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What Lies Beneath: Campylobacteriosis. Heather Duncan, MPH Student Walden University PH 6165-4 Instructor: Dr. Stephen D. Arnold Summer 2009. Who am I?. Most common cause of diarrheal illness in the U.S. Causes 2 million (or more) cases of illness each year in the U.S.
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What Lies Beneath:Campylobacteriosis Heather Duncan, MPH Student Walden University PH 6165-4 Instructor: Dr. Stephen D. Arnold Summer 2009
Who am I? • Most common cause of diarrheal illness in the U.S. • Causes 2 million (or more) cases of illness each year in the U.S. • Bacterial pathogen found in a variety of environments, particularly birds • Infections occur primarily in the summer Campylobacter. (2008, May 21). Retrieved July 4, 2009, from CDC Disease Listing: http://www.cdc.gov/nczvded/dfbmd/disease_listing/campylobacter_gi.html
Who am I? • Most common cause of diarrheal illness in the U.S. • Cause 2 million (or more) cases of illness each year in the U.S. • Bacterial pathogen found in a variety of environments, particularly birds • Infections occur primarily in the summer • CAMPYLOBACTERIOSIS Campylobacter. (2008, May 21). Retrieved July 4, 2009, from CDC Disease Listing: http://www.cdc.gov/nczvded/dfbmd/disease_listing/campylobacter_gi.html
Signs and Symptoms • Diarrhea • Stomach Cramps • Fever • Nausea • Vomiting Campylobacter. (2008, May 21). Retrieved July 4, 2009, from CDC Disease Listing:http://www.cdc.gov/nczvded/dfbmd/disease_listing/campylobacter_gi.html
Serious Complications • Reactive arthritis • Guillian-Barre Syndrome • Septicemia • Miscarriage • Death Campylobacter jejuni. (2009, May 4). Retrieved June 16, 2009, from FDA-Bad Bug Book: http://www.fda.gov/Food/FoodSafety/FoodborneIllness/FoodborneIllnessFoodbornePathogensNaturalToxins/BadBugBook/ucm070024.htm
Who can get it? Everyone! Campylobacter jejuni. (2009, May 4). Retrieved June 16, 2009, from FDA-Bad Bug Book: http://www.fda.gov/Food/FoodSafety/FoodborneIllness/FoodborneIllnessFoodbornePathogensNaturalToxins/BadBugBook/ucm070024.htm
Where does it come from? • Chickens!!! (and other poultry) • Most common source • Carried in GI tract of healthy animals Outbreak of Campylobacter Enteritis Associated with Cross-Contamination of Food-Oklahoma, 1996. (1998, February 27). Retrieved July 15, 2009, from MMWR: http://www.cdc.gov/mmwr/PDF/wk/mm4707.pdf
Where does it come from? • Cows • Unpasteurized milk • Milk products (like cheese) made from unpasteurized milk Campylobacter jejuni- An emerging pathogen. (1999, January-March). Retrieved July 11, 2009, from Emerging Infectious Disease: www.cdc.gov/ncidod/eid/vol5no1/altekruse.htm
The List Goes On…. Waterborne Pets Rare human transmission Campylobacter and Drinking Water from Private Wells. (2003, Summer). Retrieved July 15, 2009, from CDC: Healthy Water: www.cdc.gov/ncidod/healthywater
Treatment • In most cases, none • Drink a lot of liquids • Severe cases or high risk patients may require antibiotics • Wash your hands!!! Campylobacter jejuni. (2009, May 4). Retrieved June 16, 2009, from FDA-Bad Bug Book: http://www.fda.gov/Food/FoodSafety/FoodborneIllness/FoodborneIllnessFoodbornePathogensNaturalToxins/BadBugBook/ucm070024.htm
Diagnosis • Requires laboratory testing • Doctor orders a stool culture • Followed up by Health Department Campylobacter. (2008, May 21). Retrieved July 4, 2009, from CDC Disease Listing: http://www.cdc.gov/nczvded/dfbmd/disease_listing/campylobacter_gi.html
Prevention • Never eat undercooked meat • Prevent cross-contamination • Avoid unpasteurized milk & milk products • Never drink untreated water Campylobacter Questions and Answers. (2006, September 27). Retrieved July 15, 2009, from USDA Food Safety and Inspection Service: http://www.fsis.usda.gov/Fact_Sheets/Campylobacter_Questions_and_Answers/index.asp
Proper Meat Handling • Cook meat to appropriate internal temperature • Do not allow cooked food to sit out at room temperature for too long • Store foods at proper temperature • Reheat food thoroughly Is It Done Yet? (2006, May 9). Retrieved July 24, 2009, from USDA: http://www.fsis.usda.gov/Is_It_Done_Yet/Brochure_Text/index.asp
Prevention WASH YOUR HANDS
Virtual Museum of Campylobacter: www.bacteriamuseum.org/species/campylobacter.shtml Centers for Disease Control: www.cdc.gov U.S. Food and Drug Administration: www.fda.gov KidsHealth: www.kidshealth.org/parent/infections/stomach/campylobacter.html Email: Heather.Duncan@waldenu.edu Suggested Reading
References Campylobacter. (2008, May 21). Retrieved July 4, 2009, from CDC Disease Listing: http://www.cdc.gov/nczvded/dfbmd/disease_listing/campylobacter_gi.html Campylobacter and Drinking Water from Private Wells. (2003, Summer). Retrieved July 15, 2009, from CDC: Healthy Water: www.cdc.gov/ncidod/healthywater Campylobacter Infection and Animals. (n.d.). Retrieved July 11, 2009, from Healthy Pets Healthy People: http://www.cdc.gov/healthypets/diseases/campylobacteriosis.htm Campylobacter jejuni. (2009, May 4). Retrieved June 16, 2009, from FDA-Bad Bug Book: http://www.fda.gov/Food/FoodSafety/FoodborneIllness/FoodborneIllnessFoodbornePathogensNaturalToxins/BadBugBook/ucm070024.htm Campylobacter jejuni- An emerging pathogen. (1999, January-March). Retrieved July 11, 2009, from Emerging Infectious Disease: www.cdc.gov/ncidod/eid/vol5no1/altekruse.htm Campylobacter jejuni Infection Associated with Unpasteurized Milk and Cheese --- Kansas, 2007. (2009, January 2). Retrieved July 16, 2009, from MMWR: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5751a2.htm Campylobacter Questions and Answers. (2006, September 27). Retrieved July 15, 2009, from USDA Food Safety and Inspection Service: http://www.fsis.usda.gov/Fact_Sheets/Campylobacter_Questions_and_Answers/index.asp Is It Done Yet? (2006, May 9). Retrieved July 24, 2009, from USDA: http://www.fsis.usda.gov/Is_It_Done_Yet/Brochure_Text/index.asp Outbreak of Campylobacter Enteritis Associated with Cross-Contamination of Food-Oklahoma, 1996. (1998, February 27). Retrieved July 15, 2009, from MMWR: http://www.cdc.gov/mmwr/PDF/wk/mm4707.pdf