scholarly journals An outbreak of Salmonella Enteritidis food poisoning following consumption of chicken shawarma: A brief epidemiological investigation

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 851
Author(s):  
Surendran Deepanjali ◽  
Mandal Jharna ◽  
Bammigatti Chanaveerappa ◽  
Dhandapani Sarumathi ◽  
Pallam Gopichand ◽  
...  
Keyword(s):  
Fast Food ◽  
Salmonella Enteritidis ◽  
Tertiary Care ◽  
Food Poisoning ◽  
Care Hospital ◽  
Food Outlet ◽  
Undergraduate Medical Students ◽  
Online Questionnaire ◽  
Stool Samples ◽  
Eating Out

Background: Shawarma, a popular meat-based fast food could be a source of foodborne outbreak due to non-typhoidal Salmonella (NTS). A clustering of acute gastrointestinal (GI) illness following intake of chicken shawarma occurred primarily among the staff and students of a tertiary care hospital in southern India. Methods: A case-control study was conducted among 348 undergraduate medical students (33 cases, 315 controls).  Data was collected using direct interviews and a simple online questionnaire. Epidemiological associations of GI illness were evaluated at three levels of exposure namely-eating food from any restaurant, eating food from the implicated food outlet, eating chicken shawarma from the implicated outlet. Results: Of 33 cases, 26 had consumed food from a particular food outlet, 4 from other outlets, and 3 did not report eating out. Consumption of food from the suspected food outlet was significantly associated with GI illness (odds ratio 121.8 [95% CI 28.41 to 522.66]; P<0.001); all the 26 cases who had eaten from the particular outlet had eaten chicken shawarma. By comparison, only one of the 315 controls had eaten this dish. Of the 27 persons (cases as well as controls) who had consumed chicken shawarma from the outlet, 26 were ill. Culture of stool samples from 10 affected individuals and implicated food item yielded Salmonella Enteritidis. Conclusions: Meat-based shawarma is a potential source of NTS infection. Food safety authorities should enforce guidelines for safe preparation and sale of shawarmas and similar products.

scholarly journals An outbreak of Salmonella Enteritidis food poisoning following consumption of chicken shawarma: A brief epidemiological investigation

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 851
Author(s):  
Surendran Deepanjali ◽  
Mandal Jharna ◽  
Bammigatti Chanaveerappa ◽  
Dhandapani Sarumathi ◽  
Pallam Gopichand ◽  
...  
Keyword(s):  
Fast Food ◽  
Salmonella Enteritidis ◽  
Tertiary Care ◽  
Food Poisoning ◽  
Care Hospital ◽  
Food Outlet ◽  
Undergraduate Medical Students ◽  
Online Questionnaire ◽  
Stool Samples ◽  
Eating Out

Background: Shawarma, a popular meat-based fast food could be a source of foodborne outbreak due to non-typhoidal Salmonella (NTS). A clustering of acute gastrointestinal (GI) illness following intake of chicken shawarma occurred primarily among the staff and students of a tertiary care hospital in southern India. Methods: A case-control study was conducted among 348 undergraduate medical students (33 cases, 315 controls).  Data was collected using direct interviews and a simple online questionnaire. Epidemiological associations of GI illness were evaluated at three levels of exposure namely-eating food from any restaurant, eating food from the implicated food outlet, eating chicken shawarma from the implicated outlet. Results: Of 33 cases, 26 had consumed food from a particular food outlet, 4 from other outlets, and 3 did not report eating out. Consumption of food from the suspected food outlet was significantly associated with GI illness (odds ratio 121.8 [95% CI 28.41 to 522.66]; P<0.001); all the 26 cases who had eaten from the particular outlet had eaten chicken shawarma. By comparison, only one of the 315 controls had eaten this dish. Of the 27 persons (cases as well as controls) who had consumed chicken shawarma from the outlet, 26 were ill. Culture of stool samples from 10 affected individuals and implicated food item yielded Salmonella Enteritidis. Conclusions: Meat-based shawarma is a potential source of NTS infection. Food safety authorities should enforce guidelines for safe preparation and sale of shawarmas and similar products.

scholarly journals An outbreak of Salmonella Enteritidis food poisoning following consumption of chicken shawarma: A brief epidemiological investigation

