). The two RAPD types were found regularly at later samplings (data not shown); however, they were both detected in all parts of the plant, and the initial division between the raw fish section and the slicing area was not a constant pattern.
One dominant RAPD type (type 57) was also found in the processing areas of the fourth smokehouse; however, this RAPD type was only found outside the raw fish area. The occurrence of this RAPD type was 43% during production and 38% after cleaning and disinfection. This RAPD type was not detected in finished products; however, RAPD type 9, also found in smokehouses 1 and 2, was present in four L. monocytogenes-positive product samples.
Frequently occurring RAPD types.
The 213 strains isolated from smoke- and slaughterhouses were divided into 37 different RAPD types (Table 3). At least three different RAPD types were present in all processing plants, and most plants harbored one or two dominating RAPD types. Each plant had its own specific groups of RAPD types; however, five RAPD types (RAPD types 5, 6, 7, 9, and 57) were recovered from more than one smoke- and/or slaughterhouse. RAPD types 6, 9, and 57 were the most frequently occurring RAPD types, and especially RAPD type 9 was very common and was found in three of four smokehouses and in two of four slaughterhouses. RAPD type 9 persisted in one of the smokehouses, where it was reisolated repeatedly over a 1.5-year period and clearly was the dominant strain. RAPD type 9 also appeared to persist in three of the other processing environments (smokehouse 4 and slaughterhouses A and C), as indicated by its reisolation as the dominant type after 1 to 3 months. Of the 213 strains typed by RAPD, 86 were RAPD type 9 (Table 3). In two other studies we RAPD typed L. monocytogenes strains from smoked salmon products produced in 10 different smokehouses (10) and from the processing environments of 2 smokehouses (9), and in these studies RAPD types 5, 6, 7, and 9 were also found. A subset of 35 strains was both subjected to RAPD typing and profiled by AFLP and PCR-RFLP analysis and included representatives of strains of RAPD types 6, 7, 9, and 57. All of the 35 strains belonged to L. monocytogenes lineage 2 according to PCR-RFLP analysis. AFLP confirmed the RAPD clustering (Table 4), and grouped the dominant RAPD type 9 into four closely related AFLP types (9a, 9e, 9f, and 9g). Ten years ago, we RAPD typed L. monocytogenes strains from smoked salmon products (10), and RAPD type 9 was also more frequent than other RAPD types in the present study. The three RAPD types 6, 7, and 57 were divided into three (6c, 6g, and 6i), three (11a, 11b, and 11c), and three (17a, 17b, and 17c) closely related types, respectively.
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TABLE 4. Dendrogram for 35 L. monocytogenes strains analyzed by AFLP typinga
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TABLE 5. Number of L. monocytogenes-positive samples and number of RAPD type 9 in an environmental sampling program of smokehouse 2
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FIG. 3. Comparison of percentages of samples positive for Listeria spp. and percentages of samples positive for L. monocytogenes in eight fish processing plants (four slaughterhouses and four smokehouses). Open squares represent samples taken during production, and closed squares represent samples taken after cleaning and disinfection. The dashed line represents y = x. The solid line indicates the linear regression comparing the two percent positives. Values were calculated as follows: % L. monocytogenes = 0.97 x % Listeria spp. 5.81, with a correlation coefficient of r2 = 0.85.
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It has been suggested that contamination during processing rather than contamination from raw fish is the principal cause of product contamination (9, 23), and we therefore sampled in particular from the processing environment. The relatively high L. monocytogenes contamination levels in the processing areas of the smokehouses are in agreement with findings of other studies, although the number (or percentage) of positive samples may vary greatly: from 1 to 43%, with the typical level being ca. 30% (1, 9, 13, 23, 24). We found moderate to high levels of L. monocytogenes contamination in the four smokehouses after cleaning and disinfection (9, 16, 16, and 28%, Table 2), and since several positive samples were found on zone 1 and zone 2 sites, cleaning and disinfection procedures could probably be improved. Almost half of the unprocessed fish samples taken as pooled samples at the smokehouses were positive for L. monocytogenes. This may be higher than previously reported in other studies (1, 9, 13, 14, 20, 23, 24); however, only a limited number of raw fish was examined in the present study, and we cannot determine whether one or all five of the fish in a sample were positive.
The L. monocytogenes contamination in the slaughterhouse environments was relatively substantial. Up to 50 to 67% of the samples during production were positive for L. monocytogenes, and these levels are significantly above earlier reported levels of 7% (23). Several positive samples were found after cleaning and disinfection, and these procedures did not reduce the level of contamination satisfactorily. Interestingly, L. monocytogenes was not isolated from any of the samples of raw unprocessed fish in the four slaughterhouses, representing a total of 45 fish. This finding is in agreement with other studies of ocean-reared fish, where the prevalence of L. monocytogenes has been very low (12). In contrast, the prevalence in freshwater fish appears to be higher (14). The number of fish sampled in the present study is limited; however, the data indicate that the processing environment, whether at the slaughterhouse or at the smokehouse, is the major source of contamination.
Although L. monocytogenes was detected more or less at the same level in all smokehouses, the patterns of contamination differed markedly between smokehouses (Fig. 2). In smokehouse 1, the relatively low level of L. monocytogenes and the identification of several different RAPD types indicate the control of L. monocytogenes contamination within the smokehouse. In contrast, the presence of an in-house persistent strain was especially distinct in smokehouse 2, where more than 50% of the examined strains both during production and after cleaning and disinfection were of the same RAPD type. Repeated samplings at this smokehouse over a year and a half from the first sampling confirmed that this RAPD type was ubiquitous and dominant in the smokehouse (Table 4).
