FOOD MICROBIOLOGY Judith Espinoza, MPH Epidemiologist City of Albuquerque October 2008 Overview Types of Pathogens Basic Terminology Common Microorganism Associated with Foodborne Illness Categories of Microorganisms by Symptoms, Possible Causes, Spore Forms, Toxin Producers Food Microbiology Types of Pathogens Food Microbiology Food Microbiology Copyright 2008 1 Prions Smallest Protein Known to cause variant CreutzfeldtCreutzfeldtJakob disease (vCJD (vCJD)) (Mad Cow) Long incubation Food Microbiology Viruses Smaller than bacteria No cell walls, membrane or nucleus Can NOT reproduce outside a host (Require a living cell to reproduce) Can survive outside a host Food Microbiology Bacteria Largest number of living organisms on earth. Forms – round (Staph ), (Staph), (Salmonella ), (Salmonella), spiral (Campylobacter (Campylobacter)) comma shaped Vibrio rod Reproduce by binary fission Many pathogenic bacteria are facultative Food Microbiology Food Microbiology Copyright 2008 2 Bacteria All bacteria have vegetative state (reproduce and generate waste) Some form spores Bacilli (Bacillus (Bacillus cereus) cereus) (Clostridium perfringens, perfringens, Clostridium botulinum) botulinum) Clostrida SporeSpore-forming bacteria generally are found in animal products or foods like vegetables that are grown in the soil. Food Microbiology Molds Mycology (Myco =fungus) (Myco=fungus) Single celled or Multicellular Wide pH range Grow best in damp dark environments Musty smell Some produce mycotoxins Aflatoxin mold growing on nuts, corn, wheat (found in peanut butter) Some mold is beneficial Food Microbiology Yeast (Part of Mycology and Fungi) Single celled organisms that convert food to alcohol and sugar by fermentation. Need moisture, food in the form of sugar or starch, and warmth. Yeasts are responsible for few illnesses in humans and there is no evidence that they are transmitted by food. Food Microbiology Food Microbiology Copyright 2008 3 Parasites Must live on or inside a living organism to reproduce, can survive without a host Usually bigger than bacteria and multimulticellular FDA two methods for destroying parasites in raw animal food products Freezing Cooking Food Microbiology Basic Terminology Oxygen Requirement Temperature Terms Types of Toxin Bacteria Growth Foodborne Illness Food Microbiology Aerobe An organism, especially a bacterium, requiring oxygen to live. Food Microbiology Food Microbiology Copyright 2008 4 Anaerobe (An- before a word means without) An organism, especially a bacterium, NOT requiring oxygen to live. Examples - Clostridium (botulism and canned goods) Food Microbiology Facultative Able to grow either with or without the presence of free oxygen. Most foodborne disease-causing microorganisms are facultative anaerobes Food Microbiology Microaerophilic Aerobic Bacteria that grow better under slightly reduced oxygen requirements. Example - Campylobacter Food Microbiology Food Microbiology Copyright 2008 5 •MesophileMesophile-a microoganism that grows best at moderate temperatures with optimum growth between 77˚ 77˚ F and 113 ˚ F (25 ˚C -45 ˚C) •Psychrophile -a microorganism capable of growing at refrigerated or room temperatures but grow best at cold temperatures. Optimum 47 ˚ F -68 ˚ F (5 ˚C -20 ˚C ) •Thermophile - a microorganism that grows best at temperatures above 110 ˚ F (43 ˚ FC) Food Microbiology Examples of toxins: Some types of toxins can be used to describe where they are produced in the body or in the food. Endotoxins – produced in the body Exotoxins – produced in the food Food Microbiology Examples of toxins: Some types of toxins can be used to describe where in the body they affect. EnterotoxinsEnterotoxins- affect the small intestine Neurotoxins – affect the central nervous system Food Microbiology Food Microbiology Copyright 2008 6 Examples of toxins: Other types of toxins can describe what type of organism produces it. Mycotoxins – produced by molds ShigaShiga-toxins – particular type of toxin produced by bacteria E. coli & Shigella Ciguatoxin – produced by algae Scombrotoxin – histamine poisoning (fish) Food Microbiology Colony A cluster of microorganisms that is growing within, or on the surface of a nutrient medium and that contains millions of cells. Food