| |
Literature review
|
Peer reviewed
|
Risk factors associated
with Salmonella prevalence on
swine farms
Julie Funk, DVM,
MS, PhD; Wondwossen Abebe Gebreyes, DVM, PhD, Diplomate ACVPM
JF: Department
of Veterinary Preventive Medicine, College of Veterinary Medicine, The Ohio
State University, Columbus, Ohio. WAG: Department of Population Health and
Pathobiology, College of Veterinary Medicine, North Carolina State University,
Raleigh, North Carolina. Corresponding author: Dr Julie Funk, Department
of Veterinary Preventive Medicine, College of Veterinary Medicine, The Ohio
State University, 1920 Coffey Road, Columbus, OH 43210; Tel: 614-247-6635;
Fax: 614-292-4142; E-mail:
funk.74@osu.edu.
Cite as: Funk
J, Gebreyes WA. Risk factors associated with Salmonella prevalence
on swine farms. J
Swine Health Prod. 2004;12(5):246-251.
Also
available as a PDF.
Summary
This article reviews on-farm risk factors that have been associated with the
prevalence status of Salmonella in swine. Salmonellosis is the second
most common etiological cause of bacterial human foodborne illness in the United
States, and most cases can be attributed to contaminated food products. Reduction
of human foodborne salmonellosis has become a public health priority both nationally
and internationally. Public health concerns, increased stringency of regulatory
limits at slaughter, and competition for international market share are likely
to increase interest in on-farm Salmonella control.
Keywords: swine, Salmonella,
prevalence, risk factors
Search the AASV web site
for pages with similar keywords.
Received: July
15, 2003
Accepted: February
16, 2004
An estimated 1.5 million cases of nontyphoidal salmonellosis
in humans occur yearly in the United States, and nearly all cases are
foodborne.1 This tremendous burden on public health
has made reduction of human salmonellosis a key public health
objective.2 Salmonellae are ubiquitous organisms, and the
vertebrate gastrointestinal tract is considered to be their biological niche.
Although infection may result in clinical disease, it has long been recognized
that swine may
be asymptomatic carriers of
salmonellae.3-12 In the United States, the number of
farms positive for Salmonella has been
estimated to range from 38.2 to 83%, and the number of positive pigs from 6 to
24.6%.13,14
Beyond the potential impact on domestic public health and market stability,
contamination of pork products with salmonellae may put the pork export market
at risk.15,16 With the coordination of
"farm-to-table" Salmonella control programs
by many European pork producers (among the United States' major competitors
for export markets),17 demonstration of
effective control measures may be important for maintaining international market share.
Yet wholesale adoption of pre-existing control programs may not be practical in the
United States due to differences in production systems, industry structure, and
regulatory organization.
Significant strides have been made at decreasing
Salmonella contamination in one link of the US pork chain, namely,
at slaughter and processing. The Pathogen Reduction: Hazard Analysis and
Critical Control Point (HACCP)
Systems18 established performance standards at
slaughter and processing plants, which has
resulted in decreased contamination of product
with salmonellae.19 It is expected that
standards at slaughter and processing will become
more stringent, creating pressure from packers and processors to reduce prevalence of
Salmonella-positive swine through on-farm interventions.
The focus of this review is on the on-farm risk factors for
Salmonella infection in swine, that have been identified
through epidemiological investigations. Promising interventions that have thus far been
described predominantly in experimental settings (vaccines, antimicrobial
treatments, and competitive exclusion) are not
included. Additionally, potential risks beyond the "farm gate" (eg, exposure during
transport and lairage and contamination of
carcasses during slaughter) are not included in
this review for the main purposes of brevity and a focus on potential on-farm
interventions. It is also important to recognize that
most reviewed studies have been conducted in European herds, and the epidemiology
of Salmonella infection, as well as the
impact and feasibility of interventions, may not
be directly applicable to the situation in US herds. Yet these risk factors suggest
promising areas for further investigation of
Salmonella control on US swine farms, and many
warrant further investigation (which should include field trials) of their efficacy
under US management systems.
