Monitoring the production process of milk-based beverages at a university hospital in the City of Rio de Janeiro

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7816

Keywords:

Fruit juices; Microbiological techniques; Checklist; Food Services; Hospital.

Abstract

In the hospital environment, the concern about the production of safe meals is bigger, considering that the intake of contaminated food can change the clinical status of patients. The study aimed to evaluate the microbiological quality of milk-based beverages with fruit offered for the patients admitted to a University Hospital in the city of Rio de Janeiro and to well analyze the sanitary conditions of the Food and Nutrition Unit that supply the beverage. The object of the study was a milk-based beverage prepared with the following ingredients: skim milk powder, semi-skim milk, mango and maltodextrin. Salmonella spp./25g, Bacillus cereus, Coagulase positive Sthapylococcus, coliforms at 45oC and total mesophilic aerobic bacteria were analyzed. It was made up and applied a Good Practices Checklist with 68 items divided in 10 blocks that were classified as compliant and no compliant. Of all samples, 40% were not appropriated for the consumption because they had coagulase-positive Sthaphylococcus, coliforms at 45oC and total mesophilic aerobic above the maximum limit established. The checklist, showed that 50% of the blocks had a percentage of compliance less than 70%. Therefore, corrective measures must be taken during the production process in order to guarantee the preparation of safe foods for patients.

Author Biographies

Juliana Delvizio Vidal , Universidade do Estado do Rio de Janeiro

Instituto de Nutrição

Juliana de Andrade Silva da Costa, Universidade do Estado do Rio de janeiro

Instituto de Nutrição

Renata Rangel Guimarães, Universidade do Estado do Rio de janeiro

Instituto de Nutrição

Roberta Fontanive Miyahira, Universidade do Estado do Rio de Janeiro

Instituto de Nutrição

References

Allam, H. K., Al-Batanony, M. A., Seif, A. S., & Awad, E. T. (2016). Hand contamination among food handlers. Microbiology Research Journal International, 1-8.

APHA. (2001). Compendium of Methods for the Microbiological Examination of Foods. Washington: APHA.

Berger, C. N., Sodha, S. V., Shaw, R. K., Griffin, P. M., Pink, D., Hand, P., & Frankel, G. (2010). Fresh fruit and vegetables as vehicles for the transmission of human pathogens. Environmental microbiology, 12(9), 2385-2397.

Brasil. (2001). RDC nº 12, de 02 de janeiro de 2001. Dispõe sobre o Regulamento Técnico sobre os Padrões Microbiológicos para Alimentos. Retrieved Aug 20, 2020, from http://portal.anvisa.gov.br/documents/33880/2568070/RDC_12_2001.pdf/15ffddf6-3767-4527-bfac-740a0400829b

Brasil. (2004). RDC nº 216, de 15 de setembro de 2004. Dispõe sobre o Regulamento Técnico de Boas Práticas para Serviços de Alimentação. Retrieved Aug 20, 2020, from http://portal.anvisa.gov.br/documents/33916/388704/RESOLU%25C3%2587%25C3%2583O-RDC%2BN%2B216%2BDE%2B15%2BDE%2BSETEMBRO%2BDE%2B2004.pdf/23701496-925d-4d4d-99aa-9d479b316c4b

Brasil. (2014). Guia alimentar para a população brasileira. Retrieved Aug 20, 2020, from https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf

Carstens, C., Salazar, J. K., & Darkoh, C. (2019). Multistate Outbreaks of Foodborne Illness in the United States Associated with Fresh Produce From 2010-2017. Frontiers in Microbiology, 10, 2667.

Correia, L. B. N., Possebon, F. S., Yamatogi, R. S., Pantoja, J. C. D. F., Martins, O. A., Amaral, G. P., & Biondi, G. F. (2017). Microbiological profile of different types of salads from hospital kitchens. Arquivos do Instituto Biológico, 84.

Cunha, D. T., Stedefeldt, E., & de Rosso, V. V. (2014). The role of theoretical food safety training on Brazilian food handlers' knowledge, attitude and practice. Food Control, 43, 167-174.

