Cent Eur J Public Health 2013, 21(3):146-149 | DOI: 10.21101/cejph.a3843

Hygiene Training of Food Handlers in Hospital Settings: Important Factor in the Prevention of Nosocomial Infections

Konstansa Lazarević1,2, Dušica Stojanović2,3, Dragan C. Bogdanović1,2, Zana Ć. Dolićanin1
1 State University of Novi Pazar, Serbia
2 Public Health Institute Niš, Serbia
3 School of Medicine, University of Niš, Serbia

The aim of this study was to evaluate the effects of food hygiene training of food handlers on sanitary-hygienic conditions in hospital kitchens, based on microbiological analysis of smears taken in hospital kitchens. The study was conducted in the 1995-2009 period at the Clinical Centre Niš, Serbia. The food hygiene training was conducted in February 2005, by an infection control officer. 1,076 smears in the central kitchen and 4,025 smears in distributive kitchens were taken from hands and work clothes, work surfaces, equipment, and kitchen utensils. Microbiological analysis of smears was carried out in an accredited laboratory of the Public Health Institute Niš (Serbia). A significantly lower percentage of smears with isolates of bacteria (p<0.001) taken from hands and work clothes, work surfaces, equipment and kitchen utensils in the central and distributive kitchens was observed in the period following the food safety education programme (2005-2009). The most commonly isolated bacteria was: Enterobacter spp., Acinetobacter spp., Citrobacter spp., and E. coli. Our results confirmed that food hygiene training improved hygiene and is also an important component for the prevention of nosocomial infection.

Keywords: hygiene training, hospital, kitchen, smears

Received: September 14, 2012; Revised: June 6, 2013; Accepted: June 6, 2013; Published: September 1, 2013  Show citation

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Lazarević K, Stojanović D, Bogdanović DC, Dolićanin ZĆ. Hygiene Training of Food Handlers in Hospital Settings: Important Factor in the Prevention of Nosocomial Infections. Cent Eur J Public Health. 2013;21(3):146-149. doi: 10.21101/cejph.a3843. PubMed PMID: 24344539.
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References

  1. Burke JP. Infection control - a problem for patient safety. N Engl J Med. 2003 Feb 13;348(7):651-6. Go to original source... Go to PubMed...
  2. SuljagićV. Prevention and control of hospital infections in new millenium. Vojnosanit Pregl. 2006 Aug;63(8):711-2. (In Serbian.) Go to PubMed...
  3. Vonberg RP, Weitzel-Kage D, Behnke M, Gastmeier P. Worldwide Outbreak Database: the largest collection of nosocomial outbreaks. Infection. 2011 Feb;39(1):29-34. Go to original source... Go to PubMed...
  4. Lund BM, O'Brien SJ. Microbiological safety of food in hospitals and other healthcare settings. J Hosp Infect. 2009 Oct;73(2):109-20. Go to original source... Go to PubMed...
  5. U.S. Food and DrugAdministration, Center for Food Safety andApplied Nutrition. FDA report on the occurrence of foodborne illness risk factors in selected institutional foodservice, restaurant, and retail food store facility types. College Park, MD: FDA; 2004.
  6. Ohwaki K, Nagashima H,Aoki M,Aoki H,Yano E.Afoodborne norovirus outbreak at a hospital and an attached long-term care facility. Jpn J Infect Dis. 2009 Nov;62(6):450-4.
  7. Al-Abri SS,Al-JardaniAK,Al-Hosni MS, Kurup PJ,Al-Busaidi S, Beeching NJ. A hospital acquired outbreak of Bacillus cereus gastroenteritis, Oman. J Infect Public Health. 2011 Sep;4(4):180-6. Go to original source... Go to PubMed...
  8. Ertugrul BM, Erol N, Emek M, Ozturk B, Saylak OM, Cetin K, et al. Food-borne tonsillopharyngitis outbreak in a hospital cafeteria. Infection. 2012 Feb;40(1):49-55. Go to original source... Go to PubMed...
  9. Chief Medical Officer of Health's report on the management of the 2008 listeriosis outbreak in Ontario Toronto [Internet]. Toronto: Ministry of Health and Long-Term Care; 2009 [cited 2013 Aug 22]. Available from: http://www.health.gov.on.ca/en/public/publications/disease/docs/listeriosis_outbreak_rep.pdf.
  10. International Organization for Standardization. Microbiology - general guidance for the preparation of dilutions for microbiological examination. Geneva: International Organization for Standardization; 1983. ISO 6887.
  11. Law on food safety. Official Gazette of the Republic of Serbia. 2009(41):77-99.
  12. Boyce JM, Pittet D. Guideline for Hand Hygiene in Health-Care Settings: recommendations of the Healthcare Infection Control PracticesAdvisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Infect Control Hosp Epidemiol. 2002 Dec;23(12 Suppl):S3-40. Go to original source... Go to PubMed...
  13. Egan MB, Raats MM, Grubb SM, Eves A, Lumbers ML, Dean MS, et al. A review of food safety and food hygiene training studies in the commercial sector. Food Control. 2007;18(10):1180-90. Go to original source...
  14. Askarian M, Kabir G, Aminbaig M, Memish ZA, Jafari P. Knowledge, attitudes, and practices of food service staff regarding food hygiene in Shiraz, Iran. Infect Control Hosp Epidemiol. 2004 Jan;25(1):16-20. Go to original source... Go to PubMed...
  15. Buccheri C, Casuccio A, Giammanco S, Giammanco M, La Guardia M, Mammina C. Food safety in hospital: knowledge, attitudes and practices of nursing staff of two hospitals in Sicily, Italy. BMC Health Serv Res. 2007 Apr 3;7:45. Go to original source... Go to PubMed...
  16. El Derea H, Salem E, Fawzi M,AbdelAzeem M. Safety of patient meals in 2 hospitals in Alexandria, Egypt before and after training of food handlers. East Mediterr Health J. 2008 Jul-Aug;14(4):941-52.
  17. Guallar C, Ariza J, Dominguez MA, Peña C, Grau I, Verdaguer R, et al. An insidious nosocomial outbreak due to Salmonella enteritidis. Infect Control Hosp Epidemiol. 2004 Jan;25(1):10-5. Go to original source... Go to PubMed...
  18. Mioljević V, Simić AP, Radenković D, Galun D, Palibrk I, Ostojić S, et al. Acinetobacter spp. colonization and infection risk factors in surgical patients. Acta Chir Iugosl. 2011;58(4):81-7. Go to original source...
  19. Gajović O, Todorović Z, Mijailović Ž, Čanović P, Nešić L, Đorđević Z, et al. Incidence, risk factors and outcome of nosocomial pneumonia patients with central nervous system infections. SrpArh Celok Lek. 2011 Jul-Aug;139(7-8):476-80. (In Serbian.) Go to original source...
  20. Doughari HJ, Ndakidemi PA, Human IS, Benade S. The ecology, biology and pathogenesis ofAcinetobacter spp.: an overview. Microbes Environ. 2011;26(2):101-12. Go to original source...