Curriculum for Specialty Certificate Examination in Gastroenterology

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Tuesday, 22 April 2014

Bacterial causes of food poisoning


Organism
Source/vehicles
Incubation period
Symptoms
Diagnosis
Recovery
Staphylococcus aureus
Man - contaminated food and water
2-4 h
Diarrhoea, vomiting and dehydration
Culture organism in vomitus or remaining food
< 24 h
E. coli
Salads, water, ice
24 h
Watery diarrhoea
Stool culture
1-4 days
E. coli O157:H7
Cattle - meat, milk
12-48 h
Watery diarrhoea ± haemorrhagic colitis, HUS
Stool culture
10-12 days
Yersinia enterocolitica
Milk, pork
2-14 h
Abdominal pain, vomiting, diarrhoea
Stool culture
2-30 days
Bacillus cereus
Environment - rice, ice-cream, chicken
1-6 h
6-14 h
Vomiting

Culture organism in faeces and food
Rapid
Clostridium perfringens
Environment - contaminated food
8-22 h
Watery diarrhoea and cramping pain
Culture organism in faeces and food
2-3 days
Listeria monocytogenes
Environment - milk, raw vegetables dairy products, unpasteurized cheese
?
Colic, diarrhoea and vomiting
Stool culture
?
Vibrio parahaemolyticus
Seafood
2-48 h
Diarrhoea, vomiting
Stool, food
2-10 days
Clostridium botulinum
Environment - bottled or canned food
18-24 h
Brief diarrhoea and paralysis due to neuromuscular blockade
Demonstrate toxin in food or faeces
10-14 days
Salmonella spp.
Cattle and poultry - eggs, meat
12-48 h
Abrupt diarrhoea, fever and vomiting
Stool culture
Usually 3-6 days, but may be up to 2 weeks
Campylobacter jejuni
Cattle and poultry - meat, milk
48-96 h
Diarrhoea ± blood, fever, malaise and abdominal pain
Stool culture
3-5 days
Shigella spp.
Man - contaminated food and water
24-48 h
Acute watery, bloody diarrhoea
Stool culture
7-10 days

1 comment:

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