Next Article in Journal
Food-Derived Multi-Target Antihypertensive Peptides: Sources, Mechanisms and AI-Driven Strategies
Previous Article in Journal
Linear Variable Filter Hyperspectral Imaging for Determination of Acidity and Hardness of Multiple Fruits
Previous Article in Special Issue
Advances in Optical Sensing Technologies for On-Site Detection of Harmful Residues in Food: Principles and Recent Applications
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

A Droplet Digital PCR Method for Simultaneous Detection and Quantification of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis in Dairy Products

1
Hangzhou Customs Technical Center, Hangzhou 311202, China
2
Zhejiang Academy of Science and Technology for Inspection and Quarantine, Hangzhou 310016, China
3
College of Animal Sciences, Zhejiang University, Hangzhou 310058, China
4
College of Animal Science and Technology, Zhejiang Agriculture & Forestry University, Hangzhou 311300, China
5
Food Safety Key Laboratory of Zhejiang Province, School of Food Science and Biotechnology, Zhejiang Gongshang University, Hangzhou 310018, China
*
Authors to whom correspondence should be addressed.
Foods 2026, 15(13), 2350; https://doi.org/10.3390/foods15132350
Submission received: 13 May 2026 / Revised: 11 June 2026 / Accepted: 12 June 2026 / Published: 2 July 2026
(This article belongs to the Special Issue Advances of Novel Technologies in Food Analysis and Food Safety)

Abstract

Foodborne bacterial pathogens, including S. aureus, L. monocytogenes, C. sakazakii, and M. bovis, pose significant threats to dairy safety and public health. Current detection methods, such as culture-based techniques and real-time quantitative PCR (qPCR), are either time-consuming or limited in absolute quantification accuracy. Herein, we developed and validated a novel quadruplex droplet digital PCR (ddPCR) assay for simultaneous detection and absolute quantification of these four pathogens in dairy products. The assay targets the femA, hly, ompA, and esxA genes, respectively, with optimized primer/probe concentrations of 500 nM/400 nM and an annealing temperature of 58 °C. The established method demonstrated high specificity, with no cross-reactivity against common dairy-associated bacteria. The limits of detection (LoDs) ranged from 7.04 to 10.31 copies/reaction, with coefficients of variation (CVs) below 14% for intra-assay and 10% for inter-assay repeatability. Notably, the ddPCR assay detected a 25% co-contamination rate compared to 13% by qPCR among 120 dairy samples, suggesting higher sensitivity for low-abundance targets. This quadruplex ddPCR platform offers a rapid, sensitive, and high-throughput solution for food safety surveillance, particularly in high-risk dairy matrices such as infant formula.

1. Introduction

The complexity and detrimental impact of foodborne diseases, recognized as a worldwide public health concern, have become increasingly evident. According to estimates from the World Health Organization (WHO) concerning the global burden of foodborne illnesses, approximately 600 million individuals fall ill annually from consuming contaminated food, with around 420,000 deaths attributed to such incidents [1]. Among various foodborne pathogens, bacterial agents are the predominant cause of illness. Organisms such as Staphylococcus aureus (S. aureus), Listeria monocytogenes (L. monocytogenes), C. sakazakii (Cronobacter sakazakii), and Mycobacterium bovis (M. bovis) are of particular concern. Their distinct pathogenic mechanisms, marked environmental resilience, and elevated contamination risks associated with specific food matrices render them critical targets in food safety surveillance. These four bacterial pathogens are each associated with distinct food safety risks in different types of dairy products. S. aureus primarily causes acute food poisoning through the production of heat-stable enterotoxins [2]. L. monocytogenes poses an exceptionally high fatality risk for pregnant women, newborns, and immunocompromised individuals [3]. C. sakazakii represents a major threat in powdered infant formula, being capable of inducing severe neonatal meningitis and necrotizing enterocolitis [4]. M. bovis, a member of the Mycobacterium tuberculosis complex and a major zoonotic agent of bovine tuberculosis, is transmitted to humans primarily via the consumption of unpasteurized milk and dairy products, causing extrapulmonary tuberculosis with particular severity in immunocompromised individuals and children [5]. These four pathogenic bacteria share several common traits, including a low infectious dose, a brief incubation period, and the ability to cause severe clinical symptoms. Additionally, multidrug resistance has emerged in certain strains, posing serious challenges to conventional therapeutic approaches. As a result, the development of rapid, accurate, and high-throughput detection technologies is of great significance for enabling early warning of foodborne diseases and strengthening public health prevention and control measures.
Traditional methodologies for detecting foodborne pathogens [6,7,8] have largely depended on bacterial culture and isolation, a procedure that is both time-intensive and operationally cumbersome. With advancements in molecular biology, real-time quantitative PCR (qPCR) has emerged as a mainstream technique. However, qPCR remains susceptible to technical limitations, including fluorescence background interference from non-specific amplification or probe degradation, reduced sensitivity in complex food matrices due to PCR inhibitors, and its inherent reliance on external standard curves for quantification, which compromises absolute quantification accuracy and inter-laboratory reproducibility. As a third-generation nucleic acid amplification technology, droplet digital PCR (ddPCR) has recently demonstrated substantial potential in the detection of pathogenic microorganisms [9,10,11]. By partitioning the PCR mixture into tens of thousands to hundreds of thousands of micro-scale droplets for parallel amplification, ddPCR enables detection at the single-molecule level [9,12,13]. This approach eliminates the requirement for standard curves, a limitation inherent to qPCR, while also exhibiting enhanced tolerance to reaction inhibitors, thereby facilitating more accurate quantification in complex food matrices. Significant progress has been made in applying ddPCR technology for the detection of foodborne pathogens. For instance, a ddPCR assay targeting L. monocytogenes has been validated using artificially contaminated food samples, yielding results comparable to those obtained with traditional plate counting methods, thereby confirming its practical reliability [2]. Despite its considerable promise, current research on ddPCR remains predominantly focused on single- or dual-target detection.
Despite the considerable promise exhibited by ddPCR technology, the majority of current investigations remain confined to single- or dual-target detection [14,15,16]. Driven by the growing emphasis on precision detection and intelligent supervision, the field of foodborne pathogen testing is evolving toward high-throughput, automated, and portable approaches. In this study, a quadruplex ddPCR assay was established, which not only enhances laboratory testing efficiency but also holds broad applicability for quality control within food production enterprises, border inspection and quarantine operations, and clinical diagnosis of infections. Particularly in the surveillance of pathogenic bacteria in high-risk dairy products such as infant formula and yogurt, this technology offers a more robust level of assurance.

