Comprehensive risk assessment and control measures in the food service chain of hospitals nutrition department: a case study in Al-Ahsa Governorate, Kingdom of Saudi Arabia

IntroductionEnsuring hospital food safety is essential for patient health, infection control, and public trust. This study evaluates food exposure risks in two hospitals in Al-Ahsa Governorate, Saudi Arabia, focusing on critical control points during food processing and delivery.MethodsMicrobial ana...

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Main Authors: Farag Ali Saleh, Hisham Abdelmonem Mohamed, Muhammad Munir, Mutlag Mohammad Al Otaibi, Sahar Mostafa Kamel, Omar Mohammed Alsaif, Abdulaziz Ali Alqahtani, Malak Abdullah AlDabal
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2025.1551446/full
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author Farag Ali Saleh
Hisham Abdelmonem Mohamed
Muhammad Munir
Mutlag Mohammad Al Otaibi
Sahar Mostafa Kamel
Omar Mohammed Alsaif
Abdulaziz Ali Alqahtani
Abdulaziz Ali Alqahtani
Malak Abdullah AlDabal
Malak Abdullah AlDabal
author_facet Farag Ali Saleh
Hisham Abdelmonem Mohamed
Muhammad Munir
Mutlag Mohammad Al Otaibi
Sahar Mostafa Kamel
Omar Mohammed Alsaif
Abdulaziz Ali Alqahtani
Abdulaziz Ali Alqahtani
Malak Abdullah AlDabal
Malak Abdullah AlDabal
author_sort Farag Ali Saleh
collection DOAJ
description IntroductionEnsuring hospital food safety is essential for patient health, infection control, and public trust. This study evaluates food exposure risks in two hospitals in Al-Ahsa Governorate, Saudi Arabia, focusing on critical control points during food processing and delivery.MethodsMicrobial analysis was conducted on food samples from various stages of food preparation, including raw meat, chicken, fish, and prepared meals. Temperature monitoring and chemical hazard assessments were also carried out, including pesticide residue and heavy metal analysis.ResultsThe microbial analysis detected specific pathogens, including Salmonella, Listeria monocytogenes, Escherichia coli, and Staphylococcus aureus, along with yeasts and molds. Total bacterial counts (TBC) in raw meat, chicken, and fish ranged from 2.5 to 5.0 log cfu/g, while prepared meals had TBCs between 1.0 and 3.0 log cfu/g. No Salmonella or Listeria monocytogenes were detected. Chemical hazards, including mycotoxins in white flour and heavy metals, were within permissible limits. However, 12 pesticides were detected, with six exceeding European Food Safety Organization limits.DiscussionTemperature monitoring revealed that hot foods cooled to unsafe levels during transport, and cold samples were not consistently maintained at SFDA-recommended temperatures. Hospitals generally comply with health regulations but improvements are necessary in temperature control and preventing chemical contamination of raw materials.
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publisher Frontiers Media S.A.
