Clostrodium Botulinum

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    GVHD:ThS oHng HSVTH: Nhm 3 3

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    Clostridium botulinum l g?

    C.botulinum l vi khun Gram+ chai u trn, thng hin din trongmi sinh, t ct, rau qu, tht v c.Khi iu kin pht trin tr nn khkhn, vk s chuyn sang dng bo t

    c th chu ng c nhit cao, c bit l trong mi trng cdu... C. botulinum pht trin ddng trong iu kin m v khngoxy hay ym kh hon ton. Trong

    lc tng trng, bo t sn sinh ramt loi c t cc mnh. Ngi tangh rng ch cn mt mung cfc t thi cng sc git cht100.000 ngi.

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    Nidung chnh

    1. Tng quan v Clostridium botulinum.2. cimca vi sinh vt clostridium

    botulinum.3. Bnh sinh v cc tnh nng lm sng.4. Phn lp v nhndng.

    5. Hiphithcphm.KT LUN

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    1. Tngquanv Clostridium botulinum.

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    1.1. Lchsphthinkhun Clostridiumbotulinum

    Xuthinlnutin vo nm1793 Wildbad, Wurttemburg trong mtloi xcxch.

    Nm 1986 Van Ermengem GS vi trnghcgiy l vi khunbotulinus.

    V sau cn pht hin trong c thi, utrngnghp.

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    2. cimca vi sinhvtclostridium botulinum

    cim hnh thi

    cimcu trc

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    2.1. Phnloi.

    C 6 loictc xc nh, phn btA n G.

    Loi A, B, E: ngc nguy him, tc ngln hthngthn kinh, gy chtngi.

    Loi A, B, E, F: gy bnh ngi; C, D:gy bnh b, chim v cc ngvt khc

    Loi A thngthy chu M, loiB

    chu u, loiE NhtBn.

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    Nhm I Nhm II Nhm III Nhm IVCc loict A, B, F B, E, F C1,C2, D GPhn gii Protein C Khng Khng CPhn gii Lipid C C C KhngPhn gii Saccharose C C C Khng

    Psychrotrophic

    (t0mintngtrng)Khng

    (10120C)C

    (3-50C)Khng

    (150C) (120C)Scchcamui

    (aw)10%

    (0.94)5%

    (0.075)3% > 3%

    itng gy bnh Con ngi Con ngi ngvt v chim Con ngi

    ctgen Nhimscth Nhimscth bacteriophage plasmidClose relative C.sporogennes

    C. putrificumC. butyricum

    C.beijerinickiiC.haemolyticum

    C.novy type AC.subterminale

    C.haemolyticumBnnhit C

    (cht 1210C, 0.1-

    0.25 pht)

    Khng

    (cht 800C, 0.6-3.3

    pht)

    2.2.Phn nhm..

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    - L cc vi khunGram dng,hnh que.

    - Sngk khbtbuc.

    - Sinh bo t.

    - Phnln l ding.

    - C ththy phnng v Protein.

    - Mtsanhit,mtsalnh

    - Cc loi gy ngc quan trng:C.botulinum,C.perfringens

    2.3. cim chung..

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    2.3.1. cim hnh thi.

    pH tia

    Khongt8.5 8.9 Cc chtc khng bn pH ny

    pH tithiuPhthucnhiu vo t0, aw, acid

    iuchnh pH Gi tr vo khong 4.7

    pH

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    2.3.1. cim hnh thi

    - Nhit 30 3700C: c kh

    nng sinh ctbolutin ccc

    - 10 1200C: ctto thnhbchmli

    - 4 500C: qu trnh ngng

    hn

    Nhit

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    2.3.1. cim hnh thi

    Phn b

    Khpni trongt

    Cc loi rau,qu, mt ong

    Trong rutngi v ng

    vt

    Pht trinmnhtrong thcphm:hp, xc xch,c pmui,

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    Cu trct bo

    - Hnh que, di 2 - 10

    - Di ngvi tim mao

    v lng nhung

    - Bo thnh budc

    trung tm hoc hnhti, kch thc to hnchiu ngang catbo

    2.3.2. cimcu trc

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    Vi khun gy ngcthng lC.botulinum loi A v B.Pht trinthunli t0 : 26 280C, sc

    chungvi t0 cao km, bo tbnvinhit.

    Pht trintt trong mi trnglng.Cch: Vi khun xm nhp vo thcn,

    pht trin v sinh ct. nphithcnnhimcsbnhimct, gy ngc.

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    Thi gian bnh: 6 24h.

    Duhiu lm sn chyu l t litthn

    kinh do tnthngthn kinh trung ngv hnh ty

    Duhiu 2: c sphn ly mch v nhit

    3.2. Triuchnglm sng.

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    3.3. Ccloibnhngc.

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    3.3.1. Ngcthcphm

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    3.3.1. Ngcthcphm.

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    3.3.1. Ngcthcphm.

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    3.3.2. Ngctrssinh.

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    3.3.2. Ngctrssinh.

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    3.3.2. Ngctrssinh.

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    3.3.3. Ngcdovtthng.

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    3.3.3. Ngcdovtthng.

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    3.3.3. Ngcdovtthng.

