Food Science #2 - Final: Part One Flashcards
What is Salmonella?
- One of the leading pathogens/bacteria - naturally found on chicken and can be DESTROYED by cooking;
- Family= Enterobacteriaceae;
- Genus = Salmonella;
- Species = Enterica, bongori;
- > 2500 serotypes; S. enterica serovar Typhinimrium, S. enteritidis;
- Gram-negative, rod-shaped;
- Usually motile, pertricious (all over) flagella;
- Optimum growth temp 37C (body temp);
- Facultative anaerobic (no oxygen)
What is Gram-Negative?
-Thinner amount of peptadoglycan on the surface
What are the annual estimates of Salmonella?
- 1 million cases;
- 19,00 hospitalizations;
- 378 deaths;
- Estimated cost per case = $9000;
- *Leading cause of food borne ILLNESS and death!!
What are the leading Salmonella serotypes?
- Enteritidis = 22%;
- Newport = 14%;
- Tphimurium = `3%
What is the Salmonella-infectious dose?
- Generally 10^6 of cells;
- Some serotypes can be as low as 15-20cells
What is are the symptoms of of Human Salmonellosis?
- Gastroenteritis = abdominal pain, diarrhea, fever, nausea, vomiting, headache;
2 Systemic infection (all over the body) = arthritis, meningitis, bacteremia
What is the Treatment for Human Salmonellosis?
- Self-limiting, recover after 4-7 days with no antibiotics in HEALTHY individuals;
- Antibiotic lifesaving = Ciproflocicin and Ceftriaxone
What FOODS are reservoirs for Salmonella?
- Food animals (intestinal tracts of healthy animals) - cattle, chicken, turkey, pigs;
- Pet animals - reptiles, turtles
How is Salmonella transmitted?
- Animal feces (fecal-oral route);
2. Meat, poultry, eggs, milk, dairy (anything raw)
How can Salmonella be controlled?
- Reduced fecal contamination;
- Pasteurize eggs, milk, dairy;
- Competitive exclusion
What is Competitive Exclusion?
- Take feces from Salmonella-FREE birds and provide them to chicks through drinking water, spray inoculation;
- The competitive excision microflora establishes within hours and persists throughout life
What was the large Salmonella outbreak of 1985?
- Pasteurized milk mixed with raw milk, single plant (Illinois);
- S. enterica Typhinurium;
- 20,000 persons, 7 deaths
What was the large Salmonella outbreak of 1994?
- Ice cream mix (pasteurized) re-contaminated in tank truck used previously to ship liquid eggs;
- S. enterica Enteritidis;
- 200,000 persons in 21 states
What is E. Coli?
- Established in newborns gut in 4-12 months;
- Nearly 1% of gut bacteria, 10^6 cell per gram in human fecal matter;
- Most is BENIGN!
General characteristics of E. Coli?
- Enterobacteriacae;
- Straight, gram-neg, facultatively anaerobic, non-sporeforming rod;
- ~700 serotypes
E. Coli Pathotypes
- ETEC;
- EIEC;
- EAEC;
- EPEC;
- EHEC;
- STEC
ETEC
Enterotoxigenic = produces toxins in intestine
EIEC
Enteroinvasive = invades intestinal cells
EAEC
Enteroaggregative = forms clumps in intestine and produces toxins (non-invasive)
EPEC
Enteropathogenic = attaches to intestinal tract and causes inflammatory response
EHEC
Enterohemmorrhagic = produces toxins, can invade cells;
-Procudes Shiga Toxin = STEX
STEC
- Shiga toxin;
- O157:H7 — predominant in the US;
- *Major problem in the US;
- Over 100 STEC serotypes linked to human disease
How is E. Coli O157:H7 a problem in the US?
- An organism that has changed the US foot safety system;
- An emerging pathogen;
- 1992 = infected fast foods hamburgers lead to new laws for HACCP;
- Finding in new foods like produce;
- Zero tolerance in ground beef
What is the annual incidence of E. Coli O157:H7 in the US?
Estimated:
- 63,000 cases;
- 2, 000 hospitalizations;
- 20 deaths;
- $15,000 = cost per case
What are the major characteristics of E. Coli that make it so dangerous?
- LOW infectious dose, <10 cells;
- ACID tolerant (ex. apple juice);
- Resistant to environmental stress (long in H2O)
What are the severe dz. consequences of E. Coli O157:H7?
- HUS = Hemolytic Uremic Syndrome (kidney failure);
- TTP = Thromobotic Thromobocytopenic purpura (blood clotting, 90% fatality);
- Death;
* *Affects all age groups, most severe in young children
What are the resevoirs E. Coli O157:H7?
Ruminant animals = cattle, sheep, deer
*10% of cattle are carriers
What are E. Coli O157:H7 transmission vehicles?
1,. Undercooked ground beef;
- Fresh produce/sprouts;
- Unpasteurized juice and milk;
- Manure;
- Water (swimming)
What is the mode of transmission for E. Coli O157:H7?
- Ingestion of contaminated food;
- Contaminated water;
- Animal to person;
- Person to person;
What are the dz symptoms of E. Coli STEC (O157:H7)?
- Non-bloody diarrhea, asymptotomatic infection;
- Hemorrhagic colitis (HC);
- Hemolytic Uremic Syndrome (HUS) – kidney failure (5-10% fatal);
- Thrombotic thromobocytopenic purpura (TTP) – clotting (90% fatal)
- Death
How is E. Coli STEC treated?