Some of the L. monocytogenes-positive samples were detected only by PCR and, theoretically, these samples could have contained one or more RAPD types, which in principle could have changed the RAPD type patterns, especially for the third smokehouse, where RAPD types of 11 positive samples remained unknown (Table 3).
The presence of a persistent strain may indicate deficiencies in the cleaning and disinfection procedures and the need for more-thorough cleaning of potential niches in the processing environment. Several studies suggest that contamination of finished products is more likely to be caused by contaminated processing equipment than due to the contamination of incoming raw fish (1, 9, 13, 23, 24). However, the raw material can be an important initial contamination source of L. monocytogenes in smokehouses (9, 15).
Our study is the first to assess the contamination pattern of L. monocytogenes in fish slaughterhouses and, as in the smokehouses, the contamination patterns varied. Two were colonized by a persistent strain (RAPD type 9), and this RAPD type was even more dominant at samplings a year later at the slaughterhouse (data not shown). Even though the occurrence of L. monocytogenes-positive samples was very low in two of the slaughterhouses, one RAPD type was found both before and after cleaning and disinfection in one plant, and one RAPD type dominated with an occurrence of 83% during production in the other plant. Thus, the ability of L. monocytogenes to establish itself in a processing environment also seems to be a characteristic in a raw fish processing environment.
Our study clearly demonstrates that each processing plant harbors its own population of L. monocytogenes RAPD types (Table 3) but that some RAPD types may occur in more than one plant. Furthermore, four RAPD types (5, 6, 7, and 9) found in the present study have also been found in our earlier studies of L. monocytogenes diversity in smokehouses (9, 10). Thimothe et al. (24) found that 2 of 14 distinct ribotypes (dividing 71 strains) were detected in more than one smokehouse (five sampled). In our study, a very similar ratio was seen since 5 of 37 RAPD types (dividing 213 strains) were detected more than once. However, noticeable is the very frequent occurrence of RAPD type 9, which was found in five of the eight processing plants. Although some of these processing plants had an inter-trade relationship, some had never had contact with one another. Also, this RAPD type was the dominant RAPD type in three plants. The discriminatory ability of RAPD using two primers is slightly higher than that of ribotyping (8); however, AFLP subdivides even the RAPD groups. The RAPD types 6, 7, 9, and 57 were divided by AFLP typing but into very closely related AFLP types, and we believe that these strains are very closely related on a genetic level. RAPD type 9 and AFLP types 9a, 9e, 9f, and 9g were found in processing plants both in Denmark and on the Faroe Islands and in a shrimp processing plant in Greenland. Furthermore, this RAPD type was isolated 10 years earlier from cold-smoked salmon produced in several other fish smokehouses (10).
The finding of specific or closely genetic related L. monocytogenes strains in more smoke- and slaughterhouses could indicate (i) that these strains are more common than other RAPD types and thus the plant is more often exposed to the specific RAPD type (23); (ii) that the specific RAPD type is a better colonizer, e.g., more able to adhere to surfaces (3); (iii) that the RAPD type is more resistant to disinfectants; or (iv) that the RAPD type is able to outcompete other RAPD types on the processing equipment or during the enrichment procedure (4). RAPD type 9 belongs to L. monocytogenes lineage 2, and other studies indicate a survival advantage for lineage 2 compared to lineage 1 (3, 4, 28). Thus, lineage 2 strains could be capable of more-efficient uptake and be more stress tolerant in competition situations and/or during nutrient depletion and so better suited to survive (4). The persistence of RAPD type 9 did not appear to correlate with the type of disinfection procedure used, and further studies specific to RAPD type 9 are necessary to determine why it establishes so successfully in fish processing plants.
A number of studies have evaluated whether the number of samples positive for Listeria spp. can be used as an indication of the level of L. monocytogenes-positive samples and found no universal link between the two (24, 25). In our study, Listeria sp.-positive samples did correlate with samples positive for L. monocytogenes except for at one smokehouse. This plant in particular was colonized by non-L. monocytogenes Listeria spp. Non-L. monocytogenes Listeria spp. may outcompete L. monocytogenes strains during the enrichment procedure (4, 5, 21), and the dominance of L. monocytogenes in seven of eight plants is therefore striking and indicates the strong ability of this organism to colonize the food processing niche.
In conclusion our findings demonstrate that certain RAPD types of L. monocytogenes may carry specific traits (either inherent or adapted) that enable them to persist in the food processing environment. Future control of this pathogenic organism would be greatly facilitated by elucidating the factors influencing this ability to persist. Also, it is essential that the virulence properties of such frequently dominant strains must be elucidated to determine whether their widespread persistence increases or decreases the risk from particular food products.
We are thankful to the fish processing plants involved and are indebted to Højmarklaboratoriet A/S for collaboration, including the handling of industrial samples and analysis. We thank Marjun Wilhelm and Óluvu Niclassen for participation in sampling of two of the slaughterhouses. We also thank Anemone Bundvad, Yin Yoke Ng, and Tina Nørgaard for excellent technical assistance.
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