Thanksgiving at the Scholle’s

1. Thanksgiving at the Scholle’s

2. The year it all blew up…

3. Salad • Onset: • 12 hours to 2 days • Symptoms: • Intestinal distress • Mild to severe • Bloody w/mucous • Rectal spasms • Fever • Abdominal cramps • Dehydration

4. Shigella

5. Shigella • Is ingested through contaminated water • Food may become contaminated during preparation of infected individual • Swimming pools and beaches can become contaminated • No group of individuals is immune • Individuals are at increased risk: small children

6. Getting Better… • A stool sample can identify the Shigella bacteria • Then special tests will tell which species of Shigella is there & which antibiotics would be best to treat it. • Usually goes away in 5 to 7 days • May be several months before bowel habits are entirely normal • Young children, the elderly, & immune compromised persons: • intestinal distress can be so severe that the affected person needs to be hospitalized.

7. Lasagna • Onset • 3-9 days • Symptoms • Abdominal pain (sudden) • Severe cramps • Intestinal distress (1 week) • Watery & grossly bloody • Vomiting • No fever

8. E. coli

9. E. coli • Bacteria are ingested from food: • Undercooked ground beef • Contaminated fruits/vegetables • Prevention: use a digital instant read meat thermometer (temp. should be at least 160o F)

10. Complications • Hemolytic Uremic Syndrome (HUS): a severe, life-threatening complication of an E. coli infection • E. coli secretes toxins • Cells have toxin receptor sites that allow the toxins to get in and kill the cell • Kidney, pancreas, and brain have more than other organs

11. Thrombotic Thrombocytopenic Purpura (TTP) syndrome:low platelet & RBC • Endothelial cell damage • Cascade of biochemical events • Blood clots-block the terminal arterioles and capillaries of most of the major body organs: • Heart, brain, kidneys, pancreas and adrenals.

12. Getting better… • Infection confirmed by detecting the bacteria in stool • Antibiotics do not help • Good supportive care: • Hydration • Nutrition • Most people recover within two weeks

13. Broccoli Casserole • Onset • 6 to 72 hours • Acute symptoms • Sudden nausea • Abdominal cramping • Severe intestinal distress • Blood & mucous • Fever • Vomiting • Headaches • Muscle pain • Joint pain

14. Salmonella

15. Salmonella • Bacteria ingested from food: • Raw/undercooked eggs/egg products • Raw milk or milk products • Contaminated water • Meat and meat products • Poultry • Raw fruits & vegetables (contaminated during slicing)

16. Getting better… • 5 to 7 days • Many times no treatment required • Unless… severe dehydration • OR… infection spreads from the intestines • In cases of severe intestinal distress: re-hydration, often with intravenous fluids.

17. Prevention: (Salmonella & E. coli)… • Stop bacterial spread in the kitchen!!! • Keep raw meat separate from other foods (fruits, veggies, & other things you eat raw) • Wash hands, counters, and utensils with hot soapy water after they touch raw meat • Never place cooked ground beef on the unwashed plate that held raw meat • Wash meat thermometers in between tests