Microbiology Binary Fission The process by which bacteria reproduce (nonsexual reproduction) dividing in two under ideal conditions Food Microbiology Food Microbiology Copyright 2008 7 Bacterial Growth Lag – bacteria exhibit little or no growth Log Bacteria growth is very rapid Stationary – number of new bacteria = the number dying Decline – rapid die off. Stationary 25 20 15 Log Decline 10 5 0 Lag Food Microbiology Infective Dose The number of microorganisms required to cause a foodborne illness in one person Shigella spp. as few as 10 cells depending on age and condition of host. Listeria monocytogenes is unknown, but in susceptible persons, fewer than 1,000 total organisms may cause disease. Food Microbiology Types of Foodborne Illnesses Three categories Food Microbiology Food Microbiology Copyright 2008 8 Infection -caused by eating food that contains living diseasedisease-causing microorganisms Intoxication -caused by eating food that contains a harmful chemical or toxin produced by bacteria or other source ToxinToxin-Mediated Infection -caused by eating food that contains harmful microbes that will produce toxin once inside the body. Food Microbiology Microorganisms Some of the most common organism that cause foodborne illness Bacteria Viruses Parasites Food Microbiology Gram positive or gram negative refers to how bacteria appear under a microscope after beginning stained. Food Microbiology Food Microbiology Copyright 2008 9 Common Foodborne Pathogens by Gram Stain Type Gram Positive Bacillus cereus Clostridium perfringens Clostridium botulinum Listeria monocytogenes Staphylococcus aureus Gram Negative Campylobacter jejuni Shiga toxin – producing E. coli Salmonella spp. spp. Shigella spp. spp. Vibrio spp. spp. Food Microbiology Bacillus cereus Foodborne illness(es) illness(es) Intoxication (vomiting {exotoxin }) {exotoxin}) Infection (diarrhea {enterotoxin}) enterotoxin}) ToxinToxin-Mediated Gram Positive rod (soil bacteria) Spore former (spores heat resistant) Facultative Food Microbiology Clostridium perfringens Food borne illness – toxintoxin-mediated infection (diarrhea {enterotoxin }) {enterotoxin}) Anaerobes (require very little oxygen) Usually due to improperly cooling food so that spores are able to return to vegetative state. Also causes gangrene in wound or skin infections unrelated to food. Food Microbiology Food Microbiology Copyright 2008 10 Clostridium botulinum •Food borne illness – intoxication – symptoms are neurological and is one of the deadliest biological toxins known to man (dizziness, double vision, trouble breathing . . .){neurotoxin} •Anaerobes (require very little oxygen) •Usually due to improperly cooling food so that spores are able to return to vegetative state. Food Microbiology Campylobacter jejuni Foodborne illness infectioninfection- an invasive organism. toxintoxin-mediated infection - pathogenic mechanisms are still not completely understood, but it does produce a heatheat-labile toxin that may cause diarrhea. Causes very watery diarrhea and/or bloody diarrhea Food Microbiology Campylobacter jejuni Gram negative curvy rod Found in many of the same foods & has some of the same symptoms as Salmonella but is microaerophilic and had a different onset time (2(2-5 days) . Relatively fragilefragile- sensitive to environmental stresses (e.g., 21% oxygen, drying, heating, disinfectants, acidic conditions) Food Microbiology Food Microbiology Copyright 2008 11 Shiga toxin-producing Eschericha coli Foodborne illness Infection ToxinToxin-mediated infection (watery diarrhea – bloody stools) {enterotoxin {enterotoxin}} Gram negative rod E. coli – normal flora in most mammals (humans, cattle, dogs, cats, goats) but not all are pathogens and not all types produce toxins. Food Microbiology Listeria monocytogenes, spp Foodborne illness – infection monocytogenes may invade the gastrointestinal epithelium. Can cause miscarriages The overall mortality for meningitis may be as high as 70%; from septicemia 50%, from perinatal/neonatal perinatal/neonatal infections greater than 80%. In infections during pregnancy, the mother usually survives. L. Food Microbiology Listeria monocytogenes, spp L. monocytogenes is quite hardy and resists to freezing, drying, and heat. Does not