COMPARATIVE EFFICACIES OF VARIOUS SANITIZERS USED IN FOOD SERVICE ESTABLISHMENTS A Thesis Presented in Partial Fulfillment of the Requirements for the Degree Master of Science in the Graduate School of The Ohio State University By Gerald Sigua, B.S. Graduate Program in Food Science and Technology The Ohio State University 2009 Master’s Examination Committee: Dr. Melvin A. Pascall, Advisor Dr. Valente Alvarez Dr. Ken Lee ABSTRACT Foodborne illness continues to be a major public health concern, especially due to the improper washing and sanitization of tableware items in restaurants and foodservice establishments. This could lead to cross-contamination of ready-to-eat foods and may even lead to the formation of biofilms if inadequate washing becomes a long-term practice. As a result, cleaning and sanitization of all tableware items should be maximized to minimize this risk. The FDA Food Code (2005) and NSF International standards require a 5-log bacterial reduction in testing the efficacy of a chemical sanitization method. These standards also mandate the complete removal of all food soil from tableware items after the washing protocol. However, as a cost savings practice, foodservice establishments usually wash several batches of tableware items in a single lot of cleaning chemicals. As a result, there is a need to determine the maximum number of warewashing cycles that can still achieve the Food Code and NSF standards, when a single lot of detergent/rinse water/sanitizer is used. The first study of this thesis (Chapter 2) evaluated the efficacies to two traditional (sodium hypochlorite and quaternary ammonium) and two newer (neutral electrolyzedoxidizing water and PRO-SAN®) sanitizers. This was achieved by investigating the survival of Escherichia coli K12 and Listeria innocua. These bacterial species were inoculated into cream cheese and pasteurized whole milk and subsequently used to soil ii ceramic plates, plastic serving trays and drinking glasses. These tableware items were washed with mechanical 49°C (120°F) and manual 43°C (110°F) dishwashers then treated with one of the four sanitizers. After the washing protocol, viable bacterial counts were determined on the surface of tableware items using the plate counting method, and thus the maximum number of warewashing cycles were determined. Results showed that the newer sanitizers are more efficient than the traditional sanitizers used in the foodservice industry. This study also concluded that mechanical washing is more efficient than manual washing. Lastly, the type of material used to make the tableware plays a role in the washing efficiency, as more glassware items were washed while still achieving a 5-log bacterial reduction when compared with ceramic plates and plastic trays. The second part of this thesis (Chapter 3) investigated the effect of the various sanitizers on removing various milk-based products (whole, 2% reduced fat, chocolate low fat and skim milk) from underlining glass surfaces. Atomic force microscopy (AFM) was used to determine the thicknesses of milk-films left after attempts to clean the glass surfaces. These thickness measurements were then analyzed to determine the adhesion potential between the residual milk samples and the glass surfaces. Results showed that PRO-SAN® significantly reduced the amount of residual food soil when compared with the other sanitizers. This was due to the presence of sodium dodecylbenzene sulfonate (a surfactant) in the PRO-SAN® formulation. The data also showed that whole and chocolate milk would be more difficult to clean when compared with 2% and skim milks. iii These studies showed the comparative effectiveness of the novel sanitizers. This is important because these newer sanitizers are less dangerous to workers and have a lower negative impact on the environment. Information obtained from this study could be used by restaurants and other foodservice institutions to minimize the cost of food contact surface cleaning while still meeting FDA mandates. iv DEDICATION Dedicated to my family v ACKNOWLEDGMENTS First and foremost, I would like to show my sincere appreciation to my advisor, Dr. Melvin Pascall. Completing this thesis would have not taken place had it not been for his guidance and complete support throughout this two-year educational journey. I would also like to express my gratitude to Dr. Valente Alvarez and Dr. Ken Lee for their help and for serving as part of my Master’s examination committee. Furthermore, I would like to thank Dr. Gerald Frankel and Saikat Adhikari for their time and assistance in completing my AFM research. I would like to also acknowledge and thank the Hobart Corporation and CIFT for their help and financial support. Additionally, I would like to show appreciation to my lab colleagues, Dr. Jaesung Lee, Lizanel Feliciano-Sanchez and Aldo Handojo. Their knowledge and assistance in this area of research were vital to the completion of my thesis. Additionally, they provided the encouragement to finish my studies and more importantly became life-long friends. As a final acknowledgment, I would like to thank my family and close friends for their love, guidance and support. My parents Gilbert and Celia and my younger sister Christine, have supported me without hesitation during the writing of this journal. vi VITA September 2, 1984……………………………..Born – Nueva Ecijia, Philippines 2001 – 2005……………………………………B.S. Food Science & Nutrition University of Florida Gainesville, FL 2005 – 2007……………………………………Research Microbiologist & Chemist ABC Research Corporation Gainesville, FL 2007 – Present…………………………............Graduate Research Associate The Ohio State University Columbus, OH FIELDS OF STUDY Major Field: Food Science and Nutrition vii TABLE OF CONTENTS ABSTRACT ....................................................................................................................... ii DEDICATION................................................................................................................... v ACKNOWLEDGMENTS ............................................................................................... vi VITA................................................................................................................................. vii TABLE OF CONTENTS .............................................................................................. viii LIST OF TABLES ........................................................................................................... xi LIST OF FIGURES ....................................................................................................... xiv CHAPTERS: 1. Literature Review............................................................................................................ 1 1.1. Introduction .............................................................................................................. 1 1.2. Foodborne Illness: Risk Factors............................................................................... 4 1.2.1. Consumer Knowledge ....................................................................................... 4 1.2.2 Foods ................................................................................................................. 5 1.2.3. “At Risk” Individuals ........................................................................................ 6 1.2.4. Food Handling Procedures ................................................................................ 6 1.3. Foodborne Microorganisms ..................................................................................... 9 1.3.1. Extrinsic Factors ............................................................................................. 10 1.3.2. Intrinsic Factors .............................................................................................. 13 1.4. Pathogenic Bacterial Foodborne Microorganisms of Concern .............................. 16 1.4.1. Listeria monocytogenes .................................................................................. 17 1.4.2. Escherichia coli .............................................................................................. 19 1.4.3. Salmonella....................................................................................................... 22 1.4.4. Staphyloccocus aureus .................................................................................... 23 1.4.5. Other Pathogenic Bacteria Associated With Foodborne Illness ..................... 24 1.5. Processing Methods To Control Bacterial Growth And Limit Survival Rates ...... 25 1.6. Tableware Washing And Sanitation In Food Establishments................................ 26 viii 1.7. Types Of Dishwashers ........................................................................................... 28 1.7.1. Mechanical Warewashers ............................................................................... 28 1.7.2. Manual Warewashers ...................................................................................... 30 1.8. The Importance Of A Cleaning And Sanitizing Program ...................................... 31 1.9. Cleaning Agents – Characteristics ......................................................................... 34 1.9.1. Atomic Force Microscopy .............................................................................. 36 1.10. Classes of Cleaning Detergents ........................................................................... 39 1.10.1. Soaps ............................................................................................................. 39 1.10.2. Alkaline Cleaning Agents ............................................................................. 40 1.10.3. Acidic Cleaning Agents ................................................................................ 41 1.10.5. Synthetic Detergents ..................................................................................... 42 1.11. Sanitizing Agents – Characteristics ..................................................................... 42 1.11.1. Chlorine......................................................................................................... 44 1.11.2. Quaternary Ammonium Compounds (QAC’s) ............................................. 47 1.11.3. Acidic-Based Sanitizers ................................................................................ 49 1.11.4. Neutral Electrolyzed-Oxidizing Water (NEW) ............................................ 50 1.11.5 Summary Of The Sanitizers Previously Discussed ....................................... 53 2. Comparative Efficacies Of Various Chemcial Santizers For Warewashing Operations In Restaurants.................................................................................................................... 55 2.1. Abstract .................................................................................................................. 55 2.2. Introduction ............................................................................................................ 56 2.3. Materials and Methods ........................................................................................... 59 2.3.1. Preparation of Bacterial Cultures .................................................................... 59 2.3.2. Preparation of Food Samples .......................................................................... 60 2.3.3. Preparation Of Detergent And Sanitizer Solutions ......................................... 62 2.3.5. Manual Warewashing Of The Tableware Items ............................................. 67 2.3.4. Mechanical Warewashing Of The Tableware Items ....................................... 69 2.3.6 Microbial Enumeration Of The Contaminated Tableware Surfaces................ 71 2.3.7. Statistical Analysis .......................................................................................... 72 2.4. Results and Discussion .......................................................................................... 72 2.4.1. Effect Of Air-Drying On The Reduction Of The Microbial Population ........ 72 2.4.2. Efficacy Of The Various Sanitizing Agents Used In This Study ................... 73 2.4.3. Comparative Efficiencies Of Manual With Mechanical Warewashing Operations ................................................................................................................. 77 2.4.4. Effect Of Material Type On The Efficiency Of Washing And Sanitizing Protocols ................................................................................................................... 79 2.4.5. Survivability of Listeria innocua And Escherichia coli K12 After Washing And Sanitizing Protocols .......................................................................................... 80 2.5. Conclusions ............................................................................................................ 81 ix 3. A Comparison Of Various Chemcial Sanitzers In The Removal Of Organic Matter On Glass Surfaces By Atomic Force Microscopy .................................................................. 82 3.1. Abstract .................................................................................................................. 82 3.2. Introduction ............................................................................................................ 83 3.3. Materials and Methods ........................................................................................... 85 3.3.1. Food Sample Preparation ................................................................................ 85 3.3.2. Modified Washing Protocol ............................................................................ 86 3.3.3. Atomic Force Microscopy Measurements ...................................................... 87 3.3.4. Statistical Analysis .......................................................................................... 90 3.4. Results and Discussion .......................................................................................... 90 3.4.1. Force Required To Remove A Selected Milk-Based Film Area During The AFM Scratching Test. ............................................................................................... 90 3.4.2. Milk-Based Film Thickness Data Of Traditional Sanitizers (Sodium Hypochlorite And QAC) ........................................................................................... 93 3.4.3. Milk-Based Film Thickness Data Of Novel Sanitizers (EO-WATER and PRO-SAN®) .............................................................................................................. 96 3.4.4. Confirmation Of AFM As A Reliable Analytical Procedure For Food Samples ................................................................................................................................. 101 3.5. Conclusions .......................................................................................................... 102 4. Conclusion .................................................................................................................. 103 List Of References .......................................................................................................... 105 APPENDIX A: RAW DATA ......................................................................................... 120 APPENDIX B: STATISTICAL ANALYSIS ................................................................. 131 x LIST OF TABLES Table Page 1.1 Identifiable Instances When Hand Washing Is Mandatory…………….......................8 1.2. Unhygienic Practices of Food Handlers……………………………………………...9 1.3. Interaction Of pH And aw For Control Of Vegetative Bacteria And Spores In Food Not Heat-Treated Or Heat-Treated But Not Packaged…………………………15 1.4. Common Foodborne Diseases………………………………………………………17 1.5. Minimum Washing And Sanitization Temperature Of Various Hot-Water Sanitization Warewashing Machines………………………………………...30 1.6. Water Impurities And Associated Problems………………………………………...33 1.7. Characteristics of Food Soils………………………………………………..............35 1.8. Physical And Chemical Factors Affecting Sanitizer Effectiveness………...……….43 1.9. The Minimum Temperature Of Chlorine Sanitizing Solutions For Food-Contact Surfaces At A Certain pH And Concentration…………………….....46 1.10. The Advantages And Disadvantages Of Chlorine-Based Sanitizers…..…..............46 1.11. The Advantages And Disadvantages of QAC’s………………………..…………..48 1.12. The Advantages And Disadvantages Of Acidic-Based Compounds……................50 1.13. Summary Of The Advantages And Disadvantages Of Chlorine, QAC, Acidic-Based And EO Water Sanitizers…………………………………………..54 2.1. Bacteria Survival (log10 CFU/tableware) On Various Contaminated Tableware Before And After 1 Hour Air-Drying At 24°C Prior To The Washing and Sanitization Protocol…………...………………………………………………………...73 xi 3.1. The Force (V) Required To Complete Remove Various Milk-Based Samples From The Glass Surfaces After Washing Protocols With Various Sanitizers…………………………………………………………………………...…….91 A.1. Raw Data For The Maximum Number Of Warewashing Cycles That Can Produce A 5-log Bacterial Reduction of Listeria innocua With A Single Batch of Detergent, Rinse Water And Sanitizer……..…………………………………121 A.2. Raw Data For The Maximum Number of Warewashing Cycles That Can Produce A 5-log Bacterial Reduction Of Escherichia coli K12 With A Single Batch Of Detergent, Rinse Water And Sanitizer.………………………………………122 A.3. Raw Data For The Force Required To Remove A 5 x 5 µm Area Of Milk Film From A Glass Surface After A Modified Washing Protocol With Sodium Hypochlorite...………………………………………………………………………….123 A.4. Raw Data For The Force Required To Remove A 5 x 5 µm Area Of Milk Film From A Glass Surface After A Modified Washing Protocol With QAC…...…….124 A.5. Raw Data For The Force Required To Remove A 5 x 5 µm Area Of Milk Film From A Glass Surface After A Modified Washing Protocol With EO Water...….125 A.6. Raw Data For The Force Required To Remove A 5 x 5 µm Area Of Milk Film From A Glass Surface After A Modified Washing Protocol With PRO-SAN®.....126 A.7. Raw Data Of Milk Film Thickness (nm) After A Modified Washing Protocol With Sodium Hypochlorite……….…………………………………………..127 A.8. Raw Data Of Milk Film Thickness (nm) After A Modified Washing Protocol With QAC………...…………………………………………………………...128 A.9. Raw Data Of Milk Film Thickness (nm) After A Modified Washing Protocol With EO-Water……...………………………………………………………...129 A.10. Raw Data Of Milk Film Thickness (nm) After A Modified Washing Protocol With PRO-SAN®…...…………………………………………………………130 B.1. Multifactorial ANOVA For Sanitizers Data For The Washing Experiment..……..132 B.2. Multiple Comparisons (Tukey HSD and Bonferroni) For Various Sanitizers Used In The Washing Experiment...………………………………………...132 B.3. Multiple Comparisons (Tukey HSD and Bonferroni) For Various Tableware Items Used In The Washing Experiment…...………………………………133 xii B.4. Legend Used For AFM Statistical Analyses………………………...…………….134 B.5. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness Of Various Milk Samples…………………………………………………...134 B.6. Multiple Comparisons (Tukey HSD and Bonferroni) For Various Sanitizers Used In AFM Analyses…………………………….………………………..136 B.7. Multiple Comparisons (Tukey HSD and Bonferroni) For Whole Milk-Film Thickness For Various Sanitizers Used In AFM Analyses………………....137 B.8. Multiple Comparisons (Tukey HSD and Bonferroni) For 2 Percent Milk-Film Thickness For Various Sanitizers Used in AFM Analyses…………………138 B.9. Multiple Comparisons (Tukey HSD and Bonferroni) For Skim Milk-Film Thickness For Various Sanitizers Used In AFM Analyses…………………139 B.10. Multiple Comparisons (Tukey HSD and Bonferroni) For Chocolate Milk-Film Thickness For Various Sanitizers Used In AFM Analyses……...140 B.11. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness With Sodium Hypochlorite And Various Milk-Types……………………...141 B.12. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness With QAC And Various Milk-Types……………………………………….142 B.13. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness With PRO-SAN® And Various Milk-Types………………………………...143 B.14. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness With NEW And Various Milk-Types……………………………………….144 xiii LIST OF FIGURES Figure Page 1.1. Diagram Of AFM Imaging Process………...……………………………………….37 1.2. Image Of A Cantilever And Tip…………………………………………..………...37 1.3 Anionic Surfactant Molecule……………………………………………………...…40 1.4 Soil Particle Suspended By Micelle Formation……………………………………...40 1.5. Chemical Structure Of QAC…………………………………………………...……47 1.6. The Schematic Process Of Electrolyzed Water Generator………………….............52 2.1. Tableware Used In Experimental Procedure (a) Ceramic Plates, (b) Plastic Serving Trays And (c) Drinking Glasses……………………………………..60 2.2. Experimental Design Of Warewashing Procedure………………………………….63 2.3. EO Water Generator Used In This Study…………………………………...............65 2.4. Three-Compartment Turbowash Manual Warewasher Used In This Study………...67 2.5. Cylindrical Sponge (Left) And Sponge Attached To The Spring-Loaded Test Fixture (Right) Used To Manually Clean Tableware Items………………………..69 2.6. AM Select Mechanical Washer Used In This Study………………..……………....70 2.7. The Maximum Number Of Warewashing Cycles That Can Produce A 5-Log Bacterial Reduction Of Listeria innocua With A Single Batch Of Detergent, Rinse Water And Sanitizer…………………………………………………………...….74 xiv 2.8. The Maximum Number Of Warewashing Cycles That Can Produce A 5-Log Bacterial Reduction Of Escherichia coli K12 With A Single Batch Of Detergent, Rinse Water And Sanitizer………………………...…………………………75 3.1. An Experimental Replication Consisting Of 8 Microscope Glass Slides (2 Slides With Either A Drop Of Whole Milk, 2% Reduced Fat Milk, Chocolate Milk And Skim Milk)…………………………………………...…86 3.2. AFM Machine Used In This Experiment…………………………………………....88 3.3. Scanning Electron Microscope Microscope Image Of An AFM Tip Used To Probe The Structure Of The Sample Surface (10,000x Magnification)….…….……………….89 3.4. A Tapping Mode 3-D Topographical AFM Image Of The Surface Of A Whole Milk Sample After the Washing Protocol With Sodium Hypochlorite…....93 3.5. Cross-Sectional Analysis Of The Scratched Area Of The Whole Milk Sample On The Glass Surface………...………………………………………………....94 3.6. Mean Thickness (nm) Measurements By AFM Analysis Of Various Milk Products After Washing Protocols Using Sodium Hypochlorite…………………..95 3.7. Mean Thickness (nm) By AFM Analysis Of Various Milk Products After Washing Protocols Using QAC…………………………………………………....96 3.8. Mean Thickness (nm) By AFM Analysis Of Various Milk Products After Washing Protocols Using EO-Water……………………………………………....97 3.9. Mean Thickness (nm) By AFM Analysis Of Various Milk Products After Washing Protocols Using PRO-SAN®………………………………………….