Monday, June 14, 2010

Salmonella and food poisoning

What is salmonella?


Salmonella is a type of bacteria. It is usually found in poultry, eggs, unprocessed milk and in meat and water. It may also be carried by pets like turtles and birds.

What kind of infection does salmonella cause?


The salmonella bacteria attacks the stomach and intestines. In more serious cases, the bacteria may enter the lymph tracts, which carry water and protein to the blood, and the blood itself. The bacteria attack all age groups and both sexes. Children, the elderly and people who are already ill are much more likely to get a serious infection.

What are the symptoms of salmonella poisoning?



In the case of less serious infections there are fewer symptoms - usually only diarrhoea two or three times a day for a couple of days. Most mild types of salmonella infection clear up in four to seven days without requiring any treatment other than rest and plenty of liquid.

A more severe infection may cause excessive diarrhoea, stomach cramps and general health problems. In such cases, treatment with antibiotics may be necessary and a doctor should be consulted.

When is it necessary to contact a doctor?



  • If diarrhoea continues for more than 24 hours.

  • If the diarrhoea is frequent and intense.

  • If the patient has severe stomach cramps.

  • If there is blood in the faeces.

  • If the patient has fever of 38oC or higher.

  • If there are signs of jaundice - a yellowish discolouration of the skin or eyes. This may indicate problems with the liver or the bile ducts that take the bile from the liver to the stomach.

  • Dehydration.


What is the danger of dehydration?


Frequent diarrhoea and vomiting may drain the body of fluids, salts and minerals. Dehydration occurs when the patient loses more liquid than they can take in. Cases of dehydration should always be checked by a doctor and can be very dangerous in babies and the elderly.

Signs of dehydration are:

  • the tongue or the mucous membranes in the mouth are dry

  • dry, chapped skin

  • increased thirst

  • dark urine

  • lack of, or decreased, urine output

  • weakness.


How can salmonella infections be prevented?



  • Pay attention to cleanliness.

  • Make sure that all food is thoroughly cooked.


What are the basic rules for preparing food hygienically?



  • Always wash your hands with soap after going to the toilet and before preparing food. Dry them on a dry towel.

  • Wash your hands when you switch from preparing one type of food to another, eg vegetables to meat. This helps prevent the exchange of bacteria between different ingredients.

  • Kitchen utensils must be properly washed with soap and water before use with another type of food. Again, this stops bacteria being exchanged.

  • Use different cutting boards and knives for preparing different foods.

  • Change the dishcloth every day. Wash dishcloths in water that is at least 60oC.

  • Store food in the refrigerator. Meat, poultry and fish must not be left out of the fridge for long periods.


How should food be cooked to avoid salmonella poisoning?


The only effective way to kill salmonella bacteria is with heat. For this reason it is essential to cook food thoroughly.

  • Poultry must always be thoroughly cooked or boiled.

  • Minced meat must always be thoroughly cooked or boiled.

  • Never crack a raw egg on a bowl containing other foods - use a knife to crack the shell.

  • In most eggs, the salmonella bacteria exist only on the shell. Eggs should be scalded in boiling water for five seconds before use.

Sore throat

Reviewed by Dr John Pillinger, GP

What is a sore throat?


A sore throat (also known as pharyngitis or tonsillitis) is a symptom of a disease affecting the pharynx or the area around the tonsils. It can be the result of an infection by a virus or bacteria. A sore throat may be symptomatic of the condition itself or one of a number of symptoms realting to a wider illness such as flu and glandular fever.

The disease is most commonly seen in children and young people but it can occur at any age. The characteristics of the symptom are throat pain and trouble swallowing. If the sore throat is due to bacterial infection it can be treated with antibiotics. Usually there are no complications.

How do you contract a sore throat?


By being infected by a virus or bacteria.

Infection by a virus causing a sore throat may come from a variety of sources, including the common cold virus, influenza and the Epstein-Barr virus – the cause of glandular fever. Viral infection originates from airborne droplets from coughing and sneezing and from not washing hands that can carry the infection from person to person.

Among the bacteria that cause sore throats, the streptococcus group A is the most common. The incubation period between picking up the infection until the disease breaks out, is up to four days.

Good advice




  • If signs of a sore throat persist for more than a few days or are severe with marked difficulty in swallowing, high fever, a rash or vomiting, then your GP should be consulted.

  • Warm drinks and soft food may ease swallowing problems.

  • Drink plenty of fluids.




What are the signs of a sore throat?



  • Pain in the throat and difficulty in swallowing.

  • Pain may spread to the ears.

  • The throat is reddish, the tonsils are swollen and may be coated.

  • Possibly a high temperature.

  • Swollen lymph nodes under your jaw and in your neck may occur.

  • If the sore throat is due to a viral infection the symptoms are usually milder. Usually they are connected to the common cold.

  • If the sore throat is due to the Coxsackie virus, small blisters may develop on the tonsils and in the soft palate. The blisters erupt in a few days and are followed by a scab which may be very painful.

  • If the sore throat is due to a streptococcal infection, the tonsils often swell and become coated and the throat is sore. The patient runs a temperature, has foul-smelling breath and may feel quite ill.


How does the doctor make a diagnosis?


The doctor usually makes the diagnosis from the symptoms of the disease, but occasionally a swab of the secretions of the throat and possibly a blood sample are required to identify the cause.

What complications may arise?


Usually a sore throat causes no trouble and only lasts about a week, but the following complications may arise:

  • a secondary infection may occur in the middle earsinuses or chest.

  • if the sore throat is due to a streptococcus infection, there may be a rash (scarlet fever).

  • an uncommon complication is a throat abscess that usually occurs only on one side.

  • in very rare cases, diseases like rheumatic fever or a particular kidney disease (glomerulonephritis) may occur.


How is a sore throat treated and which medication may help?


In the vast majority of cases, a sore throat caused by a virus infection need only be treated with paracetamol (eg CalpolPanadol) or ibuprofen, (egNurofen for children) to bring the temperature down.

In a small minority of patients, a sore throat caused by bacteria is treated withpenicillin, or erythromycin (eg Erythroped) in cases of penicillin allergy.

The symptoms of a sore throat can be relieved by using over-the-counter medicines, such as sprays containing antiseptics and anaesthetics to numb the sore area, or antiseptic gargles. These can be bought without a prescription and your doctor or pharmacist will be able to advise you about them.

Thursday, May 27, 2010

CSS3 and html5

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