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 851
Author(s):  
Surendran Deepanjali ◽  
Mandal Jharna ◽  
Bammigatti Chanaveerappa ◽  
Dhandapani Sarumathi ◽  
Pallam Gopichand ◽  
...  
Keyword(s):  
Fast Food ◽  
Salmonella Enteritidis ◽  
Tertiary Care ◽  
Food Poisoning ◽  
Care Hospital ◽  
Food Outlet ◽  
Undergraduate Medical Students ◽  
Online Questionnaire ◽  
Stool Samples ◽  
Eating Out

Background: Shawarma, a popular meat-based fast food could be a source of  foodborne outbreak due to non-typhoidal Salmonella . A clustering of acute gastrointestinal (GI) illness following intake of chicken shawarma occurred primarily among the staff and students of a tertiary care hospital in southern India. Methods: A case-control study was conducted among 348 undergraduate medical students (33 cases, 315 controls).  Data was collected using direct interviews and a simple online questionnaire. Epidemiological associations of GI illness were evaluated at three levels of exposure namely - eating food from any restaurant, eating food from the implicated food outlet, eating chicken shawarma from the implicated outlet. Results: Of 33 cases, 26 had consumed food from a particular food outlet, 4 from other outlets, and 3 did not report eating out. Consumption of food from the suspected food outlet was significantly associated with GI illness (odds ratio 121.8 [95% CI 28.4 to 522.7]; P<0.001); all the 26 cases who had eaten from the particular outlet had eaten chicken shawarma. In comparison, only one of the 315 controls had eaten this dish. Of the 27 persons (cases as well as controls) who had consumed chicken shawarma from the outlet, 26 fell ill. Culture of stool samples from 10 affected individuals and implicated food item yielded Salmonella Enteritidis. Conclusions: Thus, it can be concluded that meat-based shawarma is a potential source of NTS infection.

scholarly journals Clostridium difficile colonization among patients with clinically significant diarrhea and no identifiable cause of diarrhea

2018 ◽  
Vol 39 (11) ◽  
pp. 1330-1333 ◽  
Author(s):  
Erik R. Dubberke ◽  
Kimberly A. Reske ◽  
Tiffany Hink ◽  
Jennie H. Kwon ◽  
Candice Cass ◽  
...  
Keyword(s):  
Clostridium Difficile ◽  
Patient Population ◽  
Tertiary Care ◽  
Clinical Microbiology Laboratory ◽  
Care Hospital ◽  
Toxigenic Culture ◽  
Stool Samples ◽  
Stool Specimens ◽  
Clinically Significant ◽  
Culture Negative

AbstractObjectiveTo determine the prevalence of Clostridium difficile colonization among patients who meet the 2017 IDSA/SHEA C. difficile infection (CDI) Clinical Guideline Update criteria for the preferred patient population for C. difficile testing.DesignRetrospective cohort.SettingTertiary-care hospital in St. Louis, Missouri.PatientsPatients whose diarrheal stool samples were submitted to the hospital’s clinical microbiology laboratory for C. difficile testing (toxin EIA) from August 2014 to September 2016.InterventionsElectronic and manual chart review were used to determine whether patients tested for C. difficile toxin had clinically significant diarrhea and/or any alternate cause for diarrhea. Toxigenic C. difficile culture was performed on all stool specimens from patients with clinically significant diarrhea and no known alternate cause for their diarrhea.ResultsA total of 8,931 patients with stool specimens submitted were evaluated: 570 stool specimens were EIA positive (+) and 8,361 stool specimens were EIA negative (−). Among the EIA+stool specimens, 107 (19% of total) were deemed eligible for culture. Among the EIA− stool specimens, 515 (6%) were eligible for culture. One EIA+stool specimen (1%) was toxigenic culture negative. Among the EIA− stool specimens that underwent culture, toxigenic C. difficile was isolated from 63 (12%).ConclusionsMost patients tested for C. difficile do not have clinically significant diarrhea and/or potential alternate causes for diarrhea. The prevalence of toxigenic C. difficile colonization among EIA− patients who met the IDSA/SHEA CDI guideline criteria for preferred patient population for C. difficile testing was 12%.

scholarly journals OBSERVATIONAL STUDY ON POISON CASES IN A TERTIARY CARE HOSPITAL