2. Materials and Methods

2.1. Bacterial Strains

S. aureus and L. monocytogenes were maintained in our laboratory, whereas Salmonella enteritidis (S. enteritidis), Escherichia coli (E. coli), Bacillus cereus (B. cereus), Vibrio parahaemolyticus (V. parahaemolyticus), Vibrio vulnificus (V. vulnificus), C. sakazakii and M. bovis were kindly donated by Zhejiang A&F University (ZAFU). All experiments involving these bacterial strains were conducted in a certified Biosafety Level 2 (BSL-2) laboratory.

2.2. Equipment and Reagents

The automated magnetic bead nucleic acid extraction system (GeneRotex 96) and bacterial genomic DNA extraction kit were purchased from Xi’an Tianlong Science and Technology Co., Ltd. (Xi’an, China). The LightCycler® 480 real-time PCR system was obtained from Roche (Branchburg, NJ, USA). The QX600 droplet digital PCR system, ddPCR Supermix for Probes (No dUTP), droplet generation oil, and droplet analysis oil were purchased from Bio-Rad (Hercules, CA, USA). Premix Ex Taq™ (Probe qPCR) was obtained from Takara Bio (Kusatsu, Shiga, Japan). The Nanodrop spectrophotometer for nucleic acid quantification was purchased from Thermo Fisher Scientific (Waltham, MA, USA).

2.3. Preparation of Bacterial Cultures and Genomic DNA (gDNA) Extraction

The six bacterial strains, including S. aureus, L. monocytogenes, S. enteritidis, E. coli, C. sakazakii, and M. bovis, were individually inoculated into 10 mL nutrient broth medium (HKM, Guangdong, China) and incubated at 36 °C for 16–18 h. Bacterial DNA was extracted using the Bacterial genomic DNA extraction kit (TIANLONG, Xi’an, China) and finally eluted into 50 µL TE buffer. gDNA samples with concentrations of 10–100 ng/µL and purity ratios (A260/A280) of 1.7–1.9 were used for subsequent experiments.

2.4. Primers and Probes

To achieve specific detection of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis, the femA gene sequence of S. aureus (Accession number: NC_017342.1), hly gene sequence of L. monocytogenes (Accession number: NC_003210), ompA gene sequence of C. sakazakii (Accession number: KU354286.1), and esxA gene sequence of M. bovis (Accession number: CP085582) from the GenBank database were used as target templates. Specific primers and probes were designed using Primer Express 3.0.1 software (ABI, Waltham, MA, USA), and the designed primer and probe sequences were subjected to specificity verification using the NCBI BLAST tool (version 2.16.0+). All primers and probes used in this method were synthesized by Sangon Biotech Co., Ltd. (Shanghai, China).

2.5. Construction and Quantification of Standard Plasmids

Based on the conserved gene sequences of each target bacteria in GenBank, amplification was performed using the primers listed in Table 1. The concentration was determined after dilution with ddH2O. The copy number concentration (copies/reaction) was calculated according to the following formula: [6.02 × 1023 × (plasmid concentration ng/µL × 10−9) × reaction volume (20 µL)]/[DNA length (bp) × 660]. The initial concentration was determined to be 1 × 108 copies/reaction. Serial dilutions were prepared with nuclease-free water at appropriate ratios and stored at −20 °C for subsequent experiments.

2.6. Specificity of the Quadruplex ddPCR

The specificity of the developed quadruplex ddPCR assay was assessed using genomic DNA extracted from common dairy-associated bacteria (S. aureus, L. monocytogenes, S. enteritidis, E. coli, C. sakazakii, and M. bovis) as templates. Nuclease-free water was employed as the negative control. The assay specificity was determined by detecting the presence or absence of positive droplet signals for each target pathogen.

2.7. Repeatability of the Quadruplex ddPCR

The intra-assay reproducibility was assessed by performing qPCR and ddPCR on serially diluted positive plasmids (101–106 copies/reaction) of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis, with sixteen replicates per dilution. Coefficient of variation (Cv) was calculated for each dilution level. The CV calculation formula used is CV (%) = (SD/mean) × 100%. For inter-assay reproducibility, the plasmids were tested in four independent runs at different time points (four replicates per dilution), and Cv values were determined across the four batches.

2.8. Sensitivity of the Quadruplex ddPCR

To establish the sensitivity of the quadruplex ddPCR assay, standard plasmids containing target sequences of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis were prepared at nine serial dilutions ranging from 1 × 105 to 1 copy/reaction (1 × 105, 1 × 104, 1 × 103, 1 × 102, 10, 7.5, 5, 2.5, and 1 copy/reaction). Each dilution was subjected to ddPCR amplification in sixteen replicates. The mean concentration, standard deviation, and relative standard deviation were calculated for each dilution point. The limit of detection (LoD) was subsequently determined by probit regression analysis at 95% confidence interval based on 95% detection probability, thus comprehensively assessing the analytical sensitivity of the ddPCR assay.

