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Abstract

Evidence is accumulating that immunocompromised individuals are at an increased risk of infection from foodborne pathogens including Campylobacter jejuni, Listeria monocytogenes, Salmonella spp. Normal bacterial flora and contaminants of foods and enteral feeds can also result in nosocomial infection in susceptible individuals. Safe food handling, low-microbial diets, and measures to reduce bacterial contamination of enteral foods can reduce exposure to potential pathogens in the food supply.

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References

Newman KA , Schimpff SC Hospital hotel services as risk factors for infection among immunocompromised patients. Rev Infect Dis 1987;9:206-13.

Lenssen P. , Cheney C. Enteral feeding of the immunocompromised patient. In: Rombeau JL , Caldwell MD , eds. Enteral and tube feeding. 2nd ed. Philadelphia: WB Saunders, 1990:361-85.

Waites WM , Arbuthnott JP Foodborne illness: an overview. Lancet 1990 ;2:722-5.

Archer DL , Young FE Contemporary issues: diseases with a food vector. Clin Microbiol Rev 1988;1:377-98.

Jackson GJ Public health and research perspectives on the microbial contamination of foods. J Anim Sci 1990;68:884-91.

Archer DL Food counseling for persons infected with HIV: strategy for defensive living . Public Health Rep 1989;104:196-8.

Wade JC , Schimpff SC Epidemiology and prevention of infection in the compromised host. In: Rubin RH , Young LS , eds. Clinical approach to infection in the compromised host. 2nd ed. New York: Plenum Medical Book Company, 1988:5-40.

Pizzo PA Considerations for the prevention of infectious complications in patients with cancer. Rev Infect Dis 1989;11: S1551-63.

Cohen ML , Murphy MT , Counts GW , et al. Prediction by surveillance cultures of bacteremia among neutropenic patients treated in a protected environment. J Infect Dis 1983;147:789-93.

10.

Schimpff SC , Young VM , Greene WH , et al. Origin of infection in acute nonlymphocytic leukemia: significance of hospital acquired pathogens. Ann Intern Med 1972;77:707-14.

11.

Gottlieb MS Acquired immunodeficiency syndrome. In: Rubin RH , Young LS , eds. Clinical approach to infection in the compromised host. 2nd ed. New York: Plenum Medical Book Company, 1988:381-401.

12.

Remington JS , Schimpff SC Please don't eat the salads. N Engl J Med 1981;304:433-5.

13.

Smith PD , Lane HC , Gill VJ , et al. Intestinal infections in patients with acquired immunodeficiency syndrome (AIDS). Ann Intern Med 1988;108:328-33.

14.

Griffin PM , Tauxe RV Food counseling for patients with AIDS [Letter]. J Infect Dis 1988;158:668.

15.

Farley D. Food safety crucial for people with lowered immunity. FDA Consumer 1990;24:7-9.

16.

Archer DL Food counseling should be given to all persons infected with the human immunodeficiency virus [Letter]. J Infect Dis 1990;161:358-9.

17.

Mannel DN , Falk W. Optimal induction of tumor necrosis factor production in human monocytes requires complete S-form lipopolysaccharide. Infect Immun 1989;57:1953-8.

18.

Duh EJ , Maury WJ , Folks TM , et al. Tumor necrosis factor (alpha) activates human immunodeficiency virus type I through induction of nuclear factor binding to the NF-kB sites in the long terminal repeat. Proc Natl Acad Sci USA 1989;86:5974-8.

19.

Roberts D. Sources of infection: food. Lancet 1990;2:859-61.

20.

Bean NH , Griffin PM , Goulding JS , et al. Foodborne disease outbreaks, 5-year summary, 1983-1987. Morbid Mortal Weekly Rep 1990;39(SS-1):15-57.

21.

Todd E. Foodborne illness. Epidemiology of foodborne illness: North America . Lancet 1990;336:788-90.

22.

Archer DL , Kvenberg JE Incidence and cost of foodborne diarrheal disease in the United States . J Food Prot 1985;48:887-94.

23.

Roberts T. Human illness costs of foodborne bacteria. Am J Agr Econ 1989;71:468-74.

24.

Institute of Food Technologists' Expert Panel of Food Safety and Nutrition. Bacteria associated with foodborne diseases. Food Technol 1988;42:1-19.

25.

Skirrow MB Foodborne illness. Campylobacter. Lancet 1990 ; 2:921-3.

26.

