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Fundamental Food Microbiology, Third Edition - Fuad Fathir

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FOODBORNE TOXICOINFECTIONS 403<br />

subgroups. Direct or indirect contamination of these foods (and water) with fecal<br />

materials, along with improper storage temperature and inadequate heat treatment,<br />

were involved in these incidences.<br />

G. Prevention<br />

The most important factor in the prevention of gastroenteritis in humans by pathogenic<br />

Esc. coli is to prevent contamination of food and water, directly or indirectly,<br />

by fecal matters. This can be achieved by developing effective sanitation in water<br />

supplies and treating and disposing sewage. The other factor is the prevent contamination<br />

of food due to poor personal hygiene by people who shed the pathogen.<br />

Finally, one needs to recognize that even if the pathogen is present in very small<br />

initial numbers in a food, temperature abuse of the food can facilitate multiplication<br />

of cells to high levels necessary for the disease symptoms. Thus, food should be<br />

refrigerated or eaten quickly, preferably after reheating. 3,12<br />

H. Detection Methods<br />

The detection methods used involved selective enrichment of sample (food, water,<br />

and feces), isolation of pathogens on selective agar medium, and biochemical characterization<br />

of suspected isolates. Confirmation tests to detect toxins involve one or<br />

more serological tests (ELISA). Other methods to detect toxins include injecting<br />

test material into the ligated ileal loop of infant mice or exposing Y-1 adrenal cells<br />

to toxin (for LT), or both.<br />

\<br />

VI. CONCLUSION<br />

<strong>Food</strong>borne pathogens in this group include several Gram-positive sporeformers and<br />

Gram-negative rods. The cells of sporeformers, when consumed through contaminated<br />

foods, sporulate in the gastrointestinal (GI) tract and release the toxin. In<br />

contrast, following consumption, Gram-negative rods multiply rapidly in the GI tract<br />

and die off, releasing toxins. The symptoms, mainly enteric, are associated with the<br />

toxins. They are usually required in very high numbers to cause the diseases. Proper<br />

sanitation and refrigeration can be used to reduce the incidence.<br />

REFERENCES<br />

1. Bean, N.H. and Griffin, P.M., <strong>Food</strong>borne disease outbreaks in the United States, 1973-<br />

1987, J. <strong>Food</strong> Prot., 53, 804, 1990.<br />

2. Bean, N.H., Griffin, P.M., Goulding, J.S., and Ivey, C.B., <strong>Food</strong>borne disease outbreaks,<br />

5 year summary, 1983-1987, J. <strong>Food</strong> Prot., 53, 711, 1990.<br />

3. Garvani, R.B., <strong>Food</strong> science facts, Dairy <strong>Food</strong> Environ. Sanit., 7, 20, 1987.<br />

4. Labbe, R.G., Clostridium perfringens, <strong>Food</strong> Technol., 42(4), 195, 1988.

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