Rinderherz-haschee als auslöser einer Clostridium perfringens-lebensmittelvergiftung in einem münchener altenheim.....

One of the five major food poisoning outbreaks which occurred in old people's homes in Munich in 1998 was caused by Clostridium perfringens, In total, 21 seniors' home residents fell III after consumption of a dish of minced beef heart. Because two of four residents showing severe symptoms of diarrhea and vomiting died during stationary hospital treatment, the public prosecutor's office was entrusted with the investigation of this case. Based on the report of the forensic medicine expert the food poisoning incident was not held responsible as cause for the death of the two senior citizens. Yet, labor-intensive laboratory examinations including significant bacteriological typing methods revealed that the same Clostridium perfringens strain was detected in the sample of the minced beef heart dish involved in the outbreak as well as in autopsy material of the two deceased residents and additionally in stool samples of seven further residents fallen ill with diarrhea. Taking this present case study as an example, food hygiene issues are being considered in this paper presenting fundamental knowledge concerning incidence and significance of Clostridium perfringens food poisoning as well as appropriate control measures. In addition, a risk, respectively error analysis in connection with this outbreak involving mass catering systems Is being carried out. Finally, the basic principles of good kitchen hygiene are explained, also taking into consideration relevant aspects of food law. En 1998, les vieillards d'une maison de retraite de Munich ont ete victimes d'intoxications alimentaires dues a la contamination par Clostridium perfringens de coeur de boeuf hache.Des recommandations d'hygiene et de bonnes pratiques sont donnees.