In a 1996 review of the
literature,20 "total farm hygiene" was identified as the
most important risk factor for Salmonella
infection. "Total farm hygiene" was
defined broadly by the authors to encompass many aspects of swine production
techniques that might be considered good
production practices, including cleanliness,
housing, biosecurity, feeding practices, water
source, and antimicrobial use. For the most part, the literature since that period has
continued to focus on these "hygienic"
approaches to Salmonella control.
Humans as vectors
Biosecurity-related practices regarding swine farm personnel and visitors have been
associated with decreased risk of infection of swine with salmonellae. Researchers
have found that hand washing21 and access
to toilets and hand-washing
facilities22 have been associated with decreased
Salmonella prevalence on swine farms. Provision
of areas where clothes and footwear could be changed prior to entry into pig areas
was associated with reduced Salmonella seroprevalence in Danish market
swine,21 but not in Dutch
herds.23 It has also been reported that in herds with relatively
more humans on site daily, there was an increased risk of high fecal shedding of
salmonellae,22 suggesting that increased human traffic
on farms increases the pigs' risk of infection. It is unclear whether personnel hygienic
practices are directly related to risk of
infection of pigs with salmonellae or simply serve
as a proxy measure of a pork producer's overall attitude about biosecurity. It does
suggest that improved personnel hygiene may be an important intervention for infection
of swine with salmonellae. The relatively
small cost incurred may be offset by decreased transfer of other
performance-impairing pathogens.24,25
Flooring types
The type of flooring on which pigs are reared has been evaluated in
epidemiological investigations. The biological premise
for its importance is that certain types of flooring decrease pig contact with fecal
material, resulting in decreased fecal-oral
transmission among pigs. Salmonella prevalence
was lower in swine housed on fenestrated flooring (eg, concrete slats) than in pigs
housed on flush-gutter flooring.13,26
Housing contamination
Contamination of the resident environment of animal housing has been implicated
in many studies as a source of Salmonella
infection.7,27-34 Salmonellae are capable
of surviving 6 years or more in the
environment,35,36 and the challenges of
cleaning and disinfecting animal housing are well documented.
37-40 Concrete, a common material for swine flooring, is a
difficult surface to clean and disinfect. After
cleaning and disinfection of swine housing
facilities, rough-surfaced concrete was more likely
to have high levels of residual contamination (measured by aerobic plate counts)
than smoother surfaces.39 Substandard
cleaning and disinfection may allow
Salmonella organisms to remain as contaminants
on floors, as determined by culture.41
Surprisingly, in the Netherlands, the odds were greater for higher
Salmonella seroprevalence in production systems where barns
were cleaned and disinfected between groups of pigs compared to systems in which
floors and buildings were cleaned but no disinfectant was
used.23 The authors speculated that producers who use disinfectants
clean less adequately, with the idea that
remaining microbes will be dealt with by the
disinfectant. Terminal disinfection, either
through fogging or fine mist of formaldehyde, decreases but does not eliminate
Salmonella contamination in poultry
houses.38-40 Human health risks are associated with use
of formaldehyde, and the benefits of its use as a disinfectant should be considered.
To date, no controlled field trials have studied the impact of cleaning and
disinfection practices on Salmonella prevalence in
swine. Although it appears to be common sense to reduce contamination of the pig's
environment, there is little indication as to what
cleaning and disinfection protocols are most effective for
Salmonella contamination control, let alone the economic feasibility
of these interventions. There is a need to evaluate the components of cleaning
and disinfection practices in use that are both effective and feasible for reduction of
Salmonella contamination in swine housing.
Pig flow management
Pig flow practices that are well recognized as important for reducing
production-impairing swine diseases (ie, all in-all out
pig flow)42-44 are often suggested for
Salmonella control, yet few studies identify the
association of this practice with decreased
Salmonella prevalence. The biological premise
is that the combination of cleaning and disinfecting the facility between groups of
pigs and segregating age groups decreases the potential for
Salmonella exposure and infection. On Danish farms that used all
in-all out production management and also provided areas for personnel to
change clothing and boots prior to entering or leaving the pig areas, herds were
nearly three times less likely to be seropositive than on farms that did not use these
management practices.21 There was no
reduction in risk of having a seropositive herd on farms that did not use both practices,
ie, that either provided a changing area or used all in-all out flow, but not both.