-NO antibiotics – will INCREASE Shiga toxin and progression to HUS
What was the first major outbreak of E. Coli O157:H7?
1992: Jack-N-the-Box Hamburgers; -Washington, Idaho, California, Nevada; -195 hosp; 4 deaths; **One central processing location spread
What was the 2006 outbreak of E. Coli from Spinach?
- Pre-bagged spinach;
- 26 states;
- 205 cases;
- 31 HUS;
- deaths
- *37-74 million loss in Cali produce industry
How can E. Coli STEC be controlled?
- improved hygiene at farm;
- Pasteurize milk, juice;
- Meat irradiation;
- Proper cooking to at least 160
What bacterial infections have increased the most?
- Vibrio = 43%;
2. Campylobacter = 14%
What is the annual incidence of Campylobacter?
- 845,000 cases;
- 8460 hosp;
- Cost per case = $9000;
- Emerging foodborne pathogen!
What are the major characteristics of Campylobacter?
- THERMOPHILIC = 42C, prefers WARM;
- Minimum growth at 30C;
- Microaerophilic (low O2);
- Slow growing;
- FRAGILE - sensitive to heat, air, salt, drying, freezing, acids, etc = manufacturing and outbreak prevention!
What are the major types of Campylobacter?
- *C. jejuni & C. coli;
- LOW infectious dose (< 500 CFU);
- Mostly sporadic outbreaks;
- Reservoirs - POULTRY, cows pigs and other animals
What are the vehicles for Campylobacter?
- POULTRY = 50-70%;
2. Raw milk, untreated water, beef, pork, pets
What is Campylobacteriosis?
- Watery diarrhea, fever, abdominal pain;
- 2-5 day onset;
- lasts 7-10 days;
- 25% relapse;
- 1% mortality;
- Complications - Arthritis, HUS (kidney failure), Guillain-Barre Syndrome
What is Guillian-Barre Syndrome (GBS)?
- Acute inflammatory neuropathy
- Rare autoimmune dz (nervous system);
- *40% trigger by Campylobacter!;
- 5% die, 20% disabled
How is Campylobacteriosis treated?
- NO antibiotics;
- When used = Ciprofloxacin and erythromycin;
- Growing antibiotic resistance
What is the main control method for Campylobacter?
- Cook CHICKEN to proper temp = 165;
- Prevent cross-contamination;
- Use chlorinated water;
- Pasteurize milk
What is the annual incidence of Listeria Monocytogenes?
- *Estimated cost per case = $1.7 million!!;
- LEADING cause of foodborne DEATH;
- Zero-tolerance in RTE foods
What are the characteristics of Listeria?
- Psychotrophic = COLD-loving;
- Optimum growth at 37C (body temp);
- Range = 1-45C (can survie refrigeration/freezing);
- RESISTANT to environmental factors (freezing, drying, heat, salt);
- Found everywhere in environment;
- 37 mammals, (5-10% humans), 17 birds, some fish/shellfish
What Serovars of Listeria cause most outbreaks?
- Mostly sporadic cases;
- Serovars = 1/2a. 1/2b, 4b = 30-50% of sporadic cases worldwide
- *All major US outbreaks
What are the Transmission Vehicles of Listeria?
- Recontaminated RTE foods after cooking and before packaging;
- Raw milk;
- Contaminated fruits and veggies;
- Infected animals
What is Listeriosis?
- NOT characterized by unique symptoms = Flu-like and complications leading to death;
- High case-fatality rate (20-30% overall);
- LONG incubation time (4-70 days) = hard to track sources;
- HIGH risk for susceptible populations = PREGNANT WOMEN
How does risk of Listeriosis vary in populations?
- Healthy people = infectious dose may be 1 bilion;
- High risk groups = very low
- -Pregnant women = 20x more likely to be infected;
- -AIDS = 300x more likely to be infected
* Can assumed HEALTHY can ingest Listeria without problems
Symptoms of Listeria in HEALTHY ADULTS
S = fever, aches, GI problems; O = usually no problem
Symptoms of Listeria in PREGNANT
S = Flu-like, premature delivery, still birth; O = Danger to FETUS
Symptoms of Listeria in NEWBORNS
S = MENINGITIS, pneumonia; O = 80% mortality
Symptoms of Listeria in IMMUNOCOMPORMISED
S = MENINGITIS, and septicemia; O = 40% mortality
How is Listeriosis treated?
- Prompt antibiotics;
- DEATH may still occur with antibiotics
What was the first known outbreak of Listeriosis?
- Nova Scotia, 1981;
- 41 infected;
- 34 % mortality
What was the largest outbreak of Listeriosis in the US?
- Cantaloupe, 2011l
- Northeastern US;
- 147 infected;
- 29% mortality
What was the outbreak of Listeriosis from hot dogs?
- Hot dogs, 1998-9,;
- MULTISTATE;
- 101 infected;
- 21% mortality
What are the critical issues associated with Listeria?
- Ubiquitous = everywhere in environment;
- Grow at fridge temps (slow);
- Hard to kill;
- HIGH mortality in fetuses, newborns, and pregnant women and immunocompromised, overall 20-30%
- INTRACELLULAR survival = no antibodies produced moving from cell to cell
How does Listeria infection occur at Food Processing Plants?
- Entry mostly through SOIL on shoes, equipment (deli slicers), raw plants, raw animal products, human carriers;
- Most isolated in processing areas like floor drains, and equipment surfaces ;
PREVENTION = good hygiene, clean surfaces, no cross contamination