![]() He has been a Medical Director and/or Chairman of several hospital-based Emergency Medicine Departments, served as the President of Emergency and Environmental Medicine consulting group, a physician group Chief Financial Officer and sat on many national, state and local committees.ĭr. In his nearly 40-year practice, he treated a range of medical, surgical and poisoning emergencies. Starting his career in the USAF, he served as a Flight Surgeon and Environmental Health Consultant Physician where one of his duties was monitoring food safety. is a Board-Certified Emergency physician with sub-specialization in Environmental Toxicology and Board Certification in Medical Toxicology. If you are on any of these medications, even for a short period of time, minimize your risks by reducing risky foods in your diet.įor more detailed reading: National Library of Medicine Some medications including many over the counter medications used by millions DO INCREASE risk of food borne illness. While all this may be too technical for most readers you should walk away with this take home message. But suffice to say that any transplant patient is at increased risk of common food poisonings but also some very uncommon infections such as listeria, mycobacteria, toxoplasma, and Brucella. The transplant patient is often exposed to a variety of immunosuppressant medications. Corticosteroids, often referred to as steroids, reduce the body’s inflammatory reaction and do increase food poisoning risk. coli O157 infection because of the increase the risk of serious complications such as hemolytic uremic syndrome.Īnother class of medications implicated in causing increased food poisoning is immunosuppressants.Ĭommon amongst them are corticosteroids used for a variety of purposes including treatment of asthma and COPD, chronic skin conditions and suppression of inflammatory diseases. Antidiarrheals should not be use in children with E. The symptoms were masked by antidiarheal induced constipation and stool impaction. Clostridium perfringens caused severe bowel necrosis and two deaths. There have been lawsuits and class-action suits against pharmaceutical companies regarding this but the allegations don’t seem to stick.Īntidiarheals like loperamide (Immodium) can mask disease and increase the severity of infections. monocytogenes, Salmonella, Shigella, and Vibrio cholerae than healthy persons. Patients with reduced stomach acid or higher pH, or who have been treated with these medications are suspected to be more susceptible to Campylobacter, E. Proton pump inhibitors, like omeprazole, will keep the stomach acid above pH 4 for a high percentage of time. Stomach hydrochloric acid juice of pH 2.0 kill nearly 100% of Salmonella in 30 min, but at pH 4.0 failed to reduce the numbers in 120 min. While it may be intuitive that reducing the body’s first line of acid defense against bacteria would cause an increase in risk, there are limited studies to prove the point. These medications sold under various trade names or generic names include such common drugs as omeprazole (Prilosec), famodipine (Pepcid) and ranitidine (Zantac). ![]() March 8, 2022.A much maligned class of medications that may increase food poisoning risk include those used to reduce heartburn and/or acid stomach.
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