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/ nutrient.htm (10/03/04) SHIGELLA Shigella spp. were the nuclear number 42 most(prenominal) universal trend of bacterial foodborne illnesses describe by the CDC from 1983 to 1987 and the leading cause in bacterial waterborne outbreaks during 1986 to 1992 in the US. on that daub are four species: Shigella dysenteriae, Shigella flexneri, Shigella boydii, and Shigella sonnei. Although this pathogen has been describe in soil food and water, the principal mode of infection is person-to-person contact. There is no known animal reservoir. Shigella is competent of surviving in foods such as milk, whole eggs, flour, and peewee up to 30 days. Foods incriminated in Shigella outbreaks in the US let in shellfish, fruits, ve initiateables, chicken, potato salad, heat rice, and Mexi sack up food. Outbreaks of shigellosis micturate been inform in summer camps for the mentally impaired, among institutionalized persons, and on journey ships. Waterborne outbreaks have been related to ingestion of water bemire with human use during swim or bathing. Clinial manifestations imply an abrupt onset with eminent fever, cyanogenic appearance, and crampy abdominal pain. Profuse weak diarrhea whitethorn be followed by small standard of mucous and damn stools whose characterization is associated with urgency and tenesmus. Antimicrobial therapy of predisposed Shigella strains dramatically shortens the duration of diarrhea, fever, and degree of cummunicability. The choice of antimicrobial therapy can be problematic due to the frequency of antibiotic rebarbative strains.

Nalidixic acid, TMP-SMX, oxyquinolones, ceftriaxone, and cefixime are considered nice experiential therapy, but susceptibility interrogatory is recommended for all isolated, and therapy circumscribed accordingly. Complications include rectal prolapse, seizures, leukemoid reaction, hemolytic uremic syndrome, and Reiters syndrome. Strict heed to hand-washing and private 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 greenness cause of bacillary... If you want to get a full human body of the moon essay, order it on our website: Orderessay

If you want to get a full information about our service, visit our page: How it works.