Food Safety

Question 1

roles and responsibilities of the clinician in food borne illness?

Answer 1

• notify health department by telephone
• complete form
• test specimens
• cooperate with health department

Question 2

roles and responsiblities of public health in food borne illness?

Answer 2

• surveillance
• investigation
• report to state and CDC

Question 3

What are the most common pathogens for illness?

Answer 3

norovirus
salmonella
clostridium perfringens
camplyobacter
staphylococcus aureus

Question 4

• food prepared by infected workers; can remain on surfaces
• incubation:12-48 hours
• symptoms: stomach flu
• dx: based on symptoms or stool sample
• tx: rest, fluids
• reportable: category I

Answer 4

Norovirus

Question 5

• raw and undercooked eggs, poultry and meat
• sx:diarrhea, fever, cramps, vomiting
• dx: stool sample test
• tx: fluids, rest; severe infections: IV fluids, antibiotics
• reportable: category II

Answer 5

salmonella

Question 5

• raw and undercooked eggs, poultry and meat
• sx:diarrhea, fever, cramps, vomiting
• dx: stool sample test
• tx: fluids, rest; severe infections: IV fluids, antibiotics
• reportable: category II

Answer 5

salmonella

Question 6

• raw &undercooked poultry, unpasteruized milk, water
• sx: diarrhea, cramps, fever, and vomiting, possibly bloody diarrhea
• duration 2-10 days
• dx: detected in stool, body tissue or fluids
• tx: rest and drink plenty of fluids, antibotics, antidiarrheal meds

Answer 6

campylobacter

Question 7

• bacteria found on skin, hair, noses and throats; killed by cooking and pasteruization
• sx: nausea, vomiting, diarrhea, loss of appetite, severe abdominal cramps, mild fever
• dx: tissue sample, nasal secretions
• tx: fluids, antibiotics

Answer 7

staphylococcus aureus

Question 8

• undercooked beef, raw milk and juice, soft cheeses
• sx: severe diarrhea, severe abdominal pain and vomiting, nor or low grade fever
• mild and self limited- no antibiotics
• reportable: category II

Answer 8

E.coli

Question 9

• can grow in cold temperature
• sx: fever, stiff neck, confusion, weakness, vomiting, sometimes proceded by diarrhea
• days to weeks
• dx: bacteria culture grows from blood, spinal fluid or the placenta
• tx: ampicillin
• reportable: Category II

Answer 9

Listeria monocytogenes