Rationale
Chain of infection
Routes of disease transmission
CDC and OSHA
Spauldings classification
Sterilization protocol
Methods of sterilization-physical and chemical agents
New methods of sterilization
Sterilization of scaler handpeice and inserts
Infection control
Infectious diseases commonly encounterd in dentistry
Medical history and dental safety
Immunization of personnel involved in dental care
Infection control practices
Hand hygiene
Personal protective equipments
Surface barriers
Waste management in dental practice
Cdc guidelines-special considerations
Rationale
Chain of infection
Routes of disease transmission
CDC and OSHA
Spauldings classification
Sterilization protocol
Methods of sterilization-physical and chemical agents
New methods of sterilization
Sterilization of scaler handpeice and inserts
Infection control
Infectious diseases commonly encounterd in dentistry
Medical history and dental safety
Immunization of personnel involved in dental care
Infection control practices
Hand hygiene
Personal protective equipments
Surface barriers
Waste management in dental practice
Cdc guidelines-special considerations
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Mycobacterium is a genus of Actinobacteria, given its own family, the Mycobacteriaceae. Over 190 species are recognized in this genus. This genus includes pathogens known to cause serious diseases in mammals, including tuberculosis (Mycobacterium tuberculosis) and leprosy (Mycobacterium leprae) in humans.
Infection control in dental clinic and management of sterile and contaminated...Arun Mangalathu
Sterilization , Disinfection and management of Instruments in dental clinic, Lecture delivered by Dr Arun George for indian Dental Association ,Malanadu branch during dental Assistance training programme
presentation on the most frequently encountered dental healthcare associated infections, including control measures; intended to be used as a support for students in dental medicine (second year of study)
Autoclave, types of autoclave, horizontal autoclave, vertical autoclave, vacuum type autoclave, pressure cooker type autoclave. their purpose, precaution, etc....
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Mycobacterium is a genus of Actinobacteria, given its own family, the Mycobacteriaceae. Over 190 species are recognized in this genus. This genus includes pathogens known to cause serious diseases in mammals, including tuberculosis (Mycobacterium tuberculosis) and leprosy (Mycobacterium leprae) in humans.
Infection control in dental clinic and management of sterile and contaminated...Arun Mangalathu
Sterilization , Disinfection and management of Instruments in dental clinic, Lecture delivered by Dr Arun George for indian Dental Association ,Malanadu branch during dental Assistance training programme
presentation on the most frequently encountered dental healthcare associated infections, including control measures; intended to be used as a support for students in dental medicine (second year of study)
Autoclave, types of autoclave, horizontal autoclave, vertical autoclave, vacuum type autoclave, pressure cooker type autoclave. their purpose, precaution, etc....
ABSTRACT- Some Lactobacillus species (L. acidophilus, L. casei and L. plantarum) were isolated from locally fermented products (ogi, fura de Nunu and wara) and their effect on microbial infections caused by some pathogenic bacteria (E.coli, K. pneumoniae, Pseudomonas aeruginosa and Staphyloccoccus aureus) isolated from urine and high vaginal swab samples were studied using standard micriobiological methods.Fifiteen (15) healthy guinea pigs used for the study were divided into three (3) groups of five (5) guinea pigs each and placed in three (3) different cages. The pigs were initially fed for two (2) weeks (acclimatization period) with conventional feeds before administering the treatment. Lactobacillus species were introduced into the guinea pigs in cage 2 after the acclimatization period. Subsequently, the guinea pigs in cages 1 and 2 were orally infected with all the clinical bacteria pathogens while the guinea pigs in cage 3 which served as control were left with no microbial treatment. Ten (10) days after treatment, the packed cell volume (PCV), haemoglobin concentration (HBC), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) activity level were determined. Striking differences were observed from guinea pigs in the different cages. The effectiveness of Lactobacilli (probiotics) was evident when the guinea pigs in cages 1 and 2 were compared. The guinea pigs in cage 1 which were infected with pathogens but no probiotics had lower blood level (mean PCV= 24.8%) and inferior liver condition (mean ALT=58.18µl; mean AST=51.91µl). Higher blood level (Mean PCV=45%) and superior liver conditions (Mean ALT=9.51µl; mean AST=9.7µl) were obtained for guinea pigs in cage 2 which were infected with the same pathogens and fed with probiotics. The control (cage 3) had the highest PCV level and best liver conditions (mean PCV=46.6%, means ALT= 7.65µl; mean AST=11.83µl).Th .This might be attributed to the fact that they were not infected with pathogenic organisms. Lactobacillus species administered are promising probiotics against the tested bacterial pathogens.
