title: Prevalence of Staphylococcus aureus and intestinal parasites among food handlers in Sanliurfa, Southeastern Anatolia.
abstract: OBJECTIVE
  Food-borne diseases represent a persistent global health burden, and food handlers play a major role in their transmission. Staphylococcus aureus carriage and intestinal parasitism are important risk factors for the contamination of food and water. This study was undertaken to determine the prevalence of Staphylococcus aureus and intestinal parasites among food handlers working in Sanliurfa, Southeastern Anatolia.
  
  
  METHODS
  In this cross-sectional study, 299 food handlers selected randomly were enrolled. Nasal swabs, throat cultures, and stool samples were examined.
  
  
  RESULTS
  The mean age of participants was 26.7 (+/-9.6) years. Only 33.6 percent of food handlers had education beyond the elementary school level. Within this group, 50.8 percent had never previously received a carrier examination and only 31.4 percent received regular examinations. We found that 52.2 percent of food handlers carried intestinal parasites including Giardia intestinalis (26.8%), Ascaris lumbricoides (10.7%), Tenya saginata (10.0%), and Staphylococcus aureus (23.1%). None of the food handlers was positive for Salmonella sp and Shigella sp.
  
  
  CONCLUSIONS
  These findings necessitate improvements in regional carrier detection, infection control, and food hygiene. Subsequent to this study, researchers from the Department of Public Health, Harran University, instituted a series of interventions aimed at improving infection control. These included establishment of an evidence-based carrier control system, training of municipal food controllers and health professionals, creation of electronic outbreak records and follow-up procedures, and development of a source eradication system for Sanliurfa's primary healthcare center staff.
authors.affiliation: Department of Public Health, Harran University Medical Faculty, Sanliurfa, Turkey. zsimsek@harran.edu.tr
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Simsek
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Koruk
authors.forename: Aysegul Cicek
authors.initials: AC
authors.lastname: Copur
authors.forename: Gulcan
authors.initials: G
authors.lastname: Gürses
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D002648:Child; D003430:Cross-Sectional Studies; D005511:Food Handling; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000453:epidemiology*; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult