Prevalence and Geographical Distribution of Foodborne Yersinia enterocolitica in Chinese Livestock and Their Products: A Systematic Review and Meta-Analysis (2000–2024)

Yersinia enterocolitica is a psychrotrophic zoonotic pathogen that causes diarrhea in animals and enteritis in humans, mainly transmitted through the food chain. This systematic review and meta-analysis estimated the prevalence, geographical distribution, and related risk factors of Y. enterocolitica in livestock throughout the Chinese Mainland. Comprehensive searches were conducted in PubMed, ScienceDirect, CNKI, Wanfang, and VIP databases for studies between 1 January 2000 and 1 August 2025. Out of 1092 identified studies, 28 met the inclusion criteria. The estimated overall prevalence of Y. enterocolitica was 9.37%. Prior to 2015, the prevalence peaked at 9.69% but declined in subsequent years. The highest prevalence was found in Southern China (25.00%). Among livestock species, pigs showed higher susceptibility (9.93%) compared to cattle (4.67%). Meat samples exhibited the highest prevalence (15.47%), while qPCR yielded the highest detection rate (10.79%). Geographical factors such as longitude, latitude, altitude, climate, temperature, rainfall, and humidity also influenced prevalence patterns. Y. enterocolitica remains widely distributed in livestock and meat products. Variability was linked to regional, species-specific, and methodological aspects, highlighting the need for One-Health-based monitoring, stricter hygiene regulations, and standardized diagnostics to protect food safety.