Doenças crônicas e a internalização de microorganismos patogênicos / Chronic diseases and the internalization of pathogenic microorganisms

Em todo o mundo, a incidência de doenças crônicas não transmissíveis (DCNT) vem aumentando devido às mudanças no estilo de vida. Estudos comprovam que o consumo de frutas, legumes e verduras reduzem a incidência de doenças crônicas não transmissíveis na população devido à presença de fibras, antioxidantes e compostos bioativos, que aumentam as defesas orgânicas estimulando a proteção contra as agressões por radicais livres, contribuindo para diminuir o risco de doença cardiovascular e degenerativa. O aumento no consumo de produtos frescos tem sido acompanhado por uma maior incidência de surtos alimentares. Alguns micro-organismos patogênicos como Salmonella, Escherichia coli e alguns tipos de virus, apresentam a capacidade de se internalizar, levando à colonização da planta. Este artigo teve o propósito de iniciar uma discussão acerca do incentivo ao consumo de produtos frescos, os quais podem contribuir para veicular doenças transmitidas por alimentos. Foram consultadas as bases eletrônicas: Lilacs, Scielo, Scirus e Scopus, sendo selecionados artigos em intervalo de 30 anos (1982-2012). Com base nas contribuições dos artigos algumas considerações são apresentadas acerca das diferentes formas de internalização microbiana para partes comestíveis de produtos frescos e como os micro-organismos internalizados não são efetivamente removidos por tratamentos da superfície.

Worldwide, the incidence of noncommunicable diseases (NCDs) is increasing due changes in lifestyles. Studies confirm consumption of fruits and vegetables reduce the incidence of noncommunicable diseases in the population due to the presence of fiber, antioxidants and bioactive compounds that increase the organic defenses stimulating protection against attacks by free radicals, helping to reduce the risk of cardiovascular disease and degenerative. The increased consumption of fresh products has been accompanied by a higher incidence of food borne outbreaks. Some pathogens such as Salmonella, Escherichia coli and some types of virus, have the ability to internalize, leading to colonization of the plant. This article has the purpose of initiate a discussion about the incentive to consumption of fresh products which can help convey foodborne diseases.The electronic databases consulted were: Lilacs, Scielo, Scirus e Scopus, were selected studies over a period of 30 years (1982-2012). Based on their contributions some considerations are presented about the various types of microbial internalization for edible plant parts and how microorganisms internalized are not effectively removed by surface treatment.

Outbreak of febrile gastroenteritis in a five-star hotel in Metro Manila

In September 1989, a national tabloid reported that over 70 persons became ill with gastroenteritis shortly after attending a banquet in a five star hotel in Metro Manila. An epidemiologic investigation was immediately conducted. Illness was defined as diarrhea (passage of watery stool three or more times in a day) or vomiting. A total of 54 (35% of the 150 guests) were interviewed; 38 (70%) became ill and 16 (30%) did not. Salmonella sp. was isolated from the stool of one of the hospitalized cases. Analysis of food specific attack rates implicated steamed lapu-lapu with mayonnaise as the most likely vehicle of transmission (p 0.01). An infected egg may have been used in the preparation of mayonnaise. We presented our findings to Hotel X and we advised them against the use of cracked eggs.

The Epidemiological Characteristics of a Shigellosis Outbreak (1998) in Wonju City, Kangwon-Do / 한국역학회지

From September 8-28 1998, 55 cases of shigellosis, characterized by watery diarrhea, high fever, abdominal cramps and headache were reported at K elementary school in Wonju City. The isolated serotype was Shigella sonnei (group D). We collected bacteriologic specimens from high-risk populations, disinfected epidemic areas, and monitored all the medical facilities in Wonju City. Through these efforts, we found 168 cases of shigellosis, and of these, 117 were culture-confirmed and 51 were diagnosed by symptoms. The incidence rate per 10,000 population in Wonju City was 1.00 in males and 1.19 in females. The secondary attack rate was 13.6%. The mode of transmission at K elementary school was most often caused by the common epidemic source of single exposure. The source of infection was believed to be the foods distributed on September 7. However, epidemiologic evidence suggested that the sources of infection were scattered over many places within the city. The reasons included: i) shigellosis is an endemic disease in Korea; ii) there were shigellosis-like patients at J primary school in Wonju City in late August; and iii) there was a shigellosis outbreak at Chongil Myun, Hoeng Seong Gun, which was located near Wonju City, in early August.