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Fusaro C, Miranda-Madera V, Serrano-Silva N, Bernal JE, Ríos-Montes K, González-Jiménez FE, Ojeda-Juárez D, Sarria-Guzmán Y. Antibiotic-Resistant Bacteria Isolated from Street Foods: A Systematic Review. Antibiotics (Basel) 2024; 13:481. [PMID: 38927148 PMCID: PMC11201236 DOI: 10.3390/antibiotics13060481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Revised: 05/11/2024] [Accepted: 05/16/2024] [Indexed: 06/28/2024] Open
Abstract
Street food may be a vehicle of antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) to humans. Foods contaminated with ARB entail serious problems or challenges in the fields of medical care, animal husbandry, food industry, and public health worldwide. The objectives of this systematic review were to identify and evaluate scientific reports associated with ARB isolated from various street foods. "Preferred reporting items for systematic reviews and meta-analysis" (PRISMA) guidelines were followed. The bibliographic material covers a period from January 2015 to April 2024. Six electronic scientific databases were searched individually for full-text articles; only those papers that met the inclusion and exclusion criteria were selected. Seventeen papers were included in this systematic review. This study highlighted the wide distribution of ARB resistant to β-lactams and other antibiotics, posing significant health risks to consumers. High resistance levels were observed for antibiotics such as ampicillin, ceftriaxone, and tetracycline, while some antibiotics, such as ceftazidime, clavulanic acid, cefoperazone, cotrimoxazole, doxycycline, doripenem, fosfomycin, vancomycin, and piperacillin-tazobactam, demonstrated 100% susceptibility. The prevalence of ARB in street foods varied between 5.2% and 70.8% among different countries. The multiple resistance of various bacteria, including Escherichia coli, Staphylococcus, Salmonella, and Klebsiella, to multiple classes of antibiotics, as well as environmental factors contributing to the spread of antibiotic resistance (AR), emphasize the urgent need for comprehensive approaches and coordinated efforts to confront antimicrobial resistance (AMR) under the "One Health" paradigm.
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Affiliation(s)
- Carmine Fusaro
- Facultad de Ingenierías, Universidad de San Buenaventura, Cartagena de Indias, Bolivar 130010, Colombia;
| | - Valentina Miranda-Madera
- Facultad de Ingenierías, Universidad de Cartagena, Cartagena de Indias, Bolivar 130015, Colombia
| | - Nancy Serrano-Silva
- Consejo Nacional de Humanidades Ciencias y Tecnologías (CONAHCYT), Mexico City 03940, Mexico
| | - Jaime E. Bernal
- Facultad de Medicina, Universidad del Sinú, Cartagena de Indias, Bolivar 130001, Colombia
| | - Karina Ríos-Montes
- Facultad de Ciencias de la Salud, Universidad de San Buenaventura, Cartagena de Indias, Bolivar 130010, Colombia
| | | | - Dennys Ojeda-Juárez
- Facultad de Ciencias Químicas, Universidad Veracruzana, Orizaba, Veracruz 9430, Mexico
| | - Yohanna Sarria-Guzmán
- Facultad de Ingenierías, Universidad de Cartagena, Cartagena de Indias, Bolivar 130015, Colombia
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Akhter S, Cameron AJ. A Scoping Review of Studies Evaluating the Healthiness of Street Food Vendors. Curr Nutr Rep 2023; 12:893-908. [PMID: 38064169 DOI: 10.1007/s13668-023-00510-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/13/2023] [Indexed: 01/05/2024]
Abstract
PURPOSE OF REVIEW This scoping review investigates the available tools for monitoring the healthiness of the food sold at street food outlets globally. RECENT FINDINGS Several tools were identified that have been used to evaluate the healthiness of street food outlets; however, these tools are not applicable globally, do not provide simple measures for evaluating the healthiness of foods sold, and generally have not been used across more than one study. The development of a comprehensive tool for measuring the healthiness of the street food environment that can be used across different jurisdictions and with different levels of resourcing is essential in order to understand the current street food environment and how it changes over time. As a major source of food in low- and middle-income countries globally, the street food environment is important to understand in order to know how it might help address the growing burden of diet-related diseases.
