Campos Díaz Julia, Rodríguez Alvarez Cristobalina, Sierra López Antonio, Arias Rodríguez Angeles
Area de Medicina Preventiva y Salud Pública, Universidad de La Laguna, Santa Cruz de Tenerife.
Rev Esp Salud Publica. 2003 Nov-Dec;77(6):749-60.
School lunchrooms and catered meals are of major importance from the Public Health standpoint. This study is aimed at evaluating the microbiological quality of the meals served in school lunchrooms for the purpose of ascertaining whether it is suitable or, to the contrary, the intake thereof may involve a serious health problem for this high-risk group.
A transversal descriptive epidemiological study. An analysis was conducted of a total of 898 food samples collected from the lunchrooms at 101 schools in Tenerife, selected by a stratified random probabillistic sampling procedure, fifty-eight of which were prepared at the school proper (direct management) and 43 involving meals served by a catering firm (prepared under contract).
No disease-causing Salmonella spp. or Listeria monocytogenes bacteria were isolated from any of the samples. A total 79% of the foods studies showed counts for this parameter, (91%) in salads and (85%) in main courses. A total 15% of the samples analyzed tested positive for total Enterobacteriaceae. Escherichia coli was isolated in 24% of the salads, in 4% of the side dishes and in 1% of the main dishes. Staphylococcus aureus having in isolated in three foods. The highest counts were found for the total aerobic mesophyllic microorganisms. A total 8.24% of the samples analyzed exceeded one or more of the limits stipulated for the parameters studies.
The microbiological quality of the meals served in these school lunchrooms is acceptable, although due to a certain percentage of the foods having exceeded the stipulated limits for microorganisms indicative of and revealing a lack of hygiene, and school-children being a high-risk group, a revision of the surveillance related to critical checkpoints will be necessary.
从公共卫生角度来看,学校食堂和提供的餐饮至关重要。本研究旨在评估学校食堂提供膳食的微生物质量,以确定其是否合适,或者相反,食用这些膳食是否可能给这个高危群体带来严重的健康问题。
一项横向描述性流行病学研究。对从特内里费岛101所学校食堂采集的总共898份食品样本进行了分析,这些样本通过分层随机概率抽样程序选取,其中58份是学校自行准备的(直接管理),43份涉及餐饮公司提供的膳食(按合同准备)。
在任何样本中均未分离出致病性沙门氏菌属或单核细胞增生李斯特菌。总共79%的研究食品显示该参数有计数,沙拉中为(91%),主菜中为(85%)。总共15%的分析样本中总肠杆菌科检测呈阳性。在24%的沙拉、4%的配菜和1%的主菜中分离出大肠杆菌。在三种食品中分离出金黄色葡萄球菌。需氧中温微生物总数的计数最高。总共8.24%的分析样本超过了所研究参数规定的一个或多个限值。
这些学校食堂提供膳食的微生物质量是可以接受的,尽管由于一定比例的食品超过了指示和显示缺乏卫生的微生物规定限值,且学童是高危群体,因此有必要对关键检查点的监测进行修订。