REPORT OF THE GREATER MANCHESTER/LANCASHIRE/PHLS LIAISON GROUP SURVEY ON THE MICROBIOLOGICAL EXAMINATION OF DONER KEBABS FROM TAKE-AWAY FOOD SHOPS K. Williamson, G. Allen, F. J. Bolton, PHLS North West FESL – Preston PHL Date of Report August, 2001 Survey Code No. 104001 Introduction The doner kebab consists of minced lamb combined with a selection of herbs and spices, which is then pressed hard into a conical shape. When this is carved up, it produces long, wafer thin strips of meat which are packed into a pitta bread and served with added salad and sauces. Doner kebab meat has previously been examined as part of local and national surveys (Lancashire FOG/Preston PHL 1994, LACOTS 1995). Both studies indicated that this type of product is of good microbiological quality. However these studies examined meat only, and samples were taken during the daytime. Doner kebab meat can be microbiologically assessed using category 2 of the PHLS ready-to-eat food guidelines (1), but the ready-to-eat product in pitta bread is not clearly defined. The product may be considered equivalent to a sandwich with salad i.e. category 5. Hence the purpose of this study was to determine the microbiological quality of doner kebabs comprising of pitta bread, salad and sauce purchased between 18.00h and midnight. Additionally the survey aimed to provide recommendations including a microbiological guideline for this type of product, so as to assist EHO’s with their task of ensuring food safety. Unsatisfactory results were also investigated by analysis of a questionnaire (Appendix 1). Materials and Methods Sample Collection This survey was carried out as part of the Greater Manchester FLG/Lancashire FOG/Preston PHL sampling programme during January – April 2001. The samples comprised pitta bread filled with doner kebab meat, salad and yoghurt dressing or sauce. The samples were purchased from any type of take-away premises by local authority sampling officers between 18.00 h and midnight. The wrapped samples were placed into food grade sampling bags and a coolbox within 15 minutes, and transferred to a monitored refrigerator overnight (or maintained in a validated coolbox overnight), before submission to Preston PHL. Information relating to the premises, products and serving was obtained by observation and reference to previous premises inspection details, and was recorded onto a standard proforma (Appendix 1). 687320118 Page 1 of 7 Sample Examination The samples were examined for aerobic colony count (ACC) Enterobacteriaceae, E. coli, Staphylococcus aureus, Bacillus cereus and other Bacillus spp, Listeria spp and Salmonella spp using UKAS accredited PHLS-NW FESL food methods. Results A total of 289 doner kebabs were submitted and examined from 23/26 authorities in Greater Manchester and Lancashire as detailed in Appendix 2. Table 1. Microbiology results doner kebabs (n = 289) Not Detected Detected <10, <20, <102, <103 20-<102 102-<103 103-104 104-<105 105-<106 106-<107 107 4 23 71 63 84 44 ACC/g, 30°C/48h 0 Enterobacteriaceae/g 56 44 61 58 39 26 5 0 E.coli/g 281 5 3 0 0 0 0 0 S.aureus/g 283 3 2 1 0 0 0 0 B.cereus/g 274 15 0 0 0 0 0 B.spp(not B.cereus)/g 224 59 6 0 0 0 C. perfringens/g 289 0 0 0 0 0 0 0 Listeria spp/g 289 0 0 0 0 0 0 0 289 Salmonella spp/25g Table 2. 0 Microbiological quality of doner kebabs using category 5 of the PHLS microbiological guidelines for some ready to eat foods (1) Satisfactory Acceptable Unsatisfactory Unacceptable/potentially hazardous 215 (74.4%) 62 (21.4%) 6 (2.1%) 6 (2.1%) Table 2 demonstrates that 12 samples (4%) were unsatisfactory/unacceptable. Table 1 indicates that unsatisfactory samples were due to E. coli (3) and Staphylococcus aureus (3) counts of >100/g. The unacceptable potentially hazardous samples were all due to high (>104/g) Bacillus species counts which were identified as Bacillus subtilis. Clostridium perfringens, Listeria spp and Salmonella spp were not detected in any of the samples. 687320118 Page 2 of 7 Discussion Unprepared and minimally processed salads including shredded lettuce are often incorporated into the doner kebab/pitta bread. This type of ready to use salad has been reported to harbour large and diverse populations of micro organisms with counts of 105 - 107 cfu/g (2). Hence some microbiologists recommend that Enterobacteriaceae and aerobic counts should not be used as an indication of microbiological quality on the examination of salad materials or products containing them. Levels of E. coli are considered to be a better food safety indicator for such products. If category 4 is applied to the results obtained in this survey 15% of samples are unsatisfactory due to ACC and 24% unsatisfactory due to Enterobacteriaceae. However these results are probably due to the indigenous flora of the salad or yoghurt/sauce dressing and of limited or of no food safety value related to likely