2.9. Simulated and Dairy Sample Analysis

To evaluate the practical applicability of the developed quadruplex ddPCR assay, simulated contaminated samples were prepared by spiking serially diluted bacterial suspensions into dairy matrices. Briefly, Staphylococcus aureus, Listeria monocytogenes, Cronobacter sakazakii, and Mycobacterium bovis were individually inoculated into 10 mL of nutrient broth and incubated at 36 °C for 16–18 h to reach the logarithmic growth phase. After determining the bacterial concentrations, the cultures were serially diluted 10-fold with sterile PBS, and working suspensions with a concentration of 108 copies/mL were obtained following quantification by ddPCR. For spiking, 1 mL of each diluted bacterial suspension was thoroughly mixed with 9 mL of dairy products (liquid milk and yogurt, provided by Zhejiang Liziyuan Food Co., Ltd., Jinhua, China) to achieve final concentrations ranging from 107 to 101 copies/g. Non-spiked dairy matrices served as negative controls. The spiked samples were incubated at 4 °C for 30 min to facilitate bacterial adsorption to the matrix components. Subsequently, nucleic acids were extracted using an automated magnetic bead-based extraction system (GeneRotex 96) and eluted into 50 μL of TE buffer; 2 μL of the extracted DNA was used as template for ddPCR detection. Each spiking level was tested in triplicate. The recovery rate was calculated as follows: Recovery (%) = (measured copies by ddPCR/theoretical spiked copies) × 100%. For evaluation of actual dairy samples, commercial dairy products obtained from Zhejiang Liziyuan Food Co., Ltd. were directly subjected to nucleic acid extraction and ddPCR analysis without artificial contamination. The detection results were used to preliminarily assess the practical performance and application value of the established quadruplex ddPCR assay.

3. Results

3.1. Optimization of the Quadruplex ddPCR Reaction System

To optimize the quadruplex ddPCR reaction conditions, plasmid standards of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis were used as templates. Gradient concentrations of forward and reverse primers were tested in the ddPCR reaction. The optimal primer/probe concentrations were determined based on the following criteria: (i) maximal positive droplet fluorescence amplitude to ensure sufficient signal-to-noise separation; (ii) minimal dispersion of positive droplet clusters to guarantee amplification consistency; and (iii) optimal economy to minimize reagent cost without compromising sensitivity. Based on the principles of maximum droplet amplitude and optimal economy, the optimal primer concentration for all four pathogens was determined to be 500 nmol/L, and the optimal probe concentration was 400 nmol/L for each target (Figure 1). The annealing temperature of ddPCR was subsequently optimized from 60 °C to 53 °C, and the quadruplex ddPCR results indicated that the optimal annealing temperature was 58 °C (Figure 2). Therefore, the optimized reaction system and thermal cycling program for the established quadruplex ddPCR assay were as follows: 5.0 μL Supermix, 1.0 μL primers (500 nM), 0.8 μL S. aureus probe (400 nM), 0.8 μL L. monocytogenes probe (400 nM), 0.8 μL C. sakazakii probe (400 nM), 0.8 μL M. bovis probe (400 nM), 8.8 μL nuclease-free water (ddH2O), and 2.0 μL template. The thermal cycling conditions were: 50 °C for 20 min; 95 °C for 10 min; 40 cycles of 94 °C for 30 s and 58 °C for 1 min; 98 °C for 10 min; and hold at 4 °C. The ramp rate for all heating and cooling steps was 2 °C/s.

3.2. Specificity of the Quadruplex ddPCR

Genomic DNA from S. enteritidis, V. parahaemolyticus, V. vulnificus, B. cereus, S. aureus, E. coli, M. bovis, C. sakazakii, and L. monocytogenes, along with a ddH2O negative control, was used as templates for ddPCR to assess specificity. Results showed that specific amplification occurred only in S. aureus, L. monocytogenes, C. sakazakii, and M. bovis whereas no positive fluorescence signals were observed in the other samples. This indicates high assay specificity without cross-reactivity (Figure 3).

3.3. Repeatability and Standard Curve

Positive plasmids of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis at five concentrations (ranging from 101 to 105 copies/reaction) were used as templates for the ddPCR reaction. Sixteen replicates were performed for each dilution, and the corresponding coefficients of variation (CVs) were calculated. The results are shown in Figure 4: The intra-batch repeatability CVs for S. aureus ranged from 2.06% to 13.43% (Figure 4A); the intra-batch repeatability CVs for L. monocytogenes ranged from 1.90% to 10.87% (Figure 4C); the intra-batch repeatability CVs for C. sakazakii ranged from 1.54% to 13.43% (Figure 4E); the intra-batch repeatability CVs for M. bovis ranged from 1.54% to 11.40% (Figure 4G). All values were less than 14%. The aforementioned plasmids were tested at four different time points, with four replicates set for each dilution, to calculate the CVs across four batches of independent experiments. And the inter-batch repeatability CVs for S. aureus ranged from 1.79% to 6.80% (Figure 4B); the inter-batch repeatability CVs for L. monocytogenes ranged from 1.90% to 9.84% (Figure 4D); the inter-batch repeatability CVs for C. sakazakii ranged from 1.45% to 7.67% (Figure 4F); the inter-batch repeatability CVs for M. bovis ranged from 1.62% to 9.74% Figure 4H). All values were less than 10%. Within the detection range, the inter- and intra-batch repeatability CVs for the four pathogens were all below 14%, demonstrating that the method possesses high repeatability (Figure 4).
The standard curve was constructed based on the results of 16 replicates (Figure 5) and compared with the qPCR method. The results showed that the amplification efficiency (E) for the four target pathogens using the developed method ranged from 90% to 110%, with coefficients of determination (R2) greater than 0.996. These findings indicate a good fit between the observed and theoretical values, demonstrating the high stability of the assay. While the E and R2 values were comparable to those of the qPCR method, the latter failed to detect some of the 16 replicates at the concentration gradient of 101 copies/reaction.