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Affiliation(s)
- Sadika Akhter
- Global Centre for Preventive Health and Nutrition (GLOBE), Deakin University Institute for Health Transformation, 221 Burwood Highway, Burwood, Melbourne, VIC, 3125, Australia.
| | - Adrian J Cameron
- Global Centre for Preventive Health and Nutrition (GLOBE), Deakin University Institute for Health Transformation, 221 Burwood Highway, Burwood, Melbourne, VIC, 3125, Australia
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Rousham E, Clark M, Latham M, Oo SP, Read S, Griffiths P, Blankenship J, Goudet S. Resilience and vulnerabilities of urban food environments in the Asia-Pacific region. MATERNAL & CHILD NUTRITION 2023:e13513. [PMID: 37097115 DOI: 10.1111/mcn.13513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 03/16/2023] [Accepted: 03/17/2023] [Indexed: 04/26/2023]
Abstract
Rapid urbanisation in the Asia-Pacific region is associated with complex changes to urban food environments. The impact of changing food environments on food purchasing and consumption and the diets and nutritional status of vulnerable groups, especially women and young children, is not well researched in low- and middle-income country cities. This paper aimed to examine: the risks and opportunities for healthy diets for low income populations offered by modernising urban centres; the concept of food deserts in relation to urban food environments in the Asia-Pacific region and how these could be mitigated; and measures to strengthen the resilience of food environments in the region using a case study of the impact of COVID-19 on informal food vendors. Our findings indicate that the dynamic changes in urban food environments in the Asia- Pacific region need to be understood by examining not only modern retail food outlets but also wet markets and informal food outlets, including street foods. Efforts should be made to ensure both modern and traditional outlets provide complementary platforms for convenient, affordable and accessible nutritious foods for urban populations. The resilience of urban food environments to environmental, physical and socio-economic shocks can be strengthened by shortening food supply chains and maximising food production in cities. Support mechanisms targeting urban informal food outlets and street vendors can also strengthen resilience and improve food security. Further research is needed on the impact of urbanising food environments on consumer choices, preferences, diets and health outcomes.
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Affiliation(s)
- Emily Rousham
- Centre for Global Health and Human Development, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | | | | | | | | | - Paula Griffiths
- Centre for Global Health and Human Development, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Jessica Blankenship
- Nutrition Section, UNICEF East Asia and the Pacific Regional Office, Bangkok, Thailand
| | - Sophie Goudet
- Centre for Global Health and Human Development, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
- Nutrition Research, Dikoda, London, UK
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Sousa S, de Morais IL, Albuquerque G, Gelormini M, Filipović-Hadžiomeragić A, Stojisavljevic D, Damasceno A, Moreira P, Breda J, Lunet N, Padrão P. Street Food and Takeaway Food Purchasing Patterns in Bosnia and Herzegovina. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159086. [PMID: 35897456 PMCID: PMC9330047 DOI: 10.3390/ijerph19159086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 07/15/2022] [Accepted: 07/21/2022] [Indexed: 11/16/2022]
Abstract
This study aimed to describe street food and takeaway food purchasing patterns in Sarajevo and Banja Luka, throughout the day and by city location. A cross-sectional evaluation of street food and takeaway food customers was conducted in 2017. All eligible vending sites (n = 348) in the vicinity of selected markets and bus stops were included. Data on the food items purchased, and time and geographic location of the purchases were collected. A total of 755 customers purchased 929 food items. Takeaway venues showed higher customer influx (5.0 vs. 2.0 customers observed per 10 min of observation, p < 0.001) and buying rates (6.7 vs. 2.0 items bought per 10 min of observation, p < 0.001; 1.5 vs. 1.0 items bought per customer, p < 0.001) than street food sites. These rates were higher in city peripheries for street food venues, and in city centres for takeaway establishments. The purchase of industrial food products prevailed throughout the day in street food venues, whereas most takeaway purchases comprised homemade foods, with or without industrial beverages. The proportion of customers buying foods and beverages together was higher in takeaway venues (15.3% vs. 6.0%, p < 0.001), especially during lunchtime and in city centres. In street food vending sites, sweet and savoury snacks seemed to be preferred in the afternoon, whereas in takeaway food establishments, savoury pastries and main dishes were mostly purchased at breakfast or lunch, and bread during the morning. Soft drinks and industrial juices were frequently purchased in both types of vending site and at all hours of the day, particularly in the afternoon. Our findings provide an overview of street food and takeaway food buying habits and consumer demands in these cities, reflecting local food culture and dietary behaviours. The identification of the meal contexts and city sub-regions in which specific purchasing practices emerge point to potential priority targets. These insights can be useful when designing interventions adapted to the specificities of these food environments and the food habits of customers.
