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HACCP and Food Hygiene in Hospitals Knowledge, Attitudes, and Practices of Food-Services Staff in Calabria, Italy

Published online by Cambridge University Press:  02 January 2015

Italo F. Angelillo ,
Nunzia M.A. Viggiani ,
Rosa M. Greco ,
Daniela Rito  and
Collaborative Group
Italo F. Angelillo*
Affiliation:
Medical School, University of Catanzaro “Magna Grœcia,”, Catanzaro, Italyand Collaborative Group
Nunzia M.A. Viggiani
Affiliation:
Medical School, University of Catanzaro “Magna Grœcia,”, Catanzaro, Italyand Collaborative Group
Rosa M. Greco
Affiliation:
Medical School, University of Catanzaro “Magna Grœcia,”, Catanzaro, Italyand Collaborative Group
Daniela Rito
Affiliation:
Medical School, University of Catanzaro “Magna Grœcia,”, Catanzaro, Italyand Collaborative Group
*
Chair of Hygiene-Medical School, University of Catanzaro “Magna Grœcia”, Via Tommaso Campanella, 88100–Catanzaro, Italy
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Abstract

Objectives:

To determine adherence to Hazard Analysis and Critical Control Points (HACCP) methods and to evaluate knowledge, attitudes, and practices of food-services staff with regard to food hygiene in hospitals.

Design:

A survey.

Participants:

Hospital medical directors and food-services staff of 36 hospitals in Calabria, Italy.

Methods:

A questionnaire about hospital characteristics, food-services organization, and measures and procedures for the control and prevention of foodborne diseases was sent to medical directors; a questionnaire about demographic and practice characteristics, knowledge, attitudes, and behaviors about control and prevention of foodborne diseases was sent to food-services staff. Multiple logistic regression analysis was performed.

Results:

Only 54% of the 27 responding hospitals were using the HACCP system and, of those using HACCP, 79% adopted a food-hygiene–practice manual; more than one half already had developed written procedures for food storage, personal hygiene, cleaning and disinfection; one half or less performed microbiological assessment of foods and surfaces. Of the 290 food-services staff who responded, 78.8% were aware of the five leading food-borne pathogens; this knowledge was significantly higher among those with a higher educational level and those who worked in hospitals that had implemented the HACCP system. Younger staff and those who had attended continuing educational courses about food hygiene and hospital foodborne diseases had a significantly higher knowledge of safe temperatures for food storage. A positive attitude toward foodborne-diseases prevention was reported by the great majority, and it was significantly higher in older respondents and in those working in hospitals with a lower number of beds. Only 54.9% of those involved in touching or serving unwrapped raw or cooked foods routinely used gloves during this activity; this practice was significantly greater among younger respondents and in those working in hospitals using HACCP.

Conclusion:

Full implementation of the HACCP system and infection control policies in hospital food services is needed.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 22 , Issue 6 , June 2001 , pp. 363 - 369
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2001

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References

1.Barrie, D. The provision of food and catering services in hospital. J Hosp Infect 1996;33:13–33.Google Scholar
2.Jay, LS, Comar, D, Govenlock, LD. A video study of Australian domestic food-handling practices. J Food Prot 1999;62:1285–1296.Google Scholar
3.Shapiro, R, Ackers, ML, Lance, S, Rabbani, M, Schaefer, L, Daugherty, J, et al. Salmonella Thompson associated with improper handling of roast beef at a restaurant in Sioux Falls, South Dakota. J Food Prot 1999;62:118–122.CrossRefGoogle Scholar
4.Ehiri, JE, Morris, GP. Food safety control strategies: a critical review of traditional approaches. International Journal of Environmental Health Research 1994;4:254–263.CrossRefGoogle Scholar
5.Mortlock, MP, Peters, AC, Griffith, CJ. Food hygiene and Hazard Analysis Critical Control Point in the United Kingdom food industry: practices, perceptions, and attitudes. J Food Prot 1999;62:786–792.CrossRefGoogle ScholarPubMed
6. Gazetta Ufficiale della Repubblica Italiana. Decreto Legislativo n.155 del 26.5.1997. Attuazione delle direttive 93/43/CEE e 96/3/CE concernenti l'igiene dei prodotti alimentari. G.U. n.136 del 13.6.1997. Roma, Italy; 1997.Google Scholar
7.Guzewich, JJ. Statewide implementation of a HACCP food service regulatory program. Journal of Environmental Health 1986;49:148–152.Google Scholar
8.Smith, JL. Foodborne infections during pregnancy. J Food Prot 1999;62:818–829.CrossRefGoogle ScholarPubMed
9.Dryden, MS, Keyworth, N, Gabb, R, Stein, K. Asymptomatic foodhandlers as the source of nosocomial salmonellosis. J Hosp Infect 1994;28:195–208.Google Scholar
10.Lo, SV, Connolly, AM, Palmer, SR, Wright, D, Thomas, PD, Joynson, D. The role of the pre-symptomatic food handler in a common source outbreak of food-borne SRSV gastroenteritis in a group of hospitals. Epidemiol Infect 1994;113:513–521.Google Scholar
11.Maguire, H, Pharoah, P, Walsh, B, Davison, C, Barrie, D, Threlfall, EJ, et al. Hospital outbreak of Salmonella virchow possibly associated with a food handler. J Hosp Infect 2000;44:261–266.Google Scholar
12.Angelillo, IF, Viggiani, NMA, Rizzo, L, Bianco, A. Food handlers and food-borne diseases: knowledge, attitudes, and reported behavior in Italy. J Food Prot 2000;63:381–385.CrossRefGoogle ScholarPubMed
13.Altekruse, SF, Street, DA, Fein, SB, Levy, AS. Consumer knowledge of foodborne microbial hazards and food-handling practices. J Food Prot 1996;59:287–294.Google Scholar
14.Fein, SB, Lin, CTJ, Levy, AS. Foodborne illness: perceptions, experience, and preventive behaviors in the United States. J Food Prot 1995;58:1405–1411.Google Scholar
15.Angelillo, IF, Foresta, MR, Scozzafava, C, Pavia, M. Consumers and food-borne diseases: knowledge, attitudes, and reported behavior in one region of Italy. Int J Food Microbiol 2001;64:161–166.CrossRefGoogle ScholarPubMed
16.Istituto Nazionale di Statistics (ISTAT). Statistiche della Sanità. Anno 1997. Roma, Italy: ISTAT; 2000.Google Scholar
17.Hosmer, DW, Lemeshow, S. Applied Logistic Regression. New York, NY: Wiley & Sons; 1989.Google Scholar
18.Richards, J, Parr, E, Riseborough, P. Hospital food hygiene: the application of Hazard Analysis Critical Control Points to conventional hospital catering. J Hosp Infect 1993;24:273–282.Google Scholar
19.Codex Alimentarius Commission. Joint FAO/WHO Food Standards Programme. Food Hygiene. Basic Texts. Roma, Italy: FAO/WHO;1999.Google Scholar
20.Cunningham, CJ. A survey of the attitudes and perceptions of foodservice operators in the Hamilton-Wentworth region. Can J Public Health 1993;84:107–111.Google Scholar
21.Howes, M, McEwen, S, Griffiths, M, Harris, L. Food handler certification by home study, measuring changes in knowledge and behavior. Dairy Food and Environmental Sanitation 1996;16:737–744.Google Scholar