the Risk of Vibrio Infection from Seafood Handling - Internal Medicine

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Possibility of Vibrio infection


Hello, Dr.
Hong.
Today at noon, while I was eating seafood noodles, I accidentally pricked or scratched myself while peeling shrimp.
Although it doesn't seem to be bleeding, I quickly applied iodine after returning home.
I don't feel much pain, but I'm worried about the possibility of an invisible wound leading to a Vibrio infection.
The information I found online about Vibrio infections seems quite alarming.
I would like to ask the doctor how high the risk of infection is in my case.
Although I don't see any visible wounds, I have applied iodine and tetracycline ointment.
Additionally, I remember that the shrimp was cooked, although it was boiled at high heat, I'm not sure if the chef cooked it thoroughly.
If it was safe to eat, I wonder if the bacteria could have been killed.
My family says I'm just overreacting and that it should be fine since there was no bleeding, but I'm still quite worried.
I hope the doctor can provide some answers.
Thank you.

Na, 10~19 year old female. Ask Date: 2020/05/21

Dr. Hong Yuanbin reply Internal Medicine


Hello, Vibrio infection typically refers to infections caused by being punctured by raw seafood.
Based on your description, if the seafood was cooked, the chances of infection are very low.
It is advisable to monitor the wound for any redness, swelling, heat, or pain, as well as for any fever.
If none of these symptoms are present, it is unlikely that an infection has occurred.
I recommend simply observing the situation.
Thank you for your question.

Reply Date: 2020/05/21

More Info


When it comes to the risk of Vibrio infections from seafood handling, it's important to understand the nature of these bacteria and the circumstances under which infections can occur. Vibrio species, particularly Vibrio vulnificus, Vibrio parahaemolyticus, and Vibrio cholerae, are commonly associated with seafood and can cause serious health issues, especially in individuals with underlying health conditions.

In your case, you mentioned that you were pricked or scratched by a shrimp while eating seafood. The first thing to note is that Vibrio infections typically occur through two main routes: ingestion of contaminated seafood (especially raw or undercooked) and exposure of open wounds to contaminated seawater. Since you were handling cooked shrimp, the risk of infection is significantly reduced. Cooking seafood at high temperatures effectively kills most pathogens, including Vibrio bacteria. If the shrimp were properly cooked, the likelihood of contracting an infection from handling them is very low.

Moreover, you indicated that there was no visible bleeding from the scratch, and you took precautions by cleaning the area with iodine and applying a topical antibiotic. These actions are commendable as they help to minimize the risk of any potential infection, even from other bacteria that could be present on the surface of the shrimp or in the environment.

It's also worth noting that Vibrio vulnificus infections are more likely to occur in individuals with certain risk factors, such as chronic liver disease, diabetes, or weakened immune systems. If you do not have any underlying health conditions, your risk remains low.
In terms of symptoms, if you were to develop a Vibrio infection, you might experience symptoms such as fever, chills, redness, swelling, or pus at the site of injury, or gastrointestinal symptoms if ingested. However, since you have not experienced any of these symptoms, it is unlikely that you have contracted an infection.

If you continue to feel anxious about your situation, it might be beneficial to consult with a healthcare professional. They can provide reassurance and further evaluate your concerns based on your medical history and any symptoms you may develop in the coming days.
In summary, while the fear of Vibrio infections is understandable, especially given the alarming information available online, your specific situation—handling cooked shrimp with no visible injury or bleeding—poses a very low risk for infection. Maintaining good hygiene practices, such as washing hands before and after handling food, and ensuring seafood is cooked properly, are effective ways to prevent infections. If you have any further concerns or develop symptoms, do not hesitate to seek medical advice.

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