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Bacterias y virus

Las bacterias y los virus son la causa más común de intoxicación alimentaria. Los síntomas y la gravedad de la intoxicación alimentaria varían, dependiendo de cuál bacteria o virus haya contaminado los alimentos.

To prevent illness, always follow the food safety steps: clean, separate, cook, and chill. Other prevention tips for specific bacteria and viruses are included below.

The bacteria and viruses that cause the most illnesses, hospitalizations, or deaths in the United States are described below and include:

Other important bacteria and viruses that cause foodborne illness include:

Bacillus cereus

Fuentes Una variedad de alimentos, en especial el arroz y las sobras, además de las salsas, sopas y otros alimentos preparados que han estado en reposo a temperatura ambiente durante mucho tiempo.
Incubation period
  • Diarrheal: 6-15 hours
  • Emetic (vomiting): 30 minutes to 6 hours
Síntomas
  • Diarrheal: Watery diarrhea and abdominal cramps
  • Emetic (vomiting): Nausea and vomiting
Duration of illness 24 hrs.
What to do Beba abundante líquido y descanse. Si no puede beber suficiente líquido para prevenir la deshidratación, llame a su médico.
Prevención
  • If food is to be stored longer than two hours, keep hot foods hot (over 140°F) and cold foods cold (40°F or under)
  • Almacene los alimentos cocidos en un recipiente ancho y poco profundo, y refrigere lo antes posible.

Botulismo

Fuentes
  • Infants: Honey and products containing honey, such as infant pacifiers filled with or dipped in honey.
  • Infants, children and adultsImproperly home-canned or preserved foods, including low-acid vegetables and fermented fish; improperly canned commercial foods; herb-infused oils, baked potatoes in aluminum foil, cheese sauce, bottled garlic.
Incubation period
  • Infants: 3-30 days
  • Niños y adultos: 12-72 horas
Síntomas
  • Infants: Lethargy, poor feeding, constipation, weak crying, poor muscle tone (appear "floppy").
  • Children and adults: Double vision, blurred vision, drooping eyelids, slurred speech, difficulty swallowing, dry mouth, and muscle weakness.
Duration of illness Variable
What to do El botulismo es una emergencia médica. If you have symptoms of botulism, see your doctor or go to the emergency room immediately.
Prevención

Campylobacter

Fuentes Unpasteurized (raw) milk, chicken, shellfish, turkey, contaminated water.
Incubation period De 2 a 5 días
Síntomas Diarrea, calambres, fiebre y vómitos; la diarrea puede ser con sangre.
Duration of illness De 2 a 10 días
What to do

Beba abundante líquido y descanse. Si no puede beber suficiente líquido para prevenir la deshidratación o si sus síntomas son graves, llame a su médico.

Antibiotics are recommended only for patients who are very ill or are more likely to develop a serious illness, such as people with weakened immune systems.

Prevención
  • Drink pasteurized milk. Do not drink raw milk.
  • Do not drink untreated water.

Clostridium perfringens

Fuentes Beef, poultry, gravies, food left for long periods in steam tables or at room temperature, and time and/or temperature abused foods.
Incubation period De 6 a 24 horas
Síntomas Diarrhea and stomach cramps (no fever or vomiting),
Duration of illness 24 hours or less. In severe cases, symptoms may last for 1-2 weeks.
What to do Beba abundante líquido y descanse. Si no puede beber suficiente líquido para prevenir la deshidratación, llame a su médico.
Prevención
  • Thoroughly cook foods, particularly meat, poultry, and gravies, to a safe internal temperature.
  • Use a food thermometer to make sure.
  • Keep food hot after cooking (at 140˚ F or above) and serve meat dishes hot, within 2 hours after cooking.
  • Microwave leftovers thoroughly (to 165˚F or above).
  • Refrigerate leftovers within two hours of preparation (at 40˚F or below).
  • Divide large amounts of food, such as roasts or big pots of chili or stew, into shallow containers and refrigerate immediately. It is OK to put hot foods directly in the refrigerator.