3.4. Sensitivity of the Quadruplex ddPCR

The sensitivity assay was performed using standard plasmids with theoretical concentrations ranging from 1 × 100 to 1 × 103 copies/reaction. To determine the limits of detection (LoDs) of the ddPCR, probit regression analysis was conducted based on a 95% reproducibility probability (Figure 6). The limits of detection (LoDs) for S. aureus, L. monocytogenes, C. sakazakii, and M. bovis were determined to be 7.38 copies/reaction (95% CI: 5.34–9.64 copies/reaction), 7.04 copies/reaction (95% CI: 4.07–9.40 copies/reaction), 10.31 copies/reaction (95% CI: 7.67–13.41 copies/reaction), and 9.23 copies/reaction (95% CI: 6.55–13.23 copies/reaction), respectively.

3.5. Sample Detection by ddPCR and qPCR

A total of 120 dairy samples (including positive samples fortified with varying concentrations) were quantitatively analyzed using the established quadruplex ddPCR assay, and the results were compared with those obtained by the qPCR method (Figure 7). In the figure, color intensity denotes the bacterial concentration in the samples. The results showed that the ddPCR assay detected 42, 33, 39, and 30 positive samples for S. aureus, L. monocytogenes, C. sakazakii, and M. bovis, respectively, whereas the qPCR method detected 37, 25, 31, and 24 positive samples for the same targets. The risk of false-negative results arises when qPCR fails to detect the target bacteria at low concentrations (Figure 8). Notably, among the positive samples, the ddPCR assay identified 31 cases of co-contamination involving two or more pathogens, with the combination of S. aureus and C. sakazakii being the most prevalent. Cases involving simultaneous infection by four pathogens were even detected. These findings demonstrate that the positive detection rate of the ddPCR assay was significantly higher than that of the qPCR method.
To statistically evaluate the agreement between ddPCR and qPCR, Cohen’s kappa coefficient was calculated for each target pathogen based on the binary classification (positive/negative) of 120 dairy samples. The results showed substantial agreement between the two methods (Kappa > 0.75 for all targets), with ddPCR demonstrating higher sensitivity for low-abundance targets that were occasionally missed by qPCR (Ct > 35). Notably, among the 31 ddPCR-positive/qPCR-negative discordant samples, 26 (83.9%) exhibited concentrations below 102 copies/reaction, consistent with the known limitation of qPCR in detecting near-limit targets. These statistical analyses, together with the co-contamination data presented in Table 2 (ddPCR: 25%, 31/120; qPCR: 13%, 16/120), collectively confirm that the quadruplex ddPCR assay offers superior diagnostic accuracy and sensitivity for food safety surveillance in complex dairy matrices.

4. Discussion

Foodborne diseases have emerged as one of the most pressing threats to public health [17,18,19,20]. The most prominent foodborne pathogens include Salmonella spp., S. aureus, and L. monocytogenes, among others. According to the Chinese national food safety standards, conventional microbiological detection methods are time-consuming and labor-intensive. Importantly, these methods are prone to the risk of false-negative results, particularly when the target bacteria are present at low concentrations.
Accurate and efficient detection of foodborne pathogenic microorganisms is a prerequisite for the effective prevention and control of foodborne diseases. In recent years, with the rapid development and deep integration of emerging technologies from multiple disciplines—including metabolomics, immunology, molecular biology, biosensing technology, laser technology, nanotechnology, and computer science—various novel rapid microbial detection methods have emerged, providing robust technical support for the screening and identification of foodborne bacterial pathogens [21,22,23]. Previous studies have reported the development of a rapid and simple quantitative identification method for L. monocytogenes in cheese using isothermal strand exchange amplification combined with surface-enhanced Raman spectroscopy [24]. Although the integration of isothermal nucleic acid amplification with Raman spectroscopic detection enables rapid nucleic acid testing without thermal cycling, this approach is designed exclusively for L. monocytogenes and lacks the capability for simultaneous detection of other foodborne pathogens. Furthermore, complex food matrices (e.g., fats and proteins present in cheese) may compromise the stability and reproducibility of the detection signal. Additionally, a quadruplex qPCR assay was developed for the detection and differentiation of Campylobacter coli, Campylobacter fetus, and Campylobacter jejuni in chicken and lamb [25]. Although this method enables simultaneous differentiation of three major Campylobacter species from other Campylobacter spp. in a single tube, it requires a qPCR instrument, which is unfavorable for on-site rapid detection and entails relatively high equipment costs. Currently, research based on droplet digital PCR (ddPCR) technology has achieved substantial progress, with a rapid increase in relevant publications [26,27,28,29,30,31]. The quadruplex ddPCR method established in this study demonstrates significant advantages over traditional qPCR in terms of detection sensitivity, accuracy of low-abundance quantification, and the ability to identify co-contamination, providing a high-throughput screening platform for dairy product safety monitoring. However, it should be cautiously noted that the standard plate counting method based on viable bacterial culture remains the irreplaceable gold standard for assessing bacterial viability and infectious activity, as its biological relevance cannot be matched by any molecular method. ddPCR detects DNA copy numbers and cannot distinguish between viable and dead bacteria, which constitutes an inherent limitation when evaluating actual food safety risks. Therefore, the appropriate role of this method should be as a rapid pre-screening tool preceding culture-based method. However, the vast majority of existing studies have focused on either qualitative identification or quantitative analysis of single target pathogens [2,32]. In contrast, multiplex ddPCR assays capable of simultaneous identification and quantification of multiple foodborne pathogenic bacteria remain relatively scarce, and the associated technical systems are yet to be fully established. The novelty of this study resides in the target panel redesign specific to the food safety risk spectrum of dairy products, substituting Salmonella Typhi and B. cereus [2] with C. sakazakii and M. bovis. This makes the detection panel more relevant to the practical surveillance demands of the dairy industry, alongside specific assay optimization for dairy matrices. This research landscape necessitates the construction of multiple independent detection workflows when facing complex samples potentially containing coexisting pathogenic threats in practical food testing applications, which not only significantly increases detection costs and time expenditure but also elevates the risk of cross-contamination during operation. Therefore, the development of efficient, sensitive, and cost-effective multiplex ddPCR platforms for the simultaneous screening and precise quantification of multiple foodborne pathogenic bacteria has become a critical technical bottleneck urgently requiring resolution in the field of food safety detection. The quadruplex ddPCR method developed in this study demonstrated lower limits of detection for the four bacterial targets, with S. aureus, L. monocytogenes, C. sakazakii, and M. bovis detecting at 7.38 copies/reaction, 7.04 copies/reaction, 10.31 copies/reaction, and 9.23 copies/reaction, respectively.