Keywords: Lactobacillus species, Guinea pig, Bacteria pathogen, Enzymes assay, Haematological Parameters, Probiotics
Public Health Implications of Locally Femented Milk (Nono) and Antibiotic Sus...IJLT EMAS
The study is to determine the PH and moisture content
of Nono sold in Port Harcourt , the prevalence of Pseudomonas
aeruginosa in Fura da nono and finally the antibiotic resistance
pattern of Pseudomonas aeruginosa isolated from the fermented
products. nono samples were purchased from Borikiri in
portharcourt township. A total of 20 samples were assessed to
determine their microbiological quality and to conduct antibiotic
susceptibility test. Moisture content and pH of the samples were
also assessed. Enumeration of the total viable bacterial count
(TVBC), Total coliform count (TCC) and Total Pseudomonal
count (TPC) were also assessed to determine the sanitary quality
of the product. The PH ranges between 2.99 to 3.89 while the
moisture content ranges between 80% to 88%. The result
obtained from the microbial culture indicated that a wide array
of microorganism were present in Fura da nono including species
of Bacilu, klebsiella, Pseudomonas Staphylococcus aureus,
Streptococcus, Lactobacillus and Escherichia coli.. The highest
TVBC, TCC and TPC were 9.8x103
cfu/ml, 10x103
cfu/ml and
9.7x103
cfu/ml respectively. Antibiotic susceptibility was
conducted using 12 broad spectrum antibiotics and compared
against a standard provided by the Clinical laboratory standard
institute (CLSI). Gentamycin, Ofloxacin and Levofloxacin
recorded 100% resistance , while Cotrimoxazole, Ciprofloxacin,
Vancomycin, Nitrofurantoin, Norfloxacin and Azithromycin
recorded 100% susceptibility as indicated by the complete clear
zone of inhibition.It was discovered that the absence of
regulatory agencies like National Agency for Food Drug
Administration and Control (NAFDAC) in the regulation of the
quality of the product was the cause of the high contamination,
since there were no quality control measures in its production
line .It was recommended that NAFDAC should provide a
standard operating procedure for local food producers and
should include them in their scope for regulation.
Classification of food-borne diseases refers to the categorization of illnesses caused by consuming contaminated food or beverages. There are different classification systems used to categorize food-borne diseases, but most commonly, they are classified based on the causative agent.
Food-borne diseases can be caused by various microorganisms such as bacteria, viruses, parasites, and toxins. Some of the common food-borne illnesses caused by bacteria include Salmonella, Campylobacter, and Escherichia coli (E. coli) infections. Viral infections such as norovirus and hepatitis A can also be transmitted through contaminated food or water. Parasitic infections such as giardiasis and cryptosporidiosis can be caused by consuming contaminated food or water.
The classification of food-borne diseases is important for identifying and understanding the different types of pathogens that cause food poisoning. This knowledge can help in the prevention and management of food-borne illnesses through proper food safety practices, surveillance, and treatment.
Classification of food-borne diseases refers to the categorization of illnesses caused by consuming contaminated food or beverages. There are different classification systems used to categorize food-borne diseases, but most commonly, they are classified based on the causative agent.
Food-borne diseases can be caused by various microorganisms such as bacteria, viruses, parasites, and toxins. Some of the common food-borne illnesses caused by bacteria include Salmonella, Campylobacter, and Escherichia coli (E. coli) infections. Viral infections such as norovirus and hepatitis A can also be transmitted through contaminated food or water. Parasitic infections such as giardiasis and cryptosporidiosis can be caused by consuming contaminated food or water.
The classification of food-borne diseases is important for identifying and understanding the different types of pathogens that cause food poisoning. This knowledge can help in the prevention and management of food-borne illnesses through proper food safety practices, surveillance, and treatment.
Some viruses cause food borne disease, they are-
Hepatitis A virus
Norwalk virus
Rotavirus
In this presented we included some food borne viruses and their history, infectivity, pathogenecity, lab diagnosis and treatment.
Presentation 5: Review of vibriosis in shrimp farming prior to EMS and risk m...ExternalEvents
http://www.fao.org/documents/card/en/c/28b6bd62-5433-4fad-b5a1-8ac61eb671b1/
International Technical Seminar/Workshops on Acute hepatopancreatic necrosis disease (AHPND)
Key Features of The Italian Restaurants.pdfmenafilo317
Filomena, a renowned Italian restaurant, is renowned for its authentic cuisine, warm environment, and exceptional service. Recognized for its homemade pasta, traditional dishes, and extensive wine selection, we provide a true taste of Italy. Its commitment to quality ingredients and classic recipes has made it a adored dining destination for Italian food enthusiasts.
Roti Bank Hyderabad: A Beacon of Hope and NourishmentRoti Bank
One of the top cities of India, Hyderabad is the capital of Telangana and home to some of the biggest companies. But the other aspect of the city is a huge chunk of population that is even deprived of the food and shelter. There are many people in Hyderabad that are not having access to
Ang Chong Yi Navigating Singaporean Flavors: A Journey from Cultural Heritage...Ang Chong Yi
In the heart of Singapore, where tradition meets modernity, He embarks on a culinary adventure that transcends borders. His mission? Ang Chong Yi Exploring the Cultural Heritage and Identity in Singaporean Cuisine. To explore the rich tapestry of flavours that define Singaporean cuisine while embracing innovative plant-based approaches. Join us as we follow his footsteps through bustling markets, hidden hawker stalls, and vibrant street corners.
