Clostridium Perfringens
| Morphology | 
                                        A gram-positive rod that is anaerobic, motile, capable of producing spores, and produces
                                                                                    many different toxins. 
                                                                               | 
                                 
|---|---|
| Disease | 
                                        Food poisoning (Type C), Gas Gangrene, cellulitis, enteritis necroticans and CNS diseases.  | 
                                 
| Zoonosis | 
                                        Yes; Type A foodborne disease and Type C infections can be transmitted from animals to humans.  | 
                                 
| Host Range | 
                                        Humans and animals. 
                                           | 
                                 
|---|---|
| Modes of Transmission | 
                                        Food-borne illness acquired by ingestion. 
                                                                                  | 
                                 
| Signs and Symptoms | 
                                        Food poisoning: Watery diarrhea, nausea, and abdominal pain. Gas Gangrene; breakdown
                                                                                 of muscle tissue. Severe pain, edema, tenderness, and pallor, followed by discoloration
                                                                                 and hemorrhagic bullae, and production of gas at the site of wound. 
                                                                            | 
                                 
| Infectious Dose | 
                                        Food poisoning: 100 million  
                                           | 
                                 
| Incubation Period | 
                                        Food poisoning: 8 to 24 hours Gas Gangrene: 1 to 4 days  
                                                    | 
                                 
| Prophylaxis | None available. | 
|---|---|
| Vaccines | None available. | 
| Treatment | 
                                        Food poisoning: Self-limiting disease. Therapy is mainly supportive. Gas Gangrene: removal of all devitalized tissue in conjunction with antibiotic therapy with a combination of penicillin and clindamycin or tetracycline. | 
                                 
| Surveillance | 
                                        Clinical symptoms. 
                                                    | 
                                 
| MSU Requirements | Report any exposures | 
| Laboratory Acquired Infections (LAIs) | None of been reported to date. | 
                                 
|---|---|
| Sources | 
                                        Feces, food, blood, bowel contents or tissue. Cultures, frozen stocks, other samples
                                                                                    described in IBC protocol. 
                                                                               | 
                                 
| 
                                           Risk Group 2 
                                        | 
                                       
                                           Agents that are associated with human disease which is rarely serious and for which preventive or therapeutic interventions are often available.  | 
                                    
|---|---|
| 
                                           BSL2 
                                        | 
                                       
                                           For all procedures involving suspected or known infectious specimen or cultures. 
                                        | 
                                    
| 
                                           ABSL2 
                                        | 
                                       
                                           For all procedures utilizing infected animals. 
                                        | 
                                    
| 
                                        Small 
                                        | 
                                    
                                        Notify others working in the lab. Remove PPE and don new PPE. Cover area of the spill
                                                with absorbent material and add fresh 1:10 bleach:water. Allow 20 munutes (or as directed)
                                                of contact time. After 20 minutes, cleanup and dispose of materials. 
                                        | 
                                 
|---|---|
| 
                                        Large 
                                        | 
                                    
                                       
  | 
                                 
| 
                                        Mucous membrane  
                                        | 
                                    
                                        Flush eyes, mouth, or nose for 5 minutes at eyewash station. 
                                        | 
                                 
|---|---|
| 
                                        Other Exposures  
                                        | 
                                    
                                        Wash area with soap and water for 5 minutes.  
                                        | 
                                 
| Reporting | 
                                        Immediately report incident to supervisor, complete a First Report of Injury form, and submit to Safety and Risk Management. 
                                        | 
                                 
| 
                                        Medical Follow-up  
                                        | 
                                    
                                        During business hours: Bridger Occupational Health 3406 Laramie Drive. Weekdays 8am -6pm.  Weekends 9am-5pm 
                                    After business hours: Bozeman Deaconess Hospital Emergency Room 915 Highland Blvd Bozeman, MT  | 
                                 
| Disinfection | 
                                        Spores are fairly resistant; moderate susceptibility to 1:10 bleach:water; susceptible
                                                                           to high level disinfectants (>2 % gluteraldehyde) with prolonged contact time, accelerated
                                                                           hydrogen peroxide 
                                                                      | 
                                 
|---|---|
| Inactivation | 
                                        Inactivated by moist heat (1 hour at 121oC) and dry heat (1 hour at 160-170 C). 
                                                          | 
                                 
| Survival Outside Host | 
                                        Spores can survive for long periods outside of host. 
                                                                                  | 
                                 
| 
                                        Minimum PPE Requirements 
                                        | 
                                    
                                        Lab coat, disposable gloves, safety glasses, closed toed shoes, long pants 
                                        | 
                                 
|---|---|
| 
                                        Additional Precautions 
                                        | 
                                    Additioanl PPE may be required depending on lab specific SOPs and IBC Protocol. | 
