Prevalence of Listeria monocytogenes and other Listeria species in fish, fish products and fish processing environment: A systematic review and meta-analysis.

Fish and seafood products are one of the most common causes of listeriosis in humans. A systematic review and meta-analysis were conducted using scientific literature to summarize available data on the prevalence of Listeria monocytogenes and Listeria sp. in fish, fish products and fish processing environment. Meta-analysis models were used to estimate the mean prevalence of the pathogen and to compare prevalence among the most popular fishes. Data from a total of 14,496 samples were analysed. Pooled prevalence of L. monocytogenes and Listeria sp. in raw fish was 5.8 % (95 % CI: 4.7-6.9) and 12.2 % (95 % CI: 8.9-15.5) respectively. Significantly higher results were observed for ready-to-eat products, occurrence of L. monocytogenes and Listeria sp. was 14.5 % (95 % CI: 11.1-18.0) and 21.7 % (95 % CI: 11.8-31.6) respectively. Moreover, meta-regression was performed to investigate changes in L. monocytogenes and Listeria sp. occurrence over the years and it shows a downward trend for both raw fish and RTE products. The results of the present study provide useful epidemiological information about the contamination level and distribution of Listeria sp. and L. monocytogenes among raw fish, fish products and fish processing environment.