Piccola Cucina is regarded as the best restaurant in Brooklyn and as the best Italian restaurant in NYC. We offer authentic Italian cuisine with a Sicilian touch that elevates the entire fine dining experience. We’re the first result when someone searches for where to eat in Brooklyn or the best restaurant near me.
At Taste Of Middle East, we believe that food is not just about satisfying hunger, it's about experiencing different cultures and traditions. Our restaurant concept is based on selecting famous dishes from Iran, Turkey, Afghanistan, and other Arabic countries to give our customers an authentic taste of the Middle East
1. Group members:
Viruses and Some Other Proven and Suspected
Foodborne Biohazards
Groups 10B
Name Matrix numbers
NURSYAHIRAH BT MD SANI UK29035
NUR NATJWA FATIHAH BiNTI RAMLAN UK28984
SITI NORAIDA BINTI JASMANI UK30010
NURUL WAHIDATUL FATIMAH BINTI
AZEMI
UK24924
2. Viruses
4 types of incidence viruses in foods :
Being obligate parasites
- Do not grow on culture media as bacteria and fungi
- Methods of its cultivation consists tissue culture and chick embryo
technique
Viruses do not replicate in foods
- Their numbers may expected relatively low compared to bacteria
- Extraction and concentration methods necessary for their recovery.
Laboratory virological techniques are not practiced in many
food microbiology laboratories
Not all viruses of potential interest to food microbiologist can
3. Development of reverse transcription-polymerase chain reaction (RT-
PCR) is a detection methodology.
It has allowed direct detection of some foodborne viruses in oyster and
clam tissue.
This efficacy of RT-PCR technique to detect viruses in foods has been
demonstrated by a number of researcher:
- In 1 study, 4 concentration and extraction methods were compared for
recovery of added astrovirus, hepatitis A and poliovirus from
mussels, the glycine solutions and borate buffer methods were found
to be best.
5. As stated by Cliver et al. noted that virtually any food can serve as a vehicle
for virus transmission, and they have stressed the importance of anal-oral
mode transmission especially for viral hepatitis of food origin.
Nonintestinal bacteria of human origin are sometimes found in foods, the
same may be true virus. But because of their tissue affinities , food would
serve as vehicles only for intestinal or enteroviruses.
6. Incidence in Foods and
Environment
Common food source of gastroenteritis-causing viruses is shellfish.
Crustaceans do not concentrate viruses, molluskan shellfish do
because they are filter feeders.
Shucked oyster artificially contaminated with 10^4 pfu of a
poliovirus retained viruses during refrigeration for 30-90 days with a
survival rate 10-13%.
8. Coliform index is proven value as an indicator of
intestinal bacterial pathogens in waters
It appears to be inadequate for enteroviruses, which
more resistant to adverse environmental conditions
than bacterial pathogens.
In a study, enteroviruses were found 35% of time in
waters that met acceptable standards for shellfish
harvesting.
Investigators concluded that coliform standard for
waters does not reflects the presence of virus.
9. With capacity of certain viruses to persist in foods, it
shown that enteroviruses persisted in ground beef up to 8
days at 23°C or 24°C. They were not affected by the
growth of spoilage bacteria
In study in 14 vegetables samples for existence naturally
occurring viruses, none were found.
But when coxsackievirus B5 inoculated onto vegetables
it did survive at 4°C for 5 days.
Latter investigators in US examined 60 samples of
market foods but were unable to detect any. They
concluded that viruses in the US food supply are very
low.
11. Distruction in Foods
The survival of hog cholera (HCV) and African
swine fever viruses (ASFV) in processed meat
was studied by McKercher et al.
From partly cooked canned ham were prepared,
virus was not recovered. They recovered after
brining but not heating.
HCV were survived when the addition of curing
ingredients and retained viability even after 22
days.
12. The boiling of crabs was found sufficient to kill 99.9%
of poliovirus 1 and rotavirus and echovirus were
destroyed within 8 minutes.
African swine fever viruses Hog cholera (HCV)
13. Hepatitis A Virus
Prior to 1990s, there were more documented
outbreaks of hepatitis A traced to foods than any
other viral infections.
The virus belongs to family Picomaviridae as do
polio, echo and coxsackie viruses and all have
single-stranded RNA.
Fecal-oral route is the mode of transmission.
Raw or partially cooked shellfish from polluted water
14. Largest foodborne outbreak of hepatitis A recorded
in US occurred in November 2003.
Vehicle foods that caused this foodborne was
imported green onions (scallions) served by fast food
restaurant chain.
In 2001, an outbreak of >46 cases occurred in
Massachusetts.
It associated with the consumptions of sandwiches.
3 death600 victims
15. Noroviruses
Former Norwalk, Norwalk-like and small-round-
structured viruses (SRSV) have been placed in
this group as genus Norovirus of human
caliciviruses (HuCV).
Norovirus in 2 genogroups:
- I
- II
16. Genogroups I Genogroups II
•Former Norwalk •Former Snow Mounain viruses
Similarities
• They are unenveloped
• ssRNA with a diameter of 27-40 nm
• Their genome consists of 7300 to 8300 base pairs
17. Norwalk virus was first recognized in a school
outbreak in Norwalk, Ohio in 1968.
