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level: L14C Foodborne Infections

Questions and Answers List

level questions: L14C Foodborne Infections

QuestionAnswer
Salmonella enterica- 2500 serotypes - g- rods, facultative anaerobe - growth at 5-46 C, optimum 35-37 C - sensitive to low pH (<4.5) - no growth at aw <= 0.94 - habitat: gastrointestinal tract of domestic and wild animals, birds, reptiles, insects; humans can be carriers
Salmonellosis: basics- Salmonella invade and multiply in epithelial cells - produce enterotoxin, inflammation and fluid accumulation - infective dose = 10^5-10^6 cells (depending on serotype) - incubation period 8-24h, generally 12-72h - carrier state in humans
Salmonellosis: symptomsabdominal cramps, diarrhea, nausea, vomiting, chills, fever prostration
Salmonellosis: food vehiclesfoods contaminated with fecal matter and eaten raw, improperly cooked, contaminated after proper heat treatment - beef - chicken - turkey - pork - eggs - milk - contaminated fresh produce
Salmonellosis: control measures- Salmonella surveillance program in food processing plants - Salmonella control program on poultry farms - consumer education on Salmonella control - proper sanitation of food contact surfaces - good personal hygiene practices
Campylobacter jejuni- causes Campylobacteriosis - gram -, microaerophilic (5% O2, 10% CO2, 85% N2) - spirally curved rods - temp range: 32-45 C, optimum 42 C - sensitive to atmospheric O2, NaCl > 2.5%, low pH (<5), heat, drying - live in intestinal tract of animals and birds, >10^6 cells/g poultry feces
Campylobacteriosis- enterotoxin cross reacts with cholera toxin, produces invasive factor - toxin production trait is plasmid linked - infective dose as low as 500 cells - incubation period is 2-5 days - carrier state in humans - raw animal products contaminated with fecal material from animals or infected humans - typical cause is consumption of raw milk and undercooked poultry meats
Campylobacteriosis: symptomsabdominal cramps, profuse diarrhea, nausea, vomiting, fever, headache, chills
Campylobacteriosis: control protocol- proper sanitation of food contact surfaces - adequate heat treatment of foods - prevention of post-heat contamination - good personal hygiene - no ill food handlers
Listeria monocytogenes- causes Listeriosis - g+, facultative, small motile rod, hemolytic - an grow 1-44 C, optimum 35-37 C - resistant to freezing, drying, high NaCl, pH 5> - can invade monocytes - present in soil, water, sewage, dead vegetation, silage - can persist for years in food processing & storage environment
Listeriosis- invades body tissues, multiply and release toxins - incubation period 1-7 days - mild flu-like symptoms, slight fever, abdominal cramps, diarrhea - pathogen can cross placental barrier and infect fetus - outbreaks linked to coleslaw, raw milk, pasteurized milk, soft cheeses, turkey franks, cold-cut meats, undercooked chicken
Four groups of pathogenic E. coliPITH Enteropathogenic E. coli (EPEC) Enteroinvasive E. coli (EIEC) Enterotoxigenic E. coli (ETEC) Enterohemmorhagic E. coli (EHEC)
Enteropathogenic E. coli (EPEC)- infant diarrhea world wide - infective dose 10^6 to 10^9 cells - disrupt intestinal villi --> fluid accumulation
Enterotoxigenic E. coli (ETEC)- traveler's diarrhea and infant diarrhea - poor sanitation in many developing countries - infective dose: 10^8 - 10^9 cells
Enteroinvasive E. coli (EIEC)- dysentery-like shigellosis, mucus and blood in feces of infected person - infective dose: 10^6 cells - invasive factor; E. coli O124:B17 - invades the intestinal epithelium
Enterohemmorhagic E. coli (EHEC)- bloody diarrhea - hemolytic uremic syndrome - principal serotype: E. coli O157:H7, g- rod, fac. anaerobe, sorbitol negative - low infectious dose (<50 cells) - highly virulent - rapid growth 30-42 C, none <10 - acid tolerant - found in intestinal tract of animals, particularly dairy cattle - produces verotxin - colonization of intestines and toxin production
Enterohemmorhagic E. coli (EHEC) food-borne infectiondiseases: hemorrhagic colitis, hemolytic uremic syndrome, thrombotic thrombocytopenic pupura - 3-9 day incubation period - colitis symptoms: abdominal cramps, bloody diarrhea, vomiting, fever in some instances, bleeding from intestinal damage - food vehicles: foods of animal origin, especially ground beef, poultry, lamb, raw milk
Enterohemmorhagic E. coli (EHEC) control- eliminate corn from diet of cattle a few weeks prior to slaughter to reduce shedding - proper hygiene to prevent fecal-oral transmission - proper sanitation of food contact surfaces - cooking/heating foods at appropriate temperatures - proper refrigeration - prevention of cross contamination
Vibrio parahaemolyticus- causes Gastroenteritis - g-, motile, curved rods - grows 5-42 C, optimum 30-37 C - growth in 3-5% NaCl, sensitive to 10% NaCl - growth inhibited at pH <5 - 10-24h incubation period - sensitive to drying, heating, refrigeration, freezing - halophilic organsim; found in estuarine waters - pathogenic strains (Kanagawa +) produce heat-stable hemolysin
Gastroenteritisis- infective dose of Vibrio parahaemolyticus: 10^5-10^7 cells - symptoms: nausea, vomiting, abdominal cramps, diarrhea fever, chills - from various improperly cooked/post-heat contaminated seafood from estuarine waters
Gastroenteritits control- avoid eating raw seafood - proper heat treatment of seafood - proper sanitation to avoid cross-contamination of cooked seafood - proper refrigeration of raw and heated products - avoid temperature abuse of seafood
Shigellosis causing speciesShigella dysenteriae, S. flexneri, S. bodyii, S. sonnei - all 4 species are pathogenic - S. dysenteriae is the main pathogen that causes bacillary dysentery
Shigella dysenteriae- highly virulent: infection in susceptible persons caused by as few as 10 cfu - found in gastrointestinal tract of humans/other primates - growth temp: 10-48 C - pH: 6-8