Galvão, J. A., d’Ovidio, L., Buzi, K. A., Yamatogi, R. S., & Rall, V. L. M. (2017). Meals, Preparation Environment and Hands of Food Handlers-Microbiological Status in Hospital Kitchens. J Food Sci Nut, 3, 018.

Gómez‐Aldapa, C. A., Rangel‐Vargas, E., Bautista‐De León, H., & Castro‐Rosas, J. (2014). Presence of non‐O157 Shiga toxin‐producing Escherichia coli, enterotoxigenic E. coli, enteropathogenic E. coli and Salmonella in fresh beetroot (Beta vulgaris L.) juice from public markets in Mexico. Journal of the Science of Food and Agriculture, 94(13), 2705-2711.

Gritli, A., Belkahla, I., Moussa, M. B., & Abassi, M. S. (2015). Occurrence and characterization of Escherichia coli in raw lettuce consumed in a military hospital. Journal of New Sciences.

Iqbal, M. N., Anjum, A. A., Ali, M. A., Hussain, F., Ali, S., Muhammad, A., Infran, M., Ahmad, A & Shabbir, A. (2015). Assessment of microbial load of un-pasteurized fruit juices and in vitro antibacterial potential of honey against bacterial isolates. The open microbiology journal, 9, 26.

Jensen, D. A., Friedrich, L. M., Harris, L. J., Danyluk, M. D., & Schaffner, D. W. (2013). Quantifying transfer rates of Salmonella and Escherichia coli O157: H7 between fresh-cut produce and common kitchen surfaces. Journal of food protection, 76(9), 1530-1538.

Kalyoussef, S., & Feja, K. N. (2014). Foodborne illnesses. Advances in pediatrics, 61(1), 287-312.

Kebede, H., Hadush, H., Gebrecherkos, T., &Chaithanya, K. K. (2018). Public health risks and bacterial safety of fruit juices prepared in Axum town, north Ethiopia. Journal of Pharmacy Research, 12(4), 509.

Lazarević, K., Stojonovic, D., Bagdonovic, D. C., &Dolicanin, Z. C. (2013). Hygiene Training of food handlers in hospital setting: Important factor in the prevention of nosocomial infections. Cent Eur J Public Health [internet], 21(3), 146-9.

Lund, B. M., & O'Brien, S. J. (2011). The occurrence and prevention of foodborne disease in vulnerable people. Foodborne pathogens and disease, 8(9), 961-973.

Mahan, L. K., Escott-Stump, S., & Raymond, J. L. (2012). Krause–Alimentos, Nutrição e Dietoterapia. (13ª ed.). Rio de Janeiro:Elsevier.

Medeiros, L. B., Saccol, A. L. D. F., Delevati, M. T. D. S., & Brasil, C. C. B. (2012). Diagnóstico das condições higiênicas de serviços de alimentação de acordo com a NBR 15635: 2008. Brazilian Journal of Food Technology, 15(SPE), 47-52.

Mello, J. F., Schneider, S., Lima, M. S., Frazzon, J., & Costa, M. (2013). Avaliação das condições de higiene e da adequação às boas práticas em Unidades de Alimentação e Nutrição no município de Porto Alegre–RS. Alimentos e nutrição Araraquara, 24(2), 182.

Miyahira, R. F., Santos, E. F. A. S., Freitas-Almeida, A. C., & Queiroz, M. L. P. (2013). Occurrence and antimicrobial resistance of Salmonella spp. and other enterobacteria recovered from kitchen equipment of a university hospital in Rio de Janeiro, Brazil. International Journal of Microbiology Research, 5(5), 467.

Moura, S., Lins, A. D. F., Oliveira, A. P., & Gomes, D. J. (2017). Avaliação microbiológica de sucos ofertados em uma Unidade de Alimentação e Nutrição Hospitalar.