E. coli

Fuentes
  • Contaminated food, especially undercooked ground beef, unpasteurized (raw) milk and juice, soft cheeses made from raw milk, and raw fruits and vegetables (such as lettuce, other leafy greens, and sprouts).
  • Contaminated water, including drinking untreated water and swimming in contaminated water.
  • Animals and their environment, particularly cows, sheep, and goats.
  • Feces of infected people.
Incubation period De 1 a 10 días
Síntomas
  • Severe diarrhea that is often bloody, severe stomach pain, and vomiting. Usually little or no fever is present.
  • Symptoms of hemolytic uremic syndrome (HUS) include decreased urine production, dark or tea-colored urine, and facial pallor.
Duration of illness 5 to 10 days. Most people will be better in 6-8 days. Si se desarrolla HUS, por lo general sucede después de la semana 1.
What to do Beba abundante líquido y descanse. If you cannot drink enough fluids to prevent dehydration or if your symptoms are severe (including bloody diarrhea or severe stomach pain), call your doctor.
Prevención
  • Avoid eating high-risk foods, especially undercooked ground beef, unpasteurized milk or juice, soft cheeses made from unpasteurized milk, or sprouts.
  • Use un termómetro para alimentos para verificar que la carne de res molida alcanzó una temperatura interna segura de 160° F.
  • Wash hands before, during, and after preparing food, after diapering infants, and after contact with cows, sheep, or goats, their food or treats, or their living environment.

Hepatitis A

Fuentes Raw or undercooked shellfish from contaminated waters, raw produce, contaminated drinking water, uncooked foods, and cooked foods that are not reheated after contact with an infected food handler.
Incubation period 28 días en promedio (varía de 15 a 50 días)
Síntomas Diarrhea, dark urine or light-colored stools, jaundice, fever, fatigue, nausea, joint pain, stomach pain, upset stomach, and loss of appetite.
Duration of illness Variable, from 2 weeks to 6 months.
What to do Consulte con su médico si presenta signos o síntomas de hepatitis A o si piensa que podría haber estado expuesto al virus.
Prevención
  • Evite consumir ostras crudas u otros mariscos crudos o poco cocidos.
  • Wash hands frequently with soap and running water for at least 20 seconds, particularly after using the bathroom, after changing diapers, and before, during, and after preparing food.
  • Vaccination is the best way to prevent hepatitis A. Hepatitis A vaccination is recommended for:
    •  All children at age 1 year
    • People with direct contact with others who have hepatitis A
    • People with chronic or long-term liver disease
    • People with clotting-factor disorders
    • Travelers to countries where hepatitis A is common
    • Men who have sexual encounters with other men
    • People who use or inject drugs
    • People experiencing homelessness

Listeria

Fuentes
  • Unpasteurized (raw) milk and dairy products.
  • Soft cheese made with unpasteurized milk, such as queso fresco, feta, Brie, Camembert.
  • Raw fruits and vegetables (such as sprouts).
  • Ready-to-eat deli meats and hot dogs.
  • Patés refrigerados o pastas untables a base de carne.
  • Refrigerated smoked seafood.
  • Be aware that Hispanic-style cheeses made from pasteurized milk, such as queso fresco, have caused Listeria infections, most likely because they were contaminated during cheese-making.
Incubation period De 7 a 70 días
Síntomas Listeria can cause fever and diarrhea similar to other foodborne germs, but this type of Listeria infection is rarely diagnosed.

Symptoms in people with invasive listeriosis, meaning the bacteria has spread beyond the gut, include:
  • For pregnant women: fever, fatigue and muscle aches. Pregnant women may also have no symptoms but experience fetal death, pre-term labor, or infection of the newborn.
  • For all others, stiff neck, confusion, loss of balance, and convulsions in addition to fever and muscle aches.
Duration of illness De unos días a unas semanas
Who is at risk
  • Adultos desde 65 años
  • Pregnant women and their newborns
  • People whose immune systems are weakened due to illness or medical treatment
What to do For invasive listeriosis, antibiotics given promptly can cure the infection. In pregnant women, antibiotics are given to prevent infection in the unborn baby.
Prevención
  • Do not drink raw (unpasteurized) milk, and do not eat soft cheeses made with it, such as queso fresco.
  • Heat hot dogs, cold cuts, and deli meats to an internal temperature of 165°F or until steaming hot before eating.
  • Eat cut melon right away or refrigerate it.
  • People at higher risk should not eat the following foods:
    • Refrigerated pâtés or meat spreads from a deli or meat counter or from the refrigerated section of a store
    • Refrigerated smoked seafood, unless it is canned or shelf-stable or it is in a cooked dish, such as a casserole
    • Raw or lightly cooked sprouts of any kind
    • Soft cheese, such as queso fresco, queso blanco, panela, brief, Camembert, blue-veined, or feta, unless labeled as made with pasteurized milk
  • People at higher risk should be aware that Hispanic-style cheeses made from pasteurized milk, such as queso fresco, have caused Listeria infections, most likely because they were contaminated during cheese-making.