form spores Can grow slowly in cold temperatures and can survive in highhigh-salt food. Foods – raw dairy products (also cold cuts) Food Microbiology Food Microbiology Copyright 2008 12 Salmonella spp. Foodborne illness – mostly infection Similar in many ways to Campy. Very larger group of bacteria Cause of disease -- Penetration and passage of Salmonella organisms from gut lumen into epithelium of small intestine where inflammation occurs; there is evidence that an enterotoxin may be produced. Food Microbiology Shigella spp. spp. Foodborne illness Infection ToxinToxin-mediated infection The disease is caused when virulent Shigella organisms attach to, and penetrate, epithelial cells of the intestinal mucosa. After invasion, they multiply intracellularly, intracellularly, and spread to contiguous epitheleal cells resulting in tissue destruction. Some strains produce enterotoxin (a Shiga toxin very much like the E. coli). coli). Poor hygiene practices Food Microbiology Staphylococcus aureus, Gram positive cocci One type of foodborne illness – intoxication (vomiting) Found in ready to eat food or prepre-cooked food that are reheated. Exotoxin – very heat stable Very common skin bacteria Food Microbiology Food Microbiology Copyright 2008 13 Vibrio spp Foodborne illness infectioninfection ToxinToxin-mediated infection - caused by ingesting the organisms, which attach to the small intestine and produce cholera toxin (enterotoxin) enterotoxin) Most commonly associated with water or food from the water. Gram negative straight or curvy rod Can cause very watery diarrhea Food Microbiology Viruses Hepatitis A, Norwalk virus, Rotavirus, Food Microbiology Hepatitis A, Poor hygiene & raw seafood Jaundice (liver infection) Long incubation period (10(10-50 days without showing symptoms) Foods have been implicated in over 30 outbreaks since 1983 , seafood, lettuce , frozen strawberries Food Microbiology Food Microbiology Copyright 2008 14 Norwalk virus Quick onset 22-3 days Contaminated water Ingestion of raw or insufficiently steamed clams and oysters poses a high risk. Other foods contaminated by ill food handlers. Ten well documented outbreaks caused by Norwalk virus were reported in the U.S., involving a variety of foods: fruits, salads, eggs, clams, and bakery items. Food Microbiology Rotavirus Quick onset 11-3 days Symptoms often start with vomiting followed by 44-8 days of diarrhea. Temporary lactose intolerance may occur. Contaminated water or PersonPerson-toto-person The virus has not been isolated from any food associated with an outbreak, and no satisfactory method is available for routine analysis of food. Food Microbiology Parasites Anisakis spp., spp., Cycolspora cayetanensis, cayetanensis, Cryptosporidium parvum Giardia lamblia, lamblia, Toxoplasma gondii, gondii, Trichinella spiralis Food Microbiology Food Microbiology Copyright 2008 15 Anisakis spp. Unsure onset 1 hr – 2 weeks Frequently diagnosed when the affected individual feels a tingling or tickling sensation in the throat and coughs up or manually extracts a nematode Fewer than 10 cases are diagnosed in the U.S. annually. However, it is suspected that many other cases go undetected. The disease is transmitted by raw, undercooked or insufficiently frozen fish and shellfish, and its incidence is expected to increase with the increasing popularity Food Microbiology of sushi and sashimi bars. Cycolspora cayetanensis ~ 1 week onset Water, berries, raw vegetables Act upon the small intestine resulting in water diarrhea (explosive) PersonPerson-toto-person, oral fecal route Currently little is known about this organism, although cases of cyclosporiasis are being reported from various countries with increasing frequency. Food Microbiology Cryptosporidium parvum 1 week Contaminated water Small and resistant to chlorine,the sporocysts are resistant to most chemical disinfectants, but are susceptible to drying and the ultraviolet portion of sunlight. Food Microbiology Food Microbiology Copyright 2008 16 Giardia lamblia Last 1 to 2 weeks, but some chronic infections last months to years. Contaminated water Bigger than crypto Infectious Dose - Ingestion of one or more cysts may cause disease. Five outbreaks have been traced to food contamination by