On the other hand, in another study of Danish swine, all in-all out pig flow was
associated with increased Salmonella
seroprevalence, although this result was based on a
crude odds ratio, not adjusted for other management practices on the
farm.45 Salmonella prevalence may be high on farms with
all in-all out production. In a study of three-site production systems with all in-all
out management in the United States,
Salmonella prevalence in finishers ranged
from 0% to more than 70%.22 The limited
and contradictory evidence for all in-all out pig flow as a means of
Salmonella control warrants further investigation prior to its
recommendation for that specific purpose.
Importance of sow-to-pig transmission
Many investigators have reported relatively high
Salmonella prevalence in breeding gilts and
sows.41,46,47 Beyond the food safety risk when the sow ultimately enters
the food chain, the importance of vertical transmission from the sow to her
offspring has been only minimally addressed.
Several authors have demonstrated that piglets
may be infected early in life.6,41 Efforts to
use segregated early weaning to prevent sow-to-pig transmission has had mixed results
that are likely to be at best farm-specific in
success.48-50 It is paradoxical that
Salmonella serovars isolated from a sow often
differ from those isolated from her
piglets,41 which might be explained by sampling
error, colostral protection, or differential infection efficiency of serotypes in pigs
of different ages. Recent epidemiological surveys in
Denmark51 have suggested that pigs produced from sow herds with high
Salmonella seroprevalence are at greater risk
for isolation of the specific serovar
Salmonella Typhimurium.
More research is necessary to evaluate the importance of the sow's
Salmonella infection status on the risk of infection in her
offspring. If the sow herd is identified as a
major source of exposure to Salmonella
infection for growing pigs, this has important
implications for the breadth and costs of surveillance and control programs.
Risk to swine posed by other vertebrate species
Since all vertebrates are susceptible to infection with
Salmonella serovars, contact with other animal species may pose an
infection risk to swine herds. The risk posed by having other domestic species on a
farm with swine has been variable in the
literature. Having other domestic animals on the
same farm as finisher pigs has been associated with increased
Salmonella prevalence.22 However, many other researchers have
found no association between Salmonella
infection and the presence of domestic animals
other than the target species.24,40,52-54
Domestic cats residing on swine farms may shed
salmonellae.55 Pests (eg, rodents,
wild birds, and other wildlife species) have often been implicated as potential sources of
salmonellae for swine. Several investigators have demonstrated that mice and rats on
farms may be infected with salmonellae, often
with the same serovars as the domestic species
investigated.55-60 Many cross-sectional
investigations have isolated Salmonella
organisms from free-living birds at prevalence
rates ranging from 0% to more than
50%.61-65 There is circumstantial evidence that
sea gulls were responsible for two
Salmonella outbreaks in
Scotland.61,63 Wild birds near broiler houses have been found to
shed salmonellae at relatively high
frequencies.65 Foxes near poultry farms have been
identified as shedding salmonellae.60
Economic benefits of pest control on farms, external to
Salmonella control (eg, prevention of building damage and control
of other diseases), may offset the costs of pest control, justifying these interventions
and possibly also resulting in decreased
Salmonella risk for swine.
Risks posed by invertebrate species
It has been recognized that
flies55,60 and beetles60,66 (both mature and
immature stages) may be vectors for
Salmonella organisms. In fact, recent research
suggests that the free-living nematode
Caenorhabditis elegans may be persistently infected
with salmonellae.67 Although no
epidemiological investigations have been performed
to discern the attributable risk associated with invertebrate species, it appears that
they may at least serve as potential reservoirs and vectors on farms.
Risk factors associated with feed
Risk factors associated with feed may be divided into two major categories: feed as
a source of salmonellae due to contamination, and the impact of feed
ingredients and physical structure on
Salmonella prevalence.
