Is Salmonella really everywhere?

Posted On:19 December 2020

Mushrooms, Peaches, Onions- nothing seems to be free from Salmonella. Salmonella is a foodborne pathogen that causes diarrhea and vomiting when fecal contaminated food goes inside the human body.

Since last year, the world has seen a high number of Salmonella outbreaks in quite a variety of food and this has been keeping the bacteria in the news for a very long time. According to CDC, an outbreak of Salmonella is defined as “two or more people get the same illness from the same contaminated food or drink”, so if we go by this definition, there have been three outbreaks of foodborne Salmonella, in addition to four outbreaks linked to animals, in the world this year.

The report by CDC estimates that Salmonella bacteria causes about 1.35 million infections, 26,500 hospitalizations, and 420 deaths in the United States every year.

But how exactly the bacteria gets into the human system before it causes such outbreaks?

Salmonella is a very diverse bacterium and there are about 2500 different Salmonella serotypes, out of which 100 types typically cause human disease. With a diverse habitat, Salmonella has proved to become a serious health hazard as sometimes its source of origin is not traceable.  Foodborne outbreaks related to Salmonella are most commonly due to intake of contaminated food harvest & poultry products that are not cooked well or are eaten raw. For example, this year a multistate outbreak was observed in Canada where 1127 people got infected with Salmonella after consuming onions from Thomson International Inc.

So the next question that rises is–Are the Salmonella infections serious and if they are then what should be done to prevent them. 

The infection is usually not very serious at the initial stage but can get fatal if not treated timely.  The symptoms of this disease usually arise within 6 hours to 4 days after eating contaminated food. These symptoms include diarrhea, fever, stomach cramps, and in severe cases bloody stools.

Initially, the bacteria can be kept in check by regularly monitoring the food processing units for any such bacterial contamination. Issues of bacterial contamination can be routinely addressed by regular surveillance of processing units using contact plates/swab testing. Some bacteria can also be introduced into the food at the farm level. It is therefore exceptionally important for all food manufacturers to rigorously test for Salmonella to ensure no contaminated products are released to the public.

But what if the bacterium has already established the infection and the patient is showing symptoms.

In such cases, the patients are advised to immediately visit the hospital for their stool examination.  The Stool test will help in identifying the presence of Salmonella spp. in the suspected sample. Ideally, salmonella is detected by first enriching the sample in Rappaport Vassiliadis Medium & then culturing it in XLD Agar. For rapid identification of the pathogen, the microbiologists commonly use the Chromogenic media which gives diagnostic colours for specific cultures, thus aiding in presumptive identification of the infection-causing bacteria. Hospitals may use the Chromogenic A. Rambach agar which is developed mainly focusing on the isolation of Salmonella species from clinical samples. For example, one can easily identify the pathogen causing typhoid (Salmonella typhimurium) by plating the suspected samples on to the chromogenic A.Rambach agar media and observing the bacterial growth as red colonies after incubation.

With reliable testing and effective treatment, Salmonella infection can be cured easily within 4-7 days after onset of symptoms.

 

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