Norovirus

Fuentes

Produce, shellfish, ready-to-eat foods touched by infected food workers (salads, sandwiches, ice, cookies, fruit), or any other foods contaminated with particles of vomit or feces from an infected person.

Incubation period De 12 a 48 horas
Síntomas Diarrhea, vomiting, nausea, and stomach pain. La diarrea suele ser acuosa y sin sangre. Diarrhea is more common in adults and vomiting is more common in children.
Duration of illness 1 to 3 days. Among young children, older adults, and hospitalized patients, it can last 4 to 6 days.
What to do Beba abundante líquido y descanse. Si no puede beber suficiente líquido para prevenir la deshidratación, llame a su médico.
Prevención
  • Wash hands frequently with soap and running water for at least 20 seconds, particularly after using the bathroom and before, during, and after preparing food.
  • Si trabaja en un restaurante o una rotisería, evite el contacto directo con los alimentos listos para consumir.
  • Clean and disinfect surfaces contaminated by vomit or diarrhea (use a bleach-based household cleaner as directed on the label). Limpie y desinfecte los equipos y las superficies relacionados con la preparación de alimentos.
  • If you are ill with diarrhea or vomiting and for two days afterwards, do not cook, prepare, or serve food for others.
  • Lave las frutas y los vegetales y cocine completamente las ostras y otros mariscos antes de consumirlos.
  • Lave la ropa o la ropa blanca manchada con vómito o materia fecal de inmediato. Saque los artículos con cuidado para evitar la propagación del virus. Lave a máquina y seque.

Salmonella

Fuentes

Food: A variety of foods have been linked to Salmonella, including vegetables, chicken, pork, fruits, nuts, eggs, beef and sprouts.

Animals and their environments: Particularly reptiles (snakes, turtles, lizards), amphibians (frogs), birds (baby chicks) and pet food and treats.

Incubation period De 12 a 72 horas
Síntomas Diarrhea, fever, stomach cramps, vomiting
Duration of illness De 4 a 7 días
What to do

Beba abundante líquido y descanse. Si no puede beber suficiente líquido para prevenir la deshidratación o si sus síntomas son graves, llame a su médico.

Antibiotics are recommended only for patients who have a serious illness (such as severe diarrhea, high fever, or bloodstream infection), or are more likely to develop a severe illness or complications (infants, adults over 65 years old, and people with weakened immune systems).

Prevención
  • Avoid eating high-risk foods, including raw or lightly cooked eggs, undercooked ground beef or poultry, and unpasteurized (raw) milk.
  • Wash your hands after contact with animals, their food or treats, or their living environment.

