{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T14:13:36Z","timestamp":1760710416860},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"48","license":[{"start":{"date-parts":[[2020,11,29]],"date-time":"2020-11-29T00:00:00Z","timestamp":1606608000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,11,29]]},"abstract":"\u00d6sszefoglal\u00f3.<\/jats:bold> Az \u00e9lelmiszer-eredet\u0171 megbeteged\u00e9sek igen gyakoriak,\n b\u00e1r pontos adatok nem \u00e1llnak rendelkez\u00e9sre, mivel az enyhe, gyorsan m\u00fal\u00f3\n gastrointestinalis t\u00fcnetekkel a betegek nem fordulnak orvoshoz, vagy nem\n t\u00f6rt\u00e9nik diagnosztikus vizsg\u00e1lat. Az amerikai J\u00e1rv\u00e1ny\u00fcgyi \u00e9s Betegs\u00e9gmegel\u0151z\u00e9si\n K\u00f6zpont (CDC) adatai szerint az USA-ban \u00e9vente 6 lakosb\u00f3l 1 esik \u00e1t \u00e9lelmiszer\n okozta t\u00fcneteken. Az \u00e9telintoxik\u00e1ci\u00f3k sor\u00e1n a bakt\u00e9rium \u00e1ltal termelt toxinok\n okozz\u00e1k a t\u00fcneteket, k\u00f6z\u00fcl\u00fck a leggyakoribb a Clostridium\n perfringens<\/jats:italic>, a Staphylococcus aureus<\/jats:italic> \u00e9s a\n Bacillus cereus<\/jats:italic> okozta, \u00e9lelmiszer-eredet\u0171 intoxik\u00e1ci\u00f3. A\n nem megfelel\u0151en t\u00e1rolt vagy h\u0151kezelt \u00e9lelmiszerekben \u2013 bele\u00e9rtve a S.\n aureus<\/jats:italic> \u00e1ltal szennyezett anyatejet \u2013 ezen bakt\u00e9riumok \u00e9letk\u00e9pesek\n maradnak, elszaporodnak, \u00e9s toxint termelhetnek, illetve toxinjaik meg\u0151rzik\n megbeteg\u00edt\u0151k\u00e9pess\u00e9g\u00fcket. Az \u00e9tel elfogyaszt\u00e1sa ut\u00e1n 3\u201312 \u00f3r\u00e1val h\u00e1ny\u00e1st,\n hasmen\u00e9st okoznak. A t\u00fcnetek t\u00f6bbnyire 24 \u00f3r\u00e1n bel\u00fcl megsz\u0171nnek. A\n Clostridium botulinum<\/jats:italic> s\u00falyos neurol\u00f3giai t\u00fcnetei miatt\n emelkedik ki a t\u00f6bbi toxikoinfekci\u00f3 sor\u00e1b\u00f3l. C. botulinum<\/jats:italic>\n okozta t\u00fcnetekre feln\u0151ttekn\u00e9l h\u00e1zi k\u00e9sz\u00edt\u00e9s\u0171 konzervek \u00e9s h\u00fask\u00e9sz\u00edtm\u00e9nyek\n elfogyaszt\u00e1sa ut\u00e1n jelentkez\u0151 gastrointestinalis vagy neurol\u00f3giai t\u00fcnetek eset\u00e9n\n kell gondolnunk. A Clostridioides difficile<\/jats:italic> szint\u00e9n a toxinjai\n r\u00e9v\u00e9n okoz s\u00falyos, \u00e9letvesz\u00e9lyes megbeteged\u00e9st, tov\u00e1bb\u00e1 az esetek 20\u201330%-\u00e1ban\n sz\u00e1molnunk kell az infekci\u00f3 relapsus\u00e1val. N\u00f6vekv\u0151 gyakoris\u00e1ga miatt ismern\u00fcnk\n \u00e9rdemes a laborat\u00f3riumi \u00e9s klinikai diagnosztika r\u00e9szleteit \u00e9s a legmodernebb\n kezel\u00e9si lehet\u0151s\u00e9geket, \u00fagymint megfelel\u0151 mintav\u00e9tel, mintat\u00e1rol\u00e1s \u00e9s\n -sz\u00e1ll\u00edt\u00e1s, teny\u00e9szt\u00e9s, toxinkimutat\u00e1s, helyes t\u00fcneti kezel\u00e9s,\n antibiotikumkombin\u00e1ci\u00f3k, sz\u00e9klettranszplant\u00e1ci\u00f3 \u00e9s monoklon\u00e1lisantitest-kezel\u00e9s.\n Orv Hetil. 2020; 161(48): 2019\u20132028.<\/jats:p>\n Summary.<\/jats:bold> Foodborne diseases are quite common, however, accurate data\n are not available because patients do not visit doctors with mild, rapidly\n resolving symptoms and diagnostic tests are not performed. The Centers of\n Disease Control and Prevention (CDC) estimates that, in the USA, 1 in 6 citizens\n gets food poisoning yearly. Symptoms of intoxication are due to the toxins\n produced by bacteria, mostly by Clostridium perfringens, Staphylococcus\n aureus<\/jats:italic> and Bacillus cereus<\/jats:italic>. These bacteria can\n survive in not properly stored or heated food, including S.\n aureus<\/jats:italic> contaminated breastmilk. They can multiply and produce\n toxins causing intoxications. The gastrointestinal symptoms start 3\u201312 hours\n after consumption of the contaminated food and resolve in 24 hours.\n Clostridium botulinum<\/jats:italic> causes severe neurological symptoms\n that should be suspected after consumption of home-made cans, smoked hams and\n sausages. The disease caused by Clostridioides difficile<\/jats:italic> is not\n a foodborne one, but C. difficile<\/jats:italic> causes severe infection\n via<\/jats:italic> its toxins. Another problem is that C.\n difficile<\/jats:italic> infection recurs in 20\u201330% of cases. Due to the\n increasing incidence of foodborne diseases, it is worth to learn the precise\n clinical and laboratory diagnostic algorithms including sampling, storage and\n transportation of samples, cultivation of bacteria and differential diagnosis of\n these diseases, furthermore the most up-to-date symptomatic and causative\n treatment options like antibiotic combinations, stool transplantation and\n monoclonal antibodies. Orv Hetil. 2020; 161(48): 2019\u20132028.<\/jats:p>","DOI":"10.1556\/650.2020.31858","type":"journal-article","created":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T01:07:46Z","timestamp":1606871266000},"page":"2019-2028","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":2,"title":["\u00c9lelmiszer eredet\u0171 bakteri\u00e1lis megbeteged\u00e9sek patogenezise, klinikai jellegzetess\u00e9gei, diagnosztik\u00e1ja \u00e9s kezel\u00e9se"],"prefix":"10.1556","volume":"161","author":[{"given":"Katalin Eszter","family":"M\u00fcller","sequence":"first","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Gyermekgy\u00f3gy\u00e1szati Klinika, Debreceni Egyetem, Debrecen, Nagyerdei krt. 98., 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferenc","family":"Rozgonyi","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Laborat\u00f3riumi Medicina Int\u00e9zet, Semmelweis Egyetem, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/48\/article-p2019.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/48\/article-p2019.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:12:53Z","timestamp":1633914773000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/48\/article-p2019.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,29]]},"references-count":0,"journal-issue":{"issue":"48"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31858","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,29]]}}}