…98 3.10. Mean Thickness (nm) By AFM Analysis Of Whole Milk After Washing Protocols Using Various Sanitizers……………………………………………99 3.11. Mean Thickness (nm) By AFM Analysis Of Chocolate Milk After Washing Protocols Using Various Sanitizers……………………………………………99 3.12. Mean Thickness (nm) By AFM Analysis Of 2 Percent Reduced Fat Milk After Washing Protocols Using Various Sanitizers………………………………100 3.13. Mean Thickness (nm) By AFM Analysis Of Skim Milk After Washing Protocols Using Various Sanitizers…………………………………………..100 xv CHAPTER 1 LITERATURE REVIEW 1.1. Introduction Foodborne illness continues to be a significant public health concern not only in the United States, but also worldwide. Increased international trade and the increasing number of individuals traveling abroad are the two major factors that increase the risk of foodborne illnesses, despite the continual improvement in the quality and safety of food production and handling (Kaferstein et al., 1997). According to Mead et al. (1999) there are an estimated 76 million cases of foodborne illness, 325,000 hospitalizations, and 5,000 deaths that occur in the United States every year. The economic impact on the individuals contracting these foodborne illnesses can be severe. Due to loss of individual productivity, medical bills and the impact felt by the institution that the affected individual works for, it is estimated that foodborne illnesses cost between $6.5 and $34.9 billion per year (Mead et al., 1999). If a company has to recall an unsafe product or it is found that a national restaurant chain serves food in an unsanitary environment, there will be a negative public perception of that company (Waites and Arbuthnott, 1990). Furthermore, there can be possible legal action by the regulatory body with jurisdiction 1 over the company and by the affected consumers. This negative impact can be long-term and it may take years, even decades, before the company or restaurant establishment can regain consumer confidence. An example of this occurred when a corned beef typhoid outbreak took place in 1964 in Scotland. It took this incident nearly 20 years before the lost sales returned to pre-outbreak levels (Waites and Arbuthnott, 1990). It is the goal of the Food and Drug Administration (FDA) and the United States Department of Agriculture (USDA) to provide guidelines to food companies, restaurant establishments and consumers on how to effectively minimize potential food hazards, especially from pathogenic microorganisms and the toxins that they produce (Waites and Arbuthnott, 1990). Microbial contamination of food can occur at every step of the food chain, from production, processing, distribution, preparation and storage (Knabel, 1995). Microorganisms are ubiquitous in nature and they are found in soil and on plants. Some pathogens even exist on the skin and in the intestinal tracts of humans and animals (Knabel, 1995). It is estimated that approximately 50% of food service workers that handle food are contaminated with pathogenic microorganisms, although they may not show signs or symptoms caused by the illnesses (Mariott & Gravani, 2006). It is thus very difficult to completely prevent pathogenic contamination of the food supply. A National Restaurant Association (2004) report states that the best approach to prevent foodborne illness in restaurant establishments is to educate the food preparer, server and dishware washer on ways to minimize contamination. This can be very difficult, however, since most foodservice employees are young and do not stay employed with the same restaurant for long periods of time. Additionally, most foodservice employees do not have good medical benefits and this means that they may 2 not get paid when they do not attend work. Thus, they are more likely to go to work while having an illness (Jones and Angulo, 2006). Since it may sometimes be difficult for management to detect a sick employee, this consequently increases the risk of crosscontamination from an ill employee who could shed pathogenic microorganisms into prepared food. If this is coupled with improper processing of the food or with insufficient washing and sanitization of tableware, an increased risk of foodborne illness could occur. More than 13 million people work in the restaurant industry and there are over 945,000 foodservice establishments in the United States. This is a massive industry and it is predicted that the 2009 sales forecast will be $566 billion (National Restaurant Association, 2009). This equates to nearly 50% of all money spent in the United States on any given day. It is estimated that approximately 44% of all adults eat at restaurants on a given day (Jones et. al, 2004). According to Mariott & Gravani, 2006, the risk of food-service related illness is approximately 1 in 9,000. This means that of the estimated 45 billion meals that are served in the United States annually, approximately 5 million meals may be contaminated, and thus an enormous amount of food-borne illnesses can potentially occur. Thus, careless errors in food preparation or insufficient sanitization of food-contact surfaces can lead to several cases of illnesses due to the high amount of customers that are being served each day (Jones and Angulo, 2006). What exacerbates this problem is the fact that people who contract foodborne illness are more inclined to accuse commercial establishments instead of blaming it on home cooked food or poor personal hygiene. Although the exact percentage of foodborne illness that origintate from the restaurant industry is not accurately known, the estimates clearly illustrate that 3 there exists the need to minimize potential food safety hazards. This can be done by educating employees about the risk factors that are involved in foodborne illness. 1.2. Foodborne Illness: Risk Factors 1.2.1. Consumer Knowledge According to a report by the Task Force of the Council for Agricultural Science and Technology (CAST, 1994), a normal person may be uninformed that some pathogenic microorganisms can grow at refrigeration temperatures. The report also said that consumers have limited knowledge about the degree of bacterial contamination that raw foods such as animal products, fresh fruits and vegetables may carry. This can also be evidenced by a 2004 study performed by Redmond, et al., which observed the normal behavior of individuals when preparing meals at home. While some individuals used a wide variety of safe food preparation tactics, the majority of the observed participants used unsafe food handling and cleaning protocols which could lead to an increased risk of cross-contamination and foodborne disease. It is thus essential that consumers are educated about these things. An assortment of information on food safety are available to consumers from government agencies (FDA, USDA, CDC, EPA, State Agencies), food science departments at universities and colleges, food industry trade organizations, consumer safety specialists and extension agents (Lin et al., 2005). It is therefore vital that everyone that is involved in the food industry, whether it is food producers, processors, servers, or dishware washers should be educated with the intent of preventing foodborne illnesses (Medeiros et al., 2001). 4 1.2.2 Foods A variety of foods are associated with foodborne illnesses, especially foods of animal origin such as fish and shellfish, red meats and poultry. Fresh fruits, vegetables, eggs, and dairy products could also be contaminated with pathogenic and spoilage microorganisms (CAST, 1994). Each type of food contains a certain nutritional composition and has a common preparation and processing procedure. These specific conditions create an excellent environment for specific spoilage and pathogenic microorganisms to grow and be viable. For example, vegetables and fruits that is grown on or close to the ground has a higher probability of being contaminated with sporeforming bacteria such as Bacillus cereus, Clostridium botulinum and Clostridium perfringens (Bryan, 1988). These spores can survive severe environments such as the presence of cleaning and sanitizing agents and various food processing techniques. Thus, to ensure that they are receiving raw food with a low bacterial load, restaurants and grocery stores need to make sure that safe growing, handling, and distribution practices are implemented for produce and other fresh foods before they are used or sold to consumers. This requires fruit and vegetable suppliers to implement Good Agricultural Practices (GAP) and a phytosanitary plan according to the United States Environmental Protection Agency (EPA, 2008). Foods that are acquired from unsanitary sources or of unknown origin should not be considered safe and should not be used or sold to the consuming public. Seafood obtained from sewage-polluted waters or wild mushrooms are examples of foods that can be considered unsafe and should be categorized as adulterated by the FDA or USDA (Knabel, 1995). 5 1.2.3. “At Risk” Individuals Unsafe foods are especially hazardous to “at risk” individuals who may contract illness at a higher rate than healthy persons. At risk individuals include immuno- compromised persons who are experiencing lengthy illnesses, the elderly, infants and pregnant women (USDA, 2008). In the current demographic shift in the United States, a majority of the baby-boomer generation is now heading into retirement. As a result, the proportion of elderly individuals in the population is increasing. This elderly group is more prone to illnesses and thus uses a higher proportion of medications, some of which could further weaken their immune system. This group of the population should thus be cognizant of their susceptibility to foodborne illnesses and for the need to educate themselves about safe food handling procedures. 1.2.4. Food Handling Procedures According to a report by the FDA National Retail Food Team (2004), over 900 food establishments were surveyed and several mishandling practices were found to be “out of compliance”. Factors found to be out-of-compliance were improper holding temperature and processing time of raw ingredients, specifically unprocessed raw ground meat. This finding was also echoed by Knabel (1995) when he reported that one of the leading causes of foodborne illness is insufficient cooking or heat processing of food. This is so because raw animal products may contain pathogens and may possibly cause illness if not properly cooked. For example, poultry usually contains various species of Salmonella and Campylobacter, while ground beef may contain a variety of pathogens, 6 especially E. coli O157:H7 (Doyle, 2000). Additionally specific pathogens can also be found on a variety of fresh fruits and vegetables. Some of these pathogens are capable of surviving under harsh environmental conditions. Since many vegetables are not cooked, great care must be taken to ensure that meals prepared from them have a low bacterial load (Doyle et al., 1997). Furthermore, it is in the interest of consumers to know the types of food that they order at restaurants so that they could avoid consumption of “high-risk” foods, such as undercooked ground beef in hamburgers or “sunny side up” eggs in which the yolk is not completely processed (Jones and Angulo, 2006). Another important factor responsible for foodborne illness that was identified by a large number of scientific research journals is cross-contamination within restaurants and at the homes of consumers. Bacteria and other pathogens that are not properly removed from food-contact surfaces, increase the risk of cross-contamination in freshly prepared foods (Kusumaningrum et. al, 2002). In addition, another practice that can reduce the risk of cross-contamination is the arrangement of the equipment in food processing plants and at restaurants. An example of this arrangement is the placing of dishwashing and waste equipment in locations that are far removed from the food preparation sites. This arrangement decreases the potential for cross-contamination from dirty dishes, contaminated air-flow and other avenues for outbreaks. Furthermore, the poor personal hygiene of employees is a major safety hazard in food establishments, particularly focusing on the hands as the primary means of crosscontamination (Snyder, 1998; Montville et. al, 2001; Bean et al., 1997). Haysom and Sharp (2005) performed a study about the bacterial contamination of domestic kitchens. The results of this study showed that sites, such as the refrigerator handle and faucet tap, 7 that are repeatedly handled during the normal use of a kitchen, showed an increase in the level of bacterial contamination. Thus, to reduce this risk, the washing of hands, wearing of gloves and clean work attire will greatly minimize the risk of cross-contamination. Table 1.1 displays the specific times when the washing of hands is mandatory, while Table 1.2 shows other unhygienic practices by food handlers. A federal government initiative, in conjunction with state governments and private companies, is helping to reduce these food safety risk factors. This initiative is called the Healthy People 2010 and it establishes goals and challenges designed to ensure good health and longevity of the population. One goal of this program is called the Food Safety Objective 10-6 and it is designed to improve food employee behavioral practices that directly relate to foodborne illnesses in retail food establishments. Healthy People 2020 is a similar program that is currently being established by the National Network of Professionals whose objectives include the promotion of a safe and healthy lifestyle for all consumers. Table 1.1 Identifiable Instances When Hand Washing Is Mandatory (FDA Food Code, 2005; Schmidt and Rodrick, 2003). • • • • • • Before beginning work Before handling foods After touching bare human body parts other than clean hands and clean arms After using the restroom After coughing sneezing, using a tissue or handkerchief, using tobacco, eating, or drinking • • • 8 After handling soiled utensils or equipment During food preparation of raw food products When changing tasks where there is a possibility for crosscontamination When switching between raw and cooked foods Table 1.2. Unhygienic Practices Of Food Handlers (Schmidt and Rocdrick, 2003). • • • • • • • • • Wiping hands on clothes and aprons Chewing gum and/or smoking while working with foods Holding toothpicks, straws, or other objects in the month while preparing foods Wearing excessive jewelry on the hands that may trap contamination or fall into foods Having long fingernails • • • • Wearing nail polish Wearing false fingernails Touching pimples and boils Not wearing water coverings over bandages Wearing soiled clothing Touching the lip of a glass or the end of a spoon Handling money without washing Not wearing a hair restraint 1.3. Foodborne Microorganisms Reduction or elimination of foodborne microorganisms should be one of the most important concerns for the food industry. This is so because microorganisms have the ability to cause quality and spoilage losses and consequently a reduction in the profit margin of food companies and restaurants. More importantly, certain microorganisms are pathogenic and may cause mild to severe illnesses and even death in some cases. Bacteria, viruses, fungi, parasitic protozoa, other parasites and marine phytoplankton are the majority of organisms capable of causing foodborne illnesses (CDC, 2005). There are two ways that microorganisms can cause illnesses: (1) infection and (2) intoxication. Infection occurs when pathogens, which are in the food, are ingested and subsequently grow in the intestines of the host (McSwane et al., 2005). Examples of infectious pathogens are species of Escherichia O157:H7, Salmonella Enteritidis, Vibrio cholerae and Shigella spp. (Schmidt et al., 2003). If the microorganisms stay within the intestinal wall it is considered non-invasive, while those that enter the blood stream and infect other tissues of the body are regarded as invasive microorganisms (Jay et al., 2005). 9 Intoxication, in contrast, arises when pathogenic microorganisms, such as Staphylococcus aureus and Clostridium botulinum, produce a toxin in the food before it is ingested. To cause an illness, the toxin level must reach a certain minimum concentration before symptoms occur in the host. Depending on the strength of the host’s immune system, the symptoms may be mild, severe or even lead to death (Hui et al., 2003). It is thus essential to understand the dynamics of microorganisms, their method of replication and their survival mechanisms. This is so because extrinsic and intrinsic factors, which are interrelated, play a large role in the growth and viability of spoilage and pathogenic microorganisms. 1.3.1. Extrinsic Factors Extrinsic parameters are defined as the properties of the environment in which the food and contaminating microorganisms are stored. Extrinsic factors include storage temperature, relative humidity, the presence of other microorganisms, the chemical environment and gaseous atmosphere (Sockett, 1995). The most important factor that can be controlled by the food industry is storage temperature. Microorganisms grow over a broad range of temperatures, but they are known to have an optimal range for rapid growth. For a given food processor, it is thus vital to know the characteristic of the microorganisms of concern. This will depend on the type of food being processed. Once these microorganisms are identified, their optimal growth temperature range can be recognized and growth can be minimized by setting the temperature outside of this optimal zone. There are three general classes in 10 which microorganisms are categorized: (1) psychrotrophs, (2) mesophiles and (3) thermophiles (Lee et al. 2007). Psychrotrophs grow well at or below 7°C, with an optimum growth between 20-30°C. Mesophiles have an optimum range of 20-45°C and thermophiles grow well at or above 45°C (Troller, 1993). Another extrinsic factor that the industry must consider is the relative humidity of the storage atmosphere. This aspect is important since it relates to the water activity (aw) of the food. Since a direct relationship exists between relative humidity and temperature, this should be considered when storing food products. As a general rule, the higher the temperature, the more moisture the air can hold (Ray. 2004). Furthermore, foods with a high aw tend to lose moisture when stored in an atmosphere of low relative humidity. On the other hand, low aw foods pick up moisture in conditions of high relative humidity. When the surface of a food picks up moisture, the aw increases and consequently become conducive to microbial growth. This will eventually lead to growth within the matrix of the food product and this could lead to a major quality and/or safety issue. When moisture is lost from a foods surface the lower aw will lower the risk of microbial growth, but it may make the food unacceptable in terms of its organoleptic properties. The presence of other microorganisms is another factor that plays a role in the growth or deactivation of specific spoilage and pathogenic microorganisms. This is so because microorganisms compete for nutrients (Jay et al., 2005). This competition for nutrients naturally selects for stronger microorganisms that can better survive the existing environment. Also, certain microorganisms may naturally excrete metabolic waste that could be lethal or inhibit the growth of other microbes. One example is Lactic Acid Bacteria (LAB) which excrete acidic metabolic waste that may inactive acid-sensitive 11 bacteria (Ray, 2004). Other examples of inhibitory substances that are excreted by microorganisms to inhibit the growth of other microbes include bacteriocins, hydrogen peroxide and antibiotics. It is estimated that 30-99% of all bacteria produce at least one bacteriocin to assist in inactivating other microorganisms present in the food matrix (Cotter, et al., 2005). Another important extrinsic factor is the presence and concentration of atmospheric gases in the environment. Oxygen (O2) concentration is the most important atmospheric gas. There are three classes of microorganisms that are influenced by the presence of oxygen: (1) aerobes, (2) anaerobes and (3) facultative anaerobes (Mariott and Gravani, 2006). Aerobic microorganisms, like Pseudomonas, require the presence of oxygen, while anaerobic microorganisms (Clostridium species) require the complete absence of oxygen in the environment. The facultative class has the ability to grow in the presence or absence of oxygen, but would prefer environments with oxygen. In addition to O2, Carbon Dioxide (CO2) is another important atmospheric gas that is primarily used to control microorganisms in food products. This is called modified atmosphere packaging (MAP). In this system, the atmosphere of the package is deliberately modified by decreasing O2 and increasing CO2 concentrations in order to inhibit spoilage and pathogenic agents (Chruch and Parsons, 1995). This prolongs the shelf-life of fresh-cut produce and improves the appearance of fresh meats and seafood (Luo, 2007). O2 levels are limited to inhibit the growth of aerobic microorganisms while simultaneously having enough O2 to prevent anaerobic respiration. CO2 is added as a bacterial and fungal growth inhibitor (Dixon and Kell, 1989). The mode of inhibition by CO2 is the disruption on enzymatic decarboxylations and the interference with the 12 permeability of cell membranes (King and Nagel, 1975; Enfors and Molin, 1978). MAP is particularly useful for fresh meats, with high levels of CO2 (25-100%) providing a longer shelf-life with the retention of the natural red meat color (Gill and Penny, 1988). MAP works particularly well in combination with a low storage temperature, especially with seafood products. Studies have shown that an optimal CO2 range for fish is 40-50% and stored at refrigeration temperatures can double the shelf-life of the product as compared conventional packaging (Sivertsvik et al., 2002). 1.3.2. Intrinsic Factors Intrinsic factors are those parameters that are inherent in the microorganism itself. These factors can not be controlled by the food industry and it is therefore essential to recognize these parameters and place or subject the microorganisms in question to conditions that hinder their growth and their pathogenic actions. The most important intrinsic parameters include pH, moisture content (water activity), oxidation-reduction potential (Eh), and nutrient requirements (Beuchat, 2002). Most microorganisms have optimal growth in a neutral environment (a pH range of 6.6-7.5) (Corlett and Brown, 1980; Jay et al., 2005). However, some may be able to grow at pH levels as low as 4.6 and as high as 8.0 (Troller, 1993). The pH value of 4.6 is a significant value in the food industry. This numerical marker defines if a food product is low-acid (pH 4.6 and greater) or acidic (below pH 4.6) (Blackburn, 2006). Acidic foods are capable of denaturing the cell membranes of most bacteria, and have thus a lower initial microbial load when compared with low acidic foods. A lower microbial 13 load decreases the processing time and this allows the product to retain more nutrients, improves the final quality of the product and may also increase its shelf-life. However, most molds and yeasts are capable of surviving an acidic environment and this explains why most fruits (which are generally acidic) are more prone to mold and yeast when compared with bacterial growth (Corlett and Brown, 1980). Fresh meats, of any origin, are usually at or near a neutral pH and this make them more susceptible to microbial growth especially if temperature abused (Blickstad and Molin, 1983). The moisture content of a food also plays an essential role in the growth and activity of microorganisms. The amount of moisture in a food is based on the ratio of free and bound water molecules (Mathlouthi, 2001). Bound water molecules are not available for use by microorganisms that may be present in the food. This is so because bound water molecules are chemically bonded to large food molecules and cannot participate in any other chemical or metabolic reactions. Free water molecules, however, can be readily used by microorganisms for essential functions, especially for growth and replication (Jay et al., 2005). This relationship of free versus bound water is related to its water activity (aw) value, which is currently being used in the industry to describe the water requirements of microorganisms. This parameter (aw) is defined as the ratio of the water vapor pressure of the food (p) to the vapor pressure of pure water (p0) at the same temperature: aw= p/p0 (Troller, 1986). Generally, most bacteria need a aw of at least 0.90, while most yeast and molds require a aw of at least 0.8 (Grant, 2004). Table 1.3 displays the interaction of the pH and the aw and how it affects the growth and survival of microorganisms in ready-to-eat food. Certain aw values combined with specific pH values work well in controlling growth, while other aw and pH combinations create a 14 potentially hazardous food (PHF). This PHF is defined in the FDA Food Code (2005) as one that requires time/temperature control for its safety (TCS) to limit the growth of pathogenic microorganism or the formation of bacterial toxins. Table 1.3. Interaction Of pH And aw For Control Of Vegetative Bacteria And Spores In Food Not Heat-Treated Or Heat-Treated But Not Packaged Ph Values aw Values < 4.2 4.2-4.6 Non-PHF/NonNona TCS Food PHF /NonTCSb food 0.88-0.90 Non-PHF/Non- Non-PHF/NonTCS Food TCS Food > 0.90-0.92 Non-PHF/Non- Non-PHF/NonTCS Food TCS Food > 0.92 Non-PHF/NonPA TCS Food a PHF – Potentially hazardous food b TCS - Time/Temperature Control for Safety Food c PA – Product Assessment Required < 0.88 > 4.6-5.0 > 5.0 Non-PHF/NonTCS Food Non-PHF/NonTCS Food Non-PHF/NonTCS Food PA PAc PA PA PA Oxidation-reduction potential (Eh) is also an important parameter that affects the optimum growth of microorganisms. Eh is defined as the difficulty or the ease in which a substrate loses or gains electrons (Schmidt and Rodrick, 2003). When a substrate gains an electron, the substrate is considered reduced, and when a compound loses an electron the substrate is oxidized. Certain microorganisms require reduced conditions (low Eh value) while others need an oxidized environment (high Eh value). A low Eh will favor the growth of anaerobic microorganisms, while aerobic microorganisms will grow readily 15 under a high Eh value potential (Marriott, 2006). Facultative microorganisms are capable of growth under either potential conditions. Finally, another important intrinsic character is the nutrient requirements of microorganisms. In order to grow, replicate and perform necessary metabolic functions, an energy source is required. Sources of energy utilized by microorganisms are sugars, alcohols and amino acids (Ray, 2004). Another nutrient need is nitrogen, which is primarily found in amino acids, peptides and proteins. Additionally, microorganisms require small amounts of vitamins (especially B vitamins) and minerals for survival. Gram-positive bacteria can not synthesize these vitamins and minerals, while most gramnegative bacteria and molds are capable of synthesizing most or all of their vitamins and minerals. For this reason, most gram-positive bacteria will be found growing in foods that have high concentrations of B-vitamins (Jay et al., 2005). 