Water was suspected but not proven as the
source.
It is the most prevalent of the noroviruses in
foods.
The virus is more resistant to destruction by
chlorine than other enteric viruses.
About 3.75 ppm chlorine in drinking water failed
to inactivate the virus. Whereas poliovirus type 1
19. Norovirus are now the leading cause of
gastroenteritis in US with an estimated 23
millions cases per year
During fall 2001, a rare waterborne outbreak of
norovirus gastroenteritis occurred in state of
Wyoming. There were around 84 victims.
Ground water was contaminated with sewage. It
was the source of human HuCV
20. Rotaviruses
First demonstration of the virus in 1973 in
Australia. First propagated in laboratory in 1981.
6 groups been identified. 3 known to be
infectious for human.
Group A:
- Among infants
- Young children throughout the world.
21. Group B:
- Diarrhea in adults (been seen only in China)
Rotaviruses belong to family Reoviridae.
Characteristics:
- 70nm in diameter
- Nonenveloped
- Contain double stranded RNA(dsRNA)
Fecal oral route is the primary mode of transmission
22. Noroviruses Vs. Rotaviruses
Noroviruses Rotaviruses
They are
unenveloped
ssRNA with a
diameter of 27-40 nm
Their genome
consists of 7300 to
8300 base pairs
- Nonenveloped
- 70nm in diameter
- Contain double
stranded
RNA(dsRNA)
23. Peak season for infection occurs during winter
months.
Most susceptible are children between ages of 6
months and 2 years.
Incubation period for rotavirus gastroenteritis is 2
days.
24. Symptoms:
- Vomiting for 3 days accompanied by water
diarrhea for 3-8 days
- Often abdominal pain
- Fever
The host cell receptor protein for rotavirus serves
as β-adrenergic receptor. Once inside cells, they
transported to lysosomes where uncoating
occurs.
27. Yellow pigmented Enterobacter cloceae – cause of
neonatal necrotizing enterocolitis,neonetal meningtis and
sepsis
Although it considered to be an opportunistic pathogen-
some strains produce enterotoxin-lethal to suckling mice
Vehicles – milk formulas
- infant formulas – contain Citrobacter freundii cause
neonatal infection
From 18 studies, 4 of them stated that E. sakazakii
strains produce enterotoxin
All 18 isolates were lethal to suckling mice at 10^8
cfu/mouse and 2 were lethal by peroral route
Suckling mice- potential virulence is manifested by
monolayers of CHO, Vero and Y-1 adrenal cells.
Infant mortality rates – 40%-60%
In belgium 2 infants died- from unused prepared formula &
28. Studies of enteric bacteria
From 141 powdered milk
formulas
25% Pantoea agglomerans
21% E.cloaceae
14% E.sakazakii
• studies of 120 dried infant
formulas in Canada
- 6.7% contain E.sakazakii
ISOLATED Test
minimum growh T : 5.5- 8 ˚C
Max growth T : 41 -45˚C
No growth at 4 ˚C
• THERMAL RESISTANCE of
E.sakazakii >most Gram
negative bacteria
Stationary phase of E.sakazakii is more
resistant to osmotic and dry stress than
E.coli and some other bacteria.
29. POISONING
What is scombroid poisoning?
Foodborne illness/allergic resulting from a
contaminated fish that contain high amount of
histamine (eg: tuna, mackerel etc..etc..etc)
• How histamine produced?? Does anyone here know?
- Bacterial decarboxylation of generally large amount of histidine in
musle (reported caused by sailfish – non-scombroid)
- May also from product which is organoleptically unacceptable –
contracted from both fresh and organoleptically spoiled fish.
30. ETHIOLOGICAL OF HISTAMINE-ASSOCIATED
(SCOMBROID)
POISONING
Bacteria associated :
1. Morganella spp.
- M. organii – all starins
produce histame
>5000ppm
- Isolate from
temperature-abused
albacore produced
5253ppm in tuna fish (
25˚C) and 2769 ppm
(15 ˚C)
- 4˚C – no growth or
production of histamine
2. P. phosphoreum –produces
histamine at <10 ˚C
Others that lead to histidine
decarboxylation
i. Raoulella planticola and R.
ornithinolytica
ii. Hafnia alvei
iii.Citrobacter freundii,
iv.Clostrodium perfringe
v. Enterobacter aerogenes
vi. Vibrio alginolyicus
vii. Proteus spp
SKIPJACK TUNA which spoiled at….
ROOM T
31% of bacteria isolates
produced from 100-400mg/dl of
histamine in broth
Strong histamine formers –
M.morganii, Proteus spp and
Raoutella sp.,
Weak – H. alvei & Proteus spp.
