Doctor, is it true that

Are fresh sprouts among the foods most at risk of bacterial contamination?

The National Medical Association's team of doctors and anti-fraud experts answers the most important health questions

 stock.adobe.com

4' min read

Translated by AI
Versione italiana

4' min read

Translated by AI
Versione italiana

We can find them in salads, garnishing soups and other ethnic cuisine recipes: we are talking about fresh sprouts, foods often prized for their nutritional value, but which have also been at the centre of food scares linked to bacterial contamination. In Europe, in 2011, a serious outbreak of Escherichia coli was traced back to sprouts, with dramatic consequences for public health. That episode prompted European health authorities to review safety measures for these foods. So let's see what the scientific evidence says about this risk.

Why are sprouts considered so risky?

Sprouts are obtained from the germination of seeds immersed in water, in a warm and humid environment. These conditions are ideal for plant growth, but equally so for bacterial growth. Those of greatest concern to experts are Salmonella, some dangerous varieties of Escherichia coli and Listeria (which we have already discussed in 'Are many foods contaminated with listeria?')

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The main problem is that contamination is often already present in the seed before germination even begins. A study conducted by the US Food and Drug Administration (FDA) on more than 800 samples found Salmonella in 2.35% of the seeds analysed. What makes this risk insidious is the insignificant amount of bacteria sufficient to trigger an outbreak: the European Food Safety Authority (EFSA) has estimated that as little as 4 bacteria per kilogram of seeds are enough to cause an epidemic outbreak. Once germination starts, these bacteria multiply explosively over the following days, reaching potentially very dangerous levels without the product showing any visible signs of alteration. In other words, a contaminated sprout may appear perfectly healthy to the touch and to the eye, a problem that affects many other contaminated foods, as we explain in 'Can I trust my nose to tell if a food is spoiled?

For this very reason, the FAO and the WHO have classified sprouts as a high-priority plant food from the point of view of microbiological risk. According to a scientific review published in the International Journal of Food Microbiology in 2021, there have been at least 64 outbreaks of food-borne illnesses worldwide that can be traced back to sprouts since 1988. The bacteria most frequently involved were Salmonella and Escherichia coli.

Are home-made sprouts safer than store-bought ones?

Many people grow sprouts at home thinking they will get a fresher, more controlled product. Unfortunately, the risk does not depend on where one sprouts seeds, but on the conditions under which germination takes place. The same temperatures and humidity needed to sprout seeds are favourable for bacterial growth in any environment. EFSA emphasised in a 2011 scientific opinion that even those who grow sprouts for personal use need to be aware of the microbiological risk. It also recognised that, despite advances in research, no chemical, physical or biological decontamination method is currently able to completely eliminate pathogenic bacteria from all types of seeds without compromising their ability to germinate.

The most serious case recorded in Europe was the 2011 outbreak caused by a particularly aggressive strain of Escherichia coli (O104:H4). The source was identified as fenugreek seed sprouts imported from Egypt: according to EFSA data, the outbreak claimed 49 lives (48 in Germany and 1 in Sweden) and a total of 4,178 cases were reported between EU countries, Norway and Switzerland. The Istituto Superiore di Sanità has dedicated an in-depth analysis to this outbreak, reconstructing its causes and consequences.

Who should avoid eating raw sprouts?

There is no indication that healthy adult consumers should not eat sprouts. However, major international health agencies - including the US Centers for Disease Control and Prevention (CDC) - recommend that certain categories of people avoid raw or undercooked sprouts altogether. These are young children, the elderly, pregnant women, and people with weakened immune systems, such as those taking immunosuppressant drugs, those being treated for cancer, or those suffering from certain chronic diseases.

These people are more vulnerable to bacterial infections and their complications. Among the most serious are haemolytic uremic syndrome, a condition that can cause acute kidney failure, and haemorrhagic diarrhoea, which in severe cases requires hospitalisation. If in doubt about your health situation, it is always a good idea to seek advice from your general practitioner.

How can the risks be reduced?

The most effective way to reduce the risk of bacterial contamination is to cook sprouts. Cooking - even a simple boiling or stir-frying - is sufficient to eliminate the bacteria responsible for the main food-borne diseases. Cooked sprouts lend themselves well to soups, soups, sautéed rice and many traditional Asian recipes.

For those who choose to eat them raw and do not belong to the risk categories, it is still important to wash them thoroughly under running water before consumption. It should be borne in mind, however, that simply washing them is not enough to eliminate all the bacteria that may be present (the issue of washing fresh vegetables and packaged salads was addressed in 'Should bagged salad not be washed?'). It is a good idea to always keep sprouts in the refrigerator and respect the expiry dates indicated on the packaging: the cold does not kill the bacteria, but slows down their multiplication.

Read the full fact sheet on the doctormaeveroche of Fnomceo

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