Shigella

Fuentes Contact with an infected person or consumption of contaminated food or water. Shigella foodborne outbreaks are most often associated with contamination by a sick food handler.
Incubation period 1 to 7 days (usually 1 to 2 days)
Síntomas Sudden stomach cramping, fever, diarrhea that may be bloody or contains mucus, nausea, and feeling the need to pass stool even when the bowels are empty.
Duration of illness De 5 a 7 días
Who's at risk? Children, especially toddlers aged 2-4, though anyone can be infected with Shigella.
What to do Beba abundante líquido y descanse. Permanezca en casa y no asista a la escuela ni al trabajo para evitar propagar la bacteria a otras personas. If you cannot drink enough fluids to prevent dehydration or have bloody diarrhea, call your doctor.
Prevención
  • Lávese las manos con jabón de forma frecuente y con cuidado, en especial luego de utilizar el baño, después de cambiar pañales y antes de preparar alimentos o bebidas.
  • Stay home from healthcare, food service, or childcare jobs while sick or until your health department says it's safe to return.
  • Keep children with diarrhea out of child care settings and school while they are ill.
  • Dispose of soiled diapers properly.
  • Desinfecte las áreas donde suele cambiar pañales luego de utilizarlas.
  • Supervise el lavado de manos de niños pequeños luego de utilizar el baño.
  • No prepare alimentos para otras personas mientras esté enfermo y tenga diarrea
  • Evite tragar agua en estanques, lagos o piscinas con agua sin tratar.
  • Avoid having sex (vaginal, anal, or oral) for one week after you no longer have diarrhea.
  • Cuando viaje a países en vías de desarrollo, beba solo agua tratada o hervida y coma solo alimentos cocidos calientes o frutas que pueda pelar usted mismo.

Staphylococcus aureus
Staphylococcal (Staph) Food Poisoning

Fuentes People who carry the bacteria Staphylococcus aureus (Staph), which is commonly found on the skin, can contaminate food if they don't wash their hands before touching it. Foods that are not cooked after handling, such as sliced meats, puddings, pastries, and sandwiches, are especially risky if contaminated with Staph.
Incubation period 30 minutes to 8 hours
Síntomas Sudden start of nausea, vomiting, and stomach cramps. Most people also have diarrhea.
Duration of illness 1 días
What to do Drink plenty of fluids. Si no puede beber suficiente líquido para prevenir la deshidratación, llame a su médico. Your doctor may give you medicine to decrease nausea and vomiting.
Prevención
  • Use a food thermometer and cook foods to their safe minimum internal temperature.
  • Keep hot foods hot (140°F or hotter) and cold foods cold (40°F or colder).
  • Store cooked food in shallow containers and refrigerate within 2 hours (or 1 hour if it’s hotter than 90° F outside).
  • Wash your hands for 20 seconds with soap and water before, during, and after preparing food, and before eating.
  • Do not prepare food if you are ill with diarrhea or vomiting.
  • Wear gloves while preparing food if you have wounds or infections on your hands or wrists.

Vibrio Species Causing Vibriosis

Fuentes Most people become infected by eating raw or undercooked shellfish, particularly oysters. Certain Vibrio species can also cause a skin infection when an open wound is exposed to salt water or brackish water. Brackish water is a mixture of fresh water and salt water. It is often found where rivers meet the sea.
Incubation period
  • V. vulnificus: 1 to 7 days
  • V. parahaemolyticus: 4 to 30 hours
Síntomas
  • In healthy people: Diarrhea, vomiting, abdominal pain
  • In high-risk people: Sudden chills, fever, shock, skin lesions
Duration of illness 3 days, when spread through food. Duration of wound infections is variable.
What to do If you have symptoms within a few days after eating raw or undercooked seafood, especially oysters, or develop a skin infection after being exposed to salt water or brackish water, contact your doctor. Don’t chance it! Some Vibrio species, such as Vibrio vulnificus, can cause particularly severe and life-threatening infections.
Prevención
  • Don't eat raw or undercooked oysters or other shellfish. Cook them before eating.
  • Always wash your hands with soap and water after handing raw shellfish.
  • Avoid contaminating cooked shellfish with raw shellfish and its juices.
  • Stay out of salt water or brackish water if you have a wound (including cuts and scrapes), or cover your wound with a waterproof bandage if there's a possibility it could come into contact with salt water or brackish water, raw seafood, or raw seafood juices.
  • Wash wounds and cuts thoroughly with soap and water if they have been exposed to seawater or raw seafood or its juices.

If you are in a group more likely to get a Vibrio infection, such as people with liver disease:

  • Wear clothes and shoes that can protect you from cuts and scrapes when in salt water or brackish water.
  • Wear protective gloves when handling raw seafood.

Información general

Foodborne Illnesses and Germs (CDC)

Bad Bug Book (FDA)

Date Last Reviewed