SEAWATER (38 ˚C )
31. ETHIOLOGICAL OF HISTAMINE-ASSOCIATED
(SCOMBROID)
POISONING
Anchovies (ikan bilis)
A strain isolated- M.morganii
produce 2377 ± 350 ppm
histamine in a culture
medium at 37 ˚C for 24Hrs
that Strain produce
putrescine and cadaverine
• Tuna sashimi
- K.Pneumoniae recovered
– produce 442 mg/dl
histamine in tuna fish
infusion broth
Syndrome associated with
other than scombroid fish
- cheeses including swiss
cheese- 187 mg-dl
hitamine
• Syndrome outbreak : 30 mins –
OUTBREAK REPORT to CDC
1972 – 1986 178 with 1096
cases no death
Hawaii 51
California 29
New York 24
• OUTBREAK FROM FOOD
Mahi-mahi 66
Tuna 42
Bluefish 19
• Normally fresh fish contain 1mg/dl
histidine
BUT some may contain until 20
mg/dl (can cause symptom in some
individual)
• FDA hazardous for tuna 50 mg/dl
toxic fish product is unsafe
32. ETHIOLOGICAL OF HISTAMINE-ASSOCIATED (SCOMBROID)
POISONING
Nomograph constructed
over the tenperature
range 70 – 100 F –
underscoring low T to
control histamine-
producing bacteria
Histamine content can be
estimated in skipjack tuna
if incubation time and
storage T is known
Incubatio
n
Time
Storage
Temperatu
re
Histamine
content
46hours 70 F 100mg/dl
23 hours 90 F 100mg/dl
17 hours 100 F 100mg/dl
33. ETHIOLOGICAL OF HISTAMINE-ASSOCIATED
(SCOMBROID)
POISONING
FACTORS OF GROWTH
SYNDROME ( minutes 3
Hours)
Low pH – but occurs if
below the T of fridge
Lowest T for
production of
significant
levels30˚C
H.alvei, C.freundii,
E.coli
15 ˚C – two strains
M.morganii
Flushing of face and neck
Feeling of intense heat
General discomfort
Diarrhea
Flushthrobbing headache
Dizziness
Itching
Faintnes burning of mouth and
throat
Inability to swallow
Min cause symptom: 100 mg/dl
Cause by M.morganii : 50
mg/dl
34. ETHIOLOGICAL OF HISTAMINE-
ASSOCIATED (SCOMBROID)
POISONING
50 incident in Great
Britain (1976-1979)
19 incidents in 1979
Vehicles : canned
&smoke mackerel with
bonita,sprats and
pilchards – one
outbreak each
Common symptom:
dirrhea
Hudson and Brown
believes the evidence
doesn’t favor histamine
per se as the agent
responsible for the
syndrome suggest
synergistic relationship
histamine & other– yet
unidentified agent
Based on inability of
large oral doses og
histamine and
histamine-spiked fish to
produce symptoms in
35. Aeromonas
Several sp. Often found in
gastrointestinal specimen
i. A. caviae – entrotoxin
identified
ii. A. hydrophilia – entrotoxin
identified
iii. A. eucrenophila
iv. A. schubertti
v. A.sobrian
vi. A. veronii
• Aeromonas basically aquatoc forms-
but precise role in etiology in
gastrointestinal specimens is not
clear
A. hydrophilia
Found salt water > fresh water
Common member of the biota
of pigs
Significant pathogen
Aligator
Fish
Turtles
Frogs
Snails
Human
Effect :
i. diarrhea
ii. Endocarditis
iii. Meningtis
iv. Soft tisue infection
v. bacteremia
Associated
with
diarrhea
36. Aeromonas
Virulent strains of A.hydrophila
produce 52 kDa single
polypeptide possesses
enterotoxic, cytotoxic and
hemolytic activities
Multifunctional molecules
displays immunological cross
reactivity with cholera toxin
InvestigatorsIt is actually
resembles aerolysin
Aerolysin – pore/ channel
forming toxin kill cells by
formring discrete
Channel created by
oligomerization of toxin molecule
Cytotonic activity associated with
A.hydrophila toxin
induced rounding and
steroidgenesis in Y-1 adernal
cells
Positive respons in the rabbit
ileal loop, suckling mouse and
CHO assays
37. A.hydrophila
Was isolated from various sources
69% from 96 produce cytotoxins
Isolated from diarrheal disease victims- 80% from 40 toxigenic
Only 41% non-diarrheal positive for cytotoxin production
Most enterotoxigenic starins are VP (Voges-Proskeur test) & haemolyisn
positive and arbinose negative produce postive responses in suckling
mouse, Y-1 aderenal cells assay and rabbit ileal loop assays
• FROM 147 isolates from patient of diarrhea,
91% were enterotoxigenic
70% of 94 enviromental strains produced hemolysis of rabbit red blood
cells
From 116 isolates Chesapeake Bay
71% were toxic by the Y-1 adrenal cell assay,
Toxicity correlated with lysine decarboxylase and VP reactions
• Another study- 48 of 51 cultures from humans, animals, water and sewage
produce positive responses in rabbot ileal loop assays with or more
cells, and cell-free extracts from all were loop positive
38. A.hydrophila
Isolation from meat and meat
products
Shown to possess biochem markers that are generaly
associated with toxic strains of other species
Mouse median lethal dose being log 8-9 cfu for
most strains tested.
