Abstract | Mnogo je zaraznih bolesti koje se prenose hranom, a glavni uzročnici spadaju u skupinu bakterija i virusa. Najpoznatiji oblici zaraznih bolesti koje se prenose hranom su salmoneloze, listerioze, kampilobakterioze, stafiloenterotoksikoza te klostridijalno trovanje hranom. Sukladno tome, vidljivo je kako dolazi ili do alimentarne infekcije (gdje glavnu ulogu u patogenezi igra sam uzročnik bolesti) ili alimentarne intoksikacije (gdje je u patogenezu impliciran sam toksin). Veća je mogućnost zaraze hranom u ljetnim mjesecima zbog toga što visoke temperature pogoduju rastu i razvoju velikog broja uzročnika zaraznih bolesti. Kontaminacija je hrane u svakom slučaju vrlo lako moguća zbog toga što su uzročnici i njihove spore prisutne praktički svuda oko nas. Klinička slika je nespecifična, te je shodno tome postavljanje dijagnoze otežano. Simptomi, ovisno o vrsti unesenog uzročnika ili toksina, uključuju povraćanje i proljev. Posljedični gubitak vode i elektrolita uzrokuje dehidraciju koja u iznimnim slučajevima može uzrokovati i smrt. Bolest je kratke inkubacije i brzog tijeka, zbog čega se tijekom epidemija bolest razvija gotovo istodobno kod svih oboljelih. Liječenje je simptomatsko, a nakon rehidracije simptomi i znakovi bolesti spontano jenjavaju. U slučaju blaže dehidracije dovoljna je primjena oralne rehidracijske otopine, a u slučaju teže dehidracije potrebna je parenteralna nadoknada tekućine i elektrolita. Antibiotska terapija nije preporučljiva osim u iznimnim slučajevima. Uloga visoko educirane medicinske sestre jest u edukaciji i provođenju preventivnih mjera, ali i u zbrinjavanju oboljelih osoba. |
Abstract (english) | A myriad of foodborne infectious diseases are known today, caused by specific strains of bacteria and viruses. The most well-known examples of foodborne infectious diseases are salmonellosis, listeriosis, campylobacteriosis, staphyloenterotoxicosis, as well as clostridial food poisoning. Accordingly, it can be observed that we are faced with either alimentary infection (where the pathogen is actually the cause of the disease) or alimentary intoxication (where the toxin is implicated in the disease pathogenesis). Foods are more likely to become infected in the summer because high environmental temperatures enable growth and development of a wide array of infectious agents. In any case, food contamination is often seen due to the ubiquitous presence of causative agents and their spores. However, the clinical presentation is non-specific and, hence, difficult to diagnose. Symptoms, depending on the type of ingested pathogen or toxin, include vomiting and diarrhea. The resulting loss of water and electrolytes causes dehydration, which in rare instances may even lead to death. The disease has a short incubation period and a rapid course, which is why during the outbreaks the disease develops almost simultaneously in all affected individuals. The treatment is symptomatic, and following adequate rehydration the symptoms and signs of the disease disappear spontaneously. In the case of mild dehydration, the use of oral rehydration solution is sufficient, whereas in the case of severe dehydration, parenteral fluid and electrolyte replenishment are required. Antibiotic therapy is not recommended, i.e. only in specific cases. The role of a highly educated nurse is to educate and implement preventative measures, but also to care for the diseased individuals. |