Clostridium botulinum and perfringens 1 Characteristics of Clostridium
Clostridium botulinum and perfringens 1
Characteristics of Clostridium 2 Gram positive rods in filaments or chains Strict anaerobes (C. bot) to oxygen tolerant (C. perf) Spore forming (endospores) Vegetative motile(C. perf) ~55 (C. bot) cells to 965, 000 cases/year in US (#2) Diverse physiologically and biochemically >100 species; only 5 human pathogens � C. difficile, C. tetani, C. sordellii Image from Wikipedia
C. botulinum 3 Historically, first recognized foodborne pathogen 1793, outbreak of blunzen in modern day Germany Justinius Kerner, medical officer, identified several cases. Noted more often in larger sausages made with components other than muscle tissue Coined term botulinum (botulus [Lt] = sausage) 1896; determined that this disease caused by toxin
Characteristics of endospores 4 Business end: • Low moisture • Proteins protecting DNA Endospore stain
Ecology/reservoir 5 Saprophyte Soils (one study suggested 24% of soil samples in US are positive) Aquatic muds (anaerobic, moist, nutrient rich) Spores readily dispersed by dust, aerosols Intestinal tract of animals � But not obligatory
Classification of C. botulinum 6 (proteolytic) (non-proteolytic) Properties C. botulinum group III Neurotoxin A, B, F B, E, F C, D Min. growth temp 10 o. C 3 o C 15 o. C Opt. growth 35 -40 o. C 18 -25 o. C 35 -40 o. C Max. growth 48 o. C 45 o. C NA Min. p. H 4. 6 5. 0 NA Inhibitory aw 0. 94 0. 97 NA Inhibitory Na. Cl 10% 5% 3% D 100 o. C spores 25 min <0. 1 min NA D 121 o. C spores 0. 21 min <0. 005 min NA In US, ~60% due to type A, ~20% type B, 20% type E
Characteristics of toxin 7 Most potent toxin known; LD adult human ~0. 01 mg Enters bloodstream, targets nerve cells Neurotoxin (not enterotoxin) Inhibits acetylcholine release at neuromuscular junctions Only produced during vegetative growth www. hopkins-gi. org
Disease 8 Foodborne botulinum (intoxication) � Incubation period 8 h to 8 d; oft 12 -48 h � Double/blurred vision, dilated pupils, drooping eyelids � Dysphagia, dysphonia � Death by respiratory failure � Patient remains mentally aware Infant (adult) botulinum (infection) � Honey not recommended to children under 1 yrs FDA study suggests 13% are positive � Intestinal environment not fully developed � “Floppy baby syndrome” Wound botulinum (infection)
Prevention: mostly a reminder! 9 Prevent growth and toxin production � � � Not possible to prevent contamination Acid and water activity “Potentially hazardous foods” (p. H>4. 6, aw>0. 85) � � Sodium nitrite in cured meats Toxin infrequent in high acid foods unless: Insufficient penetration of acid into food Food contaminated with spoilage organisms that raise p. H Inactivate spores � 12 D process D 121 o. C of 0. 21 min used as “golden rule” Inactivate toxin � � 70 o. C/1 h, boiling for 5 min Study suggests standard pasteurization reduces 99. 95 -99. 99% activity
4 features of contaminated food 10 Food contaminated at source or during processing Food receives treatment that restricts competitive microflora (yeasts, LAB) but permits Clostridium survival Conditions of food are suitable for germination and outgrowth Food consumed cold and/or after insufficient heat treatment to inactivate toxin http: //extension. psu. edu/food-safety/food-preservation/safemethods
Clostridium perfringens 11
Notable differences from C. bot 12 Is considered an anaerobe, but is aerotolerant Fast doubling time (<10 minutes) Much more common Less severe disease; “self-limiting” 14 toxin types (enterotoxins); 4 are “typing toxins” Type Alpha Beta Epsilon Iota A + - - - B + + + - C + + - - D + - E + - - +
C. perfringens disease 13 Infection (not intoxication), high infectious dose (>108) Incubation period ~8 -18 hours Some survive gastric transit, get to intestines Vegetative cells sporulate Synthesize toxin Toxin binds to epithelial cells Diarrhea and abdominal cramps Usually resolves spontaneously ~12 -24 hours Death rare; elderly or some underlying condition
14 Characteristics of foodborne illness Beef, poultry (meat, gravies, stews) primarily p. H ~5 -8. 3, temps >15 C Food contaminated with vegetative cells Cells not heat-killed Food temperature abused, not cooled quickly Often when cooking for large groups (group homes, large events)
Policy changing outbreaks 15 Sept 1985: Two sisters and mother develop peripheral weakness and respiratory troubles � Type B botulinum toxin in blood Additional cases; link is Vancouver restaurant Garlic was chopped, covered in soybean oil, and stored � p. H 4. 6 -5. 7 seen in 15 bottles measured
Garlic in oil 16
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