Latter investigation suggested – the possibility
immunosuppressive states are important factors in
food-associated infections by this organism-explain the
difficulty of establishing this organism as the sole
etiological agent of foodborne gastroenteritis
39. A.hydrophila
GROWTH TEMPERATURE HABITAT
7 of 13 growth at 0-5˚C
4 of 13 growth at 10 ˚C
1 at minimum 15 ˚C
Psychrotrophs had optimum
growth between 15 ˚C and 20 ˚C
growth T for some strains
• Optimum (35 ˚C )
• Max( 40-45 ˚C)
Was found in all
12 of 147 lotic and lentic habitats
Hypersaline lakes and geothermal spring
did not yield the organism
Water- may contain until 9000/ml
Ecological study in Chesapeake Bay
Water column - < 0.3/1-5 x /ml
Sediment – about 4.6 x /ml
• Presence of A.hydrophila supported by
Total bacterial counts
Aerobic bacterial counts
Viable bacterial counts
Heterotrophic bacterial
counts
Inversely related
• Dissolved in Oxygen and
salinity
40. Plesiomonas
P. shigelloides found in
water surface
Soil
Aquatic animals
(fish,shellfish,etc…)
Terrestrial meat animals
• Content of G+C DNA
differs from
A.hydrophila
51% (Plesiomonas)
58-62% (A.hydrophila)
Isolated from diarrhea patient
Associated with general
infection
Produce heat –stable
enterotoxin
Produce serogroup 0:17 strains
react with Shigella group D
Study of 16 strains of
P.shigelloides from human
with intestinal illness
Did not always bind Congo red
Non-invasive in Hep-2 cells
Did not produce Shiga-like toxin
on Vero cells
Low-level cytolysin was produce
consistently-mean for
outbread Swiss mice was 3.5 x
cfu
No production of heat –stable
enterotoxin for 16 strains
Conclusion : organism possess
low pathogenic potential
41. P. shigelloides
Recovered from stools of 6
diarrheal patients believe to be
the etiological agent althought
salmonella also recovered from 2
patients.
Two outbreaks of acute diarrheal
disease occurred in Osaka THE
ONLY bacterial pathogen recovered
was P. shigelloides .
1973 outbreaks
: 978 from 2141 persons became
ill symptoms lasted 2-3 days
88% diarrhea
82% abdominal pain
22% fever
13 % headache
: from 124 stools
examined 21 yields P.
shigelloides 017:H2 same
serovar was recovered from tap
water
- 1974 outbreaks
: 24 from 35 persons Ill with similar
symptom to those noted before
: P. shigelloides 024:H5 recovered
from 3 of 8 stools “virtually in pure
culture” recovered from 39% of
342 water and mud sample, aquatic
and newts
• A patient contracted gastroenteritis
take 1 tablet of trimethoprim-
sulfadiazine P.shigelloides recovered
from blood
She passed up to 10 water stools daily
39 ˚C
• Noted that some previous patiens
were immunocompromised or
presented with similar conditions
• Isolated strains reacts with
S.dysenteriae serotype 7 antiserum,
placing it in O group 22 of
P.shigelloides
42. Growth P. shigelloides
Obserbed at 10 ˚C
In 59% of 59 fish from Zaire water
Organism content in River fish > lake fish
Appear not to produce enterotoxin only 4 from 29
isolates produced +ve response in rabit ileal loops
No record of foodborne cases but resulting in two
outbreaks.
43. Bacteroides fragilis
Obligately aerobic
Gram –ve produces an ileal loop-
positive enterotoxin potential
significance of foodborne disease
associated with diarhhea
1984 enterotoxin first
demonstrated
1987 enterotoxin strains of B.
fragilis were first associated with
human diarhhea.
B. fragilis estimated to constitute
between 1% - 2 % of human
intestinal biota
non-pore former, more sensitive to
aerated environment than clostridia ,
yet has been recovered from
municipal sewage
can grow in the presence of 20% bile
Produced as single chain MW
20KDa
Differs from the classical bacterial
enterotoxin belonging to class of
zinc-binding metalloprotease,
designated metzitcins
Enterotoxins has wide range of
protein substrates undergoes
autodigestion
Intestinal damage beliced to be due
to its proteolytic action
Elicits a positive response in ileal
loops of lambs and others
Etiological agents – only 50%
identified as foodborne outbreaks in
US previously recognize agents
need to be included
B.fragilis, Klebsilla pneumoniae and
Enterobacter clocae warrant more
attention 2 organisms produce
heat-stable enterotoxins that similar
with E.coli
Their potential in food noted
44. Erysipelothrix rhusiopathiae
Phylogenetically closely related to
Listeria cause disease in :
Human erysipeloid
Localized disease of hand and arms of
handlers of fresh meat and fish-
systematic involvements unknown
Animal ( swine ) erysipelas
Characterised by diamond-skin lesions
similarities make it to be logic as
foodborne pathogen
• It is facultative anaerobes
catalase –ve
Oxidase -ve
Produce Hydrogen Sulphide gas
At least 23 serovars are known the
only other species is E.tonsillarum
(separated by habitat of porcine tounges
and different serovars)
STUDY
1982 135 sample consists
of equal number of chicken,
beef and pork.
