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2013, Number 1

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RCAN 2013; 23 (1)

Riesgos higiénico-sanitarios de la elaboración de alimentos en instalaciones hospitalarias

Díaz LT, Cardona GM, Sánchez AY, Leyva CV, Ferrer MY, Hernández I, Díaz FJR

Language: Spanish
References: 26
Page: 65-81
PDF size: 100.79 Kb.


ABSTRACT

Rationale: Occurrence of food-borne diseases is a health hospital problem. Important volumes of food are prepared and served at the hospitals for potentially vulnerable groups. Study design: Descriptive, cross-sectional. Materials and methods: The study comprised the food services of 5 hospitals of different profile located in the capital-city: Pediatrics (n = 3), Mother-andchild care (n = 1) and Surgical clinical (n = 1). Surveys were administered at each center to assess hygienic sanitary risks present in the preparation and serving of foods, as well as to measure the level of knowledge on Hygiene of the food manipulator. In addition, pathogenic microbial species deemed of high epidemiological risk present in food, contact surfaces, and the hands of the manipulator, were determined. Results: Neither quality nor sanitary registry certifications were demanded upon reception of foods. Food conservation was inadequate in 20% of the instances. Washing of manipulator’s hands was deficient in the inspected institutions. Deficient cleaning and disinfection of food contact surfaces and incorrect washing of fruits and vegetables were observed. Coli forms (totals + faecals) were found in nearly one-third of the samples taken from foods, contact surfaces and manipulator’s hands. Salmonella ssp, Listeria monocitogena, and Staphylococcus aureus were the pathogens more frequently found in foods. Escherichia coli was found in contact surfaces. Knowledge on Hygiene and Food Manipulation Good Practices was deficient in 66.7% of the surveyed personnel. Conclusions: Preparation and serving of foods in the hospital institutions are subjected to many hygienic sanitary risks that can become cause of food-borne diseases. It is imperative the adoption of the interventional measures required to overcome this situation.


REFERENCES

  1. Anónimo. Reglamento Nacional de Hospitales. MINSAP Ministerio de Salud Pública. La Habana: 2009.

  2. Castro Domínguez A. Enfermedades trasmitidas por los alimentos. Editorial Ciencias Médicas. La Habana: 2008. pp 8-20.

  3. Díaz Lorenzo T, Caballero Torres A, Díaz Fernández JR. Enfermedades transmitidas por los alimentos. En: Temas de Higiene de los Alimentos para la Licenciatura de Nutrición y Dietética (Editor: Caballero Torres A). La Habana: 2008. Registro número 1692- 2008. CENDA Centro Nacional de Derechos del Autor. pp 263-303.

  4. Anónimo. Programa Nacional de Inocuidad de los Alimentos. MINSAP Ministerio de Salud Pública. La Habana: 2005. Disponible en: http://www.aps.sld.cu/bvs/materiales/pro gramas/programanacional.html. Fecha de última visita: 15 de Marzo del 2013.

  5. Anónimo. Educación alimentaria, nutricional e higiene de los alimentos. Manual de capacitación. MINSAP Ministerio de Salud Pública. La Habana: 2004.

  6. Caballero Torres A, Díaz Lorenzo T, Cardona Gálvez M. La educación sanitaria en Higiene de los Alimentos. Principios y estrategias. Procedimientos para impartir educación sanitaria. En: Temas de Higiene de los Alimentos para la Licenciatura de Nutrición y Dietética (Editor: Caballero Torres A). La Habana: 2008. Registro número 1692- 2008. CENDA Centro Nacional de Derechos del Autor. La Habana: 2008. pp 400-26.

  7. NC ISO 6881-1-2003. Microbiología de alimentos de consumo humano y animal. Método horizontal para la enumeración de Staphylococcus coagulasa positivo (Staphylococcus aureus y otras especies). Instituto Cubano de la Normalización. La Habana: 2003.

  8. NC ISO 4833:2002. Microbiología de alimentos de consumo humano y animal. Guía general para la enumeración de microorganismos de placa vertida a 25 grados. Instituto Cubano de la Normalización. La Habana: 2002.

