Aspergillus fumigatus spores in food may represent an infectious risk for neutropenic patients. We examined the efficiency of disinfection procedures applicable to foods for eradication of A fumigatus. Boiling and microwave treatment fully decontaminated an experimental spore suspension and naturally contaminated liquid foods (reconstituted dried food, herbal tea). Full decontamination of experimentally contaminated surfaces was only obtained with 70% ethanol or heating at 220°C for 15 minutes. Pepper was decontaminated when heated for 15 minutes at 220°C but not by microwaving. Fruit skin was partially decontaminated by 70% ethanol. We conclude that A fumigatus spores can be eradicated from food by heating to a temperature of at least 100°C. When foods cannot be exposed to high temperature or microwaving, ethanol only partially reduces the level of surface contamination.
IntroductionInvasive aspergillosis (IA) is a major opportunistic infection among patients with hematologic malignancies. 1 Spore inhalation is the usual route of infection, but other routes may exist. 2 Anaissie et al 3 recently reported the presence of pathogenic molds in hospital water distribution systems, leading to aerosolization of fungal spores and potential exposure to patients. Several foods can also be colonized by Aspergillus and other molds and can lead to primary gastrointestinal colonization and subsequent systemic infection in animals. 4 Massive Aspergillus contamination of foods was first reported in pepper, 5-8 and subsequently in regular and herbal tea, corn, coconut, cashew nuts, coffee, beans, soy, cheese, and smoked meat. [9][10][11][12] Regarding meals served in hematology wards, we recently confirmed that pepper and tea were contaminated by Aspergillus and nonAspergillus molds, as were also downy-skinned fruits (apricots, kiwis, and peaches), smooth-skinned fruits (apples, bananas, lemons, and oranges), freeze-dried soups, and even individual food wrappings. 13 It has been previously recommended that immunocompromised patients should avoid such contaminated foods, and granulocytopenic patients should receive sterile diets or diets low in microbial content. 14 However, such restrictions may affect the well-being of these patients.One alternative is to disinfect potentially contaminated foods. However, little is known of the efficacy of fooddisinfection procedures, especially with regard to Aspergillus fumigatus. This study examined the efficacy of several physical and chemical procedures that can be applied to foods and wrappings to eradicate A fumigatus.
Study design
Disinfection proceduresSpore suspensions and contaminated Petri dishes. Spores were collected from a culture of A fumigatus that was allowed to grow for 8 days on Sabouraud-chloramphenicol agar (Bio-Rad Laboratories, Marnes-laCoquette, France), by rinsing the culture surface with 10 mL sterile water containing 0.05% Tween 80.Then, 10 mL of the spore suspension adjusted to 3 ϫ 10 8 spores/mL was exposed to the following physical disinfectant procedures: oven ...