1.4. Pathogenic Bacterial Foodborne Microorganisms of Concern Illnesses can be contracted via a person-to-person transmission, an unsanitary environment, or from contaminated foods. Although approximately 30% of all foodborne illnesses are associated with bacterial agents, bacteria cause nearly 75% of all deaths (Mead et al., 1999). It is therefore important to be knowledgeable of known pathogens that can be associated with the consumption of contaminated food. This is displayed in Table 1.4. 16 Table 1.4. Common Foodborne Diseases (Clive, 1993). Disease Duration Symptoms Typical Foods Listeriosis (Listeria monocytogenes) 3-70 Days Raw milk, cheese and vegetables Enterohemorrahagic infection (E. coli) 2-9 days Meningocephalitis; stillbirths; septicemia/meningitis in newborns Watery, bloody diarrhea Salmonellosis (Salmonella species) 1-4 days Staphylococcal food poisoning 6-24 hrs Bacillus cereus Food Poisoning 12-24 hrs Diarrhea, cramps, vomiting Shigellosis (Shigella species) 4-7 days Diarrhea, fever, nausea, vomiting, cramps Raw Foods Human fecal contamination Streptococcal foodborne infection Clostridium perfringens food poisoning 1-3 days Sore throat, scarlet fever Diarrhea, cramps, rarely nausea and vomiting Raw milk, deviled eggs Cooked meat and poultry Handlers with sore throats Soil, raw foods Diarrhea, cramps, nausea vomiting, fever, headache Fish and seafood Marine coastal environment Vibrio parahaemolyticus foodborne infection 12-24 hrs 4-7 days Diarrhea, abdominal pain, chills, fever, vomiting, dehydration Nausea, vomiting, diarrhea, cramps Raw/undercooked beef, raw milk Raw, undercooked eggs; raw milk, meat & poultry Ham, meat, poultry, creamfilled pastries, cheese Meat products, soups, sauces, vegetables Mode of Contamination Soil or infected animals, directly or via manure Infected cattle Infected foodsource animals; human feces Handlers w/ colds, sore throats, infected cuts From soil or dust Prevention of Disease Pasteurization of milk, adequate cooking Cook beef thoroughly, pasteurize milk Cook eggs, meat & poultry thoroughly Thorough heating; rapid cooling of foods Thorough heating; rapid cooling of foods General sanitation; cook foods thoroughly General sanitation Thorough heating; rapid cooling of foods Cook fish/seafood thoroughly 1.4.1. Listeria monocytogenes Listeria is a gram-positive, rod-shaped microorganism which displays a distinctive movement called tumbling motility propelled by their peritrichous flagellum (Ferreira et al., 2003). This microorganism is characterized by being oxidase-negative, catalase-positive, and ferments glucose with production of acid without gas (Varnam and Evans, 1991). Of the several known species of Listeria, only L. monocytogenes is 17 frequently associated with illness in humans, especially through consumption of foods. L. monocytogenes is found naturally in the environment, especially in the soil, the intestinal tracts of a variety of animals and humans, sewage and feces (Doyle, 1985; Blackman and Frank 1996). L. monocytogenes has been implicated in fresh and frozen meat, poultry, seafood, ready-to-eat products, unpasteurized milk and other dairy products, especially cheeses (Kim and Frank 1995). If raw meats are not properly processed and/or the surfaces of processing equipment and utensils are not properly cleaned and sanitized, there can be a high risk of cross-contamination that could lead to outbreaks. L. monocytogenes has 13 known serotypes and illness can be caused by any of the 13, with ½a, ½b and 4b being the three serotypes that cause the most foodborne illness (Farber and Peterkin, 2000). These organisms are capable of growing at refrigeration temperatures and as high as 45°C, with an optimal temperature range of 30-37°C (Frank and Koff, 1990). This shows that L. monocytogenes is very dangerous because it can survive refrigeration temperatures. Survival and growth of L. monocytogenes cells can occur in an environment of pH 4.39-9.4 and also requires an aw is at least 0.92 (Hui et al., 2003). A characteristic that distinguishes L. monocytogenes from other vegetative bacteria is its high salt-tolerance level, and it is known to survive in sodium chloride (NaCl) levels of up to 30% (Gellin and Broome, 1989). An outbreak caused by L. monocytogenes can be observed usually between 1-2 weeks after the ingestion of contaminated food. The symptoms are “flu-like” with diarrhea and a mild fever and in more sever cases the results could be meningitis, miscarriage and perinatal septicemia (Knabel, 1995). Most healthy individuals, especially those with strong immune systems, rarely exhibit symptoms caused by this 18 pathogen (Russell, 1997). This pathogen is considered “opportunistic” as it mostly affects those that are immuno-compormised, the elderly, infants and particularly pregnant women. Duxbury (2004) reported that pregnant women are approximately 20 times more vulnerable for contraction of the illness Listeriosis. It has also been reported that Listeriosis causes an estimated 2,500 illnesses and 500 deaths in the United States annually (Hui et al., 2003). Although the number of cases is considerably under-reported, the ratio of deaths to the total number of reported illnesses signifies that this pathogen is considered very dangerous to “high-risk” individuals. 1.4.2. Escherichia coli Along with Salmonella and Shigella, the genus Escherichia is part of a large family called Enterobacteriaceae. Like most members of the Family Enterobacteriaceae, Escherichia coli are gram-negative, rod-shaped facultative anaerobes with peritrichous flagella. They are able to ferment sugars which produce lactic acids and other products and have the ability to reduce nitrates (NO3-) to nitrites (NO2-) (Park et al., 1999). The optimal conditions for growth include a temperature range of 7-48°C with an optimum of 37°C, a pH range of 4.4-9.0 and a minimum aw of 0.95 (Varnam and Evans, 1991). These microorganisms are found in warm-blooded organisms and particularly colonize the gastrointestinal tract of a human infant within 48 hours of birth (Neill et al., 2001). Most E. coli strains are harmless, but 5 of them are virulent. These five strains are (1) Enteroadherent-aggregative (EA-AggEC), (2) Enterotoxigenic (ETEC), (3) Enteroinvasive (EIEC), (4) Enteropathogenic (EPEC) and (5) Enterohemorrahagic (EHEC). Each of these have distinctive characteristics in its 19 pathogenicity and are further classified by serotyping based on the K antigen (capsular; heat labile somatic), the O antigen (lipopolysaccharide; heat stable somatic), and the H antigen (flagellar) (Schmidt and Rodrick, 2003). These strains are most commonly found in the feces of animals and may contaminate raw meat, especially if the processing area is unsanitary and littered with feces. Infection from any of these 5 strains of E. coli can cause urinary tract infections (UTI), gastroenteritis, infant meningitis and in rare but severe cases, hemolytic-uremic syndrome (HUS) (Line et al., 1991). Both the EA-AggEC and ETEC groups are named based on the characteristic aggregation of body tissue cells by the binding of their fimbriae to the inside of the intestinal lumen of the host (Kaper, J.B., 2005). Once attached to the intestinal wall, ETEC plasmids encode the production of heat-stable toxins (ST) and heat-labile toxins (LT). EA-AggEC also produces hemolysin exotoxins, which causes the lysis of red blood cells, and heat-stable toxins (ST) which is similar to the one produced by the ETEC group (Doyle et al., 1997). These exotoxins are the cause of watery diarrhea, abdominal pain and sometimes vomiting (Nataro and Kaper, 1998). Due to the loss of fluids and electrolytes in the body, dehydration is common and may even lead to death if proper rehydration is delayed. According to the World Health Organization (2009), it is estimated that ETEC causes more than 200 million cases each year, with between 170,000 to 380,000 of those cases causing death, mostly in developing and third world countries. ETEC is also associated with the phenomenon knows as “travelers’ diarrhea” which is the rapid onset of foodborne illness in individuals from industrialized countries who travel to developing countries. Inadequately treated water in developing countries 20 and foods like turkey, salad vegetables, and seafood in industrialized countries are associated with ETEC (Hui et al., 2003). Both EIEC and EPEC are similar with regards to the facts that their pathogenic mode of action and symptoms closely resemble the illness caused by Shigella spp. (Varnam and Evans, 1991). Once they enter the host, colonization of the intestinal epithelial cells begins, then replication and finally spreading into adjacent cells and tissues occurs (Jay et al., 2005). EPEC is lacks fimbriae, and does not produce ST and LT toxins and is moderately invasive. EIEC, on the other hand, is highly invasive. The onset of symptoms usually occurs between 12-36 hours after infection with EPEC, with symptoms being a watery diarrhea. EIEC infections produces bloody stools and may sometimes produce a high fever (Hui et al., 2003). The last class of pathogenic E. coli is EHEC. All EHEC strains produce Shiga toxin 1 and/or Shiga toxin 2, which is also known as verotoxin 1 and verotoxin 2, respectively (Paton and Paton, 1998). E. coli O157:H7 is the most common strain associated with foodborne illness, with outbreaks associated with foods such as ground beef, dry-cured salami, lettuce, spouts and unpasteurized fruit juices and raw milk (Mead et al., 1999; Keene et al., 1997). The O157:H7 strain is distinctive from the other EHEC strains due to the infectious dose being very low (2,000 cells or less), due to its tolerance of acid environments and low temperatures (Leyer et al., 1995). The onset of symptoms occurs 12-60 hours after consumption, starting with mild, non-bloody diarrhea, mild abdominal pain and fever. As the microorganisms continue to replicate, the abdominal pain and fever become severe, with bloody diarrhea (Sartz et al., 2008). Infection can become even more severe with the development of hemolytic uremic syndrome (HUS), 21 which most commonly occurs in children 10 years and younger (Griffin and Tauxe, 1991; Buchanan and Doyle, 1997). The HUS condition causes a number of complications, including renal failure, seizures, coma and pancreatitis. 1.4.3. Salmonella The Salmonella genus is characterized by being gram-negative, oxidase-negative, rod-shaped and has peritrichous flagella, which project in all directions (Varnam and Evans, 1991). There are over 2,000 serotypes of Salmonella, with serotype Typhimurium and serotype Enteritidis being the most prevalent in the United States Salmonella generally grow at a temperature range of 5-47°C, aw of 0.86 or higher and a pH range of 3.6 to 9.5 (FDA, 2008). The infective dose for Salmonella to cause illness in healthy people depends on the serovar in question. For example, serovar Thyphimurium requires a high number of cells to be ingested than the Typhi serovar (Cary et al., 2000; Blaser and Newman, 1982). Salmonellosis typically occurs 12-72 hours after infection and the duration of illness can be from 4-7 days (FDA, 2008). Typical symptoms are nausea, vomiting, diarrhea, abdominal cramps and fever (Goodridge et al., 2003). The mortality rate of this pathogen is very low, with most deaths occurring in the usual “at risk” population. With most Salmonella serotypes living in the intestinal tracts of animals, especially birds, the most common contaminated foods are raw poultry, underprocessed poultry, eggs produced by infected animals, cross-contaminated fruits and vegetables and more recently with peanut-based food products (FDA, 2009). The Centers for Disease Control and Prevention (CDC) (2008) reported that an estimated 1.4 million cases, 15,000 22 hospitalizations and 500 deaths occur every year in the United States. Additionally, the Foodborne Diseases Active Surveillance Network (CDC - FoodNet) (2004) of the CDC concluded that Salmonella is responsible for the largest number of foodborne illnesses in the United States. This statistic signifies that proper handling and processing of poultry products should be between 68°C - 72°C (145°F - 160°F) to ensure that the food is free of Salmonella. 1.4.4. Staphyloccocus aureus Genus Staphylococcus is part of the family Micrococcaceae and characterized as being a facultative anaerobe, gram-positive, cocci-shaped, catalase-positive, grows in clusters and can metabolize glucose. Conditions for growth include a temperature range of 7-48°C, a aw as low as 0.86 and a survivability in an environment with 20% salt concentration (Baird-Parker, 2000). There are more than 20 identified species of Staphylococcus, with S. aureus being the major cause of foodborne illness. S. aureus is ubiquitous and can be found on human skin, hair, the nasal cavity, wounds, the air and can survive on clothing for long periods of time (Doyle et. al, 1997). Due to its wide distribuition in the environment and being a poor competitor to other microflora, post-processing contamination is the greatest source of contamination, especially in ready-to-eat foods that are cross-contaminated by inidivuals who are shedding these cells. Another cause of S. aureus food poisoning is due to temperature abuse (Rode et al., 2007). The main pathogenic action is the production of nine types staphylococcal enterotoxins (SE) which is produced in the food and subsequently ingested by the host. 23 This is thus called a food intoxication (Balaban and Rasooly, 2000; Soriano et al., 2002). The nine SE’s are designated A, B, C1, C2, C3, D, E, F and G, with types A and D being the major culprits for illness (Mossel et al., 1995, Dinges et al., 2000). These SE’s are responsible for inflammation of the intestines and the stomach, and is also known as gastroenteritis. The common acute symptoms are nausea, vomiting and abdominal cramps, and these begin in less than 6 and up to 10 hours after ingestion of the toxin (Murphy et. al, 2009). This toxin eventually leads to infections of the skin (boils, cellulitis, and impetigo) and can cause more serious infections like pneumonia, meningitis and abscesses of muscle, urogenital tract, central nervous system, and other abdominal organs (Murray et al., 1999; Lund et al., 2000). 1.4.5. Other Pathogenic Bacteria Associated With Foodborne Illness There are many more identifiable and known pathogenic microorganisms that can cause foodborne diseases. Each microorganism has its own preference in the type of food they inhabit and has optimal environmental factors that assist them in growth, replication and virulence (CFSAN, 1998). An example of such a pathogenic bacteria is the genus Vibrio and specifically the species (1) V. cholerae, (2) V. parahaemolyticus and (3) V. vulnificus (Hall, 1997; Kaper et al., 1995). These species typically grow on shellfish, contaminated water and produce the typical foodborne illness symptoms, such as nausea, vomiting and diarrhea. Other microorganisms of concern include Clostridium, Yersinia, Shigella spp., and many types of protozoa and viruses. Norwalk viruses for example causes a majority of foodborne illnesses, but are rarely diagnosed due to symptoms dissipating within 48 hours (CDC, 2005). 24 1.5. Processing Methods To Control Bacterial Growth And Limit Survival Rates Ensuring microbial safety and extending the shelf life of a food product are the primary objectives of all food processing companies and retail food service businesses. The traditional preservation method has been the use of heat, and has served the food industry well for more than a century. Processing techniques that require the use of heat include retorting, pasteurization, aseptic processing, dry heat, and wet heating methods such as blanching, and boiling (Fellows, 2005). Most microorganisms that grow in food and cause foodborne illness thrive in the temperature danger zone. This danger zone includes temperatures between 7°C-60°C (45°F-140°F) (Barbosa-Canovas and Gould, 2002). In order to eliminate and prevent growth of these target microorganisms, heating should be applied and held at a temperature above this danger zone for a certain amount of time depending on the type of food that is being processed. Once adequately performed, these heat treatment methods have shown the ability to kill microorganisms, deactivate harmful enzymes and transform indigestible food into palatable products (Montville and Matthews, 2005). However, these methods have the potential to reduce the nutritive value, natural texture, color, taste and aroma of foods and reduce the quality perceptions of consumers. Additionally, recent changes in consumer preference have shifted from traditional highly processed foods with many added preservatives, to fresher and minimally processed food products. Thus, any technology that processes foods without microbial and or chemical contamination but minimizes the loss of its natural characteristics is a tremendous advantage to the food industry (Smelt, 1998). In response to this health-conscious revolution, food scientists and engineers have been researching and developing novel non-thermal preservation methods. These new 25 processing technologies have minimized the use of heat, while still being able to ensure safety of the food product. Some methods include high pressure processing, pulsed electric field, ozone, irradiation and electrolysis of water (Ozen and Floros, 2001). Some of these techniques are sill in the developmental stages and more research is need before they are commercialized. 1.6. Tableware Washing And Sanitation In Food Establishments With over 45 billion meals served per year in the United States, there is a very high probability that illness can be caused by a few batches of improperly cleaned tableware. Tableware is defined by the FDA Food Code (2005) as any eating, drinking, and serving utensil; including flatware (forks, knives, and spoons), hollowware (bowls, cups, serving dishes) and plates. The 2004 report by the FDA National Food Retail Team concluded that inadequate cleaning and sanitization of food-contact surfaces was the most common “out of compliance” procedure in the over 900 facilities that were observed. During normal business hours in restaurants for example, multi-use items become soiled during consumer use and must be washed and sanitized. Additionally, food processing equipment and warewashing equipment also become soiled and require ongoing cleaning and sanitization. This component of the food establishment business is therefore vital in preventing illness and causing undue hardship to consumers. 26 As stated by Mariott and Gravani (2006), the largest cost of a cleaning and sanitization program is labor, with nearly 50 cents of the sanitation dollar being spent on hiring dishwasher employees and quality assurance personnel. The employee assigned as the primary dishwasher is specifically vital to any sanitation program. He or she must be familiar with any and all suggested and mandatory procedures. Any minor error or the skipping of required washing steps increases the risk of tableware, food preparation and warewashing equipment contamination. This is especially important when bacteria are transferred to ready-to-eat foods (RTE) (Guzewich and Ross, 1999). Many RTE foods are usually sealed in some type of packaging and are opened immediately before placing them on tableware items. If the tableware is contaminated due to insufficient cleaning, the bacteria can subsequently be transferred to the food and ingested by customers. Furthermore, most commercial dishwashers require the need for trained employees to correctly operate them and this, together with repair and maintenance costs could be expensive. Despite the high cost of purchasing high-quality food and warewashing equipment, cleaning compounds, sanitizers and a labor workforce, the minimization of foodborne disease risk factors greatly outweighs the consequences of an unsanitary and inadequate sanitation program. Choosing the appropriate warewashing equipment, suitable cleaning compounds and optimal sanitizers will make the process more efficient and in the long term be economically sound. However, inappropriate use of cleaning compounds and sanitizers costs the food industry millions of dollars because litigations and possible negative publicity after random regulatory inspections could deem the operation inefficient (Mariott & Gravani, 2006). 27 1.7. Types Of Dishwashers There are two classes of dishwashers that are available: (1) mechanical and (2) manual three-compartment sink (Verran et al., 2000). The materials that are used to create these dishwashers must not permit the migration of harmful substances or impart colors, odors, or foreign tastes to the food (FDA Food Code, 2005). Additionally, the equipment or machine must be durable to withstand repeated warewashing, must be corrosion-resistant, have a finished to have a smooth, easily cleanable surface and resistant to (1) pitting, (2) chipping, (3) scratching, (4) distortion and (5) decomposition. 