2019 ◽  
pp. 80-83
Author(s):  
RAMYA A. ◽  
ANDHUVAN G. ◽  
RAGHUPATHI V.
Keyword(s):  
Social Sciences ◽  
Statistical Analysis ◽  
Observational Study ◽  
Severity Score ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Food Poisoning ◽  
Common Type ◽  
Cow Dung ◽  
Care Hospital

Objective: To evaluate the prevalence, pattern, and cause of poisoning. To characterize the poisoning cases admitted in a tertiary care hospital; followed by the outcome and to observe the antidote given for the poison cases. Methods: This observational study was undertaken in emergency departments (EMD) and Medical Record Department (MRD). Totally 557 poison cases was recruited in this study. Grade of poison was assessed by using poison severity score. Statistical analysis was done by using Statistical Package for Social Sciences (SPSS). Results: A total of 557 poison cases were identified in 2, 39, 828 patients out of which 360(64%) were suicidal and 189(34) cases admitted were accidental. The patients who were admitted between 2-5 h after exposed to poison were found to be more followed by 0-1 hr,>1-2 h,>6-24 h,>24 h and>5-6 h. More number of cases were seen in the others (Synthetic cow dung powder and medicine) type of poison 296(53%) followed by household poisoning 93(17%), bites 86 (15%), insecticide poisoning 64(12%) and food poisoning 16(3%). Activated charcoal was the maximum used antidote. Conclusion: Through this study, it was found that suicidal poisoning was the most common type.

scholarly journals A Comparative Study of Rotaviral Antigen Detection by ELISA and ICT in Children below Five Years with Acute Diarrhoea in A Tertiary Care Hospital

2021 ◽  
Vol 49 (1) ◽  
pp. 14-18
Author(s):  
Farjana Binte Habib ◽  
Mohammed Mirazur Rahman ◽  
Md Moynul Haque ◽  
Shib Prasad Sinha ◽  
Suborna Dey ◽  
...  
Keyword(s):  
Rapid Detection ◽  
Tertiary Care ◽  
Significant Proportion ◽  
Antigen Detection ◽  
Watery Diarrhoea ◽  
Enzyme Linked Immunosorbent Assay ◽  
Care Hospital ◽  
Rotavirus Infection ◽  
Under Five ◽  
Stool Samples

Rotavirus is responsible for acute severe watery diarrhoea in young children. Early and rapid detection of rotavirus infection can help to reduce inappropriate administration of antibiotics and has future positive impact on prevention of drug resistance. This cross-sectional study was designed to determine the role of rotaviral antigen detection by ICT from stool sample of acute diarrhoeal children below five years admitted in Sylhet MAG Osmani Medical College Hospital, Sylhet and was carried out in the department of microbiology in collaboration with the department of paediatrics during the period from 1st January  to 31st December, 2018. Total 184 children of under five years of age with acute watery diarrhoea were enrolled in this study. Rotaviral antigen was detected by ELISA (Enzyme Linked Immunosorbent Assay) and ICT (Immunochromatographic test) from stool samples. Out of 184 stool samples, rotaviral antigen was found positive in 84 and 86 cases by ICT and ELISA methods, respectively. ICT showed sensitivity of 90.70% and specificity of 93.88% when compared with ELISA. The rotavirus infection was found highest in male children (61.90%) and in age group of 7 to 12 months (51.89%). Considering the importance of rotaviral diarrhoea, rapid detection of rotavirus infection by ICT is essentially needed and should be practiced routinely as it is relatively reliable, easy to perform and cost-effective. It is particularly important in Bangladesh, where diarrhoea is still contributing a significant proportion of mortality and morbidity in under five children. Bangladesh Med J. 2020 Jan; 49 (1): 14-18

scholarly journals A STUDY ON KNOWLEDGE, ATTITUDE AND PRACTICE OF SELF MEDICATION FOR DIARRHOEAAMONG UNDERGRADUATE MEDICAL STUDENTS IN A TERTIARY CARE HOSPITAL OF ASSAM