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Affiliation(s)
- Sofia Sousa
- EPIUnit—Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal; (S.S.); (G.A.); (A.D.); (P.M.); (N.L.)
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Rua das Taipas 135, 4050-600 Porto, Portugal
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Rua do Campo Alegre 823, 4150-180 Porto, Portugal
| | - Inês Lança de Morais
- Nutrition, Physical Activity and Obesity Programme, Division of Noncommunicable Diseases and Life-Course, World Health Organization (WHO) Regional Office for Europe, UN City, Marmorvej 51, 2100 Copenhagen, Denmark; (I.L.d.M.); (M.G.)
| | - Gabriela Albuquerque
- EPIUnit—Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal; (S.S.); (G.A.); (A.D.); (P.M.); (N.L.)
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Rua das Taipas 135, 4050-600 Porto, Portugal
| | - Marcello Gelormini
- Nutrition, Physical Activity and Obesity Programme, Division of Noncommunicable Diseases and Life-Course, World Health Organization (WHO) Regional Office for Europe, UN City, Marmorvej 51, 2100 Copenhagen, Denmark; (I.L.d.M.); (M.G.)
| | - Aida Filipović-Hadžiomeragić
- Public Health Institute of the Federation of Bosnia and Herzegovina, Tahtali Sokak 17, 71000 Sarajevo, Bosnia and Herzegovina;
| | - Dragana Stojisavljevic
- Public Health Institute of the Republika Srpska, Jovana Dučića 1, 78000 Banja Luka, Bosnia and Herzegovina;
- Faculty of Medicine, University of Banja Luka, 14 Save Mrkalja, 78000 Banja Luka, Bosnia and Herzegovina
| | - Albertino Damasceno
- EPIUnit—Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal; (S.S.); (G.A.); (A.D.); (P.M.); (N.L.)
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Rua das Taipas 135, 4050-600 Porto, Portugal
- Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal
- Faculdade de Medicina, Universidade Eduardo Mondlane, Avenida Salvador Allende 702, Maputo 1100, Mozambique
| | - Pedro Moreira
- EPIUnit—Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal; (S.S.); (G.A.); (A.D.); (P.M.); (N.L.)
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Rua das Taipas 135, 4050-600 Porto, Portugal
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Rua do Campo Alegre 823, 4150-180 Porto, Portugal
- Centro de Investigação em Atividade Física, Saúde e Lazer, Universidade do Porto, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal
| | - João Breda
- WHO Regional Office for Europe, 10675 Athens, Greece;
| | - Nuno Lunet
- EPIUnit—Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal; (S.S.); (G.A.); (A.D.); (P.M.); (N.L.)
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Rua das Taipas 135, 4050-600 Porto, Portugal
- Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal
| | - Patrícia Padrão
- EPIUnit—Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal; (S.S.); (G.A.); (A.D.); (P.M.); (N.L.)
