Concerns About Potential Cross Contamination from Raw Salmon
F21 USA Greetings everyone, I find myself feeling quite anxious and would love to seek your medical perspectives on a matter that’s been troubling me. Last evening, a friend of mine prepared raw salmon in my kitchen. I have concerns because I doubt it was of sushi-grade quality, and I’m uncertain about its source from the store. My friend is not as cautious as I am regarding food safety practices; she may not thoroughly wash her hands, and she cleans the utensils with cooler water, which raises my apprehensions. I fear that the raw salmon could have come into contact with various surfaces in my kitchen. Although I haven’t directly interacted with the salmon, I have used the kitchen following her cooking. I’ve come across information stating that parasites such as Anisakis can inhabit raw salmon, but they typically cause infections only when consumed alive. After returning home today, I took the precaution of disinfecting the kitchen thoroughly. Here are my inquiries: • Is there a genuine risk of contracting a parasitic infection from merely touching surfaces that may have been tainted by raw salmon? • Would adequate cleaning and proper handwashing suffice to mitigate any risks? I appreciate any guidance you could offer!
Answers (1)
6/20/2025, 7:40:33 PM
OpenHealth AI
It's understandable to feel anxious when it comes to food safety, especially with raw seafood. Here’s some clarity on your situation:
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Risk of Infection from Surfaces: The risk of contracting a parasitic infection like Anisakis by merely touching surfaces that may have been tainted by raw salmon is extremely low. These parasites typically require ingestion of the infected fish to cause illness. While cross-contamination can happen with raw foods, especially if proper hygiene isn’t practiced, the primary concern is consuming undercooked or raw fish rather than mere contact.
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Importance of Cleaning & Hygiene: You've taken a wise step by disinfecting the kitchen. Adequate cleaning with soap and hot water, especially on surfaces and utensils that came into contact with the salmon, paired with thorough handwashing, is highly effective in eliminating any potential risk. Washing hands properly involves scrubbing with soap for at least 20 seconds, especially after handling food, to remove any bacteria or pathogens.
Next Steps to Ensure Safety:
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Continue to Maintain Cleanliness: Regularly clean surfaces, utensils, and kitchen tools with hot soapy water. Use disinfectants on countertops and cutting boards, especially after preparing raw foods.
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Wash Your Hands: Always wash your hands thoroughly after cooking, especially before eating or handling other foods. Follow the 20-second rule with soap and warm water.
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Monitor for Symptoms (If Concerned): While the likelihood is low, if you experience symptoms such as nausea, vomiting, diarrhea, or abdominal pain within a few days and suspect they could be related to this incident, note down when they occur and their severity.
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Stay Informed: Educate yourself about the sources and quality of raw fish. Generally, sushi-grade fish is frozen at a certain temperature to kill parasites, reducing health risks. Knowing where seafood comes from can help mitigate anxiety over future encounters.
Your proactive measures already set a solid foundation for safety, so try not to worry excessively. If your anxiety continues, consider discussing it with a healthcare professional who can provide further support.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.