  9. NC ISO 4832:2002. Microbiología de alimentos de consumo humano y animal. Guía general para la enumeración de coliformes. Técnica de placa vertida. Instituto Cubano de la Normalización. La Habana: 2002.

  10. NC ISO 6579:2003. Microbiología de alimentos de consumo humano y animal. Guía general para la detección de Salmonella. Instituto Cubano de la Normalización. La Habana: 2003.

  11. Leche. Técnica analítica para la determinación de Enterobacter sakazakii. FDA Food and Drug Administration. La Habana: 2002.

  12. ISO 7251:2005. Microbiología de alimentos de consumo humano y animal. Método horizontal para la detección y enumeración de Escherichia coli. Técnica del número más probable. Instituto Cubano de la Normalización. La Habana: 2005.

  13. Lauritsen JM, Bruus ME. A comprehensive tool for validated entry and documentation of data. The EpiData Association. Odense: 2004.

  14. Rodríguez Pérez AU, Delgado Pérez ML, Dujarric Martínez MD. Procedimientos antimicrobianos: Parte I: La desinfección en instituciones de salud. Rev Cubana Hig Epidemiol 2007:45(2):0-0. Disponible en: http://scielo.sld.cu/scielo.php?script=sci _arttext&pid=S1561- 30032007000200009&lng=es&nrm=iso. Fecha de última visita: 13 de Abril del 2013.

  15. Vázquez de Plata GE, Gómez de Avellaneda ES, Gamboa Delgado EM. Condiciones higiénico sanitarias de los servicios de alimentación en instituciones infantiles del Instituto Colombiano de Bienestar Familiar de Bucaramanga, Colombia. RCAN Revista Cubana Aliment Nutr 2007;17:23-33.

  16. Lund BM, O'Brien SJ. Microbiological safety of food in hospitals and other healthcare settings. J Hosp Infect 2009; 73:109-20.

  17. Buccheri C, Casuccio A, Giammanco S, Giammanco M, La Guardia M, Mammina C. Food safety in hospital: knowledge, attitudes and practices of nursing staff of two hospitals in Sicily, Italy. BMC Health Serv Res 2007;7:45. Disponible en: http://www.biomedcentral.com/1472- 6963/7/45. Fecha de última visita: 14 de abril del 2013.

  18. Jay LS, Comar D, Govenlock LD. A video study of Australian domestic foodhandling practices. J Food Prot 1999; 62:1285-96.

  19. Tebbutt GM, Wilson D, Holtby I. A study of 279 general outbreaks of gastrointestinal infection in the north- East region of England. Int J Environ Res Public Health 2009;6:547-57.

  20. Tebbutt GM. Does microbiological testing of foods and the food environment have a role in the control of foodborne disease in England and Wales. J Appl Microbiol 2007;102: 883-91.

  21. Hulebak KL, Schlosser W. Hazard analysis and critical control point (HACCP) history and conceptual overview. Risk Analysis 2002;22: 547-52.

  22. Vargas Leguás H, Rodríguez Garrido V, Lorite Cuenca R, Pérez Portabella C, Redecillas Ferreiro S, Campins Martí M. Powdered infant formulae preparation guide for hospitals based on Hazard Analysis and Critical Control Points (HACCP) principles. An Pediatr [Barcelona] 2009;70:586-93.

  23. Pajan-Lehpaner G, Petrak O. A one year retrospective study of gastroenteritis outbreaks in Croatia: Incidences and etiology. Coll Antropol 2009;33: 1139-44.

  24. Pérez E, Raposo A, Millán R, Sanjuán E, Carrascosa C. Microbiological evaluation of prepared/cooked foods in a HACCP environment. Food and Nutrition 2011;2:549-52.

  25. Todd EC, Greig JD, Bartleson CA, Michaels BS. Outbreaks where food workers have been implicated in the spread of foodborne disease. Part 3. Factors contributing to outbreaks and description of outbreak categories J Food Prot 2007;70:2199-217.

  26. Khurana S, Taneja N, Thapar R, Sharma M, Malla N. Intestinal bacterial and parasitic infections among food handlers in a tertiary care hospital of North India. Trop Gastroenterol 2008;29:207-9.




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