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Chapter 36 Food and Foodborne Microbial Diseases
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Food Classification
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Food Preservation Methods 1.Cold..refrigeration (4 o C), freezing (-20 to -80 o C) 2.Pickling – Acidity….weak acids (pHs <5) 3.Drying – Dehydration….reduces water activity 4.Heating – pasteurization, boiling, autoclaving
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a is Ok, something wrong b to d
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Food Preservation Methods 1.Cold..refrigeration (4 o C), freezing (-20 to -80 o C) 2.Pickling – Acidity….weak acids (pHs <5) 3.Drying – Dehydration….reduces water activity 4.Heating – pasteurization, boiling, autoclaving 5.High Pressure Processing..up to 100,000 lb/in 2 6.Chemical Preservatives. 7.Irradiation.
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International Symbol for Radiated Foods Clicker Question:
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Staphylococcal Food Poisoning Clicker Question:
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Staphylococcus aureus Toxins TOXINACTION Hemolytic toxinsAnimal cell lysis HyaluronidaseBreakdown of hyaluronic acid CoagulaseFibrin Formation StaphylokinaseFibrin Breakdown LeukocidinKills WBC’s. Epidermolytic toxinExfolation Enterotoxins–A,B,C,D,E,F.Emetic Response
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Enterotoxins Small: 26-30 kD Heat Stable – can resist boiling (unlike the bacterium!!) Toxic Dose: as low as 1ng, usual is 1-5 μg (cells >10 5 /g) Emetic Response Mechanism 1. Direct on vagus nerve and sympathetic system. 2. Super Antigen (IL-2 mimics this response). 3. Both. Diarrhea Mechanism – unknown, no c-AMP involvement
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Incubation Period to Emesis Classic Staph Food Poisoning: Cafeteria of a College Dormitory…to the College Clinic (69 cases)
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Foods Involved + Symptoms
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Botulism : Clostridium botulinum
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Review of Endospore Location Clostridium botulinum Bacillus pasteuri Bacillus cereus Terminal Spore Subterminal Spore Central Spore
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Clostridium Fermentations – From Glucose
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What Can’t Clostridium spp Ferment?
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In what types of Foods can C. botulinum grow? Clicker Question:
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Botulism Toxin : Flaccid Paralysis
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Botulism Toxin Effect on Motor Neurons
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Infant Botulism: Floppy Baby Syndrome
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Wound Botulism
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Food Infection : Salmonella enterica Peak in 1985 due to pasteurized milk mixed with raw (unprocessed) milk in Illinois.
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Salmonella enterica : over 1,400 Serovars Salmonella enterica serovar Typhi is usually abbreviated: Salmonella Typhi or S. Typhi. Typhoid Fever has a very low incidence in USA, only in people acquiring the disease outside USA. However, all the other strains (servoars) cause the data in the preceding figure: salmonellosis.
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Reservoirs
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Salmonella Taxonomy – Part 1 Gram Negative rods, facultative, catalase pos, oxidase neg Closely related to Escherichia coli Serogroups: 1941 – 100 serogropus of S. enterica 1964 – 900 serogroups now - > 2,400 serogroups. -based on H and O antigens. IMViC -+-+, Lactose neg, all H 2 S pos.
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H 2 S Production on TSI Triple Sugar Iron Agar 1% sucrose 1% lactose 0.1% glucose Na-thiosulfate ferrous sulfate Tryptone, Peptone Yeast Extract agar Phenol red pH 7.3 Left to Right: Control (uninoculated); Pseudomonas aeruginosa; Escherichia coli; Salmonella Typhimurium; Shigella flexneri Clicker Question:
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H 2 S Production on TSI Triple Sugar Iron Agar 1% sucrose 1% lactose 0.1% glucose Na-thiosulfate ferrous sulfate Tryptone, Peptone Yeast Extract agar Phenol red pH 7.3 Left to Right: Control (uninoculated); Pseudomonas aeruginosa; Escherichia coli; Salmonella Typhimurium; Shigella flexneri Clicker Question:
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Salmonella colonies XLT4 agar
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Clicker Question:
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Enteritis (Salmonellosis) Disease Characteristics 1.Incubation Period – mostly 6hrs to 2 days. ID 50 = 10 to 10 6 cells 2.Symptoms: diarrhea, abdominal cramps, mild fever, nausea, vomit, chills headache --- duration 2 – 3 days. 3.Therapy – non needed, antibiotic treatment gives no benefit. Eat yoghurt! 4.Carrier state for a few months from bacteria in ileum and colon. Adherence – mannose binding pili Receptor mediated endocytosis multiply intra-cellularly and released to lamina propera involvement of inflammatory cells and release of prostaglandins increase in c-AMP and diarrhea (usually not toxin associated like cholera, but a few have enterotoxins).
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Salmonella World Wide Clicker Question:
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Infective Dose
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Diagnosis, Treatment, Prevention Diagnosis: Symptoms, culture organisms from fecal sample.. and suspected food. Isolates sent to other labs (Food Net and Pulse Net) that use molecular methods of ID such as pulse- field gel electrophoresis of DNA fragments… pin points the source of the outbreak. Treatment: used to shorten course of disease and reduce the carrier state…but multiple drug resistant Salmonella is a significant clinical problem. Prevention: cook your food. Infected individuals are banned (in some states) from work as food handlers until their feces are negative for Salmonella on three separate cultures.
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E. coli can be both non-pathogenic and pathogenic. Normal human feces has 10 7 E. coli / gram Feces have ~ 10 12 bacteria / gram Is E. coli dominant ? How have some E. coli become pathogenic? There are several major types of E. coli pathogens =>
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This is STEC in your Text.
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