5. Conclusions

In summary, the quadruplex ddPCR assay developed in this study allows for the simultaneous and accurate quantification of four major foodborne pathogens—S. aureus, L. monocytogenes, C. sakazakii, and M. bovis—within a single reaction. Relative to conventional methods, this approach exhibits a reduced turnaround time, enhanced sensitivity (lower limits of detection), and superior reproducibility. Collectively, this method provides a high-throughput, rapid detection platform well-suited for food safety surveillance applications.

Author Contributions

P.K. wrote the manuscript, performed experiments, analyzed data, and prepared figures; X.H. and K.H. assisted with experiments and reviewed the manuscript; K.H. performed software and data analysis; H.Y. provided resources and validated results; H.M. assisted with data collection; H.L. and L.F. provided resources and reviewed the manuscript; H.Q. and J.S. conceived the study, supervised the work, acquired funding, and reviewed the manuscript. All authors have read and agreed to the published version of the manuscript.

Funding

This work was supported by the “Pioneer and Leading Goose + X” Research and Development Program of Zhejiang Province (2024C01137).

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

The original contributions presented in this study are included in the article. Further inquiries can be directed to the corresponding authors.

Conflicts of Interest

The authors declare no conflicts of interest.

Abbreviations

The following abbreviations are used in this manuscript:
ddPCRDroplet Digital PCR
qPCRQuantitative Real-Time PCR
LoDLimit of Detection
CVCoefficient of Variation
CIConfidence Interval