Feed as a source of Salmonella
It is well recognized that animal feeds and feedstuffs may be contaminated with
salmonellae (Table 1).19,41,68-70 It has
been demonstrated in experimental settings that animals may become infected as a result
of consuming contaminated feed.70 There
is no doubt that appropriate process control and decontamination steps are needed
during feed processing to reduce contamination of feedstuffs and thus avoid
dissemination of contaminated feed to herds.
There is justification for questioning the relative importance of the role of
contaminated feed in the epidemiology of
Salmonella infection on swine farms. Most
notably, Salmonella Typhimurium, a serovar often associated with foodborne disease
in humans, is infrequently isolated from animal feeds in the United States or
elsewhere.21,41,69 In a multi-country survey
in Europe, salmonellae were isolated from feedstuffs in 17.6% of herds and 6.9%
of all samples.21 However, the
Salmonella serovars isolated from the feeds were
not the same as those isolated from pigs on the farms.
Feed components and physical structure: Dry, fine, and pelleted
Epidemiological investigations, predominantly in Europe, have repeatedly
demonstrated that feed composition and structure are associated with
Salmonella prevalence in pigs. Among factors that have been
identified are feeding either wet or dry diets,
acidified diets (feed, water, or both), feed
particle size, feed form (pelleted or meal), and
heat-treated or non-heat-treated feeds, as well as actual feed ingredients.
Many investigators have reported that swine herds fed dry diets were at increased risk
of high Salmonella seroprevalence.21,23,34,71
It is important to note that wet feeding in Europe often includes a fermentation
step or addition of organic acids to prevent feed spoilage. In fact, trough feeding
(adding water to feed with no preservation step) was associated with an increased risk
of having a Salmonella-positive culture
from pooled fecal samples in swine herds in the
Netherlands.71
Whey feeds and acidifiers
A liquid whey product is usually used in diets containing whey, and is often the
liquid used in fermented feed. In 1987, van Schie and
Overgoor72 reported that in swine herds in the Netherlands in which
liquid whey was fed as part of the diet,
prevalence of Salmonella was lower than in herds
in which the feed was moistened with water. In another
study,21 herds fed whey were at decreased risk of being seropositive.
Investigators hypothesized that a component of this effect may be related to the acidic
pH of whey. Interventions using organic acids to
decrease the pH of pig feedstuffs or water, mimicking the effect of whey, have
had varied results in field intervention trials.
In one peer-reviewed study,73
Salmonella seroprevalence was significantly
lower when organic acids were administered in the drinking water in one of three
herds that received proper administration of the
acidified water, while in the other two herds there was a trend toward
lower seroprevalence that was not statistically significant. The limited
clinical trials regarding the impact of organic acid
administration have been predominantly published in nonrefereed scientific
meeting proceedings.
It is uncertain whether feeding organic acids is an efficacious intervention for
Salmonella control on swine farms. At best,
current knowledge suggests that it is of variable benefit. Although organic
acids may be corrosive to metal and concrete, addition of organic acids to dry feeds
or water sources may be more easily accomplished within the current US feed
manufacturing and delivery infrastructure than by implementing fermented liquid
feeding systems. Further evaluation of the effects
of acidic pH and fermented feeds on
Salmonella infection prevalence is needed
to evaluate their effects within commercial production settings.
Pelleting of diets and particle size
Pelleting of feed has long been recommended as a means of decontaminating
pig feeds.74 However, pelleting must be
appropriately conducted, especially during the cooling phase of production, for all
organisms to be destroyed.75,76 Contrary to
these recommendations, epidemiological studies have found that pigs fed pelleted
rations were at increased risk of high
Salmonella seroprevalence compared to those fed
diets in meal form.21
Investigators have hypothesized that the biological mechanism responsible
for higher Salmonella infection prevalence
in pigs fed pelleted feeds (compared to those fed meal feeds) may be a result of
smaller particle size, heat treatment, or the
pelleted form. Few peer-reviewed clinical trials
investigating the effect of feed form have been published. Further work is
necessary to evaluate the mechanism behind the higher
Salmonella prevalence associated with pelleted feeds.
