Can You Get Salmonella From Sushi? How to Reduce Your Risk

Salmonella is a type of bacteria that causes food poisoning, known as salmonellosis. While raw fish is often associated with sushi, Salmonella contamination can occur through various pathways beyond the fish itself.

How Salmonella Can Contaminate Sushi

Salmonella contamination in sushi is often linked to cross-contamination during preparation, not directly from the raw fish. This occurs when bacteria transfer from contaminated surfaces, utensils, or hands to sushi ingredients. For instance, if a knife used for raw poultry or other meats is then used for sushi ingredients without proper cleaning, Salmonella can spread.

Non-fish ingredients also present a pathway for Salmonella if not handled correctly. Cooked sushi rice, if not cooled rapidly and maintained at safe temperatures or properly acidified, can allow bacteria like Salmonella to grow. Vegetables, such as cucumbers, have also been implicated in Salmonella outbreaks linked to sushi, indicating contamination at their source or during handling. Improper hand hygiene by food handlers is a factor, transferring bacteria to sushi components.

While raw fish is a known source for other pathogens like Vibrio species or parasites such as Anisakis, Salmonella is less commonly found as a primary contaminant in the fish itself. If Salmonella is present in fish, it is often due to contamination during processing or handling. For example, ground fish products, like tuna scrape used in some sushi, can pose a higher risk due to increased surface area for bacterial spread and cross-contamination.

Recognizing and Reducing the Risk

Symptoms of Salmonella infection include diarrhea, fever, abdominal cramps, nausea, and sometimes vomiting. Headaches can also occur. Symptoms usually appear 6 hours to 6 days after exposure to the bacteria.

Most healthy individuals recover from a Salmonella infection within a few days to a week without specific medical treatment. Medical attention should be sought if symptoms are severe, such as diarrhea lasting more than a few days, a high fever (over 102°F or 39°C), or if there is blood in the stool. Signs of dehydration, including reduced urination or extreme thirst, require prompt medical consultation, especially for vulnerable populations like infants, young children, older adults, or those with weakened immune systems.

To reduce the risk of Salmonella and other foodborne illnesses from sushi, consumers can take several precautions. Choosing reputable establishments with a commitment to cleanliness is important. Observing the preparation area for hygiene and proper refrigeration of ingredients is advised.

Consuming sushi promptly after purchase and properly refrigerating any leftovers is advised. Sushi should not be left at room temperature for extended periods; any sushi left out for more than two hours should be discarded. Being aware of ingredients and avoiding items that appear to be mishandled helps reduce risk.