金黄色葡萄球菌:食物中毒的主要病原体

M. Pal
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引用次数: 9

摘要

涉及多种病因的食物中毒在发展中国家和发达国家都有报道。在引起食物中毒的微生物中,金黄色葡萄球菌是引起食物中毒的主要病原体,可以散发和流行的形式发生。它可能在儿童、老年人和免疫功能低下者中引起危及生命的感染。在美国,葡萄球菌性食物中毒每年造成24.1万例病例。各种各样的食物,如肉类和肉制品、牛奶和奶制品、家禽、鸡蛋、鱼、蔬菜沙拉和奶油馅糕点,都可能是葡萄球菌食物中毒的来源。不卫生的食品处理被认为是金黄色葡萄球菌污染的一个重要来源。金黄色葡萄球菌产生的肠毒素在葡萄球菌性食物中毒的发病机制中起重要作用。由于摄入食物中预先形成的毒素,葡萄球菌性食物中毒的潜伏期很短。葡萄球菌性食物中毒的主要症状是恶心、呕吐、腹部痉挛和腹泻。在葡萄球菌性食物中毒的调查中,肠毒素的检测是非常必要的。大多数患者不需要任何治疗,因为疾病通常是自限性的,通常在发病后24-48小时内消退。预防葡萄球菌性食物中毒的主要策略是卫生生产食品和教育食品处理人员有关食品卫生的原则。本通讯的目的是描述金黄色葡萄球菌作为食源性中毒的主要原因的日益重要的意义。
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Staphylococcus Aureus: A Major Pathogen of Food Poisoning
Food poisoning that involves multiple etiologies is reported from developing as well as developed nations.Among the microbial causes, Staphylococcus aureus is a major pathogen of food poisoning that can occur in sporadic and epidemic form. It may cause life-threatening infections in children, the elderly, and immunocompromised persons. Staphylococcal food poisoning is responsible for 241,000 cases in the United States annually. A variety of foods, such as meat and meat products, milk and milk products, poultry, egg, fish, vegetable salad, and cream-filled pastries are implicated as a source of staphylococcal food poisoning. Unhygienic handling of food is considered an important source of S. aureus contamination. Enterotoxins produced by S. aureus play a vital role in the pathogenesis of staphylococcal food poisoning. Due to ingestion of preformed toxins in the food, the incubation period of staphylococcal food poisoning is very short. The main symptoms of staphylococcal food poisoning are nausea, vomiting, abdominal cramps, and diarrhea. The detection of enterotoxin is highly imperative for the investigation of staphylococcal food poisoning. Most of the patients do not require any treatment as the disease is generally self-limiting and normally resolves within 24–48 h after onset. Hygienic production of food and education of food handlers about the principles of food hygiene are the main strategies for the prevention of staphylococcal food poisoning. The objective of this communication is to delineate the growing significance of S. aureus as a leading cause of foodborne intoxication.
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