Environmental temperature and season
Groups of North Carolina finisher pigs with high
Salmonella prevalence were at greater odds of having been sampled
in winter and spring (approximately late November through late
June).22 In the same study, pigs reared during periods of
wide variation in daily high temperatures were at greater risk of high
Salmonella prevalence.22 These results are similar to others in
which increased seroprevalence was reported during the fall and winter in Danish
swine.77
Cool weather ventilation of swine barns is a compromise between maintaining
adequate air exchange while conserving heat, which may result in periods when
ventilation is not optimal. Unpredictability of weather conditions makes proper setting
of ventilation systems difficult. Improper ventilation or temperature stress might be
a biological explanation for the association of weather with
Salmonella prevalence. What makes further evaluation of this risk
factor promising is that there are advantages to production performance and pig
health when proper ventilation is maintained in swine buildings, which could help
offset extra costs associated with improved ventilation engineering and management.
Stocking density and marketing group effects
In a study of US swine, groups of finisher pigs categorized as having high
Salmonella prevalence were more likely to be
stocked at higher pig densities (ie, less space
allowance per pig) at the time of sampling, compared to low prevalence
groups.22 In this study, initial stocking density was
standardized by farm standard operating
procedures, so the variation at the time of finisher sampling was accounted for by
the number of pigs that had been marketed prior to sampling. One possible
explanation for this finding is that transmission
or shedding of salmonellae is reduced among pigs housed at lower densities, due either
to decreased pig-to-pig contact or decreased stress. Alternatively, if the initial
infection occurs at approximately the same time
for all pigs in a barn, pigs that remain on the farm longer (because they were initially
a lighter weight or grew more slowly and therefore were marketed later) had
more time to recover from the infection prior to slaughter. Stocking density has known
impacts on growth performance in
swine,78-81 but data regarding animal density and
marketing group as risk factors for shedding of salmonellae are
sparse. Linton et al27 identified higher prevalence
of infection in pens with higher pig density, but this result
was not confirmed on subsequent sampling in the same herd. Morrow et
al82 also reported a lower isolation prevalence of
salmonellae in cecal contents at slaughter in pigs in older marketing groups.
Further investigation is needed to evaluate the effect of stocking density and
marketing group on Salmonella prevalence in
swine. Potential interventions might include altering stocking density in finisher units
or segregation of different marketing groups at slaughter, according to the risk of
Salmonella infection. It is also critical to
evaluate the effect of timing of sampling in order
to standardize the measurement of
Salmonella prevalence for future research
investigations, since the determination of a
herd's Salmonella status may vary with the
timing of sampling.
Herd health status
Several authors have described lower risk of
Salmonella infection in herds considered to be of high health status, usually defined
by membership in specific pathogen free programs or membership in quality
assurance programs that verify that certain management practices are
conducted.51,71 There have also been reports that herds
experiencing diarrhea outbreaks during the growing phase were at increased risk for
Salmonella infection.83 In French swine herds,
the odds for finisher swine to shed salmonella in the feces were greater if the pigs
were seropositive for Lawsonia
intracellularis or porcine reproductive and respiratory
syndrome virus.34 In a study of US
swine, groups of finisher pigs with high
Salmonella prevalence were more likely than
low prevalence groups to have above-median feed conversion
rates.22
These associations of Salmonella
prevalence with health status may reflect the
overall expertise and management skills of the pork producer, and it is difficult to
hypothesize an exact mechanism, since so many management factors may be different
in high health herds compared to conventional herds. The promising aspect of
these associations is that if management practices
that allow for high health status designation on swine farms are also associated with
decreased risk of Salmonella infection,
there will be economic rewards for these producers due to improved production
performance even if market benefits are not available
for Salmonella control.
Implications
- The epidemiology of Salmonella infection on swine farms is
complex, and further research regarding control measures is needed.
- Cost effectiveness of any intervention on the farm, or at any level of
the "farm-to-fork" continuum, must be considered in order to
optimally utilize resources for reduction of
Salmonella contamination.
- Presently, the most practical recommendation for
Salmonella control on swine farms is to implement
"good management practices" for disease control.
Acknowledgement
This work was supported by the National Pork Board.
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