Rodrigue DC , Tauxe RV , Rowe B. International increase in Salmonella enteritidis: a new pandemic? Epidemiol Infect 1990;105:21-7.

27.

St. Louis ME , Morse DL , Potter ME , et al. The emergence of grade A eggs as a major source of Salmonella enteritidis infection: new implications for the control of salmonellosis. JAMA 1988;259:2103-7.

28.

Richwald GA , Greenland S. , Johnson BJ , et al. Assessment of the excess risk of Salmonella dublin infection associated with the use of certified raw milk. Public Health Rep 1988 ;103:489-93.

29.

Celum CL , Chaisson RE , Rutherford GW , et al. Incidence of Salmonellosis in patients with AIDS. J Infect Dis 1987;156:998-1002.

30.

Lamont RJ , Postlethwaite R. , MacGowan AP Listeria monocytogenes and its role in human infection. J Infect 1988;17:7-28.

31.

Donnelly CW Listeria-an emerging foodborne pathogen. Nutr Today 1990;25:7-11.

32.

Ho JL , Shands KN , Friedland G. , et al. An outbreak of type 4b Listeria monocytogenes infection involving patients from eight Boston hospitals. Arch Intern Med 1986;146:520-4.

33.

Mascola LA , Lieb L. , Chiu J. , et al. Listeriosis: an uncommon opportunistic infection in patients with acquired immunodeficiency syndrome. Am J Med 1988;84:162-4.

34.

Fleming DW , Cochi SL , MacDonald KL , et al. Pasteurized milk as a vehicle of infection in an outbreak of listeriosis. N Engl J Med 1985;312:404-7.

35.

Schlech WF , Lavigne PM , Bortolussi RA , et al. Epidemic listeriosis-evidence for transmission by food. N Engl J Med 1983;308:203-6.

36.

Farber JM , Sanders GW , Johston MA A survey of various foods for the presence of Listeria species. J Food Protein 1989;52:456-8.

37.

Pearson LJ , Marth EH Listeria monocytogenes-threat to a safe food supply: a review. J Dairy Sci 1990;73:912-28.

38.

Ostroff SM , Griffin PM , Tauxe RV , et al. A statewide outbreak of Escherichia coli 0157:H7 infections in Washington state. Am J Epidemiol 1990;132:239-47.

39.

Doyle MP Foodborne illness. Pathogenic Escherichia coli, Yersinia enterocolitica, and Vibrio parahaemolyticus. Lancet 1990;2:1111-15.

40.

Noble RC Death on the half-shell: the health hazards of eating shellfish. Perspect Biol Med 1990;33:313-22.

41.

Blake PA , Merson M. , Weaver RE , et al. Disease caused by a marine vibrio. N Engl J Med 1979;300:1-5.

42.

Perl TM , Bedard L. , Kosatsky T. , et al. An outbreak of toxic encephalopathy caused by eating mussels contaminated with domoic acid. N Engl J Med 1990;322:1775-80.

43.

Epidemiologic Notes and Reports. Foodborne hepatitis A- Alaska, Florida, North Carolina, Washington . Morbid Mortal Weekly Rep 1990;39:228-32.

44.

Kaplan JE , Gary GW , Baron RC , et al. Epidemiology of Norwalk virus gastroenteritis and the role of Norwalk virus in outbreaks of acute nonbacterial gastroenteritis. Ann Intern Med 1982;96:756-61.

45.

Aker SN , Cheney CL The use of sterile and low microbial diets in ultraisolation environments . JPEN 1983;7:390-7.

46.

Pizzo PA , Purvis DS , Waters C. Microbiological evaluation of food items. J Am Diet Assoc 1982;81:272-9.

47.

Moe GL Low-microbial diets for patients with granulocytopenia. In: Bloch AS , ed. Nutrition management of the cancer patient. Rockville, MD: Aspen Publishing, Inc., 1990:125-33.

48.

Kominos SD , Copeland CD , Grosiak B. , et al. Introduction of Pseudomonas aeruginosa into a hospital via vegetables . Appl Microbiol 1972;24:567-70.

49.

Shooter RA , Faiers MC , Cooke EM , et al. Isolation of Escherichia coli, Pseudomonas aeruginosa and Klebsiella from food in hospitals, canteens and schools. Lancet 1971;2:390-1.

50.

Wright C. , Kominos SD , Yee RB Enterobacteriaceae and Pseudomonas aeruginosa recovered from vegetable salads . Appl Environ Microbiol 1976;31:453-4.

51.