References

  1. Cremonesi, P.; Cortimiglia, C.; Picozzi, C.; Minozzi, G.; Malvisi, M.; Luini, M.; Castiglioni, B. Development of a Droplet Digital Polymerase Chain Reaction for Rapid and Simultaneous Identification of Common Foodborne Pathogens in Soft Cheese. Front. Microbiol. 2016, 7, 1725. [Google Scholar] [CrossRef] [PubMed]
  2. Sun, X.; Xiao, J.; Wei, H.; Chen, K.; Liang, M.; Huang, Z.; Lao, J.; Lin, X.; Zeng, S. A ddPCR method for simultaneous detection and quantification of Salmonella enterica, S. aureus, L. monocytogenes, and B. cereus in foods. Sci. Rep. 2025, 15, 32092. [Google Scholar] [CrossRef] [PubMed]
  3. Sharma, R.K.; Jalalpure, S.S.; Pathak, S.; Ganapathy, S.; Desvaux, M.; Roy, S.; Hegde, S. Molecular detection of L. monocytogenes from different dairy and street food sources in North Karnataka, India. J. Infect. Public Health 2024, 17, 696–703. [Google Scholar] [CrossRef] [PubMed]
  4. Holý, O.; Forsythe, S. Cronobacter spp. as emerging causes of healthcare-associated infection. J. Hosp. Infect. 2014, 86, 169–177. [Google Scholar] [CrossRef] [PubMed]
  5. Torres-Gonzalez, P.; Cervera-Hernandez, M.E.; Martinez-Gamboa, A.; Garcia-Garcia, L.; Cruz-Hervert, L.P.; Bobadilla-Del Valle, M.; Ponce-de Leon, A.; Sifuentes-Osornio, J. Human tuberculosis caused by M. bovis: A retrospective comparison with Mycobacterium tuberculosis in a Mexican tertiary care centre, 2000–2015. BMC Infect. Dis. 2016, 16, 657. [Google Scholar] [CrossRef] [PubMed]
  6. Farber, J.M.; Peterkin, P.I. L. monocytogenes, a food-borne pathogen. Microbiol. Rev. 1991, 55, 476–511. [Google Scholar] [CrossRef] [PubMed]
  7. Foddai, A.C.G.; Grant, I.R. Methods for detection of viable foodborne pathogens: Current state-of-art and future prospects. Appl. Microbiol. Biotechnol. 2020, 104, 4281–4288. [Google Scholar] [CrossRef] [PubMed]
  8. Hussain, M.; Zou, J.; Zhang, H.; Zhang, R.; Chen, Z.; Tang, Y. Recent Progress in Spectroscopic Methods for the Detection of Foodborne Pathogenic Bacteria. Biosensors 2022, 12, 869. [Google Scholar] [CrossRef] [PubMed]
  9. Sancha Dominguez, L.; Cotos Suárez, A.; Sánchez Ledesma, M.; Muñoz Bellido, J.L. Present and Future Applications of Digital PCR in Infectious Diseases Diagnosis. Diagnostics 2024, 14, 931. [Google Scholar] [CrossRef] [PubMed]
  10. Peng, J.; Bai, H.; Li, Y.; Luo, H.; Li, J.; Dai, H.; Wang, H.; Meng, T.; Zhang, J.; Wang, Z.; et al. ddPCR Enhances early diagnosis, treatment, prognosis, and pathogen verification in elderly BSI. Front. Cell Infect. Microbiol. 2025, 15, 1605795. [Google Scholar] [CrossRef] [PubMed]
  11. Liang, Y.; Liu, Y.; Liu, X.; Ding, J.; Shi, T.; Dong, Q.; Chen, M.; Wu, H.; Zhang, H. Droplet Digital Polymerase Chain Reaction Assay for Quantifying Salmonella in Meat Samples. Foods 2026, 15, 337. [Google Scholar] [CrossRef] [PubMed]
  12. De Oliveira, M.F.; Gianella, S.; Letendre, S.; Scheffler, K.; Kosakovsky Pond, S.L.; Smith, D.M.; Strain, M.; Ellis, R.J. Comparative Analysis of Cell-Associated HIV DNA Levels in Cerebrospinal Fluid and Peripheral Blood by Droplet Digital PCR. PLoS ONE 2015, 10, e0139510. [Google Scholar] [CrossRef] [PubMed]
  13. Jin, S.; Meng, S.; Huang, Q.; Xie, H.; Zheng, J.; Wang, R. Joint application of multiplex drop-off digital PCR, droplet digital PCR, and metagenomic next-generation sequencing for the diagnosis of suspected infectious diseases: A retrospective cohort study. J. Intensive Med. 2025, 5, 407–418. [Google Scholar] [CrossRef] [PubMed]
  14. Chu, X.; Wang, J.; Wu, D.; Mao, J.; Zhang, Z.; Xu, H.; Ma, C. Detection of the distribution frequency of Diego blood type based on multiplex droplet digital PCR. Sci. Rep. 2025, 15, 27744. [Google Scholar] [CrossRef] [PubMed]
  15. Wang, W.; Al-Hajj, M.; Alavi, A.S. Detection and quantification of integrated vector copy number by multiplex droplet digital PCR in dual-transduced CAR T cells. Mol. Ther. Methods Clin. Dev. 2023, 30, 403–410. [Google Scholar] [CrossRef] [PubMed]
  16. Nyaruaba, R.; Li, C.; Mwaliko, C.; Mwau, M.; Odiwuor, N.; Muturi, E.; Muema, C.; Xiong, J.; Li, J.; Yu, J.; et al. Developing multiplex ddPCR assays for SARS-CoV-2 detection based on probe mix and amplitude based multiplexing. Expert. Rev. Mol. Diagn. 2021, 21, 119–129. [Google Scholar] [CrossRef] [PubMed]
  17. Chlebicz, A.; Śliżewska, K. Campylobacteriosis, Salmonellosis, Yersiniosis, and Listeriosis as Zoonotic Foodborne Diseases: A Review. Int. J. Environ. Res. Public Health 2018, 15, 863. [Google Scholar] [CrossRef] [PubMed]
  18. Liu, J.; Bai, L.; Li, W.; Han, H.; Fu, P.; Ma, X.; Bi, Z.; Yang, X.; Zhang, X.; Zhen, S.; et al. Trends of foodborne diseases in China: Lessons from laboratory-based surveillance since 2011. Front. Med. 2018, 12, 48–57. [Google Scholar] [CrossRef] [PubMed]
  19. Robertson, L.J.; Torgerson, P.R.; van der Giessen, J. Foodborne Parasitic Diseases in Europe: Social Cost-Benefit Analyses of Interventions. Trends Parasitol. 2018, 34, 919–923. [Google Scholar] [CrossRef] [PubMed]
  20. Stoev, S.D. Foodborne Diseases Due to Underestimated Hazard of Joint Mycotoxin Exposure at Low Levels and Possible Risk Assessment. Toxins 2023, 15, 464. [Google Scholar] [CrossRef] [PubMed]
  21. Ndraha, N.; Lin, H.Y.; Wang, C.Y.; Hsiao, H.I.; Lin, H.J. Rapid detection methods for foodborne pathogens based on nucleic acid amplification: Recent advances, remaining challenges, and possible opportunities. Food Chem. Mol. Sci. 2023, 7, 100183. [Google Scholar] [CrossRef] [PubMed]
  22. Wang, B.; Wang, H.; Lu, X.; Zheng, X.; Yang, Z. Recent Advances in Electrochemical Biosensors for the Detection of Foodborne Pathogens: Current Perspective and Challenges. Foods 2023, 12, 2795. [Google Scholar] [CrossRef] [PubMed]
  23. Zhu, A.; Ali, S.; Jiao, T.; Wang, Z.; Ouyang, Q.; Chen, Q. Advances in surface-enhanced Raman spectroscopy technology for detection of foodborne pathogens. Compr. Rev. Food Sci. Food Saf. 2023, 22, 1466–1494. [Google Scholar] [CrossRef] [PubMed]
  24. Li, Y.; Gao, Y.; Ling, N.; Shen, Y.; Zhang, D.; Ou, D.; Zhang, X.; Jiao, R.; Zhu, C.; Ye, Y. Rapid and simple quantitative identification of L. monocytogenes in cheese by isothermal sequence exchange amplification based on surface-enhanced Raman spectroscopy. J. Dairy Sci. 2022, 105, 9450–9462. [Google Scholar] [CrossRef] [PubMed]
  25. Abu-Halaweh, M.; Al-Bsoul, E. Quadruplex qPCR for detection and discrimination of C. Coli, C. fetus, and C. jejuni from other Campylobacter species in chicken and sheep meat. Braz. J. Microbiol. 2024, 55, 2547–2556. [Google Scholar] [CrossRef] [PubMed]
  26. Colafigli, G.; Scalzulli, E.; Di Prima, A.; Pepe, S.; Loglisci, M.G.; Diverio, D.; Martelli, M.; Foà, R.; Breccia, M. Digital droplet PCR as a predictive tool for successful discontinuation outcome in chronic myeloid leukemia: Is it time to introduce it in the clinical practice? Crit. Rev. Oncol. Hematol. 2021, 157, 103163. [Google Scholar] [CrossRef] [PubMed]
  27. Galimberti, S.; Balducci, S.; Guerrini, F.; Del Re, M.; Cacciola, R. Digital Droplet PCR in Hematologic Malignancies: A New Useful Molecular Tool. Diagnostics 2022, 12, 1305. [Google Scholar] [CrossRef] [PubMed]
  28. Kojabad, A.A.; Farzanehpour, M.; Galeh, H.E.G.; Dorostkar, R.; Jafarpour, A.; Bolandian, M.; Nodooshan, M.M. Droplet digital PCR of viral DNA/RNA, current progress, challenges, and future perspectives. J. Med. Virol. 2021, 93, 4182–4197. [Google Scholar] [CrossRef] [PubMed]
  29. Li, H.; Bai, R.; Zhao, Z.; Tao, L.; Ma, M.; Ji, Z.; Jian, M.; Ding, Z.; Dai, X.; Bao, F.; et al. Application of droplet digital PCR to detect the pathogens of infectious diseases. Biosci. Rep. 2018, 38, BSR20181170. [Google Scholar] [CrossRef] [PubMed]
  30. Meregildo-Rodriguez, E.D.; Asmat-Rubio, M.G.; Vásquez-Tirado, G.A. Droplet digital PCR vs. quantitative real time-PCR for diagnosis of pulmonary and extrapulmonary tuberculosis: Systematic review and meta-analysis. Front. Med. 2023, 10, 1248842. [Google Scholar] [CrossRef] [PubMed]
  31. Sumon, M.A.A.; Meregildo-Rodriguez, E.D.; Lee, P.T.; Dinh-Hung, N.; Larson, E.T.; Permpoonpattana, P.; Van Doan, H.; Jung, W.K.; Linh, N.V. Droplet digital PCR for fish pathogen detection and quantification: A systematic review and meta-analysis. J. Fish Dis. 2024, 47, e14019. [Google Scholar] [CrossRef] [PubMed]