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    4. Phnlp vnhndng.

    C. botulinum thngchimmttlnh trongtngsVSV cn lm giu trc khi lm thcnghim.

    Xl mu

    80oC trong10p

    lm giu v tochng

    C.botulinum trong mtmtr nclucthtnuchn 30oC cho 7 ngy

    nui cy trn mungatihoc lng

    trng c b sungagar v ym kh

    trong 3 ngy

    kim tra csnxutctkhng

    khunlcmn, 2-3mm, ngknh vimtcnhbtthngv cho thyhot phn giilypid trong lng trng trnmi trngthch (loi G ngoi

    l)

    Mtrncdng

    Trngthi

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    4. Phnlp vnhndng.

    MtKthutcngin ho bngcch kthpthuc khng c vo mitrngthchsnxutct, khunlcc bao quanh bimt khu vcca cc

    khng ctv lm kttavict.

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    4. Phnlp vnhndng.

    MU

    gia nhit100oC ivi 10

    pht tiu ditbtkchtc

    iutrvitrypsin kch

    hotbtkprotoxin

    khng

    ciutr

    Tim vo

    mngbngchut

    quan st hn 4 ngy cho s pht trincatriu

    chngin hnh, hithnhcxuthin

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    4. Phnlp vnhndng.

    Shindincactc xc nhnbng cch bovchutanngvithuckhng c v loictc thc xc

    nhbng cch sdngntr khng

    huyt thanh.

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    5. Hiphithcphm.

    1

    2

    3

    4

    Bncimnh gi snhimc Clostridium Botulinum trongthcphm l:

    bnhimtu hay trong qu trnh chbin do cc bothoct bo sinh dngca Clostridium Botulinum.

    b phn hy do cc vsv cnh tranh, cho nn trong iukin bnh thng nn kim sot Clostridium Botulinum.

    nhit, pH, hotcanc, toiukinthunli cho s pht trinca Clostridium Botulinum

    Thcphm sau khi x l nhitnh khng v

    hiu ha ct.

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    5. Hiphithcphm.

    hp b phng 2 u np, mo m chothybnhim C.botulinum.

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    5. Hiphithcphm.

    Mtr axit thpca sp hp th vk rts phttrin nn kim sot nghim ngtbom anton.

    hpc sx theo quy m nh trong nc thqu trnh kim tra nhm gip pht hin v ngnngammbnhchacphbinrng ri.

    Tnm 1899- 1991 c 522 vngc do hp gy ra, c 432 v lin quan n rau. Anh,nhiuvngc hng lotxy ra do sdngsnphmhpca cc h gia nh.

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    5. Hiphithcphm.

    Ngc Chu u ( sTh/nm)1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998a

    Belgium 0 2 1 0 1 1 0 0 1 3 1Denmark 0 0 0 0 0 0 0 2 0 0 1England and Wales 0 27 0 0 0 1 1 0 0 0 2Finland 0 0 0 0 0 0 0 0 0 0 0

    France 4 6 11 3 5 10 13 7 5 8 NAGermany 39 15 15 23 4 17 13 11 12 9 19Greece 0 0 0 0 0 0 0 0 0 0 0Italy 53 54 45 12 26 39 26 41 58 32 26Scotland 0 0 0 0 0 0 0 0 0 0 0Spain 8 8 10 5 12 9 7 6 7 9 11

    Sweden 0 0 1 2 0 0 2 1 1 0 0The Netherlands 0 0 0 0 0 0 0 0 0 0 0

    a January October.NA not available

    Data for Austria, Ireland and Portugal not available

    Adpated from Eurosurveillance, vol. 4, Jan 1999

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    5. Hiphithcphm.

    C c th nhim C. botulinum (c bit l loi E)tiu dit chng.

    - Nngmuitithiu l 3% v nhit xungquanh khng di63oC trong sutqu trnh hunkhi, snphm nn cboqundi4oC.

    Gianhitbngppsy

    cchcamui

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    5. HiPhithcphm

    Nm 1960, hai dch bnh ng c loi E Bc M xy ra do sdng c hun khicng gi bng bao b ht chn khng.Nguyn nhn gy nn cc vngc l doc boqun trong chn khng, tao iukinym khthunli cho C.botulinum pht

    trinmnh.

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    5. Hiphithcphm.

    MT S NG DNG

    - Botulinum loi A iutrmtsbnhrilonvnngca chuyn khoa thn kinh, chuyn khoa

    khc nhmt, tai mihng, thmm, titniu.

    - Ktnm 2003, iutr cc chnglontrnglcbngctbotulin ca vo ngdngti

    khoa thn kinh caBnhViniHc Y Dc TpHCM v bcupngtt nhu cuiutr

    cangi dn v nhm bnh ny..

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    Ktlun

    Clostridium botudium l mt trong nhngnhm vi sinh vt gy bnh trong thcphm v l nguyn nhn gy ra hng lot

    tvong cho con ngi.

    V vycnphi tun th cch phngchngbnhcngnhvicgign v sinh

    trong thcphm. Sdngthcphmngphng php v nht l thcphmnghphnchmctiangcthc

    phm.

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    Tmhiuvkhun Clostridium botulinum

    THE END