1.7.1. Mechanical Warewashers The biggest advantage of using a mechanical dish washer is that there will always be uniform cleaning conditions, provided that the machine is not defective. On the other hand, manual washing equipment requires the use of employees who could be variable in their washing styles. Sometimes, when using a three-compartment sink protocol, a batch of soiled tableware could be cleaned thoroughly, while other batches could be inadequately cleaned. Another benefit is the higher throughput of mechanical machines when compared with manual operations. When compared to manual warewashing sinks, mechanical washers are expensive, must be maintained, with the possibility of extra costs for repair. According to the 2005 FDA Food Code (4-204.113) all mechanical warewashing machines must have an accessible and readable data plate that is attached on the machine. This data plate must specify the machine’s design and operation specifications including: (1) Temperatures required for washing, rinsing, and sanitizing; 28 (2) Pressure required for the fresh water sanitizing rinse unless the machine is designed to use only a pumped sanitizing rinse; and (3) Conveyer speed for continuous machines or cycle time for stationary rack machines. This is an important requirement because it gives a quick and visible reference of the standard operating procedures of that particular mechanical machine. There are two types of mechanical washers: (1) those that use chemical sanitizers and (2) those that use hot water as a sanitizer. For those machines that use chemical sanitizers, a wash temperature of 49°C (120°F) is recommended, and the sanitizer must be at a temperature that is required by the manufacturer. For example, the 2005 Food Code states that the commonly used chemical chlorine sanitizers require a temperature of 24°C (75°F). Moreover, it is necessary for the machine to subject the tableware being washed to the appropriate chemical sanitizer, at the required concentration and for the desired contact time (Schmidt and Rodrick, 2003). For those machines that use hot water as a sanitizer, the minimum temperature that must be achieved on the surface of tableware is 65°C (150°F). There are four types of mechanical hot water sanitizing machines (see Table 1.5), each with specific washing solution temperature and sanitizing temperature. In addition, the hot water sanitizing rinse should have a flow pressure between 100 kPa (15 psi) to 170 kPa (25 psi), in order to ensure an appropriate scrubbing action for the dislodgement of food particles. After washing, all tableware items and utensils must be air dried and stored in an appropriate location, away from any contamination risk. 29 Table 1.5. Minimum Washing And Sanitization Temperature Of Various Hot-Water Sanitization Warewashing Machines (FDA Food Code, 2005). Machine Type Wash Temperature Sanitization Temperature 74°C (165°F) 74°C (165°F) 66°C (150°F) 82°C (180°F) 71°C (160°F) 82°C (180°F) 66°C (150°F) 82°C (180°F) Single tank, stationary rack, single temperature machine Single tank, stationary rack, dual temperature machine Single tank, conveyer, dual temperature machine Multi-tank, conveyer, multi temperature machine 1.7.2. Manual Warewashers As specified by the 2005 FDA Food Code (4-301.12), a manual warewasher must have at least 3 compartments for manual washing, rinsing and sanitization. Furthermore, the sink compartments should be large enough to accommodate the immersion of the largest equipment and/or utensils. If the sinks are not large enough, alternative manual warewashing equipment or a 2-compartment sink can be used upon approval. This does not apply to warewashing cleaning and sanitizing processes which have a continuous flow of tableware items. Food establishments that reuse tableware should not use a 2compartment sink. The washing of a tableware item is the first step in the manual cleaning procedure. This is done with a detergent in the first compartment of the sink. The suggested washing solution temperature should not be less than 43°C (110°F), unless specified on the label by the detergent manufacturer. The proper concentration of detergent is also necessary to ensure adequate removal of foodstuffs. Different foods reacts in a specific 30 way to various detergent compounds and it is imperative to understand the chemistry of a variety of cleaning compounds and their affect on removing food stuck on tableware and utensils (Schmidt and Rodrick, 2003). The second compartment contains clean and potable water. This second step is to remove all detergents and other cleaning agents from tableware items. It is accomplished by completely immersing the utensils in the water. This water should not contain any soap film or soap bubbles transferred from the first compartment. Cleaning agents left on tableware items can interfere with the sanitizing action of the third compartment, and can act as shield for any surviving pathogenic or spoilage microorganisms. The third compartment of the manual washer contains either hot water or a chemical sanitizer. If a food establishment decides to use hot water, the temperature must be at least 77°C (171°F) and the tableware must be completely immersed for 30 seconds. For compartments filled with a chemical sanitizer, the correct temperature and contact time can be found on the sanitizer’s EPA-approved manufacturer’s label (Food Code, 2005). As is the case with mechanical washing procedures, the cleaned and sanitized tableware must be air-dried and stored in a location where there is a minimal risk of contamination. 1.8. The Importance Of A Cleaning And Sanitizing Program The main objective of any sanitizing program is to remove all visible signs of food soil from the surfaces of tableware and inactivate all bacteria that are present. Furthermore, it is important to dry and store the cleaned and sanitized items in a sanitary environment, free from excessive moisture. Several studies have shown that cloth used 31 to drying washed tableware could contain various bacteria, including Salmonella spp. and Staphylococcus aureus (Scott and Bloomfield, 1990; Jiang and Doyle, 1999; Kusumaningrum et al., 2002). These studies have found that these bacterial strains can survive for hours or even days after initial contamination. Thus, contaminated equipment and tableware, which could be considered clean and sanitized, can transfer pathogens to newly prepared ready-to-eat foods (Lee et al., 2007). It is thus imperative that a proper cleaning and sanitized program is used, especially at restaurant establishments where several hundred meals are served on any given day. According to the Food Code (2005) the correct procedure for cleaning and sanitizing food contact surfaces is: (1) Clean, (2) Rinse, and (3) Sanitize. All three steps require the use of water. According to Schmidt (2003), 95-99% of cleaning or sanitizing solutions is composed of water. The two main functions of water are: (1) to carry the detergent or sanitizer to the surface of the tableware or processing equipment and (2) carry food soil or contamination from the surface (Hui et. al, 2003). It is consequently essential that the water used for cleaning and sanitizing treatments be potable and be free of pathogens. Occasionally, water may contain minerals and other impurities that considerably reduce the effectiveness of the detergent or sanitizer being used. Common water impurities and the possible associated problems are listed in Table 1.6. In most operations, it is economically unfeasible for the use of pure water, so the addition of water treatment conditioners like sequestering agents (sodium tripolyphosphate, polyelectrolytes) and chelating agents (sodium gluconate, ethylene diamine tetracetic acid), can be used to reduce the build-up of these impurities (Hamann et al., 1990). Also, adding selected chemical agents to the water can assist in the removal of food soil by 32 reducing the adhesion force between the food soil and the contact surface (Troller, 1993). An example of such a chemical agent is a surfactant. A surfactant is commonly blended into a cleaning agent, with its main function being the reduction of the surface tension of water to allow a more intimate contact between the cleaning agent and the food soil (Adams et al., 1989). Table 1.6. Water Impurities And Associated Problems (Schmidt, 2003). IMPURITY Common impurities Oxygen Carbon Dioxide Bicarbonates (Sodium, Calcium or Magnesium) Chlorides or Sulfates (Sodium, Calcium or Magnesium) Silica Suspended Solids Unusually High pH (above 8.5) PROBLEM CAUSED Corrosion Corrosion Scale Scale & Corrosion Scale Corrosion and Deposition Mediate Corrosion and Deposition; Alter detergent efficiency Mediate Corrosion and Deposition; Alter detergent efficiency Unusually Low pH (below 5) Less Common Impurities Iron Manganese Copper Filming and Staining Corrosion Filming and Staining The third and final step of the cleaning program is sanitization. The Association of Official Analytical Chemists (AOAC) and the EPA (1979) define the sanitization of food product contact surfaces as a process in which there is a reduction in the bacterial contamination level by 99.999% (5 logs) in 30 seconds. There are two types of sanitization methods that are used: (1) Thermal and (2) Chemical. Thermal sanitization 33 entails the sole use of hot water or steam at a specific temperature and contact time for the destruction of pathogens. Chemical sanitization, on the other hand, involves the use of an EPA approved chemical product at a defined concentration and contact time (Schmidt et al., 2003). The EPA strictly enforces the requirement that all sanitizers show a 5 log reduction of bacterial contaminants, especially for new sanitizers that are in need of approval. For new sanitizers, experimental data must demonstrate this requirement of bacterial strains inoculated onto tableware that is subsequently treated with the sanitizer at an appropriate concentration, temperature and contact time combination. 1.9. Cleaning Agents – Characteristics Food soil is defined as any unwanted material (visible or invisible) on foodcontact surfaces (Schmidt, 2003). The main purpose of the cleaning step is to remove all food soil from food contact surfaces. This is achieved by the cleaning agent as it lowers the surface tension of water. This causes food soils to loosen their attachment to the surface. This could be further loosened by mechanical action of scrubbing or high pressure water. Furthermore, the cleaning agent must be able to disperse the soil particles throughout the cleaning solution after removing them from the food contact surface. This prevents redeposition of soil particles. This could be enhanced by agitation of the dispersed solution and/or continual use of fresh cleaning solution. Although food soil originate primarily from the actual food(s) that comes in contact with the surface of the equipment or tableware, it could also come from minerals found in the cleaning water, residues from cleaning/sanitizing compounds and microbiological biofilms. The composition of the food soil is thus very complex and the 34 appropriate cleaning must be selected in order to remove the resident type of soil. Table 1.7 shows several major types of food soils, their solubilities, removal difficulty and behavior to heat. Table 1.7. Characteristics of Food Soils Surface Deposit Solubility Ease of Removal Sugar Fat Protein Starch Water Soluble Alkali soluble Alkali soluble Water soluble, Alkali soluble Water Soluble; Acid Soluble Acid Soluble Easy Difficult Very Difficult Easy to Moderately Easy Easy To Difficult Monovalent Salts Polyvalent Salts Difficult Heat-Induced Reactions Carmelization Polymerization Denaturation Interactions with other constituents General Not Significant Interaction with other constituents The type of food, along with its physical characteristics (particle size, shape, density) will determine the degree of bonding between the surface of a tableware item and a food soil. This is referred as the adhesion forces (Handojo et. al, 2009). The adhesion strength of the soil to the contact surface is also directly related to the environmental humidity and time of contact. Table 1.7 shows that protein and fat-based food soils are very difficult to remove. Usually, these food soils are found in combination and removing them may require dual purpose cleaning agents. It is generally known that acidic cleaning agents dissolve soils that are alkaline (minerals), while basic cleaners dissolve acidic-based food soils (Mariott and Gravani, 2006). Improperly using detergents can actually make the food soil more difficult to remove 35 soils. Also, cleaning immediately after soiling the equipment or tableware is much easier than letting the food soil dry, as a “baked-on” deposit. It is thus important to identify the difficulty required to remove various food soils from contact surfaces. A new analytical method that is gaining interest is the use of Atomic Force Microscopy. 1.9.1. Atomic Force Microscopy Atomic force microscopy (AFM) is a technique used to measure and produce a three-dimensional image of extremely small particles, in the nano-scale (Binnig et al., 1987). This method has been used to image metal surfaces and has recently been used to image soft samples, including biological (proteins, DNA, whole cells) and food samples (Radmacher et. al, 1992; Henderson, 1994; Handojo et al., 2009). The AFM process, displayed in Figure 1.5, has a sharp tip that is attached to a cantilever spring, and which is brought in close proximity of the surface of a sample during a test (Verran et al., 2000). During scanning, the forces between the surface and the tip cause deflections in the cantilever. Concurrently, a laser beam is focused on the surface of the cantilever, and the deflections are relayed by the laser beam to a photodiode and then sent to a detector which ultimately creates a topical three-dimensional image of the surface (Allen et al., 1997; Smith, 1999). AFM is therefore different from traditional imaging instruments because is measures the attractive and repulsive forces between the tip and the surface of a sample rather than physically looking at the surface (Morris, 2004). Generally, as two different materials (the tip and the sample) approach each other, atoms from both surfaces develop attractions due to Van der Waals forces. As the tip and sample surface continue to approach each other, the atoms are electrostatically repelled, 36 thus causing deflections in the cantilever. Other tip-surface sample forces that may cause deflections are capillary forces, magnetic forces and fluid surface tension (Cleveland et al., 1998). There are three common AFM operating modes: (1) non-contact, (2) contact and (3) tapping. Figure 1.1. Diagram of AFM Imgaing Process (Absolute Astronomy, 2009). Figure 1.2. Image Of A Cantilever And Tip (Wiesner Research Group, 2009). In the non-contact AFM mode, the cantilever oscillates slightly above the surface (no direct contact) at a resonant frequency (Binnig et al., 1987). In this mode the tip never touches the sample, but, due to the attractive and repulsive forces between the tip and the surface, the amplitude of the cantilever changes to reflect the underlining topography. This particular AFM mode minimizes degradation of the sample surface, especially during the analysis of food samples (Kelsall et al., 2005). 37 The contact AFM mode brings the tip in constant physical contact with the surface of the sample. In this mode, the tip is dragged along the test area, and the cantilever deflections that correspond to the surface are measured and converted into a topographical image. This AFM mode has gained interest in the food industry, especially when trying to remove a section of a samples surface with a specified force (Bhushan and Koinkar, 1994). This procedure can be useful when trying to determine the thickness of a film that is attached to a surface. An example of this can be seen in a study done by Handojo et al. (2009). During Handojo’s study, the AFM contact mode was used to scratch a specified area of a milk film attached to a glass surface. A cross-sectional view of the scratched area was then used to measure the thickness of this film. The tapping mode is a hybrid form of the non-contact and contact modes (Putman et al., 1994). In the tapping mode, the cantilever oscillates vertically and during each oscillation cycle, the tip briefly makes contact with the surface of the sample at a constant amplitude (Raghavan et al., 2001). As the tip comes in contact with the sample’s surface, changes occur in the tip’s oscillation parameters. These changes are then used to create a topical 3-D image of the surface. This mode is advantageous due to the fact that the image is of higher quality and with better resolution, especially when testing “soft” samples like food deposits on surfaces. As stated by Putman et al. (1994), due to the high oscillating frequency of the cantilever, soft biological samples behave as “hard” materials. As a result, the surface is less susceptible to deformations than when using the contact mode. 38 1.10. Classes of Cleaning Detergents Types of cleaning agents that are commonly used in processing facilities and food service establishments are (1) soaps, (2) alkaline-based, (3) acid-based, and (4) synthetic detergents. As stated by the FDA (1995), these cleaning agents must be safe on contact by employees, non-corrosive to the food contact surface, easily and completely dissolved and stable under normal storage conditions. These cleaning agents are sometimes mixed with other chemical compounds that are specifically formulated to remove certain soils or to remove difficult strongly bonded mineral deposits. 1.10.1. Soaps One of the best-known and oldest cleaning agents is plain soap. Soaps are generally best for the removal of oils, fats and greases. This is achieved by the suspension of the fat particles in the soap solution, in a process called emulsification. This process is the physical breakdown of fats and oils into smaller globular particles that are subsequently dispersed throughout the soap medium (Hui et al., 2003). As displayed in Figure 1.3, the soap compound has a hydrophilic end which binds to the water in the soap solution, while the hydrophobic (fat and oil soluble) end binds to the soil. As a result, soap molecules are able to surround soil particles and form micelles (Figure 1.4). These micelle droplets are then miscible in water and can be washed away easily. It is important to note that soap is not generally used in processing plants and food service establishments due to its limited cleaning functionality and the fact that it may react with hard water to form insoluble curds. 39 Figure 1.3. Anionic Surfactant Molecule (Mariott and Gravani, 2006). Figure 1.4. Soil Particle Suspended By Micelle Formation (Mariott and Gravani, 2006). 1.10.2. Alkaline Cleaning Agents Alkaline cleaning compounds are generally best used for the removal of fats, oils and proteins. Alkaline, by definition is any compound with a pH greater than 7 (Fellows, 2005). As the pH increases, the alkalinity of the compound increases as well. This type of cleaning agent is categorized as: (1) strongly alkaline, (2) heavy-duty alkaline and (3) mild alkaline cleaners. The first two alkaline subclasses are known to have very strong dissolving and cleaning actions, but are highly corrosive to aluminum, tin, galvanized metal, glass and hazardous to humans. These types of cleaning compounds are generally used for tough cleaning jobs, mainly in processing plants, especially for Clean-In-Place (CIP) systems (Schmidt, 2003). An example of a strongly alkaline cleaning agent is sodium hydroxide (NaOH) or also known as caustic soda (McSwane et. al, 2005). Caustic soda is known to cause burns on the skin and inhalation of the fumes may cause 40 respiratory damage. The third class of alkaline cleaners are the mild ones such as sodium bicarbonate, sodium sequicarbonate and sodium metasilicate (Skaarup, 1995). This class is much less corrosive than the first two classes and is usually used for manual cleaning of lightly soiled surfaces, especially in the food service industry. 1.10.3. Acidic Cleaning Agents Acidic cleaning agents are not as commonly used in the food industry as are alkaline-based compounds. This is due to the fact that acid cleaners are not as effective in removing fats, oils and proteins. Acidic compounds are considered specialized types of cleaners and are specifically used to dissolve mineral scale deposits (calcium and magnesium precipitates) and to remove encrusted food soil and hard water deposits from food-contact surfaces (Mariott and Gravani, 2006). Typically, acid detergents are used in a two step cleaning process in conjunction with alkaline cleaners. Acidic cleaners can be classified as being either an inorganic acid or an organic acid (Schmidt, 2003). Inorganic acids are proficient in removing mineral deposits, but they can be particularly irritating to human skin and may be corrosive to surfaces (metals, concrete, and fabrics). These inorganic acids (hydrochloric, sulfamic, hydrofluoric) are generally used in processing facilities that have boilers and steam-producing equipment. Organic acids (tartaric acid, citric acid), on the other hand, are not corrosive or irritating to skin. They are excellent water softeners and are commonly used in manual cleaning procedures at food-service establishments. The downside of organic cleaners is that they are much more expensive than inorganic cleaners. 41 1.10.5. Synthetic Detergents Synthetic detergents are essentially a soap cleaner, but one that will not form curds when exposed to hard water (high in impurities). These synthetic detergents are formed when different cleaning components are mixed together to provide the same emulsification function of soap on fats, greases and oils. Another advantage of synthetic cleaners is that they contain surfactants which are intended to lower the surface tension of the cleaning solution. By lowering the surface tension, there will be higher “wetting” of the soil particles occurs, and this increases the detachment of the soil from the contact surface (FDA, 1995). The advantages that surfactants add to synthetic detergents are emulsification, dispersion, noncorrosiveness, nonirritation and they can be rinsed easily from surfaces. 1.11. Sanitizing Agents – Characteristics After the cleaning and rinsing steps, the final step functions to inactivate any pathogenic microorganisms of concern which may still be present on tableware or processing equipment. The definition of “sanitization”, as described in the FDA Food Code (2005), is the application of cumulative heat or chemicals on cleaned food-contact surfaces that, when evaluated for efficacy, is sufficient to yield a reduction of 5 logs, which is equal to a 99.999% reduction, of representative disease microorganisms of public health importance. Chemical sanitizers must show this efficacy before being approved to the EPA (1979). Furthermore, sanitizers used in the food industry must be of approved food-grade quality since any chemical residue that enters the food supply must be deemed safe (FDA Code of Federal Regulations, 21 CFR 178.1010). 42 Table 1.8 shows several physical and chemical factors that are known to affect the efficacy of sanitizers. These factors are usually interconnected, meaning that one or more factors can be adjusted to compensate for a factor that is inadequate. For example, if a certain sanitizer requires preparation in a cold water solution, increasing exposure time or sanitizer concentration can compensate for the low application temperature. Table 1.8. Physical And Chemical Factors Affecting Sanitizer Effectiveness (Schmidt, 2003; Mariott and Gravani, 2006; Hui et. al, 2003). Factors Surface cleanliness Exposure Time Temperature Concentration Water Hardness Microbial Population Advantages & Disadvantages An unclean surface cannot be sanitized because chemical sanitizers lack penetration ability and requires direct contact with microorganisms. Cracks, pitts, and crevices on food-contact surfaces should be avoided. Generally, the longer contact time, the more effective the sanitization effect. An increase in temperature generally increases microbial inactivation. However, chemicals are more corrosive at higher temperatures. Thus, chemical sanitizers should be applied at ambient temperatures. An increased concentration increases sanitizer efficacy, to a certain point. There is a specific maximum concentration, where efficacy does not increase by increasing concentration. As water hardness increases, the effectiveness of sanitizers decreases. The higher the initial microbial load, the higher the possibility of survivors after the sanitization step. 43 An ideal sanitizer should have the following properties: • • • • • • • Broad-spectrum biocidal activity against bacteria, yeasts, molds and viruses Rapid inhibition of pathogenic microorganisms Stable and effective under a broad range of environmental conditions (presence of organic soils, water hardness, pH) Low toxicity and corrosivity Ease of use Readily available Inexpensive There are numerous chemical agents that are effective in inactivating pathogenic microorganisms, but unfortunately they often have disadvantages that make them less than ideal. Some sanitizers may stain surfaces, may be highly corrosive, leave films on the surface and may impart an off-flavor to freshly prepared foods. Other chemicals may be too costly or may be extremely hazardous to employees. 