Bacterial Pathogens in FoodWaterborne Disease The Pediatric Bulletin Myrna R. Nieves, MD FAAP

Bacterial Pathogens in Food mobile Disease The Pediatric Bulletin Myrna R. Nieves, MD FAAP http://home.coqui.net/myrna/solid food.htm (10/03/04) SHIGELLA Shigella spp. were the nuclear number 42 most(prenominal) special K motive of bacterial foodborne illnesses inform by the CDC from 1983 to 1987 and the leading cause in bacterial waterborne outbreaks during 1986 to 1992 in the US. on that presage are four species: Shigella dysenteriae, Shigella flexneri, Shigella boydii, and Shigella sonnei. Although this pathogen has been report in soil food and water, the principal mode of transmittance is person-to-person contact. There is no known animal reservoir. Shigella is able-bodied of surviving in foods much(prenominal) as milk, whole eggs, flour, and runt up to 30 days. Foods incriminated in Shigella outbreaks in the US entangle shellfish, fruits, ve have gotables, chicken, potato salad, heat rice, and Mexi privy food. Outbreaks of shigellosis micturate been describe in summer camps for the mentally impaired, among institutionalized persons, and on canvass ships. Waterborne outbreaks have been cerebrate to ingestion of water colly with human use during go or bathing. Clinial manifestations overwhelm an acute onset with eminent fever, poisonous appearance, and crampy abdominal pain. Profuse fallible diarrhea whitethorn be followed by small make sense of mucous and damn stools whose personation is associated with urgency and tenesmus. Antimicrobial therapy of tractable Shigella strains dramatically shortens the duration of diarrhea, fever, and point in time of cummunicability. The choice of antimicrobial therapy can be problematic out-of-pocket to the frequency of antibiotic tolerant strains.

Nalidixic acid, TMP-SMX, oxyquinolones, ceftriaxone, and cefixime are considered nice verifiable therapy, but susceptibility test is recommended for all isolated, and therapy circumscribed accordingly. Complications include rectal prolapse, seizures, leukemoid reaction, hemolytic uraemic syndrome, and Reiters syndrome. Strict heed to hand-washing and face-to-face hygiene is necessary to hold spread of shigellosis. http://www.sciencenet.com.au/shigella.htm#biochemistry (10/03/04) Medicine http://www.emedicine.com/ped/byname/shigella-infection.htm (10/03/04) Background: Shigella is the most uncouth cause of bacillary... If you want to get a full variety of the moon essay, order it on our website: Ordercustompaper.com

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