Found E.rhusiopathiae in:
- 36% pork
- 13% chicken
- None in beef
• In a plant, 54% of pork loins
+ve, many isolates possess
mouse virulance
• 112 sample retail pork in japan
- 34% contained this bacterium
- 14 from 38 isolates represents
serovars
45. Erysipelothrix rhusiopathiae
STUDY
MEAT SAMPLE in Japan
Contain this organism:
44 % of 93 wild boar
50 % of deer
Representing 13 serovars
• Chicken Sample in Japan
(750 samples)
- 15.7 % of skin samples
- 59.2 % of 179 feather samples
E.rhusiopathiae
represents 273 of 297
isolates
RemainderE.tonsillarum
Other study of 153 chicken
in Japan:
30% contain Erysipelothrix
spp. with 65 of 67 is E.
rhusiopathiae
46. Klebsilla pneumoniae Streptococcus iniae
Symptoms felt 6 hours
after consuming burger
by a patient
Organisms along with
generic E.coli was
isolated from leftover
burger and patient blood
Burger and blood match
in cultural methods
• Strain of K. pneumoniae
was LT+ and ST-
• Coliform in leftover
hamburger was 3.0 x
/g and 1.9 x /g in bun
6 human infections-traced to a fish product
1972- cause disease in Amazon dolphins
1986 – cause disease in tilapia and trout at
Israel
- Taiwan & US was next
1991 – first human case in Texas
1994 – second in Otawwa
1995-1996 -4 human cases (Ontario,
Canada)
Organisms isolated from fish( tilapia
from US fish farms) and patients
• Appears to be fish pathogen- cause disease in
human
-Ontario case organisms entered
body through hand lesions
•Beta-hemolytic in sheep blood
•Produce fulminant soft tissue infections in
human
48. Prion
Are unique proteins that can convert other
proteins into damaging ones by causing them to
alter their shape.
Normal cell prion protein (PrP) exists in the brain
cell membrane.
It carries out some vital functions and is then
degraded by proteases.
This normal PrP cell is protease sensitive so it does
not accumulate.
49. The pathogenic form(PrPSc )is
distorted
is resistant to proteases
it accumulates in brain tissue
and gives rise to diseases.
It has been postulated >
Distorted prion molecule act as
template > Converts normal
protein to distorted form.
Normal protein (α-helical form)
takes on protease-resistant β-
flat form when it become
pathogenic.
Pathogenic forms tend to
aggregate into amyloid fibrils
where they cause nerve cell
degeneration, it leads to clinical
50.
51. Transmissible Spongiform
Encephalopathies (TSEs)
TSE’s are a family of rare
progressive
neurodegenerative
disorders that affect both
humans and animals
They are distinguished by
long incubation periods,
characteristic spongiform
changes associated with
neuronal loss, and a
failure to induce
inflammatory response
52. Bovine spongiform
encephalopathy (BSE)
BSE also known as “mad cow disease”.
BSE is a progressive neurological disorder of cattle
that results from infection by an unusual transmissible
agent called a prion.
First recognized in Great Britain in 1984.
1986 - Specifically diagnosed in cattle
1990 - 14,000 confirmed cases out of 10 million cattle
had been recognized.
1993 - The epidemic seemed to peak around 1,000
new cases per week.
February 1998 - Total of 172,324 cases were seen
cattle in the United Kingdom.
- Total of 600 cases were recorded in 8 countries
outside U.K with 256 in Switzerland.
53. Since 1996 - 4.5 cows have been destroyed.
Between 1986 and November 2003:
183,634 cattle were diagnosed with BSE in U.K
4,469 cattle were diagnosed in other 22 countries.
Around 84 humans death were recorded in U.K in
the year 2000.
The first case confirmed in:
Countries Year
Japan September,2001
North Africa (cow
in Alberta,
Canada)
May 20, 2003
United States (in
Holstein downer
cow in Mses
December,2003
54. Around 35 million beef animals
up to age 24 months are
slaughtered annually in United
States. With an additional 6
million of older dairy cows.
Testing for prion proteins
consists of:
Immunohistochemistry method.
Considered to be the gold
standard
Conformation-dependent
immunoassay (CDI) ; develop in
2003.
Screening test ; develop by the
Bio-Rad Corporation (TeSeE).
Herdchek BSE Antigen Test;
develop by IDEXX Laboratories.
5 to 6 other post mortem test for
central nervous system tissue of
cattle.
Normal cell
brain
Brain with
BSE cell
55. Creutzfeldt-Jakob Diseases
(CJD,vCJD)
CJD is a degenerative
neurological disorder that is
incurable and invariably fatal.
CJD is at times called a human
form of mad cow disease.
CJD normally appears in persons
around age 60 or older.
In March 1996, new variant of
CJD (nvCJD, vCJD) was reported
in the United Kingdom in a small
group of people, whom were
much younger than individuals
with CJD.
vCJD was found to afflict
individuals in the late teens to the
56. It can be concluded that vCJD is the human equivalent
BSE and the agents for BSE and vCJD appear to be the
same.
