Cross-sectional studyindependent cross-checkabstract checked I-EGG-132 standard review

Chile: Salmonella found only in cage-free eggs

Prevalence of Salmonella in Eggs from Conventional and Cage-Free Egg Production Systems and the Role of Consumers in Reducing Household Contamination.

Overview

Solís D et al.. Foods 2023 · PMID 38231772 · DOI 10.3390/foods12234300

Salmonella Enteritidis was found in 2 of 186 cage-free egg samples and none of 240 conventional samples.

Does the study support the specific claim? No · Methodological quality: moderate

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

Compare Salmonella in eggs by production system.

How was the study done?

Egg sampling and sequencing.

How many people, animals or samples were studied?

426 samples.

What was actually found?

Only cage-free eggs positive (1.1%).

How large was the observed effect?

1.1% vs 0%.

What do the results mean in everyday life?

Cage-free or free-range eggs also need safe handling and cooking.

What are the study's limitations?

Very few positives.

What does it say about Elawady's specific claim?

Contradicts the simple cage rule.

Do the results apply to Germany and Europe?

Moderate.

What can explicitly not be concluded from this study?

It cannot show which system is safer overall.

Scientific in-depth review

1. Full reference

Authors
Solís D et al.
Journal
Foods
Year
2023
Identifier
PMID 38231772 DOI 10.3390/foods12234300
Verification
verified – PubMed efetch 2026-10-26; Crossref works API 2026-10-26
Retracted
no
Corrections
none
Extent checked
abstract only
Conflicts of interest and funding

Funded by Sinergia Animal (animal-welfare organisation) per PubMed grant list; authors declare no conflict of interest.

2. Research question

How common is Salmonella in eggs from conventional vs alternative (cage-free) production systems?

3. Study design and population

Study design
Cross-sectional study – Cross-sectional egg sampling with whole-genome sequencing plus consumer survey
Population

Eggs from conventional and alternative systems

Country

Chile (University of Chile study)

Period

not stated in abstract

Sample size

426 egg samples (240 conventional, 186 alternative)

Inclusion and exclusion criteria

not detailed in abstract

4. Methods and endpoints

Exposure / intervention

Alternative (cage-free) systems

Comparator

Conventional (cage) systems

Endpoints

Salmonella detection; serotype; resistance genes

Statistical methods

Proportions

5. Actual results

Results

Salmonella Enteritidis detected only in eggs from alternative (cage-free) systems: 1.1% (2/186); none in 240 conventional samples. Both isolates resistant to nalidixic acid.

Absolute risks

not reported

Authors' conclusion

Consumers know about food safety but many still use risky practices; Salmonella was detected only in alternative-system eggs.

6. Strengths

  • Direct egg sampling of both systems
  • Genomic confirmation

7. Weaknesses

  • Very few positives (2)
  • Single country

8. Risk of bias

Orienting tool
none applicable
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
some concerns
Rationale

Low event count.

9. Assessment of the statistical interpretation

2/186 vs 0/240 is not a statistically robust difference; it shows cage-free eggs are not Salmonella-free.

10. Relevance to the specific claim

In this sample the only Salmonella Enteritidis came from cage-free eggs, contradicting a universal 'cages = more Salmonella' rule at the level of eggs on sale.

11. Independent contrary findings

UAE retail data showed the opposite (I-EGG-124).

12. Transferability to Germany and Europe

Latin American setting.

13. Overall methodological judgement

Small but direct counter-example.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualitymoderate
Risk of biassome concerns
Precision of resultslow
Directnessdirect
Reproducibilityunknown
Consistency with the overall evidenceinconsistent
Regional transferabilitymoderate
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

Larger comparative retail studies.

15. Linked fact checks