Subramaniam L. , Shriniwas SN Food as a likely source of Pseudomonas aeruginosa . Indian J Med Res 1987;85:617-9.

52.

Subcommittee on Microbiological Criteria, Committee on Food Protection, Food and Nutrition Board, National Research Council. An evaluation of the role of the microbiological criteria for foods and food ingredients. Washington, DC : National Academy Press, 1985.

53.

Pinegar JA , Cooke EM Escherichia coli in retail processed food. J Hyg 1985;95:39-46.

54.

Casewell M. , Phillips I. Food as a source of Klebsiella species for colonisation and infection of intensive care patients. J Clin Pathol 1978;31:845-9.

55.

Dawkins HC , Bolton FJ , Hutchinson DN A study of the spread of Campylobacter jejuni in four large kitchens . J Hyg 1984;92:357-64.

56.

Schroeder P. , Fisher D. , Volz M. , et al. Microbial contamination of enteral feeding solutions in a community hospital. JPEN 1983;7:364-8.

57.

Anderson KR , Norris DJ , Godfrey LB , et al. Bacterial contamination of tube feeding formula. JPEN 1984;8:673-8.

58.

Anderton A. Microbiological quality of products used in enteral feeds. J Hosp Infect 1986;7:68-73.

59.

Beyer P. , Zepeda A. , Furtado D. A prospective survey of contamination of enteral feeding solution in the clinical setting. In: Report of the Ross workshop on contamination of enteral feeding products during clinical usage. Columbus : Ross Laboratories, 1983 :27-32.

60.

Casewell MW , Cooper JE , Webster M. Enteral feeds contaminated with Enterobacter cloacae as a cause of septicemia . Br Med J 1981;282:973.

61.

Baldwin BA , Zagoren AJ , Rose N. : Bacterial contamination of continuously infused enteral alimentation with needle catheter jejunostomy-clinical implications. JPEN 1984;8:30-3.

62.

Levy J. , Van Laethem Y. , Verhaegen G. Contaminated enteral nutrition solutions as a cause of nosocomial bloodstream infection: a study using plasmid fingerprinting. JPEN 1989;13:228-34.

63.

Thurn J. , Crossley K. , Gerdts A. , et al. Enteral hyperalimentation as a source of nosocomial infection . J Hosp Infect 1990;15:203-17.

64.

Freedland CP , Roller RD , Wolfe BM , et al. Microbial contamination of continuous drip feedings. JPEN 1989;13:18-22.

65.

Jacobs SN , Chang RWS , Berni Lee SRN , Bartlett FW Continuous enteral feeding: a major cause of pneumonia among ventilated intensive care unit patients. JPEN 1990;14:353-6.

66.

Belknap CD , Davidson LJ , Flournoy DJ Microorganisms and diarrhea in enterally fed intensive care unit patients . JPEN 1990;14:622-8.

67.

U.S. Department of Health and Human Services/Public Health Service/Food and Drug Administration/HFI-40. Eating defensively-food safety advice for persons with AIDS. Washington, DC: Department of Health and Human Services, Publication (FDA) 90-2232, May 1990 .

68.

Frankmann C. , Beck J. , Schomburg R. Feeding in protected environments. In: Rose JC , ed. Handbook for health care food service management . Rockville, MD: Aspen Publishing, Inc., 1984:241-50.

69.

Aker SN On the cutting edge of dietetic science. Nutr Today 1984;19:24-7.

70.

Dezenhall A. , Curry-Bartley K. , Blackburn SA , et al. Food and nutrition services in bone marrow transplant centers. J Am Diet Assoc 1987;87:1351-3.

71.

Moe GM , Johnson M. , Tari S. Microbiological evaluation of foods for neutropenic marrow transplant patients [Abstract]. J Am Diet Assoc 1989;89:A-80.

72.

Ayers LW , Hancock D. , Buesching W. , et al. Development and evaluation of diets using nonsterile but controlled microbial content of foods for control of nosocomial infection in bone marrow transplant patients [Abstract]. In: Abstracts of the annual meeting of the American Society for Microbiology. Washington, DC: American Society for Microbiology, 1986:414.

73.

Kohn CL , Keithley JK Techniques for evaluating and managing diarrhea in the tube-fed patient . NCP 1987;2:250-7.

74.

Guidelines for preventing contamination of enteral feedings . In: Report of the Ross Workshop on contamination of enteral feeding products during clinical usage. Columbus: Ross Laboratories, 1983:40-2.

Invited Review: Enteral Feeding and Infection in the Immunocompromised Patient

Abstract

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