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Enterobacteriaceae
gram negative, facultative anaerobic rods
can be motile or non-motile
many have fimbriae that aid in adhesion
Coliforms
non-spore formers
gram negative rods
ferment lactose at 35-37 degrees celcius
associate with GI tracts of warm-blooded animals
indicator organisms for fecal contamination
E. coli
most are commensal and non-pathogenic
not heat resistant, some acid and antibiotic resistance
categorized by antigens, virulence, pathogenicity, clinical symptoms, and flagella
higher hospitalization rates
Diffuse anchoring E. coli (DAEC)
pathogenic
infant/child diarrhea (can be bloody, typically mild)
01, 02, 021, 075
adheres to HEp-2 and HeLa cell lines
non-invasive
no heat stable enterotoxin
Enteroaggregative E. coli (EAEC)
pathogenic
persistent diarrhea in infants/children
03, 015, 044, 077, 086, 0104, 0111, 0127
aggregative adherence to HEp-2 cells (stacked bricks)
second most common form of traveler's diarrhea
Enteropathogenic E. coli (EPEC)
assoc with developing countries
O55, O86, 011ab, O119, O126, O127, O128ab, O143
human reservoir
watery diarrhea
light invasion of epithelial cells (Hep2 cell lines)
localized colonization/adherence
Enteroinvasive E. coli (EIEC)
non-bloody diarrhea, dysentery
O28, O29, 0112, O124, O134, O143, 0144, O152, O164, O167
invasion by ingestion
invades epithelial cells and escapes phagosome
abdominal cramps, diarrhea, vomiting, fever/chills, malaise
localization in colon.
larger than normal plasmid, outer membrane proteins
Enterotoxigenic E. coli (ETEC)
diarrhea in infants and travelers diarrhea
not common outside U.S.
O: 6, 8, 15, 20, 25, 27, 63, 78, 85, 115, 128ac, 148, 159, 167
colonizes small intestine using fimbriae
not usually serious
water diarrhea, abdominal pain, cramps, low fever, nausea
produces enterotoxin: heat stable, accumulation of fluid
toxicoinfection similar to vibrio cholera
Enterohemmorrhagic E. coli (EHEC)
important worldwide
167 O antigens, 53 H antigens, 74 K antigens
primary: O157 : H7
Big 6: O: 26, 103, 111, 121, 145
shigatoxin
low infectious dose
O157 & non-O157 STEC
hemmorrhagic colitis
self-limiting
severe cramps, watery then bloody diarrhea, some vomiting, low grade fever
sometimes hemolytic uremic syndrome or thrombotic thrombocytopenic purpura
Animal reservoirs: especially cattle
Sources: produce, ground beef, unpasteurized milk/cheese, water, petting zoo, childcare
O157
acid-resistance
antibiotic resistance
negative for sorbitol fermentation
non-invasive
aggregative adherence and intimate attachment
immune response to attachment causes diarrhea
toxins result in cell death (bloody diarrhea)
Salmonella enterica
invasive infection
leading cause of bacterial food illness
resilient to temp and pH changes
survival at low aw
Source: meat and poultry, fish, produce, low moisture
GI tract: can spread to spleen, liver, lymph nodes, bile
Diseases: typhoid fever, gastroenteritis, systemic infection
Shigella
no lactose fermentation
low infectious does
human reservoir
fecal-oral route
shell-fish, vegetables, salads, daycares
Shigellosis: bloody diarrhea, abdominal/rectal pain, cramps, fever
S. dysenteriae produces Shigatoxin (Stx1 and 2)
invasive or non-invasive depending on temp
invasive uses T3SS
Yersinia spp.
small gram negative rods
Y. pestis= cause of plague
Y. entercolitica= primary food pathogen
Psychotrophic
inadequate heat and post processing
raw milk, ice cream, pork isolated from pigs
fever, abdominal pain, diarrhea, pseudo appendicular syndrome
invasin and Yop proteins to avoid phagocytosis
Campylobacter spp.
spirilli rods, motile
microaerophilic
fastidious
animal/shellfish reservoir
veggies, water, raw milk
seasonal outbreaks
onset: 2-5 days duration: 1 week
self-limiting
fever, abdominal cramps, sometimes bloody diarrhea
invasive GI tract infection
cholera-like enterotoxin that activates adenylate cyclase
Guillain-Barre syndrome
Vibrio spp.
short motile curved rods
tolerant of high salt
developing countries
serogroup 1: contaminated water/seafood
profuse watery diarrhea- dehydration and shock
death within hours without treatment
Non-01: shellfish in warm waters, fever, diarrhea, abdominal cramps, no outbreaks only sporadic cases
V. parahaemolyticus
gastroenteritis: nausea, fever, chills, vomiting, cramps, headache
onset: 4-96 hours duration: 2-5 days
contaminated seasonal shellfish
most common type in U.S.