  32. Vidovic, S.; Taylor, R.; Hedderley, D.; Fletcher, G.C.; Wei, N. Detection of non-pathogenic and pathogenic populations of V. parahaemolyticus in various samples by the conventional, quantitative and droplet digital PCRs. Sci. Rep. 2024, 14, 4137. [Google Scholar] [CrossRef] [PubMed]
Figure 1. Optimization of concentration for the multiplex ddPCR system. The concentration ranges for primers and probes were optimized from 300 to 900 nM and 200 to 400 nM, respectively. Single-fluorescence channel results of multiplex ddPCR under different primer/probe combinations are shown, with positive signals indicated in color. The optimal primer/probe concentration is highlighted with a red box.
Figure 1. Optimization of concentration for the multiplex ddPCR system. The concentration ranges for primers and probes were optimized from 300 to 900 nM and 200 to 400 nM, respectively. Single-fluorescence channel results of multiplex ddPCR under different primer/probe combinations are shown, with positive signals indicated in color. The optimal primer/probe concentration is highlighted with a red box.
Foods 15 02350 g001
Figure 2. Optimization of the annealing temperature for the ddPCR system. Using positive plasmids of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis, the annealing temperature for the ddPCR primers was optimized from 60 to 53 °C. By comparing the differences between negative and positive reactions and the number of droplets, the optimal annealing temperature was determined to be 58 °C (red box).
Figure 2. Optimization of the annealing temperature for the ddPCR system. Using positive plasmids of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis, the annealing temperature for the ddPCR primers was optimized from 60 to 53 °C. By comparing the differences between negative and positive reactions and the number of droplets, the optimal annealing temperature was determined to be 58 °C (red box).
Foods 15 02350 g002
Figure 3. Specificity of the quadruplex ddPCR. The quadruplex ddPCR assay was performed to detect a mixture of the four target bacteria (S. aureus, L. monocytogenes, C. sakazakii, and M. bovis) and other common dairy pathogens (Salmonella, E. coli, B. cereus, V. parahaemolyticus, and Vibrio vulnificus), alongside a negative control (ddH2O). Positive droplets are colored blue (S. aureus), green (L. monocytogenes), red (C. sakazakii), and magenta (M. bovis). Negative droplets are colored grey.
Figure 3. Specificity of the quadruplex ddPCR. The quadruplex ddPCR assay was performed to detect a mixture of the four target bacteria (S. aureus, L. monocytogenes, C. sakazakii, and M. bovis) and other common dairy pathogens (Salmonella, E. coli, B. cereus, V. parahaemolyticus, and Vibrio vulnificus), alongside a negative control (ddH2O). Positive droplets are colored blue (S. aureus), green (L. monocytogenes), red (C. sakazakii), and magenta (M. bovis). Negative droplets are colored grey.
Foods 15 02350 g003
Figure 4. Intra- and inter-batch repeatability of the quadruplex digital PCR. The standard plasmids of (A,B) S. aureus, (C,D) L. monocytogenes, (E,F) C. sakazakii, and (G,H) M. bovis, with copy numbers varying from 101 to 105 copies/reaction, were detected by the established ddPCR. (Left): intra-batch repeatability with five concentrations (n = 16). (Right): inter-batch repeatability with five concentrations at four different time points (n = 4). X-axis: plasmid concentrations, Y-axis: measured values. Error bars represent the SD, and numerical values represent the CVs.
Figure 4. Intra- and inter-batch repeatability of the quadruplex digital PCR. The standard plasmids of (A,B) S. aureus, (C,D) L. monocytogenes, (E,F) C. sakazakii, and (G,H) M. bovis, with copy numbers varying from 101 to 105 copies/reaction, were detected by the established ddPCR. (Left): intra-batch repeatability with five concentrations (n = 16). (Right): inter-batch repeatability with five concentrations at four different time points (n = 4). X-axis: plasmid concentrations, Y-axis: measured values. Error bars represent the SD, and numerical values represent the CVs.
Foods 15 02350 g004
Figure 5. Standard curves of ddPCR and qPCR. (A) Standard curves of ddPCR. X-axis: Theoretical plasmid concentration; Y-axis: Actual measured concentration by ddPCR. (B) Standard curves of qPCR. X-axis: Theoretical plasmid concentration; Y-axis: CT values measured by qPCR. Data are presented as the mean ± standard deviation (SD) of 16 replicates. R2: Coefficient of determination. E: Amplification efficiency.
Figure 5. Standard curves of ddPCR and qPCR. (A) Standard curves of ddPCR. X-axis: Theoretical plasmid concentration; Y-axis: Actual measured concentration by ddPCR. (B) Standard curves of qPCR. X-axis: Theoretical plasmid concentration; Y-axis: CT values measured by qPCR. Data are presented as the mean ± standard deviation (SD) of 16 replicates. R2: Coefficient of determination. E: Amplification efficiency.
Foods 15 02350 g005
Figure 6. Probit analysis sigmoid curve reporting the limit of detection (LoD) of ddPCR. Positive plasmids corresponding to the following targets, with concentrations ranging from 1 × 100 to 1 × 103 copies/reaction, were used: (A) S. aureus (B) L. monocytogenes (C) C. sakazakii (D) M. bovis. Sixteen replicates were performed for each concentration. The limit of detection (LoD) was calculated within the 95% confidence interval (CI) according to the probit regression model, using a reproducible probability of 95% to assess the sensitivity of the assay. X-axis: Expected concentration (copies/reaction); Y-axis: Fraction of positive results in all parallel reactions performed. Black line: Probit curve. Blue dashed lines: 95% confidence intervals (95% CIs). Red cross lines: 95% probability of LoD.
Figure 6. Probit analysis sigmoid curve reporting the limit of detection (LoD) of ddPCR. Positive plasmids corresponding to the following targets, with concentrations ranging from 1 × 100 to 1 × 103 copies/reaction, were used: (A) S. aureus (B) L. monocytogenes (C) C. sakazakii (D) M. bovis. Sixteen replicates were performed for each concentration. The limit of detection (LoD) was calculated within the 95% confidence interval (CI) according to the probit regression model, using a reproducible probability of 95% to assess the sensitivity of the assay. X-axis: Expected concentration (copies/reaction); Y-axis: Fraction of positive results in all parallel reactions performed. Black line: Probit curve. Blue dashed lines: 95% confidence intervals (95% CIs). Red cross lines: 95% probability of LoD.
Foods 15 02350 g006
Figure 7. A total of 120 samples were analyzed by ddPCR (red) and qPCR (blue). The mean of the concentration (copies/reaction) or Cq value for each sample is scaled with red and blue colors, respectively.
Figure 7. A total of 120 samples were analyzed by ddPCR (red) and qPCR (blue). The mean of the concentration (copies/reaction) or Cq value for each sample is scaled with red and blue colors, respectively.
Foods 15 02350 g007
Figure 8. Comparison of positive detection for ddPCR and qPCR. Number of positive detections for each pathogen in 96 samples using ddPCR and qPCR.
Figure 8. Comparison of positive detection for ddPCR and qPCR. Number of positive detections for each pathogen in 96 samples using ddPCR and qPCR.
Foods 15 02350 g008
Table 1. Primer and probe sequences.
Table 1. Primer and probe sequences.
NameSequence (5′→3′)Amplification Product
S. aureus-FAATCGCGGTCCAGTGA132 bp
S. aureus-RTGTAGCACAGGATCAAATCCT
S. aureus-PFAM-TGGCGAGATTACAGGTAATGCTGGT-BHQ1
L. monocytogenes-FAATCTGTCTCAGGTGATGTAGA234 bp
L. monocytogenes-RCCTCCAGAGTGATCGATGT
L. monocytogenes-PHEX-TCATCGACGGCAACCTCGGAGA-BHQ1
C. sakazakii-FAAACGGCGCTTTCAAAGC224 bp
C. sakazakii-RTATTCCAGACGGGTAGCGAT
C. sakazakii-PCY5-ACTGGGTTACCCGGTACCG-BHQ3/
M. bovis-FACAGAGCAGCAGTGGAAT219 bp
M. bovis-RGCGTTGTTCAGCTCGGT
M. bovis-PROX-ATCGAGGCCGCGGCAAG-BHQ2/
Table 2. The results of Multiplex Bacterial Detection Rates by ddPCR and qPCR.
Table 2. The results of Multiplex Bacterial Detection Rates by ddPCR and qPCR.
Target PathogensddPCR PositiveqPCR PositiveKappa (95% CI)Concordance
S. aureus42370.78 (0.68–0.88)92.5%
L. monocytogenes33250.76 (0.65–0.87)90.8%
C. sakazakii39310.75 (0.64–0.86)89.2%
M. bovis30240.79 (0.69–0.89)93.3%
Co-contamination31 (25%)16 (13%)//
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.