1.11.1. Chlorine Chlorine sanitizers are one of the most commonly used chemicals in the processing of fresh produce, as well as the sanitization of equipment and utensils (Fabrizio et al., 2002; Tasi et al., 1992). Chlorine is available in a variety of forms, including hypochlorite, liquid chlorine, organic and inorganic chloramines (Kreske et al., 2006). The basic mode of biocidal action is primarily on the cellular membranes of microorganisms by inhibiting the enzymes involved in glucose metabolism (Wei et al., 1985; Banwart, 1989). Other mechanisms of inactivation that has been proposed are: (1) disrupts protein synthesis, (2) inhibits the uptake of oxygen, (3) causes the leakage of macromolecules and (4) negatively affects the cells DNA properties (Dychdala, 2001). 44 It is important to note that microorganisms are only affected by “free available chlorine” (FAC) and not by bound chlorine. There are two forms of chlorine that are considered FAC: (1) hypochlorite ion (OCl-) and (2) hypochlorous acid (HOCl). It has been concluded by many research publications that the hypochlorous acid is the most active form, being 80 times more effective in sanitization applications than the hypochlorite ion form, at the same concentration (Cords and Dychdala, 1993; Wei et. al, 1985). The amount of HOCl that is formed in solution is a function of the pH of solution. A lower pH level fosters HOCl formation, with a solution of pH 5 having nearly all chlorine in the HOCl form (Bloomfield and Arthur, 1994). A higher pH increases the formation of OCl- ions, and thus decreases the efficacy of chlorine-based sanitizers. When the pH is at 4.0 or lower, deadly Cl2 gas (mustard gas) can form, and this could be a safety and health concern due to irritations to the skin and damage to mucous membranes (Hinton et al., 2007). In addition to pH, the efficacy of chlorine chemicals are also affected by the temperature of the solution and the presence of organic food soils. The chlorine solution that is used for sanitization of food-contact equipment and tableware should be at a minimum temperature. This is based on the pH and concentration of the chlorine solution as displayed in Table 1.9. Furthermore, chlorinated chemicals should not be applied at higher temperatures since this increases its corrosive properties. The presence of organic soils also negatively impacts the effectiveness of chlorine compounds since they reduce the amount of FAC in solution (McSwane et al., 2005; Wei et al., 1985). The advantages and disadvantages of chlorine-based sanitizers are summarized in Table 1.10. 45 Table 1.9. The Minimum Temperature Of Chlorine Sanitizing Solutions For FoodContact Surfaces At A Certain pH And Concentration (FDA Food Code, 2005). Minimum Concentration Mg/L (ppm) Minimum Temperature 25 pH 10 or less C° (F°) 49 (120) pH 8 or less C° (F°) 49 (120) 50 38 (100) 24 (75) 100 13 (55) 13 (55) Table 1.10. The Advantages And Disadvantages Of Chlorine-Based Sanitizers (Schmidt, 2003, Mariott and Gravani, 2006; Wei et. al, 1985; Beuchat et al., 2004). Advantages • • • • Disadvantages Effective against a variety of bacteria, fungi and viruses Inexpensive Unaffected by water impurities Leaves minimal residue or film on surfaces • • • • • • 46 Corrosive to stainless steel and other metals At pH 4.0 or lower, toxic and corrosive gas is formed. Higher temperatures promote corrosive action Skin irritant and damage to mucous membranes. Negatively affected by the presence of organic material Possible formation of carcinogenic trihalmethanes (THM) compounds under certain conditions. 1.11.2. Quaternary Ammonium Compounds (QAC’s) Quaternary ammonium sanitizers are approved for use in the United States on tableware, food processing equipment, and other food contact surfaces, with a maximum concentration of 200 parts-per-million (ppm) (FDA, 2003). Quaternary ammonium compounds are a class of compounds with a structure, displayed in Figure 1.3. QAC’s are synthetically created by a nucleophilic substitution reaction between a quarternizing agent and a tertiary amine and produces a nitrogen atom covalently linked to four organic alkyl groups (Mariott and Gravani, 2006). This a positively charged ion that is ionically bonded to an anion, usually chlorine. The properties of QAC’s depends greatly upon the alkyl groups (R1, R2, R3 and R4 groups), which can vary tremendously. Figure 1.5. Chemical Structure of QAC (Schmidt, 2003). Since QAC’s are positively charged, the primary mode of inhibitory action against microorganisms is their attraction to the bacterial proteins and cell membranes, which are negatively charged (Trauth et. al, 2001). This association disrupts proteins and the extracellular functions, thus inhibiting the pathogenic and spoilage action of the organism (McDonnell and Denver, 1999). According to the FDA Food Code (2005), in order for QAC’s to be effective, the water hardness should be 500 mg/L or less, at a 47 minimum temperature of 24°C (75°F) and be at a concentration that is listed on the manufacturers label. QAC’s are colorless, odorless, generally nontoxic and non-corrosive. Other advantages include its better stability in the presence of organic food soils when compared with chlorinated compounds. QAC’s are also stable over a broad pH range and at high temperatures. However, although QAC’s are effective against Gram-positive bacteria, Gram-negative bacteria are not extensively affected (Trauth et. al, 2001). QAC’s are also incompatible with negatively charged synthetic detergents and soaps. Thus for maximum effectiveness, it is essential to thoroughly rinse the contact surfaces from residual detergents before using QAC. The advantages and disadvantages of QAC’s are summarized in Table 1.11. Table 1.11. The Advantages And Disadvantages of QAC’s (Schaeufele, 1984). • • • • • • Advantages Colorless and odorless Non-irritating to skin, non-toxic Non-corrosive Stable over a broad range of pH and temperatures. Provides a residual antimicrobial film More stable in the presence of organic materials than chlorine compounds 48 • • • Disadvantages Inefficient with Gram-negative microorganisms Incompatible with soaps and anionic synthetic detergents Residual films are not advantageous to cultured dairy products, cheese and beer food processing operations 1.11.3. Acidic-Based Sanitizers Acidic-based sanitizers are similar in action to QAC’s by their surface-active characteristics (Schmidt, 2003). Usually, these sanitizers are mixed with a surfactant and are used to combine the rinsing and sanitizing steps. Examples of various acidic-based sanitizers include acetic acid, peroxyacetic, lactic and propionic acids. Unlike QAC’s, acid sanitizers are negatively charged and consequently has the ability to neutralize any residual alkaline residue from cleaning detergents (Hui et. al, 2003). This neutralization prevents the formation of alkaline deposits on the surface. This can also be a disadvantage if too much residual detergent is left on the surface. This is so because more active ingredients will be used to neutralize the detergent and less will be available for inactivation of pathogens of concern. Additionally, acidic sanitizers are capable of effectively inactivating microorganisms of public health concern. The mode of this inhibitory action is the attraction of the negatively acidic surfactants to the positively-charged cell membranes of the bacteria (Banwart, 1989). This attraction allows for the penetration of acid compounds into the interior of the cell and as a result the acidification of the cellular cytoplasm (Fabrizio et. al, 2002). Additional advantages and disadvantages are shown in Table 1.12. 49 Table 1.12. The Advantages And Disadvantages Of Acidic-Based Compounds. Advantages • • • • • Disadvantages Includes a surfactant – Good wetting properties Non-toxic and Non-corrosive (permits exposure to equipment and tableware for overnight soaking) Biodegradable Low odor-potential Very stable • • • • Relatively high cost Narrow pH range (pH 2-3) Low activity on yeasts and molds If too much alkaline detergent residue is left on the surface, acidic sanitizers will be neutralized and little sanitization can occur. 1.11.4. Neutral Electrolyzed-Oxidizing Water (NEW) Compared with the other sanitizers discussed earlier, electrolyzed-oxidizing (EO) water is relatively new. It has been used for several years in Japan, as a disinfectant for the hands and as a cleaning agent for beds and floors in medical institutions (Horiba et al., 1999; Fabrizio et. al, 2002). Recently, EO water has gained interest as a sanitizer in agriculture, dentistry, medicine and the food industries and is currently approved for use in the United States by the EPA (Park et al., 2002; Huang et. al, 2008). Numerous publications have stated that EO water has powerful biocidal action against microorganisms of concern (Listeria monocytogenes, Escherichia coli O157:H7, Salmonella Enteritidis, Campylobacter jejuni, Bacillus cereus). It is also effective in reducing foodborne pathogens on cutting boards and various food products such as poultry and fresh produce, and effective in eliminating L. monocytogenes biofilms on stainless steel (Horiba et al., 1999; Venkitanarayanan et al., 1999; Kim et. al, 2001; Park et al., 2002; Deza et. al, 2005). 50 EO water is created by passing a dilute salt (NaCl) solution though a generator containing a cell that contains a positively charged anode and a negatively charged cathode, separated by a permeable membrane (Figure 1.5) (Huang et al., 2008). These electrodes are subjected to a direct current and consequently, negatively-charged ions (chloride and hydroxide) from the NaCl solution move to the positive anode and give up electrons to produce oxygen, chlorine gas, hypochlorite ion, and hypochlorous acid. At the same time, positively-charged ions (hydrogen, sodium) move to the cathode to take up electrons and become sodium hydroxide and hydrogen gas (Hsu, 2005). As a result of this procedure, two types of water are generated concurrently. The water that is directed to the cathode produces electrolyzed reduced water, which has a pH of 11.4 and an oxidizing-reduction potential (EH) of -795 mV (Kim et al., 2000). The water that is produced at the anode side is the EO water that is used as a disinfectant for various washing and sanitizing procedures. EO water is characterized as being acidic when it has a pH of less than 2.7, an Eh of +1000 mV and the presence of hypochlorous acid. (Horiba et al., 1999). More recently, the food industry has become interested in the use of neutral EO water (NEW) since its pH is approximately 6.5 and it is less corrosive to food-contact surfaces. NEW is produced by redirecting the products formed at the cathode towards the anode chamber. This gives rise to a solution characterized with a pH in the range of 5.5-7.0 and an Eh of 600-800 mV (Horiba et al., 1999). 51 Figure 1.6. The Schematic Process Of Electrolyzed Water Generator (Huang et al., 2008). The inactivation of microorganisms of concern by NEW is due to the high Eh and the presence of hypochlorous acid. Eh is defined as the ability to accept or lose electrons (Jay et. al, 2005). A highly positive Eh value, a characteristic that NEW possesses, indicates the acceptance of electrons. Accordingly, NEW sequesters electrons from the cellular membrane of microorganisms, allowing for the hypochlorous acid to move into the cytoplasm of the cell and eventually inhibits its functions. This is similar to the biocidal action from chlorine-based sanitizers (Fabrizio et al., 2002). At the same time, the HOCl generated with the EO water is much more environmentally friendly and less toxic to humans when compared with the HOCl compounds found in chlorinated solutions. This is due to the stabilizing combination of elemental chlorine (Cl2) and caustic soda (NaOH) that is required to create sodium hypochlorite (Mariott and Gravani, 52 2006). Further evidence of the inhibitory action of EO water is evidenced from experiments performed by Osafune et al., 2006. In that study, they used a scanning electron microscope to view Staphylococcus saprophyticus, Micrococcus luteus and Bacillus sphaericus after being treated with EO water. The results showed that cells exposed to EO water wrinkled walls with round pores from which the cytoplasmic materials had leached. Although EO water is a relatively new sanitizer, available published data have reported various advantages that far outweigh its disadvantages, when compared with traditional sanitizers like chlorine and quaternary ammonium. One of the most important benefits of using EO water is its safety to humans and the environment due to the fact that EO water is generated from tap-water and sodium chloride (Kim et al., 2000). Furthermore, EO water is usually produced on-site and immediately before use, it eliminates the need for the handling of concentrated toxic chemicals (Park et al., 2002). NEW is also non corrosive to the skin and mucous membranes and is more stable when compared with acidic EO water (Hiratsuka et al., 1996; Horiba et al., 1999). After the initial capital investment resulting purchase of an EO water generator, the only operating expenses are water, NaCl, electricity and its maintenance (Walker et al., 2005). 1.11.5 Summary Of The Sanitizers Previously Discussed Sodium hypochlorite and QAC are traditional sanitizers that are commonly used in the food industry. While they are effective in inactivating pathogens of public health concern, they may be corrosive to equipment, hazardous to humans and may have a negative impact on the environment. As a result, the need to develop alternative sanitizers 53 is urgent. Examples of these alternative options are organic acid-based sanitizers and electrolyzed-oxidizing water. These are less hazardous to humans, less corrosive and are more environmentally friendly. Table 1.13. is a summary of the advantages and disadvantages of the four sanitizers previously discussed. Table 1.13. Summary Of The Advantages And Disadvantages Of Chlorine, QAC, Acidic-Based And EO Water Sanitizers Advantages Disadvantages Chlorine • Effective against a variety of pathogens of concern • Inexpensive • Unaffected by water impurities • Corrosive • Skin irritant and damage to mucous membranes • Negatively affected by the presence of organic material • Possible formation of carcinogenic trihalomethanes (THM) compounds under certain conditions QAC • Non-corrosive, non-irritating, non-toxic • Residual antimicrobial film • More stable in presence of organic materials than chlorine • Incompatible with soaps • Ineffective in hard water • Residual films are not advantageous to cultured dairy products Acidic • Includes surfactant • Non-toxic, non-corrosive • Biodegradable • Very stable • Non-toxic, Non-corrosive • Environmentally friendly • Biodegradable • High Eh value – inactivation of a variety of pathogens of concern • Eliminates storage of highly concentrated chemicals • Relatively high cost • Low activity on yeasts and molds • Narrow pH range (pH 2-3) • Reacts with alkaline detergents • High initial capital investment • Maintenance and repair costs EO Water 54 CHAPTER 2 COMPARATIVE EFFICACIES OF VARIOUS CHEMICAL SANITIZERS FOR WAREWASHING OPERATIONS IN RESTAURANTS 2.1. Abstract Recent reports have stated that contamination of food contact surfaces is a major problem in restaurants. As a result, cleaning and sanitization of all utensils should be maximized since this minimizes the risk of cross-contamination. The FDA Food Code (2005) states that 5 log/CFU bacterial reductions must be obtained during tableware cleaning protocols. However, there is little published data on the comparative efficacies of various sanitizers for the accomplishment of this goal. Our study investigated the survival of Escherichia coli K12 and Listeria innocua inoculated into cream cheese and pasteurized whole milk and subsequently used to soil ceramic plates, plastic serving trays and drinking glasses. These items were washed with automatic 49°C (120°F) and manual 43°C (110°F) dishwashers, then treated with electrolyzed-oxidizing water (EO), quaternary ammonium compound, acidic and hypochlorite sanitizers. For the lowest efficacies, the results showed that after six and eight washing cycles in the same solution, ≥5 log reductions were achieved in the manually washed E. coli K12 contaminated trays 55 and plates, respectively, which were exposed to the chlorine and quaternary ammonium sanitizers. For Listeria, seven and eight washes produced the same results for trays and plates, respectively. For automatic washing, the minimum wash cycles for: (1) E. coli K12 were seven and nine for the trays and plates, respectively using the EO and chlorine sanitizers and (2) L. innocua were seven and ten for the trays and plates, respectively using the ammonium and chlorine sanitizers. Drinking glasses contaminated with: (1) E. Coli K12 showed that 14 and 16 washing cycles achieved ≥5 log reduction for manual and automatic washing, respectively, and (2) L. innocua showed a maximum of 14 cycles for manual washing and 17 cycles for automatic washing before the inability to produce the 5-log bacterial reduction. Information obtained from this study could be used by restaurants and other foodservice institutions to minimize the cost of food contact surface cleaning while still meeting FDA mandates. 2.2. Introduction Foodborne illness continues to be a public health concern in the United States, especially in the food-service industry. The National Restaurant Association (2009) reports that the year 2009 will show sales of $566 billion in prepared foods. On a typical day, more than 130 million individuals will eat at a foodservice establishment. Thus, it is vital that not only should establishments provide a safe and high-quality meal, they should also reduce the factors that contribute to foodborne illnesses. Three of the most important factors that contribute to foodborne illnesses are: (1) incorrect temperatures 56 during storage/processing, (2) poor personal hygiene of workers and (3) crosscontamination (Wernersson et al., 2004). The first factor is considered the major contributor to foodborne illnesses, while the other two factors are believed to play a role in foodborne illness but to a lesser degree (Cogan et al., 2002). This factors are due to a high turnover of the workforce in restaurants since most employees are young and consider this a temporary occupation. It is thus very difficult and costly to educate individuals about good personal hygiene and proper techniques that minimize cross-contamination. The Food Code (2005) and NSF International (ANSI/NSF 3, 2005) require the complete removal of food soil from contact surfaces after the completion of washing and sanitization protocols. If food soils that are contaminated with microorganisms are not properly removed during the washing step, bacteria may survive the sanitation step due to the fact that the cells may be shielded by the food (Wernersson et al., 2004). Additionally, the sanitization step requires that the application of heat or chemicals on the food contact surface must yield a 5-log (99.999%) reduction in representative disease microorganisms. Chemical sanitizers that are available for use must meet this mandate of efficacy. Traditional sanitizers include paracetic acid, iodophors, ultraviolet radiation, ozone, sodium hypochlorite and quaternary ammonium compounds (QAC) (Gavin and Weddig, 1995). These sanitizers, when used at the approved concentration, temperature and contact time have shown an adequate ability to reduce microbial loads to acceptable levels. However, despite this acceptable bacterial reduction, there are drawbacks with the use of these traditional sanitizers. These chemicals can be highly corrosive to equipment, 57 toxic to the environment and harmful to workers and consumers (Ruiz-Cruz et al., 2007; Ukuku, 2006). As a result, there is a need to develop new sanitizers with the ability to produce the mandatory microbial reduction, while being more environmentally friendly, less corrosive to equipment and less toxic to humans. Two of these sanitizers are neutral electrolyzed-oxidizing water (NEW) and PRO-SAN®. PRO-SAN® is an organic acidic sanitizer made from natural ingredients, while NEW is generated by salt (NaCl), tap water and an electrolyzed-oxidizing unit. During their normal operations, restaurants and food-service establishments usually wash several batches of tableware items in the same lot of cleaning agents. This is done as a cost saving method. However, there is a need to determine the maximum number of warewashing cycles that can still achieve a 5-log bacterial reduction as required by the Food Code. This study focused on comparing the efficacy of two traditional sanitizers and compared them to two novel sanitizers. This was done by comparing the maximum number of warewashing cycles that a single lot of cleaning agents can handle and still produce a 5-log bacterial reduction. The choice of materials and parameters used in this study were carefully chosen so that a “worst-case scenario” was created. As a result, the choice of material type used for the utensils were ceramic plates, drinking glasses and plastic trays. The choice of food types used to contaminate the utensils were cream cheese (non-water soluble) and whole milk (water soluble). The bacteria selected to inoculate the food samples were Gram-positive and Gram-negative species. In order to simulate foodservice operations, both manual and mechanical warewashing protocols were tested. 58 The objectives of this study were: To compare the cost-effectiveness of sodium hypochlorite, QAC, NEW and PROSAN® as sanitizers for tableware washing protocols. To compare the efficiency of three-compartment manual warewashing with spraytype mechanical warewashing operations. To evaluate the effect of material-type (ceramic vs. plastic vs. glass) on the efficiency of the washing and sanitizing protocols. To investigate the survivability of Gram-positive Listeria innocua and Gramnegative Escherichia coli K12 on tableware items after washing protocols. 2.3. Materials and Methods 2.3.1. Preparation of Bacterial Cultures Escherichia coli K12 (ATCC 29181) and Listeria innocua (ATCC 33090) were used in this study. Stock cultures of E. coli K12 and L. innocua were stored in a -80°C freezer in 30% (v/v) sterile glycerol (Fisher Scientific, Fair Lawn, NJ) and the bacterial cells were revived when required for the experimental procedure. When needed for testing, the frozen E. coli and L. innocua cultures were allowed to temper to room temperature and then a loopful was transferred into each of two respective bottles containing 50 mL Trypticase soy broth (Difco Laboratories, Sparks, MD) containing 0.3% (w/w) yeast extract (Fisher Scientific, Fair Lawn, NJ) (TSBYE), followed by incubation at 35-37°C for 18 h. After this incubation, a loopful of the broth was then spread on a Trypticase soy agar (Difco Laboratories, Sparks, MD) 59 supplemented with 0.3% (w/w) yeast extract (TSAYE) slant and incubated at 35-37°C for 24 h. This TSAYE slant was subsequently stored in a refrigerator at 3°C and used as a stock culture. Preceding each experimental run, a loopful of either E. coli K12 or L. innocua stock culture was propagated aerobically in 200 mL TSBYE at 35-37°C for 18 h. Subsequently, a 185 mL aliquot of each cell broth was centrifuged (Kendro Laboratory Products, Sorvall RC 5C Plus, Newtown, CT) at 6,000 RPM for 10 min at 4°C to suspend the cells into a pellet. The supernatant was decanted and the cell suspension was resuspended in 185 mL of sterile deionized potassium phosphate buffer (pH 7.2) until an initial concentration of approximately 1.0 x 109 CFU/ml for both E. coli K12 and L. innocua were achieved. The buffer stock solution was prepared by mixing 0.1 M potassium phosphate dibasic (Fisher Scientific, Fair Lawn, NJ) and 0.1 M potassium phosphate monobasic (Acros, New Jersey, NJ) to reach a neutral pH of 7.2. The bacterial population of each inoculum was enumerated after pipetting 1 mL of appropriate dilutions on duplicate TSAYE plates and incubating them at 35-37oC for 36 h. Each bacterial cell suspension was then thoroughly mixed into the given food sample. 