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spelling doaj-art-1d4bb11411ef4eb5ab86c59aaf2b0b7c2025-08-20T01:55:30ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2025-05-011610.3389/fmicb.2025.15514461551446Comprehensive risk assessment and control measures in the food service chain of hospitals nutrition department: a case study in Al-Ahsa Governorate, Kingdom of Saudi ArabiaFarag Ali Saleh0Hisham Abdelmonem Mohamed1Muhammad Munir2Mutlag Mohammad Al Otaibi3Sahar Mostafa Kamel4Omar Mohammed Alsaif5Abdulaziz Ali Alqahtani6Abdulaziz Ali Alqahtani7Malak Abdullah AlDabal8Malak Abdullah AlDabal9Food and Nutrition Sciences Department, College of Agriculture and Food Sciences, King Faisal University, Al-Ahsa, Saudi ArabiaDate Palm Research Center of Excellence, King Faisal University, Al-Ahsa, Saudi ArabiaDate Palm Research Center of Excellence, King Faisal University, Al-Ahsa, Saudi ArabiaFood and Nutrition Sciences Department, College of Agriculture and Food Sciences, King Faisal University, Al-Ahsa, Saudi ArabiaFood and Nutrition Sciences Department, College of Agriculture and Food Sciences, King Faisal University, Al-Ahsa, Saudi ArabiaSaudi Food and Drug Authority, Dammam Food Laboratory, Riyadh, Saudi ArabiaKing Abdulaziz Hospital, Ministry of National Guard Health Affairs, Al-Ahsa, Saudi ArabiaKing Abdullah International Medical Research Center, Eastern Region, Saudi ArabiaKing Abdulaziz Hospital, Ministry of National Guard Health Affairs, Al-Ahsa, Saudi ArabiaKing Abdullah International Medical Research Center, Eastern Region, Saudi ArabiaIntroductionEnsuring hospital food safety is essential for patient health, infection control, and public trust. This study evaluates food exposure risks in two hospitals in Al-Ahsa Governorate, Saudi Arabia, focusing on critical control points during food processing and delivery.MethodsMicrobial analysis was conducted on food samples from various stages of food preparation, including raw meat, chicken, fish, and prepared meals. Temperature monitoring and chemical hazard assessments were also carried out, including pesticide residue and heavy metal analysis.ResultsThe microbial analysis detected specific pathogens, including Salmonella, Listeria monocytogenes, Escherichia coli, and Staphylococcus aureus, along with yeasts and molds. Total bacterial counts (TBC) in raw meat, chicken, and fish ranged from 2.5 to 5.0 log cfu/g, while prepared meals had TBCs between 1.0 and 3.0 log cfu/g. No Salmonella or Listeria monocytogenes were detected. Chemical hazards, including mycotoxins in white flour and heavy metals, were within permissible limits. However, 12 pesticides were detected, with six exceeding European Food Safety Organization limits.DiscussionTemperature monitoring revealed that hot foods cooled to unsafe levels during transport, and cold samples were not consistently maintained at SFDA-recommended temperatures. Hospitals generally comply with health regulations but improvements are necessary in temperature control and preventing chemical contamination of raw materials.https://www.frontiersin.org/articles/10.3389/fmicb.2025.1551446/fullhospital nutritionfood service chainfood safetyquality assurancehealthcare facilitieshygiene practices
spellingShingle Farag Ali Saleh
Hisham Abdelmonem Mohamed
Muhammad Munir
Mutlag Mohammad Al Otaibi
Sahar Mostafa Kamel
Omar Mohammed Alsaif
Abdulaziz Ali Alqahtani
Abdulaziz Ali Alqahtani
Malak Abdullah AlDabal
Malak Abdullah AlDabal
Comprehensive risk assessment and control measures in the food service chain of hospitals nutrition department: a case study in Al-Ahsa Governorate, Kingdom of Saudi Arabia
Frontiers in Microbiology
hospital nutrition
food service chain
food safety
quality assurance
healthcare facilities
hygiene practices
title Comprehensive risk assessment and control measures in the food service chain of hospitals nutrition department: a case study in Al-Ahsa Governorate, Kingdom of Saudi Arabia
title_full Comprehensive risk assessment and control measures in the food service chain of hospitals nutrition department: a case study in Al-Ahsa Governorate, Kingdom of Saudi Arabia
title_fullStr Comprehensive risk assessment and control measures in the food service chain of hospitals nutrition department: a case study in Al-Ahsa Governorate, Kingdom of Saudi Arabia
title_full_unstemmed Comprehensive risk assessment and control measures in the food service chain of hospitals nutrition department: a case study in Al-Ahsa Governorate, Kingdom of Saudi Arabia
title_short Comprehensive risk assessment and control measures in the food service chain of hospitals nutrition department: a case study in Al-Ahsa Governorate, Kingdom of Saudi Arabia
title_sort comprehensive risk assessment and control measures in the food service chain of hospitals nutrition department a case study in al ahsa governorate kingdom of saudi arabia
topic hospital nutrition
food service chain
food safety
quality assurance
healthcare facilities
hygiene practices
url https://www.frontiersin.org/articles/10.3389/fmicb.2025.1551446/full
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