Pieniz, S., Rodrigues, D. F., Arndt, R. M., Mello, J. F., Rodrigues, K. L., Andreazza, R., Camargo, F. A. O & Brandelli, A. (2019). Molecular identification and microbiological evaluation of isolates from equipments and food contact surfaces in a hospital Food and Nutrition Unit. Brazilian Journal of Biology, 79(2), 191-200.

Pereira, F. G., Bolzan, N. B., Silveira, J. T., & Almeida, L. C. (2015). Condiciones Higiénicas del Servicio de Alimentación en un Centro de Atención Psicosocial. Revista de Ciencia y Tecnología, (23), 48-53.

Saccol, A. L.F., Serafim, A. L., Hecktheuer, L. H., Medeiros, L. B., & Silva Jr, E. A. D. (2016). Food safety in feeding services: a requirement in Brazil. Critical reviews in food science and nutrition, 56(8), 1363-1369.

São José, J.F.B. (2017). Estratégias alternativas na higienização de frutas e hortaliças. Revista de Ciências Agrárias, 40(3), 630-640.

São José JFB & Abranches MV, organizadores. (2019) Microbiologia e higiene dos alimentos- teoria e prática. Rio de Janeiro: Rubio.

Silva, A. A., Bassani, L., Oliveira Riella, C., & Antunes, M. T. (2015). Manipulação de alimentos em uma cozinha hospitalar: ênfase na segurança dos alimentos. Revista Caderno Pedagógico, 12(1).

Sirtoli, D. B., & Comarella, L. (2018). O papel da vigilância sanitária na prevenção das doenças transmitidas por alimentos (DTA). Revista Saúde e Desenvolvimento, 12(10), 197-209.

Sousa, C. L., Neves, E. C. A., Lourenco, L. D. F. H., Costa, E. B., & Monteiro, R. D. R. C. (2009). Microbiological and hygienic-sanitary conditions diagnostic in light frozen food industry in Belem/PA. Alimentos e Nutrição (Brazilian Journal of Food and Nutrition), 20(3), 375-382.

Schumann, A. C., Ghisleni, C. P., Spinelli, R. B., Zyger, L. T., &Zeni, J. (2017). Avaliação microbiológica de mãos dos manipuladores de alimentos e de utensílios de cozinha do serviço de nutrição de um hospital do norte do estado do Rio Grande do Sul. perspectiva, Erechim, 41(153), 07-17.

Stedefeldt, E., Cunha, D. T. D., Silva Jr, Ê. A., Silva, S. M. D., & Oliveira, A. B. A. D. (2013). Instrumento de avaliação das Boas Práticas em Unidades de Alimentação e Nutrição Escolar: da concepção à validação. Ciência & Saúde Coletiva, 18(4), 947-953.

Touimi, G. B., Bennani, L., Berrada, S., Benboubker, M., & Bennani, B. (2019). Evaluation of hygienic conditions of food contact surfaces in a hospital kitchen in Morocco. Iranian Journal of Microbiology, 11(6), 527.

Todd, E. C., Greig, J. D., Bartleson, C. A., & Michaels, B. S. (2009). Outbreaks where food workers have been implicated in the spread of foodborne disease. Part 6. Transmission and survival of pathogens in the food processing and preparation environment. Journal of food protection, 72(1), 202–219.

Verma, P., Saharan, V. V., Nimesh, S., & Singh, A. P. (2018). Phenotypic and virulence traits of Escherichia coli and Salmonella strains isolated from vegetables and fruits from India. Journal of applied microbiology, 125(1), 270-281.

Published

02/09/2020

How to Cite

VIDAL , J. D. .; COSTA, J. de A. S. da .; GUIMARÃES, R. R. .; MIYAHIRA, R. F. Monitoring the production process of milk-based beverages at a university hospital in the City of Rio de Janeiro. Research, Society and Development, [S. l.], v. 9, n. 9, p. e678997816, 2020. DOI: 10.33448/rsd-v9i9.7816. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7816. Acesso em: 26 nov. 2024.

Issue

Section

Health Sciences