2.3.2. Preparation of Food Samples Pasteurized whole milk and soft cream cheese were the food samples that were used to soil the surface of the selected tableware. The food samples were purchased from a local grocery store (Columbus, OH) one day prior to each experimental run and stored in an incubator at 4 ± 1°C. Prior to inoculation, a 1440 mL aliquot of milk or a 1500 g 60 portion of soft cream cheese was weighed into a sterile beaker. The bacterial cell suspension of either E. coli or L. innocua, 1:10 w/w, was then added to the beaker containing either semi-solid cream cheese or whole milk and blended for 10 min to ensure adequate mixing of the inoculum and food sample. Three different tableware items were used in this study: (1) plastic serving trays, (2) ceramic plates and (3) drinking glasses. All tableware items were thoroughly cleaned and hot water sanitized before each experimental run. Samplings of these items confirmed that they were bacteria free after this cleaning step. Based on the method selected by Lee et al. (2007), 5 g of contaminated cream cheese was applied to the entire food-contact surface of each ceramic plate, while 10 g of cream cheese was spread on the entire food-contact surface of each plastic serving tray. The inner wall of each drinking glass, on the other hand, was contaminated with 0.5 g of inoculated whole milk. The tableware items were air-dried for 1 hour at 24 ± 2°C to simulate the common procedure that occurs at restaurants and food-service establishments. To determine if there was an effect of the air drying on the viability of the bacterial colonies, the tableware items were sampled using a sterilized cotton swab before and after the air-drying procedure. This swab was subsequently serially diluted and bacterial colonies were enumerated on TSAYE. As displayed in Figure 2.1, 16 plates was considered one warewashing cycle, while 8 trays and 25 drinking glasses were considered one warewashing cycle. One experimental run consisted of the use one type of tableware and one type of chemical sanitizer and was repeated three times (Figure 2.2). 61 A B C Figure 2.1. Tableware Used In Experimental Procedure (A) Plastic Serving Trays, (B) Ceramic Plates and (C) Drinking Glasses. 2.3.3. Preparation Of Detergent And Sanitizer Solutions Detergents Two detergents were used in the washing step: (1) Guardian Score detergent (Ecolab, Inc., St. Paul, MN) for the mechanical washer and (2) Mag Fusion detergent (Ecolab, Inc., St. Paul, MN) for the manual warewashing operations. The Guardian Score detergent was used at 1,000 ppm and its ingredients included sodium hydroxide, sodium dichloroisocyanurate, sodium carbonate, sodium chloride, and sodium tripolyphosphate. The Mag Fusion detergent was used at 100 ppm concentration and was composed of sodium dodecylbenzene sulfonate, acetic acid, sodium salt, poly(oxy-1,2ethanediyl), alpha.-sulfo-.omega.-hydroxy-, C10-16-alkyl, ethers, amides, coco, n(hydroxyethyl), d-glucopyranose, oligomeric, C10-16-alkyl glycosides and fatty alcohol alkanolamides. These concentrations were recommended by the respective manufacturers. 62 Manual Dishwashing Mechanical Dishwashing Listeria innocua Escherichia coli K12 EO Water QAC Chlorine PRO-SAN 63 Plate (cream cheese contaminant) Serving Tray (cream cheese contaminant) Bacterial count before and after cleaning Figure 2.2. Experimental Design Of Warewashing Procedure. Glass (whole milk contaminant) Sanitizers Four sanitizers were used in this study: (1) Electrolyzed-oxidizing water, (2) PRO-SAN® (acidic-based sanitizer), (3) Quaternary Ammonium Compounds (QAC), and (4) Sodium Hypochlorite. (1) Electrolyzed-oxidizing water An electrolyzed-oxidizing (EO) water generator (Ecaflo 110, Trustwater Inc., Ireland), as shown in Figure 2.3, was used to produce the EO water. This was produced from a saturated sodium chloride (NaCl) (Morton International Inc., Chicago, IL) solution and a continuous flow of tap water that were fed to the EO generator (the tap water flow rate was set at 20 gallon per hour). From these items, two water solutions are generated: (1) catholyte and (2) analyte. The catholyte solution was produced at the cathode side of the generator and was characterized by having a highly basic pH (~ 1112). The analyte water solution had an acidic pH (~ 2-3). However, in this study, neutral electrolyzed water (NEW) was used as the sanitizer. In order to produce this NEW, the generator redirected some of the catholyte solution to the analyte solution produced at the anode. The current and voltage was set at 3.0-3.3 A and 18.5-20.5 V, respectively. This produced a NEW solution output of 1.0 L/min. 64 Figure 2.3. EO Water Generator Used In This Study The neutral electrolyzed water was made immediately prior to the experiment. After the generation of the electrolyzed-oxidizing water and prior to the commencement of the washing and sanitization steps, the pH, free available chlorine (FAC) and oxidation-reduction potential (Eh) of the EO water were tested. In this study, the pH range was 6.5-7.5, the FAC was 100 ± 5 ppm and the Eh was 650-800 mV. The pH was determined using a Hanna Instruments Microprocessor pH meter Model 210 (Hanna Instruments Inc., Woonsocket, RI). The FAC concentration was measured with a HI 95771 Chlorine Ultra High Range Meter (Hanna Instruments, Ann Arbor, MI). Eh measurements were obtained using a Mettler DL 70ES Titrator (Mettler Toledo, Columbus, OH). 65 (2) PRO-SAN® PRO-SAN® was supplied by Microcide, Inc. (Troy, MI) as a powdered concentrate that required reconstitution before use. The recommended concentration for sanitizing tableware and processing equipment was 10,000 ppm. The active sanitizing agents in PRO-SAN® are citric acid (66%) and sodium dodecylbenzene sulfonate (3.6%). Inert ingredients composed the remaining 30.4% of the powered concentrate. (3) Quaternary Ammonium Compound (QAC) The QAC used in this study had a brand name called Ster-Bac. It was produced by Klenzade, a division of Ecolab, Inc. (St. Paul, MN). The main QAC found in Ster-Bac was n-Alkyl [50% C14, 40% C12, 10% C16] dimethyl benzyl ammonium chloride and it was used at a 200 ppm concentration. As mandated by the FDA Food Code (2005), the use of QAC sanitizers must be mixed with water of not more than 500 ppm CaCO3. Thus, before the use of Ster-Bac QAC, the water hardness was determined using a Water Quality Test Strip kit (Hach Co., Loveland, CO) to ensure that this study conformed to this mandate. The water hardness for the mechanical and manual operations was determined to be less than 120 ppm. (4) Sodium Hypochlorite The sodium hypochlorite solution was brand named “Chlor-Clean 12.5” and was obtained from Madison Chemical Co., Inc. (Madison, IN). The concentration of the sodium hypochlorite solution used in this study was 100 ppm. 66 2.3.5. Manual Warewashing Of The Tableware Items The manual dishwasher was manufactured by Hobart Inc. (Troy, OH) and consists of three compartments: (1) washing, (2) rinsing, and (3) sanitizing, as displayed in Figure 2.4. The first compartment, the washing compartment, held approximately 60 gallons, while the rinse and sanitizer sinks had 40 gallon capacities. The tableware items were washed with 100 ppm of the Mag Fusion detergent at 43°C for 20 s, rinsed with tapwater at 24°C for 5 s, and finally sanitized with different types of sanitizers at 24°C for 5 s. Prior to each experimental run, the manual dishwasher was thoroughly cleaned with hot water and refilled with fresh water and detergent/sanitizer. Washing Sink Sanitizing Sink Rinsing Sink Figure 2.4. Three-Compartment Turbowash Manual Warewasher Used In This Study (Turbowash, Hobart, Inc., Tory, OH) 67 During the washing step, each contaminated tableware was washed manually while wearing rubber gloves. A Scotch-Brite multi-purpose scrub sponge (3M, St. Paul, MN) attached to a spring-loaded device was used to remove the cream cheese from plates and plastic serving trays (Figure 2.5). The purpose of the spring-loaded was to provide the same amount of force on each plate or tray being washed during the procedure. A cylindrical device covered with a soft sponge was used to manually wash the drinking glasses (Figure 2.5). The plastic trays were washed with four forward and four backward strokes of the sponge. Plates and glasses were washed with directions of four clockwise and four counter-clockwise strokes. These are methods adapted from Lee et. al (2007). After the cleaning protocol, all tableware items were placed on a sterile rack and air-dried for 1 hour at 24 ± 2°C before microbial testing. Prior to the data collection, trial runs were performed in order to determine the range of washing cycles that each sanitizer could handle and still produce the 5 log bacterial reduction that the FDA Food Code mandates. Once this was determined, the actual experimental procedures and data collection were taken. Each data point was an average of 3 replicates. 68 Figure 2.5. Cylindrical Sponge (left) And Sponge Attached To The Spring-Loaded Test Fixture (right) Used To Manually Clean Tableware Items. 2.3.4. Mechanical Warewashing Of The Tableware Items The mechanical dishwasher used in this study was an AM Select Dishwasher manufactured by Hobart Corp. (Troy, OH) (Figure 2.6). This dishwasher had two washing cycles: (1) washing and (2) sanitizing. The machine is a one-tank unit that reuses the wash water in successive cycles and has a separate tank that holds the sanitizing solution. The tableware items were washed with 1,000 ppm of the Guardian Score (Ecolab, Inc., St. Paul, MN) detergent at 49°C (as per the manufacturer’s recommendation) and sanitized with each of the 4 types of sanitizers at 24°C. Prior to the use of the mechanical dishwasher, it was cleaned with hot water and refilled with fresh detergent/sanitizer solutions. 69 The wash water was sprayed onto the dishes for 40 sec at a pressure of 20 psi. Spraying of the detergent solution occurred from both top and bottom slotted pipes within the washer. Subsequently, the tableware was sprayed with fresh sanitizing solution for 10 sec. After the sanitization cycle, all tableware items were air-dried for 1 hour at 24 ± 2°C on a sterile surface prior to sampling. Similar to what was done for the manual washing procedure, trial runs were carried out in order to determine the range of warewashing cycles for tableware/sanitizer that will produce the 5-log bacterial reduction mandate by the FDA Food Code. Figure 2.6. AM Select Mechanical Washer Used In This Study (Hobart, Corp.) 70 2.3.6 Microbial Enumeration Of The Contaminated Tableware Surfaces After air-drying the tableware for approximately 1 hour, sterile calcium-alginate cotton-tipped swabs (Fisher Scientific, Pittsburgh, PA) were used to transfer any microorganisms that were left on the surface of the plates and drinking glasses. These swabs were moistened with sterile maximum recovery diluent (MRD) (Oxoid Ltd., Basingstoke, Hampshire, England) before swabbing. After swabbing the tableware, the swabs were placed in a tube containing 2 mL of sterile MRD. These tubes were vortexed to remove any bacterial cells that were attached to the tip of the swab. The cotton swabs were then aseptically removed and the contents of the test tubes serially diluted and plated onto TSAYE. They were then incubated at 37°C for 36 h. The bacteria cells were counted using a Darkfield colony counter (American Optical, Buffalo, NY). The detection limit for estimating the bacteria survival was 20 CFU/tableware for plates and trays, and 2 CFU/tableware for the drinking glasses. A sterile sponge swab was used to sample the plastic serving trays. These sterile sponges were provided in a stomacher bag by Fisher Scientific (Pittsburgh, PA). Prior to sampling, each sponge was moistened with 5 mL of MRD. The sponges were then pressed, using finger pressure, along the entire surface of plastic trays. Each sponge was placed back into the stomacher bag and a 45 mL aliquot of MRD was added and the bag massaged for 2 min using a Biomaster 80 Stomacher (Seward Laboratory, London, UK). Serial dilutions were then performed and plated onto TSAYE and incubated at 37°C for 36 h. 71 2.3.7. Statistical Analysis All trials were repeated three times in this study. Microbial counts were expressed as log CFU per milliliter (inoculum) and log CFU per tableware (surface). During each trial, a randomized number generator was used to randomly select 3 tableware items for bacterial enumeration. The reported values were the means of the number of washing cycles that each sanitizer can handle and still produce a 5-log bacterial reduction. Analysis of variance (ANOVA) was used to determine the significance between the means when considering: (1) the type of sanitizer used, (2) the type of tableware item used, (3) the type of protocol (manual vs. mechanical) used and (4) the type of bacterial species used. If ANOVA found a significant effect, multiple comparison testing was performed (Bonferroni and Tukey HSD) to determine which treatments were significantly different from each other and to rank them. Statistical testing was performed by using SPSS Version 16.0 (SPSS, Inc., Chicago, IL). A p-value of 0.05 was set for the level of significance. 2.4. Results and Discussion 2.4.1. Effect Of Air-Drying On The Reduction Of The Microbial Population In order to simulate normal foodservice operations, the tableware items were allowed to air-dry for 1 hour after the food contaminated were applied to them. This drying period also allowed enough contact time of the food soil to adhere to the tableware items. Table 2.1 shows the effect of this drying time on the reduction of the microbial population. The mean reduction of both L. innocua and E. coli K12 that were inoculated into the cream cheese was ~ 0.30 log CFU/tableware. For the contaminated milk samples, 72 there was a decrease of ~ < 0.10 log CFU/tableware. The statistical analysis showed that there were no significant differences (P > 0.05) between the bacterial populations before and after the contaminated food products were dried on the various tableware items. These results were similar to results obtained by Lee et al. (2007) and Handojo et al. (2009) when they studied tableware washing protocols. Table 2.1. Bacteria Survival (log10 CFU/tableware) On Various Contaminated Tableware Before And After 1 hour Air-Drying At 24°C, Prior To The Washing And Sanitization Protocol. Cream Cheese Drying Escherichia coli K12 Listeria innocua Milk Plate Tray Glass Before 9.30±0.40 9.54±0.60 9.01±0.30 After 9.00±0.40 9.19±0.70 8.98±0.20 Before 9.30±0.40 9.53±0.80 9.02±0.30 After 9.01±0.50 9.20±0.70 8.93±0.80 2.4.2. Efficacy Of The Various Sanitizing Agents Used In This Study The washing and sanitization protocol used in this study conformed to the mandates that are stated in the FDA Food Code (2005). For mechanical warewashing, 49°C (120°F) and a spray-pressure of 138 KPa were used for all experiments. During the manual protocol, the washing variability was minimized by having the same individual clean the tableware items for all experimental runs. Figure 2.7 shows the maximum number of warewashing cycles that produced a 5log bacterial reduction of L. innocua with a single batch of cleaning compounds (detergent, rinse water and sanitizer). Figure 2.8 also displays the same results, but with 73 E. coli K12 as the contaminating bacterial species. The results show that there were significant difference (P < 0.05) (Tukey’s HSD and Bonferroni) between NEW and PROSAN® and the other traditional sanitizers (sodium hypochlorite and QAC). The statistics also showed that there was no statistical difference (P > 0.05) between the efficiency of # o f W ash in g Cycles sodium hypochlorite and QAC. 24 22 20 18 16 14 12 10 8 6 4 2 0 Trays Plates Glass Trays Plates Glass Trays Plates Glass Trays Plates Glass NEW PRO-SAN CHLORINE MANUAL WASHING QAC MECHANICAL WASHING Figure 2.7. The Maximum Number Of Warewashing Cycles That Can Produce A 5-Log Bacterial Reduction Of Listeria innocua With A Single Batch Of Detergent, Rinse Water And Sanitizer. 74 # o f W ash in g Cycles 20 18 16 14 12 10 8 6 4 2 0 Trays Plates Glass Trays Plates Glass Trays Plates Glass Trays Plates Glass NEW PRO-SAN CHLORINE MANUAL WASHING QAC MECHANICAL WASHING Figure 2.8. The Maximum Number Of Warewashing Cycles That Can Produce A 5-log Bacterial Reduction Of Escherichia coli K12 With A Single Batch Of Detergent, Rinse Water And Sanitizer. As more tableware items were washed in the same batch of cleaning chemicals, the sanitizing efficacy ultimately began diminshing. This was due to organic matter that built up in the cleaning solutions. This organic matter usually reacts with the active ingredients responsible for biocidal action of the cleaning chemicals (Ruiz-Cruz et al., 2007). Consequently, the concentration of these active ingredients would diminish as more tableware items are washed and sanitized. Based on results from this study, the efficacies of the NEW and PRO-SAN® sanitizers were greater than the traditional sanitizers. This information is important for foodservice establishments, not only for cost-saving reasons, but the newer sanitizers are less harmful to employees and have a lower negative impact for the environment. 75 The inclusion of the surfactant (sodium dodecylbenzene sulfonate) and citric acid in the PRO-SAN® formulation gave it an advantage over the other sanitizers. Surfactants act by increasing the “wetting” properties of a solution and this enhances its capability to cause the release of water-insoluble organic compounds that are bound to a food-contact surface (Neupane and Park, 1999). Once the organic matter is released, the citric acid acts to reduce the microbial population. Citric acid is also a sequestering agent and it binds to metal ions that are attached to the contact surface and makes the metal ionic compound water soluble (Lee et al., 2007). As a result, the microbial cells that were once shielded by the metal ion complexes are now exposed to the acidic solution. PRO-SAN® also has the advantage of having ingredients that are natural, biodegradable and do not produce carcinogenic by-products or free radicals. However, one disadvantage is that PRO-SAN® produces a large amount of foam and leaves a film-like residue on the tableware surface after sanitization protocols (Handojo et al., 2009). Therefore, there may be a need for an additional rinsing step with this sanitizer. The NEW sanitizer was also more efficient than the traditional sanitizers mainly due to its high Oxidation-Reduction Potential (Eh) and the free-available chlorine (FAC) it contained. The Eh value for the NEW solutions used in this study was between ~ +700850 mV and the FAC ranged from 95-105 ppm. This high Eh value indicated that the sanitizing solution sequestered electrons from the cellular membranes of microorganisms. This allowed the FAC to enter the cytoplasm and inactivate the cellular metabolic functions (Kim et. al, 2000). Since the solution is at neutral pH, it was non-corrosive to processing and warewashing equipment. Other advantages of NEW include the fact that it was less hazardous to workers and the environment. This is due to the fact that the 76 sanitizer could be produced on-site, immediately before use, thus minimizing the transport and storage of concentrated chemicals. In addition, after the initial investment of the EO-Water generator, the only operating costs are the tap water, sodium chloride and routine maintenance (Walker et al., 2005). Improper washing and sanitizing protocols or trying to extend the use of a single batch of cleaning and sanitizing chemicals can increase the risk of cross-contamination to ready-to-eat foods. Bloomfield and Scott (1997) reported that ingestion or contact with relatively small numbers of pathogenic microorganisms could be adequate to cause infection, especially with E. coli O157:H7. Consequently, several ways to decrease this health risk, including: (1) complete removal of food soil from food-contact surfaces, (2) air-drying after washing and a (3) personal hygiene program (Wernesson et al., 2004; Hirai, 1991; Bloomfield and Scott, 1997; Kusumaningrum et. al, 2002; Cogan et al., 1999). 2.4.3. Comparative Efficiencies Of Manual With Mechanical Warewashing Operations As displayed in Figs 2.7 and 2.8., mechanical warewashing was more efficient than manual washing operations. The statistical analysis (Tukey HSD and Bonferroni) confirmed this statement, showing that mechanical was statistically (P < 0.05) more effective than manual warewashing. This result is confirmed by previous studies done by Ebner et al, (2000), who found that mechanical warewashers produces a consistently high standard of cleaning and disinfection. Manual warewashing, on the other hand, is dependent on the experience and knowledge of the employee, combined with the use of 77 proper cleaning and sanitization protocols. In fact, a study by Wernersson et al. (2003) concluded that mechanical washers control the microbiological level better than the most basic level of manual dishwashing. Usually, manual cleaning of tableware items in foodservice establishments are performed by employees with low compensation and minimal opportunity for career advancement. These employees may feel less inclined to perform their duties at the minimum required standard and this may lead to improperly washed tableware items. As discussed earlier, this study strictly followed the proper washing and sanitizing protocol as outlined in the Food Code. The temperature was constantly monitored to conform to this standard, but in real-life situations at foodservice establishments, tableware cleaning at the minimum required temperature may not always occur. Mattick et al. (2003) confirmed this in studies they performed. In those studies they focused on the microbiological quality of the cleaning water used by volunteers during a tableware washing exercise. The results found that cleaning water >40°C (>104°F) had significantly lower aerobic plate counts than cleaning water <40°C. According to Pfund (2004), temperatures ≥40°C may be uncomfortable for dishwashing employees and thus this minimum temperature mandate is not always met. Mechanical washing, conversely, usually uses higher washing temperature (55-65°C) (Wernersson et al., 2006). Other factors that vary the efficiency of manual washing are the number and sizes of the tableware items to be washed, the initial microbial load, the type of food soil contaminating the tableware items and the time designated to clean them (Montville et al., 2002; Mattick et al., 2003; Lee et al., 2007). 78 2.4.4. Effect Of Material Type On The Efficiency Of Washing And Sanitizing Protocols The results showed significant differences (P < 0.05) in the efficiencies of washing and sanitizing protocols when the influence of material type was considered. Based on Figs. 2.7 and 2.8., the material types harboring the highest microbial loads were plastic trays > ceramic plates > glasses. This result may have occurred because of the surface wear and subsequent pitting of the material. This surface wear will affect the subsequent hygienic and cleanability status of the tableware, as it affects its topography and chemistry, thus a measure of the type and degree of its roughness is essential (Verran et al., 2000). Figures 2.7 and 2.8 show that plastic trays were the least efficient to clean due in part to its food contact surface that had the roughest design when compared with the ceramic plates and drinking glasses. In addition to this, plastics are usually soft and relatively easy to scratch. It is this reason why plastic materials are not preferred for use as food contact surfaces during processing, although for cost-saving reasons they may find many uses, particularly in the home as containers, cutting boards, waste bins and other applications (Verran et al., 2000). After a few uses, plastic material may develop crevices large enough to harbor bacteria (Bower et al., 1996). These crevices could act to shield the biocidal action of sanitizing solutions, which require direct contact with bacterial cellular membranes. These may have also occurred in this study because of the differences in surface area of the tableware items. Trays had the largest surface area, followed by plates and lastly drinking glasses. Table 2.1 shows that the plastic trays had the highest initial microbial load prior to commencing the washing protocol and this may be the reason why this type of tableware and material was the least efficient. 