V. vulnificus
flesh-eating bacteria
most common vibrio death in U.S.
infects through wounds (oceans)
gastroenteritis
septicema: 50% mortality, liver disease
Brucella
abortus (cattle)
melitensis (sheep/goats)
suis (pigs)
invasive
incubation (3 weeks)
persistent fever, sweats, muscle pain fatigue, headaches, arthritis, endocarditis
undercooked meats, unpasteurized dairy
biological warfare agent: aerosolized
Gram positive
some form spores and produce toxins
higher infectious dose
non-pathogenic: LAB, many strains of Listeria, Clostridium, and Bacillus
Staphylococcus aureus
clusters of cocci, mesophile, facultative anaerobe
resistant to low aw, and high salt
bind to mucousal barriers assoc with human and cattle
quick onset (1-6 hours) duration: 24-48 hours
vomiting, nausea, cramps, diarrhea, headache,
produce toxin in stationary phase
heat stable enterotoxin
toxic shock syndrome
temp abuse and handling, protein rich foods
Bacillus cereus
aerobic/facultative anerobic
hydrophobic-spore-forming rods
non-fastidious mesophilic
motile and non-motile
environmental contamination source
emetic toxin: cereulide
onset: 0.5 - 5 hours duration: 6-24 hours(severe)
diarrheal enterotoxin: onset 8-16 hours duration: 12-25 hours
self-limiting
starchy foods (rice pasta), dairy foods, cross contamination of meats, soups, puddings, sauces, milk
Clostridium botulinum
anaerobic, spore-forming (stationary)
produce toxin at end of log phase
water, sediment, soil are contamination source
Group 1: A, proteolytic B and F
greater heat resistance, high neurotoxin production
Group 2: E, non-proteolytic B, and F
less heat resistance, no growth less than 3 degrees
vacuum packaged foods
_________________
most natural lethal toxin known
heavy and light chain
not heat resistant toxin
onset: 12-36 hours
nausea, vomiting, dry mouth and throat, neurological, fatigue, dizziness, headaches, loss of muscle function and vision
fermented foods, canned foods, honey
Prevention: nitriles, competition, hurdle, high thermal inactivation
Clostridium perfringens
anaerobic, spore forming
quick doubling time
environmental contaminant
fastidious
toxicoinfection: CPE enterotoxin produced by vegetative cells
sporulating and lysing cells release toxin in small intestine by binding to epithelial cells
onset: 8-16 hours duration: 12-24 hours
self-limiting
EXPLOSIVE diarrhea, abdominal cramps,
temp abused foods, undercooked meats, high protein foods, gravies, stews
Prevention: freezing, cook thoroughly, sanitizing
Listeria spp.
psychotroph, facultative anaerobe, non-spore former
peritrichous flagella, tumbling motility
form biofilms
natural resistance and adaptation
Listeria monocytogenes
enters and invades host cells,
invasive infection that uses actin polymerization
avoids antibodies and requires cellular mediated immune response
blood transports cells within macrophage to lymph nodes
can cross blood-brain and placental barriers if it passes thru liver and spleen
Listeriosis
onset: up to 5 weeks
flu-like fever, GI distress: vomiting, diarrhea, nausea
high mortality
septicemia, meningitis, encephalitis, intrauterine cervical infections
RTE high risk foods: deli, soft cheese, ice cream, frozen foods
zero tolerance policy
Exosporium
proteins, lipids, carbs
some protection
surface interactions
Spore coat
proteins, resistant to enzymes
Cortex
peptidoglycan and dipicolinic acid (DPA), dehydrated core
responsible for resistance
Core of Spore
DNA, ribosomes, SASP, low water content
Two goals of spore
replicate/metabolism and survive
Yeast spores
ascospores
multiple spores per yeast
Aflatoxins
primary mycotoxin concern in U.S.
from Aspergillus flavus and parasiticus
targets liver
chronic immune suppression
Infection
colonization of cells that causes symptoms
can be invasive or not
Toxicoinfection
both colonization of cells and intoxication
Intoxication
true-food poisoning
toxin responsible for disease
Non-invasive infections
ingested bacteria colonize intestinal lining
most diarrheagenic E. coli
attach but do not invade
Type 3 secretion system
ex: norovirus
Invasive infection
shigella, salmonella, EIEC, Listeria monocytogenes
adherence and invasive factors: adhesions and T3SS
invades cells with actin polymerization
Intoxication
S. aureus, C. botulinum, B. cereus, C. perfringens
usually associated with a quick onset (hours)
Toxicoinfections
vibrio cholerae, EHEC, ETEC, C. botulinum (infant)
C. perfringens and B. cereus