Global prevalence of staphylococcal enterotoxins in food contaminated by Staphylococcus spp.—Systematic review and meta-analysis

Abstract

This systematic review (SR) and meta-analysis integrates the results of studies on the occurrence of staphylococcal enterotoxin (SE), the knowledge related to the profile of the foods most often involved, and the types of SE found. The study followed the guidelines of the Preferred Reporting Items for SR and Meta-Analyses, and its protocol was registered on the PROSPERO platform (CRD42021258223). Primary cross-sectional studies that report the analysis of SEs in food contaminated by Staphylococcus spp. were selected. All stages of study selection and data extraction were performed by two researchers independently, and in cases of conflicts, a third researcher was consulted. To assess the risk of bias, we used the critical appraisal checklist of the Joanna Briggs Institute. A total of 3012 reports were listed initially and 217 after the search update. After removing the duplicates, 2535 studies were found combining all databases and manual searches. Thus, 38 studies were included in this SR. In the meta-analysis, group 1 (dairy products) showed a prevalence of positive samples for SE of 15.38%, group 2 (meat products) 1.78% and group 3 (other foods) 27.11%. The results showed a considerable prevalence of SE in food contaminated by Staphylococcus spp., especially in group 3, which included mixed and ready-to-eat foods. This SR contributes to the study of the epidemiological profile and highlights the importance of adopting more effective prevention measures and policies aimed at improving public health.