2020 ◽  
pp. 48-50
Author(s):  
Dipsikha Das ◽  
Kalpana Gohain
Keyword(s):  
Medical Students ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Common Source ◽  
Care Hospital ◽  
Undergraduate Medical Students ◽  
Self Medication ◽  
Medication Practice ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Introduction: Self medication is referred to the use of medications to treat self-diagnosed disorders or symptoms without a valid prescription. Self medication practice is seen widely due to availability of over the counter drugs and lack of awareness of adverse drug reactions. Aims and Objectives: To study the knowledge, attitude and practice of self medication for diarrhoea among undergraduate medical students in a tertiary care hospital of Assam. Materials and methods: A cross-sectional questionnaire based study was carried out among the Undergraduate medical students of Assam Medical College & Hospital, Dibrugarh. The questionnaire was designed to assess the Knowledge, attitude and practice of self-medication for diarrhoea. A total of 130 students were included in the study after obtaining written informed consent from them. The data of the completely filled up questionnaire was analyzed and presented as mean and percentage. Results: Out of 130 students 89.23% practised self-medication for diarrhoea. The most common cause of self medication practice was to save time and source of information was from medical textbooks. The most common source of medicines was medical stores and commonly used drugs for diarrhoea were ORS, Metronidazole, Ofloxacin, probiotics and anti-motility drugs. Only 17.25% of students had awareness of the harmful effects of self medication for diarrhoea. Conclusion: There is high prevalence of self-medication practice to treat diarrhoea among undergraduate medical students which necessitates proper education and awareness regarding the benefits and hazards associated with self medication practice.

scholarly journals ASSESSMENT OF NOVEL CORONA VIRUS (COVID-19) AWARENESS AMONG MEDICAL LABORATORY TECHNOLOGIST IN A TERTIARY CARE HOSPITAL IN DELHI: A QUESTIONANAIRE BASED SURVEY

2020 ◽  
pp. 1-5
Author(s):  
Anjali Sharma ◽  
Manju Kumari ◽  
Heena Heena ◽  
Mukul Singh ◽  
Sunil Ranga ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Medical Laboratory ◽  
Care Hospital ◽  
Online Questionnaire ◽  
Major Health Problem ◽  
Effective Interventions ◽  
Care Workers

Introduction: COVID-19 is rapidly spreading all over the world and is a major health problem in the current scenario. The aim of this study is to assess the awareness of related to COVID-19 disease among the health care workers. Material and methods: This is an online questionnaire based study comprising of 24 questions related to COVID-19 and included 89 health care workers. The responses were analyzed using SPSS software. Results: There were 50 females and 39 males. Among these 35 were trained and 54 were untrained. On analysis we found that females (96.0%) were more aware than males (92.3%). The response of trained persons were more accurate than those of untrained but was not significant (p=0.98). The most aware age group was 51-60 and most aware department was blood bank followed by microbiology. Conclusion: Awareness and preparedness of healthcare workers is low regarding the coronavirus infection. There is need of urgent effective interventions and training programs for various healthcare workers.

scholarly journals An evaluation of pattern of adverse drug reactions reporting by undergraduate medical students in a tertiary care hospital

2019 ◽  
Vol 8 (4) ◽  
pp. 685
Author(s):  
Zorawar Singh Bali ◽  
Mohammad Younis Bhat ◽  
Samina Farhat ◽  
Urfan Nabi
Keyword(s):  
Medical Students ◽  
Adverse Drug Reactions ◽  
Undergraduate Students ◽  
Clinical Teaching ◽  
Tertiary Care ◽  
Care Hospital ◽  
Drug Reactions ◽  
Undergraduate Medical Students ◽  
Mortality And Morbidity ◽  
Response Percentage

Background: Adverse drug reactions (ADRs) are an important cause of mortality and morbidity worldwide and reporting ADRs voluntarily is fundamental to medical drug safety surveillance but gross underreporting of ADRs is a cause for a concern. Being key health care professional, physicians, pharmacists and nurses have immense responsibility in reporting of ADRs. Therefore, the sensitization and involvement of undergraduate medical students can reduce underreporting. This study is aimed at evaluating knowledge, attitude and reporting of quality of ADRs by undergraduate medical students.Methods: The study was conducted after sensitizing the second professional year undergraduate students about Pharmacovigilance as part of their internal assessment and asked them to submit reports of ADR observed during their clinical posting.Results: A total of 82 ADR’s were reported after sensitization with majority of them i.e. 30 related to skin and appendages disorder followed by gastrointestinal tract with antibiotics i.e. 28 and analgesics being most common probable/possible culprits.Conclusions: The response percentage of reporting ADRs was 54.66%. Medical students being future healthcare professionals should be exposed to ADR reporting during their clinical teaching posting as a part of sensitization and make them actively involved in reporting to improve detection rate and make Pharmacovigilance a success.

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