presence of pathogens. Hence category 5 of the PHLS ready to eat food guidelines (1) is proposed as the guideline for this type of product. When category 5 is applied to the results obtained in this survey, 96% are interpreted as acceptable (74.4% satisfactory and 21.4% acceptable) which compare very well with a similar category 5 product in a previous survey 904009 – meat salad sandwiches (97% acceptable). Whereas there is a possibility for sandwiches to deteriorate with shelf life/temperature, kebabs are generally consumed soon after purchase with no risk of further spoilage to the product, hence the overall microbiological quality is considered very good. Questionnaire Results Questionnaire results were analysed in relation to microbiological quality when relevant. A copy of the questionnaire is available in Appendix 1. Q.1 Premise details (n = 289) Indian Asian Turkish Arabic Greek Italian English Chinese Armenian Not known 39 76 67 37 14 25 27 1 1 2 Four unacceptable results were obtained from kebabs purchased from Asian premises and two from Italian take aways. Unsatisfactory results were obtained from kebabs purchased from two Asian, two Indian and two Turkish premises. 687320118 Page 3 of 7 Q.2 Where was the meat served from? (n = 289) Freshly sliced Bain marie Fry pan Microwave Unknown 60 207 9 1 12 Three unacceptable results were obtained from kebabs freshly sliced and three from the bain marie. Two unsatisfactory results were obtained from kebabs freshly sliced, two from the bain marie and two from an unknown source. Q.3 Where was the salad served from? (n = 289) Refrigerated stock Ambient stock Unknown source 116 142 31 Five unacceptable results were obtained from kebabs with salad from ambient temperature and one from refrigerated. Two unsatisfactory results were obtained from kebabs with salad from ambient, two from refrigerated and two from unknown. Q.4 What dressing/sauce was added? (n = 289) Chilli Yoghurt Chilli and yoghurt Mayonnaise Garlic sauce None Not known 188 31 8 26 16 5 7 11/12 unacceptable or unsatisfactory kebabs were served with chilli sauce. Q.5 Where was the dressing served from? (n = 289) Refrigerated stock Ambient stock Unknown 80 154 55 Four unacceptable results were from kebabs served with ambient temperature sauce and 2 with refrigerated sauces. Two unsatisfactory results were from kebabs served with ambient temperature sauces, 1 with hot sauce and 3 were from an unknown source. 687320118 Page 4 of 7 Q.6 Were any poor hygiene practices observed? (n = 289) Yes No Unknown 62 219 8 Details of the poor hygiene practice were only provided for 15/62 observations and mainly included: salad served with bare hands(s), licking fingers and no protective clothing. Poor hygiene practice was observed during the serving of 8/12 unacceptable or unsatisfactory microbiological quality kebabs, however 0/8 were detailed. Conclusion 1. Category 5 of the PHLS microbiological guidelines for some ready to eat foods (1) is recommended for assessing the microbiological quality of ready to eat doner kebabs. 2. Overall the microbiologial quality of this type of product examined in this survey was very good, 96% of samples producing acceptable results. Only 1% of samples gave unsatisfactory results due to E. coli, 1% due to Staphylococcus aureus and 2% were unacceptable due to counts of Bacillus subtilis. Salmonella, Listeria and Clostridium perfringens were not detected in any of the samples. 3. This survey confirms that Doner Kebabs from take away premises are a low risk food. Future work A further small survey of the microbiological quality of chilli sauces used on kebabs may be useful, because 11/12 unsatisfactory/unacceptable results were derived from kebabs served with chilli sauce. It was also observed that 154/234 (66%) known sources of sauces were kept at ambient. References 1. Guidelines for the microbiological quality of some ready to eat foods sampled at the point of sale, PHLS ACFDP Working Group, Communicable Disease and Public Health. Sept 2000; Vol 3, No. 3: 163-167. 2. Francis, G A, Thomas, C, Obeirne, D, 1999. The microbiological Safety of Minimally Processed Vegetables. Int. Jouranl of Food Science and Technology 34: 1-22. Acknowledgements The authors would like to thank Ian Almond (Blackpool EHD) and Alan Watson (Rochdale MBC) for their assistance in producing the questionnaire and protocol and for their support and advice. 687320118 Page 5 of 7 Appendix 1 - Questionnaire 687320118 Page 6 of 7 Appendix 2 - Survey Participants Authority Number of samples tested Barrow 5 Blackburn 0 Blackpool 16 Bolton 13 Burnley 12 Bury 12 Chorley 18 Fylde 11 Hyndburn 20 Lancaster 5 Manchester 16 Oldham 4 Pendle 0 Preston 8 Ribble Valley 6 Rochdale 8 Rossendale 18 Salford 16 South Lakes 13 South Ribble 14 Stockport 15 Tameside 8 Trafford 20 West Lancs 0 Wigan 19 Wyre 12 TOTAL 289 687320118 Page 7 of 7