DETERMINATION OF HAZARDS AND CRITICAL CONTROL POINTS TO IMPLANTATION OF HAZARD ANALYSIS AND CRITICAL CONTROL POINT SYSTEM IN LACTARY
Keywords:
hospital units, food fortified, chemical analysis, microbiological analysisAbstract
Lactaries are hospital facilities where feeding bottles and their substitutes are prepared and distributed for newborn intant and other pediatric patients. The preparation of such kind of food must be very carefully followed since it is destined to patients who are very susceptible to foodborne diseases. The present work aimed at investigating the microbiological quality and procedures for the preparation of feeding bottles in the lactary of the General Clinics Hospital of Porto Alegre, RS to implement Hazard Analysis and Critical Control Point system. During a six month period, 75 samples of feeding bottle formulations and 18 samples of raw materials were analyzed for the quantity of total mesophiles total and fecal coliforms, Staphylococcus aureus, Staphylococcus epidermidis, Bacillus cereus, Streptococcus spp., Clostridium perfringens, molds and yeasts, and the presence of Salmonella sp. The temperature and the time for each step of the preparations were also evaluated. The microbiological analysis showed that 77,3% of the samples were not in satisfactory microbiological conditions compared to parameters established by Experimental Dietary Division of General Clinics Hospital of University of São Paulo. However, pathogens were not found in any of the analyzed samples. The evaluation of time and temperatures indicated the necessity of improvements of cooling, cold conservation and reheating. Such steps as well as the reception of raw material and water and milk boiling and cooking were also considered critical control points. Based on such results, good manufacturing practices improvements were established and complete implementation of Hazard Analysis and Critical Control Point system was performed.
References
ARRUDA, G.A. Manual de boas práticas, São Paulo : Ponto Crítico, 1998. v.2.
ASSOCIAÇÃO AMERICANA DE HOSPITAIS. Funcionamento e planejamento do lactário. São Paulo, 1983.
BARON, E.J., PETERSON, L.R., FINEGOLD, S.M. Diagnostic microbiology. 9.ed. St. Louis : Mosby. 1994. p.338
BRASIL. Portaria n.451 de 19 de setembro de 1997. Dispõe sobre regulamento técnico, princípios gerais para o estabelecimento de critérios e padrões microbiológicos para alimentos. Diário Oficial [da República Federativa do Brasil], Brasília, n.182, p.21005-21011, 22 set. 1997. Seção 1.
FOOD AND DRUG ADMINISTRATION. Bacteriological analitical manual. 7.ed. Airlington : AOAC International, 1992. p.529.
FRANCO, B.D.G.M., LANDGRAF, M. Microbiologia dos alimentos. São Paulo : Atheneu, 1996. p.28-29.
JAY, J.M. Microbiologia moderna de los alimentos. 5.ed. Madrid : Acríbia, 1996. p.431.
LEONEL, M., BURINI, R.C., MACHADO, W.M. Avaliação microbiológica de dietas enterais quando da chegada à enfermaria e da administração aos pacientes. Revista de Metabolismo e Nutrição, Porto Alegre, v.1, p.21-23, 1994.
MACULEVICIUS, J., GOBBO, M.A.R. Manual de organização do lactário. Rio de Janeiro : Atheneu, 1985. p.503-504. McNAB, W.B. A general framework illustrating an approach to quantitative microbial food safety risk assessment. Journal of Food Protein, v.6 n.9, p.1216-1228, 1998.
MEZOMO, I.F. Lactário. In: MEZOMO, I.F. Serviço de nutrição e dietética. São Paulo : União Social Camiliana, 1987. p.115-137.
NATIONAL ADVISORY COMMITTEE ON MICROBIOLOGICAL CRITERIA FOR FOODS. Hazard analysis and critical control point principles and application guidelines. Journal Food of Protein, v.61, n.9, p.1246-1259, 1998.
PESSOA, G.V.A., CALZADA, C.T., PEIXOTO, E.S., MELLES, C.E.A., KANO, E., RASKIN, M., SIMONSEN, V., IRINO, K. Ocorrência de bactérias enteropatogênicas em São Paulo no septênio 1970 - 1976. III Sorotipos Shigella e Escherichia coli de gastroenterite infantil. Revista do Instituo Adolfo Lutz, São Paulo, v.38, n.92, p.129-139, 1978.
SALLES, R.K., GOULART, R. Diagnóstico das condições higiênico-sanitárias e microbiológicas de lactários hospitalares. Revista de Saúde Pública, São Paulo, v.31, n.2, p.131-139, 1997.
SESSA, E., FURLANETTO, S.M.P. Condições bacteriológicas de amostras de leite de lactários obtidas em hospitais. Revista de Microbiologia, São Paulo, v.21, n.2, p.189-197, 1990.
SOARES, M.J.S., TOKUMARU-MIYAZAKI, N.H., NOLETO, A.L.S., FIGUEIREDO, A.M.S. Enterotoxin production by Staphylococcus aureus clones and detection of Brazilian epidemic MRSA clone (III:B:A) among isolates from food handlers. Journal of Medical Microbiology, Edinburgh, v.46, p.214-221,1997.
SPECK, M.L. Compendium of methods for the microbiological examination of foods. 2.ed. Washington DC : American Public Health Association, 1984. 914p.
WALDVOGEL, F.A. New resistance in Staphylococcus aureus. New England Jounal of Medicine, Boston, v.340, n.7, 1999. (Editorial).
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