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Rua das Taipas 135, 4050-600 Porto, Portugal
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Rua do Campo Alegre 823, 4150-180 Porto, Portugal
- Correspondence: ; Tel.: +351-225074320; Fax: +351-225074329
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Sousa S, Lança de Morais I, Albuquerque G, Gelormini M, Casal S, Pinho O, Motta C, Damasceno A, Moreira P, Breda J, Lunet N, Padrão P. Patterns of Street Food Purchase in Cities From Central Asia. Front Nutr 2022; 9:925771. [PMID: 35811986 PMCID: PMC9263728 DOI: 10.3389/fnut.2022.925771] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 06/03/2022] [Indexed: 11/13/2022] Open
Abstract
Street food makes a significant contribution to the diet of many dwellers in low- and middle-income countries and its trade is a well-developed activity in the central Asian region. However, data on its purchase and nutritional value is still scarce. This study aimed to describe street food purchasing patterns in central Asia, according to time and place of purchase. A multicentre cross-sectional study was conducted in 2016/2017 in the main urban areas of four central Asian countries: Dushanbe (Tajikistan), Bishkek (Kyrgyzstan), Ashgabat (Turkmenistan) and Almaty (Kazakhstan). Street food markets (n = 34) and vending sites (n = 390) were selected by random and systematic sampling procedures. Data on the purchased foods and beverages were collected by direct observation. Time and geographic location of the purchases was registered, and their nutritional composition was estimated. A total of 714 customers, who bought 852 foods, were observed. Customers' influx, buying rate and purchase of industrial food were higher in city centers compared to the outskirts (median: 4.0 vs. 2.0 customers/10 min, p < 0.001; 5.0 vs. 2.0 food items/10 min, p < 0.001; 36.2 vs. 28.7%, p = 0.004). Tea, coffee, bread and savory pastries were most frequently purchased in the early morning, bread, main dishes and savory pastries during lunchtime, and industrial products in the mid-morning and mid-afternoon periods. Energy and macronutrient density was highest at 11:00–12:00 and lowest at 09:00–10:00. Purchases were smaller but more energy-dense in city centers, and higher in saturated and trans-fat in the peripheries. This work provides an overview of the street food buying habits in these cities, which in turn reflect local food culture. These findings from the main urban areas of four low- and middle-income countries which are currently under nutrition transition can be useful when designing public health interventions customized to the specificities of these food environments and their customers.
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Affiliation(s)
- Sofia Sousa
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
| | - Inês Lança de Morais
- Nutrition, Physical Activity and Obesity Programme, Division of Noncommunicable Diseases and Life-Course, World Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark
| | - Gabriela Albuquerque
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal
| | - Marcello Gelormini
- Nutrition, Physical Activity and Obesity Programme, Division of Noncommunicable Diseases and Life-Course, World Health Organization (WHO) Regional Office for Europe, Copenhagen, Denmark
| | - Susana Casal
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal
- LAQV/REQUIMTE, Laboratório de Bromatologia e Hidrologia, Faculdade de Farmácia, Universidade do Porto, Porto, Portugal
| | - Olívia Pinho
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
- LAQV/REQUIMTE, Laboratório de Bromatologia e Hidrologia, Faculdade de Farmácia, Universidade do Porto, Porto, Portugal
| | - Carla Motta
- Departamento de Alimentação e Nutrição, Instituto Nacional de Saúde Doutor Ricardo Jorge (INSA), Lisboa, Portugal
| | - Albertino Damasceno
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal
- Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
- Faculdade de Medicina, Universidade Eduardo Mondlane, Maputo, Mozambique
| | - Pedro Moreira
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
- Centro de Investigação em Atividade Física, Saúde e Lazer, Universidade do Porto, Porto, Portugal
| | - João Breda
- WHO Regional Office for Europe, Athens, Greece
| | - Nuno Lunet
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal
- Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
| | - Patrícia Padrão
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
- *Correspondence: Patrícia Padrão
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