Arcobacter species in milk contamination: a prevalence-based systematic review and meta-analysis.

Arcobacter data systematically retrieved from five repositories until 20 February 2022 according to PRISMA principles were logit transformed and fitted using a generalized linear mixed-effects model. The between-study heterogeneity was estimated as I2-value. Leave-one-out cross-validation and funnel plot with Egger's tests were used to assess the hardiness and bias in the model. The global prevalence of Arcobacter genus in the milk was 12% [95% confidence interval (CI): 7-19%; I2 = 87.3%, 95% CI: 83.0-90.6%] and no publication bias observed (Egger's test: P = 0.112). Arcobacter genus prevalence in milk was 13% (95% CI: 5-30%), 10% (95% CI: 1-46%), and 9% (95% CI: 4-19%) in Europe, South America, and Asia, respectively. Arcobacter butzleri was the most prevalent [8% (95% CI: 4-13%)], followed by A. cryaerophilus [0.6% (95% CI: 0.2-33.2%)] and A. skirrowii [0.19% (95% CI: 0.03-1.2%)]. Also, species-specific prevalence of A. butzleri, A. cryaerophilus, and A. skirrowii varied continentally, but the test for species-specific/continental differences was not significantly different (P > 0.5).