79 Another factor that may have affected the results is the difference in the two types of food samples used in this study. Most components of cream cheese are non-water soluble, while a majority of the components in whole milk are water-soluble. After the 1 h drying time to allow the inoculated food samples to adhere to the tableware surface, the cream cheese appeared “baked-on” and was difficult to manually remove. Solid fat deposits are water-immiscible, thus making them more difficult to remove when adhered to a surface. Milk, in contrast, contains less fat and is soluble in water, making it easier to remove from food-contact surfaces (Schmidt, 2003). 2.4.5. Survivability of Listeria innocua And Escherichia coli K12 After Washing And Sanitizing Protocols The health risks associated with E. coli O157:H7 and L. monocytogenes are well known. E. coli O157:H7 causes approximately 73,000 illnesses and 61 deaths per year (Mead et al., 1999). L. monocytogenes is a pathogen that is found ubiquitously in the environment. These species are even found in food-processing settings even after performing cleaning and sanitization of food contact surfaces (Taormina and Beuchat, 2002). L. innocua and E. coli K12 were chosen as surrogates to the pathogenic strains because the washing studies were performed in a pilot plant which food is prepared. The use of surrogates has been proven to be a viable alternative to pathogen testing (MoceLivina et al., 2003). Additionally, we chose these bacterial species to compare the survivability of Gram-positive species (Listeria) with that of Gram-negative ones (Escherichia). Based on the results obtained (Figs 2.7 and 2.8), there was no significant (P > 0.05) difference in the survivability of the two bacterial species tested. Nonetheless, 80 it is very important to correctly perform washing protocols since both E. coli O157:H7 and L. innocua only requires very few cells per gram or mL to be infectious and are able to survive certain washing processes and form biofilms (Bower et al., 1996). 2.5. Conclusions This study demonstrated that NEW and PRO-SAN® are more efficient than traditionally used sanitizers for bacterial reduction on tableware items. Glassware produced the highest maximum number of washing cycles, while plastic trays produced the lowest maximum. Also, mechanical washing operations was more efficient than manual washing. These newer sanitizers can be used by the foodservice industry to reduce costs, while also being less hazardous to employees and environmentally-friendly. 81 CHAPTER 3 A COMPARISON OF VARIOUS CHEMICAL SANITZERS IN THE REMOVAL OF ORGANIC MATTER ON GLASS SURFACES BY ATOMIC FORCE MICROSCOPY 3.1. Abstract Improper washing and sanitizing of tableware items is a significant public health risk. Residual food soil that is left on food-contact surfaces can be used by pathogenic microorganisms for growth, replication and may even allow them to form biofilms. This study investigated the effect of various sanitizers (sodium hypochlorite, quaternary ammonium, neutral electrolyzed water and PRO-SAN®) on removing various milk-based products (whole, 2% reduced fat, chocolate low fat and skim milk) from underlining glass surfaces. Atomic force microscopy was used to determine the thicknesses of the milk-films left after attempts to clean the glass surfaces. Results showed that PRO-SAN® significantly reduced the amount of residual food soil when compared with the other sanitizers. This was due sodium dodecylbenzene sulfonate (a surfactant) being present in the PRO-SAN® formulation. The data also showed that whole and chocolate milk would be more difficult to clean when compared with 2% and skim milk. 82 3.2. Introduction Residual food left on eating utensils and processing equipment could be a safety hazard if not properly cleaned but used to prepare or serve ready-to-eat foods. To minimize this risk, the Food Code (2005) and NSF International Standards mandate that a 5 log bacterial reduction must be achieved from washing protocols on eating utensils, and that all “old food” must be visually removed. If this is not adequately done, pathogenic microorganisms of public health concern can readily use the organic matter in the food as nutrients for growth and replication and subsequently cross-contaminate ready-to-eat foods. Additionally, if certain pathogens remain on a given surface for a relatively long period of time, they can continue to replicate, attach to the surface and eventually form biofilms (Uhlich et. al, 2006). This leads to even greater health related issues (Kumar and Anand, 1998; Venter, et al., 2006). It is thus essential to effectively remove all food films when performing washing protocols by using the correct type of detergent and/or sanitizer. The correct selection of these agents would assist in removing all residual food soil at the end of the cleaning protocol. This chapter discusses the effectiveness of four chemical sanitizers (sodium hypochlorite, QAC, PRO-SAN® and EO water) by focusing on their abilities to remove various organic matter residues in the form of food soils. The choice of test utensils and contaminating food types were carefully chosen so that a worst-case scenario was created. This will ensure that easier to clean tableware items can be adequately cleaned and sanitized. Based on previous studies, milk-based products that were left on drinking glassware were found to be the most problematic to clean and harbored the highest bacterial load when compared with other types of foods (Lee et al., 2007; Handojo et al., 83 2009). Additionally, Schmidt (2003) stated that food proteins are the most difficult soil to remove during washing protocols, and that milk caseins are used for its adhesive properties in glue and paint products. Consequently, various milk products were chosen for this experiment. The milk products used were: (1) whole milk, (2) 2% reduced fat milk, (3) chocolate milk and (4) skim milk. Each of these milk products are composed of various dissolved solids and suspensions (USDA, 2007). These include compounds such as proteins, minerals, phospholipids, sugars and salts (Michalski and Briard, 2003). Milk products can be differentiated by its water and fat content. Skim milk contains the highest percentage of water (90.8%), while having the lowest fat content (0.2%). Twopercent reduced fat milk contains 89.3% water and 2.1% fat, while chocolate milk contains 84.5% water and 1.0% fat. Lastly, whole milk has 88.3% water and 3.3% fat. In studies done by Handojo et al. (2009), they found that whole milk was the hardest to clean, followed by chocolate milk, 2% milk and lastly skim milk. They also showed that atomic force microscopy (AFM) is a reliable and alternative method for estimating the adhesion forces between milk-based samples and underlining surfaces. This is this reason why AFM was used in this study. The objectives of this study were: (1) to compare the ability of selected sanitizers to remove different milk-based products from glass surfaces after a worse-case scenario washing protocol and; (2) to confirm whether AFM has the ability to perform this analysis. 84 3.3. Materials and Methods 3.3.1. Food Sample Preparation Whole, 2% reduced fat, chocolate low fat and skim milk-based products were purchased from a local grocery store (Columbus, OH) one day prior to each experimental run. They were stored in an incubator at 4 ± 1°C. These milk samples were used to soil glass surfaces for the purpose of measuring the ability of AFM to test the effectiveness of the washing protocols. The test was initiated by placing a 200 µl drop of each type of milk product on separate pre-cleaned glass microscope slides (the microscope slides simulated the surfaces of drinking glasses). These were dried for 1 h at 24 ± 3°C to allow for the organic matter to sufficiently adhere to the glass surface, as well as simulating normal food-service operations. One replication of testing consisted of 8 microscope glass slides (2 slides with a drop of either whole, 2% reduced fat, chocolate, or skim milk-based products) (Figure 3.1.), according to a method developed by Handojo et al. (2009). 85 Figure 3.1. A Photograph Of The Slides Used In This Study 3.3.2. Modified Washing Protocol After preparing the sample microscope slides, each replicate was then washed using a mechanical warewasher provided by Hobart Corp. (Troy, OH). The detergent used for this procedure was Guardian Score (Ecolab, Inc., St. Paul, MN). The manufacturer recommends the usage of the detergent at a 1,000 ppm concentration and the FDA Food Code (2005) recommends a washing temperature of at least 49°C. 86 However, in this study, the washing procedure was modified to create a “worst-case” scenario. For this experiment, the detergent concentration and washing temperature was 500 ppm and 35°C, respectively. This modified protocol left a residual milk film on the glass surface and this allowed for the use of AFM to determine the thickness of this milk film. After the washing step, each set of slides was sprayed with one of the chemical sanitizers for 10 seconds in the mechanical warewasher. The test was repeated for each of the different sanitizers. The four sanitizers used in this experiment were (1) sodium hypochlorite (Chlor-clean 12.5, Madison, IN) at 100 ppm, (2) Quaternary Ammonium Compound (Ster-Bac, St. Paul, MN) at 200 ppm, (3) an organic acid (PRO-SAN®, Troy, MI) and (4) neutral electrolyzed-oxidizing water (Ecaflo 110, Trustwater Inc., Ireland) at 100 ppm free available chlorine. The slides were subsequently dried for 1 hour at room temperature before proceeding to the AFM analysis. Each replication was repeated three times for each of the four sanitizers used in this study. 3.3.3. Atomic Force Microscopy Measurements The AFM analysis was carried out using a Nanoscope III-Dimension 3100 microscope (Digital Instruments, Santa Barbara, CA) at room temperature (24 ± 2°C). The AFM machine used in this analysis is displayed in Figure 3.2. The AFM nanoprobe cantilever used was a 0.5-2.0 Ω cm phosphorous doped silicant, with a nominal spring constant of 3 N/m and obtained from Veeco Instrument (Santa Babara, CA, CA). The length of the cantilever was 215-235 µm. The AFM tips were provided by Veeco Probes 87 (Camarillo, CA). They were coated with silicon and had a nominal spring constant of 3 N/m, a nominal frequency of 75 KHz and a tip height of 15-20 µm (Figure 3.3). Figure 3.2. AFM Machine Used In This Experiment (Digital Instruments, Santa Barbara, CA). 88 CANTILEVER AFM TIP SAMPLE SURFACE Figure 3.3. Scanning Electron Microscope Image Of An AFM Tip Used To Probe The Structure Of The Sample Surface. 10,000x Magnification (Morris et. al, 1999). During the AFM test, the contact mode, also known as the scratching mode, was used to remove a 5 x 5 µm area of each milk-based sample from the underlying glass surface. This procedure was performed using the following AFM equipment settings: • Sum score between 4-6 • Horizontal deflection set at 0 • Vertical deflection set as -2 • Scan rate – at 2.00 Hz The force applied to each sample was approximately 1-5 V. The force required to completely remove the milk-based film from the glass surface was recorded. The applied force was adjusted when necessary depending on the type of milk product that was being tested. 89 Once the 5 x 5 µm film was adequately and evenly scratched, the resulting surface was then imaged and further analyzed using the AFM tapping mode. This tapping mode provided a 3-D topographical image that was produced using the computer software connected to the AFM instrument. The thickness of the organic matter was then determined from the image produced by the computer software. Each slide was analyzed at three different areas and the data collected were averaged. 3.3.4. Statistical Analysis All reported values are the means of three replicates and the test was performed twice. Statistical analysis of variance (ANOVA) was first used to determine overall significant differences, followed by post-hoc (Bonferroni and Tukey HSD) tests using SPSS Version 16.0 (SPSS, Inc., Chicago, IL). A p-value of 0.05 was set for the level of significance. Tukey’s HSD and Bonferroni tests were used to analyze the film thicknesses of various milk samples after cleaning protocols with various sanitizing agents. 3.4. Results and Discussion 3.4.1. Force Required To Remove A Selected Milk-Based Film Area During The AFM Scratching Test. Table 3.1 presents the average force required to remove the residual milk-based films from glass surfaces after the washing protocol with the selected sanitizers. This data represents the force of the AFM scratching test. This table shows that whole and chocolate low-fat milk samples required more downward force on the cantilever to 90 completely remove the residual films from glass surfaces. The 2% reduced and skim milk samples required less force to achieve the same result. Table 3.1. The Force (V) Required To Completely Remove Various Milk-Based Samples From The Glass Surfaces After Washing Protocols With Various Sanitizers Whole Chocolate 2% Reduced Skim Sodium Hypochlorite 4.61 ± 0.15 4.02 ± 0.33 3.29 ± 0.13 2.51 ± 0.13 Quaternary Ammonium 4.66 ± 0.14 3.86 ± 0.32 2.96 ± 0.13 2.46 ± 0.21 PRO-SAN® EO-Water 3.32 ± 0.21 2.93 ± 0.16 2.40 ± 0.13 1.31 ± 0.15 4.78 ± 0.21 4.29 ± 0.10 2.92 ± 0.12 2.47 ± 0.12 This result occurred because of the differences in moisture content of the four types of milk-based products used in this study. Pure water will adhere less to underlining surfaces when compared with non-homogenous liquids with lower moisture contents, including milk-based products. Milk products are emulsified colloids of liquid butterfat globules dispersed within a water based fluid. They are also composed of several dissolved and suspended solids, including proteins, fats, sugars and salts (Jensen, 1995; Michalski et al., 1999; Dickinson, 2001). The inclusion of these solids in milkbased products lowers the moisture content. As previously discussed, skim milk has the highest moisture content (90.8%), followed by 2% reduced fat, whole and lastly chocolate low-fat milk. Water is known to act as a plasticizer for organic matter and will act to separate the bonding between the milk films and the glass surface (Adhikari et al., 2001). Therefore, less force is required to remove skim milk-based films when compare with those having a lower moisture content. 91 The results displayed in Table 3.1 corroborated this inverse relationship of moisture content and strength of adherence to surfaces, except for the chocolate milk samples. Chocolate low-fat milk has the lowest moisture content due to the extra ingredients not found in the other milk-based samples. These include high fructose corn syrup, cocoa powder, corn starch and carrageenan that are distributed within a continuous cocoa butter phase (Hodge and Rousseau, 2002). It would be hypothesized that due to the complexity of the chocolate milk solution that it would be the hardest to remove and have the thickest residual film after the cleaning protocol. This was not the cases, as whole milk samples required the highest force to completely remove the 5 x 5 µm milkbased film area. The greater force required to remove the whole milk may be due to its fat content having a higher adherence to the glass surfaces. A study by Rennie et al. (1999) compared the cohesion of whole and skim milk powders (at the same moisture content and temperature) to underlining contact surfaces. Results of their study showed that the cohesion of whole milk powder was almost twice that of the skim milk powder. Furthermore, milk fat inhibited the diffusion of moisture from the interior of the drop to the surface for evaporation, and this allowed more time for attraction at the liquid-liquid, liquid-solid and liquid-solid interfaces (Stevenson et al., 1998; Michalski et al., 1997). Milk proteins also play a role in adhesion to underlining surfaces, but the milk types used in this study contained similar protein contents (17%) and would not have influenced the results. 92 3.4.2. Milk-Based Film Thickness Data Of Traditional Sanitizers (Sodium Hypochlorite And QAC) Figure 3.4 displays a 3-D tapping mode image (12.5 x 12.5 µm area) of a scratched portion of a whole milk sample after being washed and sprayed with sodium hypochlorite. Figure 3.5 shows the cross-sectional analysis of the same whole milk sample. This cross-sectional analysis provided information regarding the average thickness of the milk film. Similar 3-D images and cross-sectional analyses (not shown in this paper) were obtained for each of the other milk-based samples used in this study. Figure 3.4. A Tapping Mode 3-D Topographical AFM Image Of The Surface Of A Whole Milk Sample After The Washing Protocol With Sodium Hypochlorite. 93 Figure 3.5. Cross-Sectional Analysis Of The Scratched Area Of The Whole Milk Sample On The Glass Surface. Figures 3.6 and 3.7. report the average residual film thicknesses for whole, 2% reduced fat, chocolate low-fat and skim milk on glass surfaces after the washing protocol with sodium hypochlorite and QAC, respectively. These figures show that the order of thickness of the various milk samples left on the glass surfaces from highest to lowest were whole, chocolate low-fat, 2% reduced fat and skim milk, respectively. Statistical analyses (Tukey’s HSD and Bonerroni) confirmed these results as being significantly different in thickness (P < 0.05) between all milk samples after the washing protocol QAC. For the washing protocol using sodium hypochlorite, there were significant differences on the thicknesses between all samples except between the 2% reduced fat and chocolate low-fat milk samples. There were no significant differences (P >0.05) between the thicknesses of 2% reduced fat and the chocolate low-fat milk samples. These results support the data displayed in Table 3.1, where the whole milk samples 94 required the greatest downward force to remove the residual films on the surface of the glass slide. The results also show that there was not a significant difference (P >0.05) in the film thicknesses when the hypochlorite compared with the QAC sanitizer were used to clean the slides. 160 Film Thickness (nm) 140 120 100 80 60 40 20 0 Whole Milk Chocolate Milk 2 Percent Milk Skim Milk Figure 3.6. Mean Thickness (nm) Measurements By AFM Analysis Of Various Milk Products After Washing Protocols Using Sodium Hypochlorite. 95 180 Film Thickness (nm) 160 140 120 100 80 60 40 20 0 Whole Milk Chocolate Milk 2 Percent Milk Skim Milk Figure 3.7. Mean Thickness (nm) By AFM Analysis Of Various Milk Products After Washing Protocols Using QAC. 3.4.3. Milk-Based Film Thickness Data Of Novel Sanitizers (EO-WATER and PROSAN®) Figures 3.8 and 3.9. report the average residual film thicknesses for whole, 2% reduced fat, chocolate low-fat and skim milk on glass surfaces after the washing protocol with EO-Water and PRO-SAN®, respectively. These results are similar to those obtained for the traditional sanitizers. The results show that there were significant (P < 0.05) differences in film thicknesses of the four milk-based products tested. Figure 3.9 also shows that more milk film was removed after the modified washing protocol and the use of PRO-SAN®. Tukey’s HSD and Bonferroni statistical analyses confirmed that PROSAN® had a greater effect in removing organic matter from food contact surfaces than the other three sanitizers tested in this study. This is due to the sodium dodecylbenzene sulfonate being present in the PRO-SAN® formulation. This compound is a surfactant 96 which lowers the surface tension of liquids. By lowering the surface tension a higher “wetting” of the soil particles occurs, and this increases its detachment from the contact surface. This result signifies that PRO-SAN® has the extra ability of removing organic soil from a food-contact surface that may be left after inadequate washing that the other sanitizers do not possess. 180 160 Film Thickness (nm) 140 120 100 80 60 40 20 0 Whole Milk Chocolate Milk 2 Percent Milk Skim Milk Figure 3.8. Mean Thickness (nm) By AFM Analysis Of Various Milk Products After Washing Protocols Using EO-Water. 97 140 Film Thickness (nm) 120 100 80 60 40 20 0 Whole Milk Chocolate Milk 2 Percent Milk Skim Milk Figure 3.9. Mean Thickness (nm) By AFM Analysis Of Various Milk Products After Washing Protocols Using PRO-SAN®. Figures 3.9, 3.10, 3.11 and 3.12 confirms the conclusion that using PRO-SAN® better removes food soil that has adhered to underlining surfaces. All figures illustrates that PRO-SAN® had the lowest film thickness with all milk types. This data was corroborated with statistical testing showing that using PRO-SAN® had a significant (P < 0.05) effect in removing milk film when compared to the other sanitizers. 98 180 Film Thickness (nm) 160 140 120 100 80 60 40 20 0 Chlorine QAC NEW PRO-SAN Figure 3.10. Mean Thickness (nm) By AFM Analysis Of Whole Milk After Washing Protocols Using Various Sanitizers. Film Thickness (nm) 120 100 80 60 40 20 0 Chlorine QAC NEW PRO-SAN Figure 3.11. Mean Thickness (nm) By AFM Analysis Of Chocolate Milk After Washing Protocols Using Various Sanitizers. 99 90 Film Thickness (nm) 80 70 60 50 40 30 20 10 0 Chlorine QAC NEW PRO-SAN Figure 3.12. Mean Thickness (nm) By AFM Analysis Of 2 Percent Reduced Fat Milk After Washing Protocols Using Various Sanitizers. 70 Film Thickness (nm) 60 50 40 30 20 10 0 Chlorine QAC NEW PRO-SAN Figure 3.13. Mean thickness (nm) by AFM analysis of skim milk after washing protocols using various sanitizers. 100 3.4.4. Confirmation of AFM As A Reliable Analytical Procedure For Food Samples AFM is a technique used to measure and produce a high resolution threedimensional image of extremely small particles, in the nano-scale, that other analytical techniques cannot provide (Binnig et al., 1987; Herrmann, et al., 2004). In recent years, the use of AFM expanded to analyzing the structure of various food items (Morris et al, 2001, Morris, 2004). A study by Handojo et al. (2009) measured the adhesion strengths of various milk products on glass surfaces using traditional methods (contact angle and surface tension) and an alternative method, AFM. Their study concluded that AFM was an alternative option when measuring and differentiating the adhesion strengths of various soft food samples. This study also confirmed the capability of AFM analyzing adhesion strengths of various milk-based products on glass surfaces. The reason why AFM can differentiate extremely small particles is due to the tapping mode function. This tapping mode is a useful AFM method for imaging a deposit of milk based solids on to a glass surface. Since the milk based solids are not covalently bonded to the glass, the AFM method must image them without disturbing the arrangements of the milk molecules. The tapping mode makes this possible since it images the surface of the milk-based particles as it oscillates at an amplitude that corresponds to the topography of the surface (Putman et al., 1994). As the tip oscillates close to the surface, forces such as Van der Waals, capillary, electrostatic and magnetic forces between the molecules on the tip and the sample leads to deflections of the cantilever (Allen et al., 1997; Smith, 1999). Concurrently, the laser beam focuses on the surface of the cantilever, and the deflections it relays to the photodiode goes to a detector 101 which ultimately creates a topical three-dimensional surface image. The AFM software then calculates the thickness of the residual milk films on the glass surface. As a result, the effectiveness of the sanitizers that were tested can be determined by comparing the level of milk film thickness left on the glass surface. 3.5. Conclusions This study confirmed that AFM can be used to determine the thickness of a thin film of milk left on a drinking glass after a washing protocol that includes a chemical sanitizing spray. The thickness of the film could be used to estimate the difficulty of removing milk from drinking glasses. This study also corroborated the results from a previous study that whole milk and chocolate milk had the strongest adherence to a glass surface as compared to 2% reduced fat and skim milk. Furthermore, this study demonstrated that the sanitizer PRO-SAN® has the ability to remove organic matter that has adhered to a glass surface, more so than the other sanitizers that were tested in this study. 