A Systematic Review and Meta-Analysis of the Detection of Shiga Toxin-Producing Escherichia coli in Cattle in China in the Past 10 Years.

Abstract

Shiga toxin-producing Escherichia coli (STEC) is a significant pathogen that can cause foodborne illnesses and pose a serious public health problem. To date, no systematic evaluation or meta-analysis of STEC carriage in Chinese cattle has been conducted. Therefore, we conducted a systematic review and meta-analysis to assess the prevalence of STEC in cattle in China over the past decade. We retrieved 1868 articles from 6 databases (PubMed, Web of Science, CNKI, Wanfang, VIP, and Baidu). Based on criteria such as sample source, isolation time, and species, we selected 39 studies (comprising 16,437 samples from 14 provinces) for systematic review and meta-analysis. The analysis results indicated that the pooled prevalence of E. coli in cattle during the selected time period was 6% (95% CI: 0.03-0.09). Subgroup analysis revealed variations in STEC positivity rates across different sectors. The highest positivity rate was observed in the slaughter and processing sector (12%, 95% CI: 0.03-0.17), followed by the retail sector (6%, 95% CI: 0.01-0.13), with the breeding sector showing the lowest rate (5%, 95% CI: 0.03-0.17). Among the regions studied, Shandong exhibited the highest pooled prevalence (15%, 95% CI: 0.01-0.30), followed by Hebei (12%, 95% CI: 0.00-0.30) and Hubei (11%, 95% CI: 0.03-0.09). These findings indicate an uneven distribution of STEC in cattle across China. Our systematic evaluation of data over the past decade provides insights into the prevalence of STEC in cattle in China. These findings may assist in the prevention and control of STEC in cattle in the country. We recommend conducting further epidemiological investigations and establishing comprehensive surveillance programs to identify risk factors associated with STEC in cattle, thereby enhancing prevention and control strategies.