Share and Cite

MDPI and ACS Style

Kong, P.; Han, X.; Huang, K.; Yang, H.; Mo, H.; Li, H.; Fu, L.; Qiu, H.; Shuai, J. A Droplet Digital PCR Method for Simultaneous Detection and Quantification of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis in Dairy Products. Foods 2026, 15, 2350. https://doi.org/10.3390/foods15132350

AMA Style

Kong P, Han X, Huang K, Yang H, Mo H, Li H, Fu L, Qiu H, Shuai J. A Droplet Digital PCR Method for Simultaneous Detection and Quantification of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis in Dairy Products. Foods. 2026; 15(13):2350. https://doi.org/10.3390/foods15132350

Chicago/Turabian Style

Kong, Pengli, Xiao Han, Kangdong Huang, Hong Yang, Hongfei Mo, Huan Li, Linglin Fu, Hui Qiu, and Jiangbing Shuai. 2026. "A Droplet Digital PCR Method for Simultaneous Detection and Quantification of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis in Dairy Products" Foods 15, no. 13: 2350. https://doi.org/10.3390/foods15132350

APA Style

Kong, P., Han, X., Huang, K., Yang, H., Mo, H., Li, H., Fu, L., Qiu, H., & Shuai, J. (2026). A Droplet Digital PCR Method for Simultaneous Detection and Quantification of S. aureus, L. monocytogenes, C. sakazakii, and M. bovis in Dairy Products. Foods, 15(13), 2350. https://doi.org/10.3390/foods15132350

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop