The Relationship of Microorganisms to Sanitation 39Table 3–3
Characteristics of the More Common Foodborne Illnesses
Average Time beforeIllnessCausative AgentSymptomsOnset of Symptoms Foods Usually InvolvedPreventive MeasuresBacillusB. cereusNausea, vomiting,1–16 hoursCooked products,Sanitary handlingdiarrhea,pasta, fried rice,and rigidabdominal painand dried milktemperature controlBotulismToxinsImpaired swallowing,12–36 hoursCanned low-acid foods,Proper canning, smoking andproduced byspeaking, respiration, andincluding canned meatprocessing procedures;C. botulinumcoordination, dizziness andand seafood, smoked andcooking to destroy toxins,double vision, weariness,processed fishproper refrigeration andweaknesssanitationStaphylococcalEnterotoxinNausea, vomiting, retching,2–6 hoursCustard and cream-filledPasteurization of susceptible(foodborneproduced byabdominal cramps due topastries, potato salad,foods, proper refrigerationillness)S. aureusgastroenteritis (inflammationdairy products, ham,and sanitationof the lining of the stomachtongue, and poultryand intestines)C. perfringensToxin produced byNausea, occasional vomiting,8–24 hoursCooked meat, poultry, andPrompt refrigeration of(foodborneC. perfringensdiarrhea, and abdominal painfish held at non-unconsumed cooked meat,illness)(infection?)refrigerated temperaturespoultry, or fish; maintainfor long periods of timeproper refrigeration and sanitationSalmonellosisInfection producedNausea, vomiting, diarrhea,8–72 hoursInsufficiently cooked orCleanliness and sanitation(food infection)by ingestion offever, abdominal pain,warmed-over meat, poultry,of food handlers andany of over 1,200may be proceeded by chillseggs, and dairy products;equipment, pasteurization,strains ofand headachethese are especiallyproper refrigeration andSalmonellathatsusceptible when keptpackagingcan grow in therefrigerated for a long timegastrointestinaltract of the consumerShigella infectionShigellaspp.Nausea, vomiting, water1–7 daysFoods handled byHygienic practices of food(bacillarydiarrhea, fever, abdominalunsanitary workershandlersdysentery)pain and cramps, chills, and headacheContinues