infected food handlers, and the possibility of infections from contaminated vegetables that are eaten raw cannot be excluded. Food Microbiology Toxoplasma gondii Toxoplasmosis is considered to be the third leading cause of death attributed to foodborne illness in the United States. Women newly infected with Toxoplasma during pregnancy and anyone with a compromised immune system should be aware that toxoplasmosis can have severe consequences for them. Food Microbiology Toxoplasma gondii A parasite that causes a very severe disease that can cause central nervous system disorders, such as mental retardation and visual impairment in children. Sources: Raw or undercooked pork, lamb, or venison and cat, rat, rodent, or bird feces. Food Microbiology Food Microbiology Copyright 2008 17 Trichinella spiralis Trichinellosis is caused by a parasite that is a nematodes (roundworms). Rats and rodents are reservoir Carnivorous/omnivorous animals, such as pigs or bears, feed on infected rodents or meat from other animals. Humans are accidentally infected when eating improperly processed meat of these carnivorous animals (or eating food contaminated with such meat). Food Microbiology Specific Toxin Aflatoxin, Aflatoxin, Ciguatoxin, Ciguatoxin, Scombrotoxin Food Microbiology Aflatoxin Intoxication –acute or chronic Hepatocarcinogen (Hepato = liver, Carcingoen= Carcingoen= cancer causing) Produced by fungi (mold) exotoxin In the United States, aflatoxins have been identified in corn and corn products, peanuts and peanut products, cottonseed, milk, and tree nuts such as Brazil nuts, pecans, pistachio nuts, and walnuts. Food Microbiology Food Microbiology Copyright 2008 18 Ciguatoxin Produced by algae Caused by the consumption of subtropical and tropical marine finfish which have accumulated naturally occurring toxins through their diet. The relative frequency of ciguatera fish poisoning in the United States is not known. Food Microbiology Ciguatoxin Initial signs of poisoning occur within six hours after consumption of toxic fish and include perioral numbness and tingling (paresthesia), paresthesia), which may spread to the extremities, nausea, vomiting, and diarrhea. Ciguatera poisoning is usually selfself-limiting, and signs of poisoning often subside within several days from onset. Food Microbiology Scombrotoxin (also called Histamine Poisoning) Caused by the ingestion of foods that contain high levels of histamine. histamine. Histamine and other amines are formed by certain bacteria during production - such as Swiss cheese, or by spoilage of foods such as fishery products, particularly tuna or mahi mahi. mahi. Neither cooking, canning, or freezing reduces the toxic effect. Food Microbiology Food Microbiology Copyright 2008 19 Categories Characteristics Symptoms, Possible Sources Spore Formers Toxin Producers Food Microbiology The two anaerobic bacteria Clostridium perfringens Clostridium botulinum Food Microbiology The bacteria that produce toxin in the food (exotoxin) B. cereus C. botulinum – only neurotoxin Staph. Staph. aureus Food Microbiology Food Microbiology Copyright 2008 20 Poor Hygiene All the viruses – Hep A, Noro and Roto Shigella spp. spp. Staph. Staph. aureus Vibrio spp E. coli Salmonella spp. spp. Food Microbiology Contaminated water All the viruses – Hep A, Noro and Roto Some parasites – Cyclospora, Cyclospora, Cryptosporidium, Giardia Vibrio spp Food Microbiology The bacteria that are most likely to produce bloody diarrhea Campylobacter Shiga toxin producing E. coli Shigella Food Microbiology Food Microbiology Copyright 2008 21 Which bacteria can produce spores? B. cereus Clostridium perfringens Clostridium botulinum Food Microbiology Summary Categories of Microorganisms by Symptoms, Possible Causes, Spore Forms, Toxin Producers Common Microorganism Associated with Foodborne Illness Basic Terminology Types of Pathogens Food Microbiology References Modern Food Microbiology, Microbiology, 6th edition, 2000 James M. Jay http://www.microbeworld.org/microbes/virus/ http://www.doctorfungus.org/mycoses/index.h tm http://www.foodsafety.gov/~mow/intro.html http://www.microbionet.com.au/salmonella.ht http://www.microbionet.com.au/salmonella.ht m Food Microbiology Food Microbiology Copyright 2008 22