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Food poisoning

Última revisión: 8 Aug 2025
Última actualización: 03 Sep 2024

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • diarrhea
  • nausea and vomiting
Todos los datos

Otros factores de diagnóstico

  • abdominal pain
  • bloating
  • fever
  • dehydration
  • blood or mucus in stool
  • profuse rice-water stool
  • reactive arthritis
  • skin manifestations
  • ear, nose, and throat manifestations
  • hepatosplenomegaly
  • neurologic manifestations
  • hepatobiliary disease
  • pulmonary symptoms
  • other intestinal features
  • manifestations of ectopic infection
Todos los datos

Factores de riesgo

  • older people and pregnant women
  • chronic disease
  • recent history of travel
  • immunocompromised state
  • history of contact with other people with food poisoning
  • consumption of undercooked meat
  • consumption of raw seafood
  • consumption of homemade canned foods
  • consumption of unpasteurized soft cheeses
  • consumption of deli meats
  • consumption of unpasteurized milk or juice
  • consumption of raw eggs
  • improper food handling and storage
  • gastric acid suppression
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • stool microscopy for WBC and red blood cells (RBC)
  • stool culture
  • stool ova and parasite (O&P) test
  • polymerase chain reaction (PCR) of stool
  • CBC with differential
  • basic metabolic panel
  • C-reactive protein
Todos los datos

Pruebas diagnósticas que deben considerarse

  • botulinum toxin detection test
  • blood culture
  • serum lipase or amylase
  • LFTs
  • hepatitis A IgM antibodies
  • hepatitis E IgM antibodies
  • acute abdominal series
  • sigmoidoscopy/colonoscopy
  • esophagogastroduodenoscopy
  • biopsy
  • string test (entero-test)
  • duodenal aspirate
Todos los datos

Algoritmo de tratamiento

Inicial

mild-to-moderate disease

severe disease

suspected foodborne botulism

Agudo

known infecting organism

Colaboradores

Autores

Philip Allan, MBBS, DPhil, FRCP

Consultant Gastroenterologist

Department of Gastroenterology

John Radcliffe Hospital

Oxford

UK

Divulgaciones

PA has consulted for Takeda (Shire) and BaxterHealthcare. PA has received travel, accommodation, and conference fees from Takeda (Shire).

Agradecimientos

Dr Philip Allan would like to gratefully acknowledge Dr Satish Keshav, Dr Michael Bennish, Dr Willem J.S. de Villiers, and Dr Houssam E. Mardini, the previous contributors to this topic. Unfortunately, we have been made aware that Dr Satish Keshav has passed away.

Divulgaciones

MB received funds, salary, and/or research funding greater than 6 figures USD. MB declares that he has no other competing interests. WJSDV and HEM declare that they have no competing interests.

Revisores por pares

Franz Allerberger, MD, MPH

Professor of Clinical Microbiology

Austrian Agency for Health and Food Safety (AGES)

Vienna

Austria

Divulgaciones

FA declares that he has no competing interests.

Nancy Crum-Cianflone, MD, MPH

Department Head

Naval Health Research Center

San Diego

CA

Divulgaciones

NCC declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

American Medical Association, American Nurses Association/American Nurses Foundation, Centers for Disease Control and Prevention, et al. Diagnosis and management of foodborne illnesses: a primer for physicians and other health care professionals. MMWR Recomm Rep. 2004 Apr 16;53(RR-4):1-33.Texto completo  Resumen

World Health Organization. Foodborne disease outbreaks: guidelines for investigation and control. 2008 [internet publication].Texto completo

Public Health England. UK Standards for microbiology investigations S 7: gastroenteritis. Oct 2020 [internet publication].Texto completo

Centers for Disease Control and Prevention. Food safety. Aug 2023 [internet publication].Texto completo

Shane AL, Mody RK, Crump JA, et al. 2017 Infectious Diseases Society of America clinical practice guidelines for the diagnosis and management of infectious diarrhea. Clin Infect Dis. 2017 Nov 29;65(12):e45-80.Texto completo  Resumen

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
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  • Guías de práctica clínica

    • Adverse events associated with EGD and EGD-related techniques
    • UK Standards for microbiology investigations S 7: gastroenteritis
    Más Guías de práctica clínica
  • Folletos para el paciente

    Diarrhea in adults

    Diarrhea in children

    Más Folletos para el paciente
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