Between February 1994 and October 1995
10 persons in United Kingdom were found to
have new variant form of CJD.
8 died.
Most were under age 30.
For the years 1995-1998 – there were 39 cases of vCJD.
2003 around 150 vCJD cases were seen in humans
throughout Europe.
about one-third in the United Kingdom.
57. For 5 year period ; between 1991-1995 ; in the
United States:
94 CJD deaths were recorded.
9 were below age 55.
None conformed to vCJD.
Over 85% of CJD patients die within one year of onset.
The average annual death rate from CJD was 1.2/1
million population.
Using a mouse assay, prions could not be detected
in beef muscle and milk from infected cattle.
58. The latter investigator suggested that the brain
tissue of a TSE infected cow can be expected to
contain about 1011 prions per gram.
The nerve tissue is ground with muscle tissue = 108
prions per gram or 1010 prions in a 100g portion.
To effect 12D reduction, 22D is required.
59. Some of the times in minutes needed to achieve a 22D
were calculate as follows:=
D160
0
C = 1.0
D140
0
C = 11.0
D120
0
C = 110.15
It has been suggested that there is need for new
processing or packaging technologies such as:
high temperature short time (HTST) treatments be
carried out in order to render products free of prions.
60. Chronic Wasting Diseases
(CWD)
This is a prion or TSE diseases first detected in
captive mule deer in 1967 in the state of
Colorado.
Has been diagnosed in wild deer and elk at:
Wyoming
Colorado
Nebraska
Sasktchewan Province
of Canada
61. This diseases appears to be
transmitted through saliva or
feces.
It is estimated that 4-6 % of
mule deer and <1% of free
ranging elk are infected in the
endemic areas.
Primary system in elk are
emaciation and drooling.
In December 2003, the U.S
Department of Agriculture put
in place a herd certification
program along with
restrictions on the interstate
movement of captive deer
63. Paralytic Shellfish Poisoning
(PSP
contracted by eating toxic mussels, clams,
oyster, scallops, or cocklesis a saxitoxin .
saxitoxin exerts through cardiovascular collapse
and respiratory failure
it blocks the propagation of nerve impulses
without depolarization
there is no known antidote
64. heat stable
water soluble
generally not destroyed by cooking
can be destroyed by boiling for 3-4 hours at pH
3.0
D value at 250◦F (121.1◦C) of 71.4 minutes in
soft-shell clams has been reported
Characteristics of saxitoxin
65. develop within 2 hours after ingestion of toxic
mollusks
characterized by paresthesia
which begins about the mouth, lips, tongue and
spread over the face, scalp, neck and to the
fingertips and toes
mortality rate is variously reported to range from
1-22%
Symptoms of PSP
66. 1793-1958 o 792 cases were recorded
o 173 (22%) deaths
1973-1987 o 19 outbreaks ( mean=8 cases)
were reported by state health
departments to CDC
1990 o 2 outbreaks (19 cases) in the
states of Massachusetts & Alaska
alone
o 6 fishermen became ill after
eating boiled mussels that
contained 4280 µg/100g saxitoxin
o raw mussels contained 24,400
µg/100g
o max safe level of SPS toxin is 80
µg/100g
67. occur between May and October on the US
West Coast
August and October on the US East Coast
mollusks may become toxic in the absence of
red tides
detoxification of mollusks can be achieved by
transfer to clean water
Outbreaks of PSP
68. contracted from ingestion of any 1 of over 300
fish species that feed on herbivorous or reef
fishes
example: barracuda, sea bass
which in turn feed on phytoplankton, especially
the dinoflagellates
Dinoflagellate is Gambierdiscus toxicus
which produces ciguatoxin.This toxin
concentrated more in fish organs such as
liver than in muscle tissue
Ciguatera Poisoning
69. symptoms occur within 3-6 hours
consist of nausea and paresthesia about the
mouth, tongue and throat
the symptoms are quite similar to those for
paralytic shellfish poisoning
Toxic fish
70. consequence in the absence of appropriate
therapy
the disease has been associated with farm-
raised salmon fish
Respiratory paralysis
71. uncommon amino acid that antagonizes
glutamic acid in the central nervous system
produce by a diatom, Psedonitzshia pungens
and its structure
causes amnesic shellfish poisoning (ASP)
following the consumption of mussels or
scallops harvested from marine waters with a
bloom of the diatom noted
Domoic Acid
72. Outbreaks1988 o human cases occurred in eastern
Canada
o consumption of mussels from Prince
Edward Island
o 107 victims, 3 deaths
1996 o ASP episode affected scallops in
northwest Spain
73. first recognized in the early 1990s
as the cause of death of 1000 of fish in
tributaries of the Chesapeake Bay
an animal-like organism that produces potent
toxins
reproduces sexually after a fish kill
can encyst one toxin stuns fish within a few
second for animal, die within a few minutes
causes the fish epidermis to slough off
Pfiesteria piscicida
74. unclear, as their effect on humans
cause memory loss, confusion, acute skin
burning
cause general symptoms such as headache,
skin rash, muscle cramps
Identity of toxins