102 CHAPTER 4 CONCLUSION This study demonstrated that NEW and PRO-SAN® could be used as effective chemical sanitizers for reducing pathogens of public health concern on various tableware items in both manual and mechanical warewashing operations. These novel sanitizers also showed that they are more efficient than two traditionally used ones (sodium hypochlorite and QAC). Also illustrated was the fact that mechanical was more economical than manual warewashing. This study showed that the type of tableware material (plastic vs. ceramic vs. glass) played a role in the washing efficiency. This information could be used by the foodservice industry as a cost-savings measure. Also the newer sanitizers have a lower negative impact on employees and the environment. A supplemental study concluded that AFM can be used to measure the thickness of food soil that had adhered to underlining glass contact surfaces. These measurements can then be used to determine the adhesion strength of the food soil to the surface. This additional study demonstrated that whole and chocolate milk had the strongest adhesion to the glass surface, when compared with 2% reduced fat and skim milk. 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APPENDIX A: RAW DATA 120 EO WATER Plates Trays Glass PRO-SAN Plates Trays Glass CHLORINE Plates Trays Glass QUAT Plates Trays Glass MANUAL WASHING AUTOMATIC WASHING 10 9 9 9 9 9 15 15 17 10 11 10 8 8 9 16 15 16 8 9 9 7 7 7 14 16 15 10 10 12 7 8 8 15 15 16 12 12 12 9 9 10 19 19 21 11 12 12 9 11 9 21 21 19 10 11 10 9 10 9 17 17 17 11 11 11 7 7 8 17 19 17 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Table A.1. Raw Data For The Maximum Number Of Warewashing Cycles That Can Produce A 5-Log Bacterial Reduction Of Listeria innocua With A Single Batch Of Detergent, Rinse Water And Sanitizer. 121 EO WATER Plates Trays Glass PRO-SAN Plates Trays Glass CHLORINE Plates Trays Glass QUAT Plates Trays Glass Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 Rep 1 Rep 2 Rep 3 MANUAL WASHING 10 10 11 7 7 7 15 16 16 10 11 10 9 9 9 17 16 16 8 9 9 6 7 6 14 15 15 9 10 10 6 7 6 15 14 15 AUTOMATIC WASHING 11 11 12 7 7 8 16 19 18 13 12 12 10 10 11 18 19 19 9 11 10 9 9 10 18 16 16 12 12 12 9 8 8 17 16 19 Table A.2. Raw Data For The Maximum Number Of Warewashing Cycles That Can Produce A 5-Log Bacterial Reduction Of Escherichia coli K12 With A Single Batch Of Detergent, Rinse Water And Sanitizer. 122 Whole Milk 3.6 4.8 4.7 Rep 1-1 AVERAGE Rep 1-2 AVERAGE Rep 2-1 AVERAGE Rep 2-2 AVERAGE Rep 3-1 AVERAGE Rep 3-2 AVERAGE Chocolate Milk 2% Milk 4.3 3.1 4.4 3.1 4.4 3.8 Skim Milk 2.8 2.6 2.6 4.367 4.367 3.333 2.667 5.2 3.9 4.8 4 3.7 3.9 3.2 3.5 3.1 2.4 2.5 2.2 4.633 3.867 3.267 2.367 4.4 4.8 4.3 3.8 4.5 4.1 3.4 3.4 3.5 2.2 2.1 2.5 4.5 4.133 3.433 2.267 4.3 4.8 5 3.8 3.7 3.7 3.4 3.5 3.3 2.3 2.4 2.4 4.7 3.733 3.4 2.367 4.4 4.8 4.7 3.5 3.4 3.9 3 3.1 3.1 2.7 2.9 2.7 4.633 3.6 3.067 2.767 4.8 4.9 4.7 4.5 4.5 4.2 3.4 3.3 3.1 2.8 2.4 2.6 4.8 4.4 3.267 2.6 Table A.3. Raw Data For The Force Required To Remove A 5 x 5 um Area Of Milk Film From A Glass Surface After A Modified Washing Protocol With Sodium Hypochlorite. 123 Rep 1-1 AVERAGE Rep 1-2 AVERAGE Rep 2-1 AVERAGE Rep 2-2 AVERAGE Rep 3-1 AVERAGE Rep 3-2 AVERAGE Whole Milk 5.1 4.9 4.7 Chocolate Milk 3.2 3.4 3.9 2% Milk 3.1 3 3 Skim Milk 2.2 2.4 2.2 4.9 3.5 3.033 2.267 4.9 4.8 4.5 4.1 4.2 4.1 3.1 3 2.9 2.5 2.6 2.4 4.733 4.133 3 2.5 4.5 4.5 4.6 3.4 3.7 3.8 3.2 3 3 2.8 2.4 2.4 4.533 3.633 3.067 2.533 4.3 4.8 4.7 3.4 3.8 3.6 2.9 2.7 2.8 2.1 2.4 2.5 4.6 3.6 2.8 2.333 4.7 4.5 4.5 4.2 4.3 4.3 2.9 2.7 2.7 2.9 2.8 2.8 4.567 4.267 2.767 2.833 4.8 4.9 4.2 4 4.1 4 2.5 2.9 3.1 2.4 2.3 2.3 4.633 4.033 2.833 2.333 Table A.4. Raw Data For The Force Required To Remove A 5 x 5 um Area Of Milk Film From A Glass Surface After A Modified Washing Protocol With QAC. 124 Rep 1-1 AVERAGE Rep 1-2 AVERAGE Rep 2-1 AVERAGE Rep 2-2 AVERAGE Rep 3-1 AVERAGE Rep 3-2 AVERAGE Whole Milk 4.6 4.9 5.1 Chocolate Milk 4.3 4.4 4.4 2% Milk 3.1 3 3.2 Skim Milk 2.3 2.6 2.4 4.867 4.367 3.1 2.433 5.2 5.2 5 4.3 4.5 4.2 2.7 2.9 3.1 2.4 2.4 2.6 5.133 4.333 2.9 2.467 4.9 4.7 4.7 4 4.1 4.4 3.2 2.7 2.6 2.3 2.2 2.4 4.767 4.167 2.833 2.3 4.5 4.6 4.7 4.3 4.4 4.4 2.8 2.7 2.9 2.8 2.6 2.6 4.6 4.367 2.8 2.667 4.7 4.8 4.8 4.2 4.1 4.2 3 3 3.1 2.5 2.6 2.3 4.767 4.167 3.033 2.467 4.6 4.5 4.6 4.3 4.3 4.1 2.8 2.9 2.8 2.5 2.4 2.5 4.567 4.233 2.833 2.467 Table A.5. Raw Data For The Force Required To Remove A 5 x 5 um Area Of Milk Film From A Glass Surface After A Modified Washing Protocol With EO Water. 125 Rep 1-1 AVERAGE Rep 1-2 AVERAGE Rep 2-1 AVERAGE Rep 2-2 AVERAGE Rep 3-1 AVERAGE Rep 3-2 AVERAGE Whole Milk 3.4 3.2 3.3 Chocolate Milk 3.1 3 3.2 2% Milk 2.4 2.3 2.8 Skim Milk 1.1 1.3 1.2 3.3 3.1 2.5 1.2 3.3 3.4 3.8 2.8 2.7 2.8 2.4 2.6 2.3 0.9 1.1 1.4 3.5 2.767 2.433 1.133 3.1 3.2 3.2 3 3.1 3.2 2.1 2.3 2.3 1.2 1.3 1.3 3.167 3.1 2.233 1.267 3 2.8 3.2 2.7 2.8 2.8 2.4 2.5 2.5 1.4 1.5 1.4 3 2.767 2.467 1.433 3.5 3.6 3.2 2.9 2.9 3.1 2.6 2.6 2.4 1.7 1.5 1.4 3.433 2.967 2.533 1.533 3.4 3.5 3.7 2.7 2.9 3 2.4 2.1 2.2 1.4 1.2 1.3 3.533 2.867 2.233 1.3 Table A.6. Raw Data For The Force Required To Remove A 5 x 5 um Area Of Milk Film From A Glass Surface After A Modified Washing Protocol With PRO-SAN®. 126 Whole Milk 144.43 148.62 144.85 Rep 1-1 AVERAGE Rep 1-2 AVERAGE Rep 2-1 AVERAGE Rep 2-2 AVERAGE Rep 3-1 AVERAGE Rep 3-2 AVERAGE Chocolate Milk 2% Milk 77.123 56.647 117.99 73.431 122.86 49.431 Skim Milk 49.597 48 45.229 145.967 105.991 59.836 47.609 150.81 145.53 141.83 102.21 65.626 85.18 98.271 72.172 78.298 41.96 38.123 33.261 146.057 84.339 82.913 37.781 116.52 152.51 166.9 53.555 79.269 49.546 71.789 80.672 79.4 51.35 72.28 49.352 145.31 60.79 77.287 57.661 92.059 175.44 149.65 77.182 49.97 76.448 49.661 72.546 78.679 47.67 55.938 51.771 139.049 67.867 66.962 51.793 173.25 128.76 162.07 92.503 80.192 55.399 74.255 87.585 86.755 49.336 75.34 62.967 154.693 76.031 82.865 62.548 138.33 158.45 151.15 75.454 75.642 59.552 89.974 63.974 82.154 43.77 56.059 72.251 149.31 70.216 78.701 57.36 Table A.7. Raw Data Of Milk Film Thickness (nm) After A Modified Washing Protocol With Sodium Hypochlorite. 127 Rep 1-1 AVERAGE Rep 1-2 AVERAGE Rep 2-1 AVERAGE Rep 2-2 AVERAGE Rep 3-1 AVERAGE Rep 3-2 AVERAGE Whole Milk 164.74 166.02 137.1 Chocolate Milk 95.209 85.729 73.984 2% Milk 64.088 72.332 70.841 Skim Milk 33.532 37.615 35.235 155.953 84.974 69.087 35.461 126.49 122.71 131.95 94.914 85.569 92.125 68.579 59.755 69.788 38.248 33.438 50.121 127.05 90.869 66.041 40.602 181.07 180.87 147.84 94.255 67.292 97.884 65.604 56.493 77.57 49.468 42.986 41.429 169.926 86.477 66.556 44.628 147.96 153.95 141.59 71.956 62.691 97.884 68.184 46.396 49.462 31.39 42.55 31.185 147.833 77.510 54.681 35.042 148.84 161.39 132.69 80.006 107.75 97.639 44.867 51.621 46.473 48.808 33.836 45.35 147.64 95.132 47.654 42.665 151.06 152.93 155.19 110.65 76.864 94.369 68.338 68.803 70.066 38.205 33.836 33.101 153.06 93.961 69.069 35.047 Table A.8. Raw Data Of Milk Film Thickness (nm) After A Modified Washing Protocol With QAC. 128 Rep 1-1 AVERAGE Rep 1-2 AVERAGE Rep 2-1 AVERAGE Rep 2-2 AVERAGE Rep 3-1 AVERAGE Rep 3-2 AVERAGE Whole Milk 137.96 135.76 130.07 Chocolate Milk 117.29 104.59 122.96 2% Milk 50.511 36.294 57.724 Skim Milk 37.724 42.269 45.447 134.597 114.947 48.176 41.813 124.79 136.53 138.2 110.84 82.927 105.82 68.455 55.506 62.377 41.08 38.973 35.551 133.173 99.862 62.113 38.535 182.49 183.23 141.02 94.202 107.26 93.957 67.038 69.846 46.464 45.645 56.408 52.474 168.913 98.473 61.116 51.509 136.38 145.45 153.45 75.035 80.943 104.99 49.351 60.782 45.322 53.515 41.942 59.02 145.093 86.989 51.818 51.492 146.93 173.59 157.44 99.714 94.364 109.87 45.496 79.199 57.326 41.398 40.942 50.637 159.32 101.316 60.674 44.326 124.4 143.81 151.07 95.577 91.414 105.9 54.626 61.386 71.96 33.156 38.462 55.929 139.76 97.630 62.657 42.516 Table A.9. Raw Data Of Milk Film Thickness (nm) After A Modified Washing Protocol With EO-Water. 129 Rep 1-1 AVERAGE Rep 1-2 AVERAGE Rep 2-1 AVERAGE Rep 2-2 AVERAGE Rep 3-1 AVERAGE Rep 3-2 AVERAGE Whole Milk 147.35 127.07 137.02 Chocolate Milk 70.17 64.715 61.921 2% Milk 42.956 46.593 38.077 Skim Milk 20.436 27.663 22.319 137.147 65.602 42.542 23.473 138.32 112.36 114.19 55.883 50.372 53.535 46.328 50.213 47.94 13.989 10.813 17.038 121.623 53.263 48.160 13.947 102.63 112.7 106.83 67.199 62.833 57.988 25.813 45.927 41.489 16.172 15.033 14.747 107.387 62.673 37.743 15.317 102.07 87.226 90.471 69.646 78.789 83.061 36.493 49.491 39.299 13.82 20.141 32.904 93.256 77.165 41.761 22.288 103.17 108.43 102.89 79.37 87.185 73.484 40.327 49.241 55.869 15.625 20.849 12.338 104.83 80.013 48.479 16.271 115.34 111.27 117.95 87.611 80.062 97.766 28.755 36.071 38.801 19.59 20.105 25.326 114.853 88.479 34.542 21.674 Table A.10. Raw Data Of Milk Film Thickness (nm) After A Modified Washing Protocol With PRO-SAN®. 130 APPENDIX B: STATISTICAL ANALYSIS 131 Type III Sum of Source Squares Df Mean Square F Sig. Corrected Model 2050.021a 7 292.860 312.861 .000 Intercept 20187.674 1 20187.674 21566.408 .000 55.854 3 18.618 19.890 .000 1863.931 2 931.965 995.615 .000 126.562 1 126.562 135.206 .000 3.674 1 3.674 3.925 .050 Error 127.306 136 .936 Total 22365.000 144 2177.326 143 Treatment Dishware Type Bacteria Corrected Total Table B.1. Multifactorial ANOVA For Sanitizers Data For The Washing Experiment. (I) (J) Treatment Treatment Tukey HSD NEW Pro-San Chlorine (I-J) Std. Error Sig. Lower Bound Upper Bound Pro-San -.72* .228 .010 -1.32 -.13 Chlorine .94* .228 .000 .35 1.54 QAC .53 .228 .100 -.07 1.12 NEW .72* .228 .010 .13 1.32 Chlorine 1.67* .228 .000 1.07 2.26 QAC 1.25* .228 .000 .66 1.84 NEW -.94 * .228 .000 -1.54 -.35 -1.67* .228 .000 -2.26 -1.07 QAC -.42 .228 .265 -1.01 .18 NEW -.53 .228 .100 -1.12 .07 Pro-San -1.25* .228 .000 -1.84 -.66 Chlorine .42 .228 .265 -.18 1.01 Pro-San QAC 95% Confidence Interval Mean Difference Table B.2. Multiple Comparisons (Tukey HSD and Bonferroni) For Various Sanitizers Used In The Washing Experiment (continued). 132 Table B.2.: (continued) Bonferroni NEW Pro-San Chlorine Pro-San -.72* .228 .011 -1.33 -.11 Chlorine .94* .228 .000 .33 1.56 QAC .53 .228 .133 -.08 1.14 NEW .72* .228 .011 .11 1.33 Chlorine 1.67* .228 .000 1.06 2.28 QAC 1.25* .228 .000 .64 1.86 NEW -.94* .228 .000 -1.56 -.33 -1.67* .228 .000 -2.28 -1.06 QAC -.42 .228 .419 -1.03 .19 NEW -.53 .228 .133 -1.14 .08 Pro-San -1.25* .228 .000 -1.86 -.64 Chlorine .42 .228 .419 -.19 1.03 Pro-San QAC (J) 95% Confidence Interval Mean (I) Dishware Dishware Difference (I-J) Std. Error Tukey HSD Plate Tray Glass Bonferroni Plate Tray Glass Sig. Lower Bound Upper Bound Tray 2.31* .197 .000 1.84 2.78 Glass -6.21* .197 .000 -6.68 -5.74 Plate -2.31* .197 .000 -2.78 -1.84 Glass -8.52* .197 .000 -8.99 -8.05 Plate 6.21 * .197 .000 5.74 6.68 Tray 8.52* .197 .000 8.05 8.99 Tray 2.31* .197 .000 1.83 2.79 Glass -6.21* .197 .000 -6.69 -5.73 Plate -2.31* .197 .000 -2.79 -1.83 Glass -8.52* .197 .000 -9.00 -8.04 Plate 6.21* .197 .000 5.73 6.69 Tray 8.52* .197 .000 8.04 9.00 Table B.3. Multiple Comparisons (Tukey HSD and Bonferroni) For Various Tableware Items Used In The Washing Experiment. 133 FOOD SAMPLE Sanitizer 1 = Whole Milk 2 = 2 Percent 1 = Chlorine 2 = Quatenary Ammonium 3 = Skim Milk 3 = PRO-SAN 4 = Chocolate Milk 4 = EO Water Table B.4. Legend Used For AFM Statistical Analyses Multiple Comparisons Dependent Variable:Thickness (nm) 95% Confidence Interval Tukey HSD (I) Food (J) Food Mean Difference Sample Sample (I-J) 1 2 80.0154* 2.45813 .000 73.6624 86.3683 3 100.4353* 2.45813 .000 94.0823 106.7882 4 55.4587* 2.45813 .000 49.1057 61.8117 1 -80.0154* 2.45813 .000 -86.3683 -73.6624 3 20.4199* 2.45813 .000 14.0669 26.7729 4 -24.5567* 2.45813 .000 -30.9096 -18.2037 1 -100.4353* 2.45813 .000 -106.7882 -94.0823 2 -20.4199* 2.45813 .000 -26.7729 -14.0669 4 -44.9766* 2.45813 .000 -51.3295 -38.6236 1 -55.4587* 2.45813 .000 -61.8117 -49.1057 2 24.5567* 2.45813 .000 18.2037 30.9096 3 44.9766* 2.45813 .000 38.6236 51.3295 2 3 4 Std. Error Sig. Lower Upper Bound Bound Table B.5. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness Of Various Milk Samples (continued). 134 Table B.5: (continued) Bonferroni 1 2 80.0154* 2.45813 .000 73.4839 86.5468 3 * 2.45813 .000 93.9039 106.9667 * 2.45813 .000 48.9273 61.9901 * 2.45813 .000 -86.5468 -73.4839 * 2.45813 .000 13.8885 26.9513 * 2.45813 .000 -31.0881 -18.0252 * 2.45813 .000 -106.9667 -93.9039 * 2.45813 .000 -26.9513 -13.8885 * 2.45813 .000 -51.5080 -38.4451 * 2.45813 .000 -61.9901 -48.9273 * 2.45813 .000 18.0252 31.0881 * 2.45813 .000 38.4451 51.5080 4 2 1 3 4 3 1 2 4 4 1 2 3 100.4353 55.4587 -80.0154 20.4199 -24.5567 -100.4353 -20.4199 -44.9766 -55.4587 24.5567 44.9766 135 Mean (I) (J) Sanitizers Sanitizers Tukey HSD 1 2 3 4 Bonferroni 1 2 3 4 95% Confidence Interval Difference (I-J) Std. Error Sig. Lower Bound Upper Bound 2 3.4082 2.45813 .509 -2.9448 9.7612 3 26.5186* 2.45813 .000 20.1657 32.8716 4 .5049 2.45813 .997 -5.8481 6.8578 1 -3.4082 2.45813 .509 -9.7612 2.9448 3 23.1104* 2.45813 .000 16.7575 29.4634 4 -2.9033 2.45813 .639 -9.2563 3.4496 1 -26.5186 * 2.45813 .000 -32.8716 -20.1657 2 -23.1104* 2.45813 .000 -29.4634 -16.7575 4 -26.0137* 2.45813 .000 -32.3667 -19.6608 1 -.5049 2.45813 .997 -6.8578 5.8481 2 2.9033 2.45813 .639 -3.4496 9.2563 3 26.0137* 2.45813 .000 19.6608 32.3667 2 3.4082 2.45813 1.000 -3.1232 9.9396 3 26.5186* 2.45813 .000 19.9872 33.0500 4 .5049 2.45813 1.000 -6.0266 7.0363 1 -3.4082 2.45813 1.000 -9.9396 3.1232 3 23.1104* 2.45813 .000 16.5790 29.6418 4 -2.9033 2.45813 1.000 -9.4347 3.6281 1 -26.5186 * 2.45813 .000 -33.0500 -19.9872 2 -23.1104* 2.45813 .000 -29.6418 -16.5790 4 -26.0137* 2.45813 .000 -32.5452 -19.4823 1 -.5049 2.45813 1.000 -7.0363 6.0266 2 2.9033 2.45813 1.000 -3.6281 9.4347 3 26.0137* 2.45813 .000 19.4823 32.5452 Table B.6. Multiple Comparisons (Tukey HSD and Bonferroni) For Various Sanitizers Used In AFM Analyses 136 Mean (I) (J) Sanitizers Sanitizers Tukey HSD 1 2 3 4 Bonferroni 1 2 3 4 95% Confidence Interval Difference (I-J) Std. Error Sig. Lower Bound Upper Bound 2 -3.5128 5.86349 .932 -18.9556 11.9300 3 33.5484* 5.86349 .000 18.1057 48.9912 4 -.0784 5.86349 1.000 -15.5212 15.3644 1 3.5128 5.86349 .932 -11.9300 18.9556 3 37.0613* 5.86349 .000 21.6185 52.5041 4 3.4344 5.86349 .936 -12.0083 18.8772 1 -33.5484* 5.86349 .000 -48.9912 -18.1057 2 -37.0613* 5.86349 .000 -52.5041 -21.6185 4 -33.6268* 5.86349 .000 -49.0696 -18.1840 1 .0784 5.86349 1.000 -15.3644 15.5212 2 -3.4344 5.86349 .936 -18.8772 12.0083 3 33.6268* 5.86349 .000 18.1840 49.0696 2 -3.5128 5.86349 1.000 -19.4477 12.4220 3 33.5484* 5.86349 .000 17.6136 49.4833 4 -.0784 5.86349 1.000 -16.0132 15.8564 1 3.5128 5.86349 1.000 -12.4220 19.4477 3 37.0613* 5.86349 .000 21.1264 52.9961 4 3.4344 5.86349 1.000 -12.5004 19.3693 1 -33.5484* 5.86349 .000 -49.4833 -17.6136 2 -37.0613* 5.86349 .000 -52.9961 -21.1264 4 -33.6268* 5.86349 .000 -49.5617 -17.6920 1 .0784 5.86349 1.000 -15.8564 16.0132 2 -3.4344 5.86349 1.000 -19.3693 12.5004 3 33.6268* 5.86349 .000 17.6920 49.5617 Table B.7. Multiple Comparisons (Tukey HSD and Bonferroni) For Whole Milk-Film Thickness For Various Sanitizers Used In AFM Analyses. 137 Mean (I) (J) Sanitizers Sanitizers Tukey HSD 1 2 3 4 Bonferroni 1 2 3 4 95% Confidence Interval Difference (I-J) Std. Error Sig. Lower Bound Upper Bound 2 12.5797* 3.58542 .004 3.1367 22.0226 3 32.5562* 3.58542 .000 23.1132 41.9991 4 17.0017* 3.58542 .000 7.5587 26.4447 1 -12.5797* 3.58542 .004 -22.0226 -3.1367 3 19.9765* 3.58542 .000 10.5335 29.4195 4 4.4221 3.58542 .608 -5.0209 13.8650 1 -32.5562* 3.58542 .000 -41.9991 -23.1132 2 -19.9765* 3.58542 .000 -29.4195 -10.5335 4 -15.5544* 3.58542 .000 -24.9974 -6.1115 1 -17.0017* 3.58542 .000 -26.4447 -7.5587 2 -4.4221 3.58542 .608 -13.8650 5.0209 3 15.5544* 3.58542 .000 6.1115 24.9974 2 12.5797* 3.58542 .005 2.8358 22.3235 3 32.5562* 3.58542 .000 22.8123 42.3000 4 17.0017* 3.58542 .000 7.2579 26.7456 1 -12.5797* 3.58542 .005 -22.3235 -2.8358 3 19.9765* 3.58542 .000 10.2326 29.7204 4 4.4221 3.58542 1.000 -5.3218 14.1659 1 -32.5562* 3.58542 .000 -42.3000 -22.8123 2 -19.9765* 3.58542 .000 -29.7204 -10.2326 4 -15.5544* 3.58542 .000 -25.2983 -5.8106 1 -17.0017* 3.58542 .000 -26.7456 -7.2579 2 -4.4221 3.58542 1.000 -14.1659 5.3218 3 15.5544* 3.58542 .000 5.8106 25.2983 Table B.8. Multiple Comparisons (Tukey HSD and Bonferroni) For 2 Percent Milk-Film Thickness For Various Sanitizers Used In AFM Analyses. 138 Mean (I) (J) Sanitizers Sanitizers Tukey HSD 1 2 3 4 Bonferroni 1 2 3 4 95% Confidence Interval Difference (I-J) Std. Error Sig. Lower Bound Upper Bound 2 13.3622* 3.23490 .001 4.8359 21.8884 3 30.3890* 3.23490 .000 21.8627 38.9153 4 5.3279 3.33446 .387 -3.4607 14.1166 1 -13.3622* 3.23490 .001 -21.8884 -4.8359 3 17.0268* 3.23490 .000 8.5006 25.5531 4 -8.0342 3.33446 .085 -16.8229 .7544 1 -30.3890* 3.23490 .000 -38.9153 -21.8627 2 -17.0268* 3.23490 .000 -25.5531 -8.5006 4 -25.0611* 3.33446 .000 -33.8497 -16.2724 1 -5.3279 3.33446 .387 -14.1166 3.4607 2 8.0342 3.33446 .085 -.7544 16.8229 3 25.0611* 3.33446 .000 16.2724 33.8497 2 13.3622* 3.23490 .001 4.5629 22.1614 3 30.3890* 3.23490 .000 21.5897 39.1883 4 5.3279 3.33446 .689 -3.7422 14.3980 1 -13.3622* 3.23490 .001 -22.1614 -4.5629 3 17.0268* 3.23490 .000 8.2276 25.8261 4 -8.0342 3.33446 .113 -17.1043 1.0358 1 -30.3890* 3.23490 .000 -39.1883 -21.5897 2 -17.0268* 3.23490 .000 -25.8261 -8.2276 4 -25.0611* 3.33446 .000 -34.1312 -15.9910 1 -5.3279 3.33446 .689 -14.3980 3.7422 2 8.0342 3.33446 .113 -1.0358 17.1043 3 25.0611* 3.33446 .000 15.9910 34.1312 Table B.9. Multiple Comparisons (Tukey HSD and Bonferroni) For Skim Milk-Film Thickness For Various Sanitizers Used In AFM Analyses. 139 Mean (I) (J) Sanitizers Sanitizers Tukey HSD 1 2 3 4 Bonferroni 1 2 3 4 95% Confidence Interval Difference (I-J) Std. Error Sig. Lower Bound Upper Bound 2 -8.9852 5.21750 .320 -22.7266 4.7562 3 6.3395 5.21750 .620 -7.4019 20.0809 4 -22.3307* 5.21750 .000 -36.0721 -8.5893 1 8.9852 5.21750 .320 -4.7562 22.7266 3 15.3247* 5.21750 .023 1.5833 29.0661 4 -13.3454 5.21750 .060 -27.0869 .3960 1 -6.3395 5.21750 .620 -20.0809 7.4019 2 -15.3247* 5.21750 .023 -29.0661 -1.5833 4 -28.6702* 5.21750 .000 -42.4116 -14.9288 1 22.3307* 5.21750 .000 8.5893 36.0721 2 13.3454 5.21750 .060 -.3960 27.0869 3 28.6702* 5.21750 .000 14.9288 42.4116 2 -8.9852 5.21750 .538 -23.1645 5.1940 3 6.3395 5.21750 1.000 -7.8397 20.5187 4 -22.3307* 5.21750 .000 -36.5099 -8.1514 1 8.9852 5.21750 .538 -5.1940 23.1645 3 15.3247* 5.21750 .027 1.1455 29.5040 4 -13.3454 5.21750 .077 -27.5247 .8338 1 -6.3395 5.21750 1.000 -20.5187 7.8397 2 -15.3247* 5.21750 .027 -29.5040 -1.1455 4 -28.6702* 5.21750 .000 -42.8494 -14.4909 1 22.3307* 5.21750 .000 8.1514 36.5099 2 13.3454 5.21750 .077 -.8338 27.5247 3 28.6702* 5.21750 .000 14.4909 42.8494 Table B.10. Multiple Comparisons (Tukey HSD and Bonferroni) For Chocolate MilkFilm Thickness For Various Sanitizers Used In AFM Analyses. 140 Mean (I) Food (J) Food Difference Sample Sample (I-J) 2 71.9703* 5.67231 .000 57.0310 86.9095 3 94.2725* 5.67231 .000 79.3332 109.2118 4 69.1921* 5.67231 .000 54.2529 84.1314 1 -71.9703* 5.67231 .000 -86.9095 -57.0310 3 22.3022* 5.67231 .001 7.3630 37.2415 4 -2.7782 5.67231 .961 -17.7174 12.1611 1 -94.2725* 5.67231 .000 -109.2118 -79.3332 2 -22.3022* 5.67231 .001 -37.2415 -7.3630 4 -25.0804* 5.67231 .000 -40.0196 -10.1411 1 -69.1921* 5.67231 .000 -84.1314 -54.2529 2 2.7782 5.67231 .961 -12.1611 17.7174 3 25.0804* 5.67231 .000 10.1411 40.0196 2 71.9703* 5.67231 .000 56.5550 87.3855 3 94.2725* 5.67231 .000 78.8572 109.6878 4 69.1921* 5.67231 .000 53.7769 84.6074 1 -71.9703* 5.67231 .000 -87.3855 -56.5550 3 22.3022* 5.67231 .001 6.8870 37.7175 4 -2.7782 5.67231 1.000 -18.1934 12.6371 1 -94.2725* 5.67231 .000 -109.6878 -78.8572 2 -22.3022* 5.67231 .001 -37.7175 -6.8870 4 -25.0804* 5.67231 .000 -40.4956 -9.6651 1 -69.1921* 5.67231 .000 -84.6074 -53.7769 2 2.7782 5.67231 1.000 -12.6371 18.1934 3 25.0804* 5.67231 .000 9.6651 40.4956 Tukey HSD 1 2 3 4 Bonferroni 95% Confidence Interval 1 2 3 4 Std. Error Sig. Lower Bound Upper Bound Table B.11. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness With Sodium Hypochlorite And Various Milk-Types. 141 Mean (I) Food (J) Food Difference Sample Sample (I-J) 2 88.0628* 4.16182 .000 77.1017 99.0238 3 111.3365* 4.16182 .000 100.3754 122.2976 4 63.7197* 4.16182 .000 52.7587 74.6808 1 -88.0628* 4.16182 .000 -99.0238 -77.1017 3 23.2737* 4.16182 .000 12.3127 34.2348 4 -24.3431* 4.16182 .000 -35.3041 -13.3820 1 -111.3365* 4.16182 .000 -122.2976 -100.3754 2 -23.2737* 4.16182 .000 -34.2348 -12.3127 4 -47.6168* 4.16182 .000 -58.5778 -36.6557 1 -63.7197* 4.16182 .000 -74.6808 -52.7587 2 24.3431* 4.16182 .000 13.3820 35.3041 3 47.6168* 4.16182 .000 36.6557 58.5778 2 88.0628* 4.16182 .000 76.7525 99.3731 3 111.3365* 4.16182 .000 100.0262 122.6468 4 63.7197* 4.16182 .000 52.4094 75.0300 1 -88.0628* 4.16182 .000 -99.3731 -76.7525 3 23.2737* 4.16182 .000 11.9634 34.5840 4 -24.3431* 4.16182 .000 -35.6534 -13.0328 1 -111.3365* 4.16182 .000 -122.6468 -100.0262 2 -23.2737* 4.16182 .000 -34.5840 -11.9634 4 -47.6168* 4.16182 .000 -58.9271 -36.3065 1 -63.7197* 4.16182 .000 -75.0300 -52.4094 2 24.3431* 4.16182 .000 13.0328 35.6534 3 47.6168* 4.16182 .000 36.3065 58.9271 Tukey HSD 1 2 3 4 Bonferroni 95% Confidence Interval 1 2 3 4 Std. Error Sig. Lower Bound Upper Bound Table B.12. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness With QAC And Various Milk-Types. 142 Mean (I) Food (J) Food Difference Sample Sample (I-J) 2 70.9780* 3.78864 .000 60.9998 80.9562 3 94.3544* 3.78864 .000 84.3762 104.3326 4 41.9832* 3.78864 .000 32.0050 51.9614 1 -70.9780* 3.78864 .000 -80.9562 -60.9998 3 23.3764* 3.78864 .000 13.3982 33.3546 4 -28.9948* 3.78864 .000 -38.9730 -19.0166 1 -94.3544* 3.78864 .000 -104.3326 -84.3762 2 -23.3764* 3.78864 .000 -33.3546 -13.3982 4 -52.3712* 3.78864 .000 -62.3494 -42.3930 1 -41.9832* 3.78864 .000 -51.9614 -32.0050 2 28.9948* 3.78864 .000 19.0166 38.9730 3 52.3712* 3.78864 .000 42.3930 62.3494 2 70.9780* 3.78864 .000 60.6819 81.2741 3 94.3544* 3.78864 .000 84.0583 104.6505 4 41.9832* 3.78864 .000 31.6870 52.2793 1 -70.9780* 3.78864 .000 -81.2741 -60.6819 3 23.3764* 3.78864 .000 13.0803 33.6725 4 -28.9948* 3.78864 .000 -39.2910 -18.6987 1 -94.3544* 3.78864 .000 -104.6505 -84.0583 2 -23.3764* 3.78864 .000 -33.6725 -13.0803 4 -52.3712* 3.78864 .000 -62.6674 -42.0751 1 -41.9832* 3.78864 .000 -52.2793 -31.6870 2 28.9948* 3.78864 .000 18.6987 39.2910 3 52.3712* 3.78864 .000 42.0751 62.6674 Tukey HSD 1 2 3 4 Bonferroni 95% Confidence Interval 1 2 3 4 Std. Error Sig. Lower Bound Upper Bound Table B.13. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness With PRO-SAN® And Various Milk-Types. 143 Mean (I) Food (J) Food Difference Sample Sample (I-J) 2 89.0504* 4.25633 .000 77.8404 100.2604 3 101.7777* 4.25633 .000 90.5677 112.9876 4 46.9398* 4.25633 .000 35.7299 58.1498 1 -89.0504* 4.25633 .000 -100.2604 -77.8404 3 12.7273* 4.25633 .020 1.5173 23.9372 4 -42.1106* 4.25633 .000 -53.3205 -30.9006 1 -101.7777* 4.25633 .000 -112.9876 -90.5677 2 -12.7273* 4.25633 .020 -23.9372 -1.5173 4 -54.8378* 4.25633 .000 -66.0478 -43.6279 1 -46.9398* 4.25633 .000 -58.1498 -35.7299 2 42.1106* 4.25633 .000 30.9006 53.3205 3 54.8378* 4.25633 .000 43.6279 66.0478 2 89.0504* 4.25633 .000 77.4833 100.6175 3 101.7777* 4.25633 .000 90.2105 113.3448 4 46.9398* 4.25633 .000 35.3727 58.5070 1 -89.0504* 4.25633 .000 -100.6175 -77.4833 3 12.7273* 4.25633 .023 1.1601 24.2944 4 -42.1106* 4.25633 .000 -53.6777 -30.5434 1 -101.7777* 4.25633 .000 -113.3448 -90.2105 2 -12.7273* 4.25633 .023 -24.2944 -1.1601 4 -54.8378* 4.25633 .000 -66.4050 -43.2707 1 -46.9398* 4.25633 .000 -58.5070 -35.3727 2 42.1106* 4.25633 .000 30.5434 53.6777 3 54.8378* 4.25633 .000 43.2707 66.4050 Tukey HSD 1 2 3 4 Bonferroni 95% Confidence Interval 1 2 3 4 Std. Error Sig. Lower Bound Upper Bound Table B.14. Multiple Comparisons (Tukey HSD and Bonferroni) For Film Thickness With NEW And Various Milk-Types. 144
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