<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492019000200022</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2019.diciembre.22-28</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Conocimientos, actitudes y prácticas sobre buenas prácticas de manufactura de manipuladores de alimentos en Caaguazú, Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Knowledge, attitudes and practices about good manufacturing practices of food manipulators of Caaguazú, Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estigarribia]]></surname>
<given-names><![CDATA[Gladys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[Gloria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortíz]]></surname>
<given-names><![CDATA[Analía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos-González]]></surname>
<given-names><![CDATA[Carlos Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Caaguazú Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Cnel. Oviedo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Caaguazú Instituto Regional de Investigación en Salud ]]></institution>
<addr-line><![CDATA[Cnel. Oviedo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>22</fpage>
<lpage>28</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492019000200022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492019000200022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492019000200022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  Determinar los conocimientos, las actitudes y las prácticas sobre buenas prácticas de manufactura de manipuladores de alimentos de tres distritos de Paraguay durante el año 2017.  Material y Métodos: Estudio observacional, descriptivo de corte transversal. El tipo de muestreo fue probabilístico en manipuladores de alimentos de tres distritos (Coronel Oviedo, Caaguazú y J. Eulogio Estigarribia) del departamento de Caaguazú, Paraguay durante el año 2017.  Resultados: Participaron de la investigación 264 manipuladores de alimentos. El 100% tuvo conocimiento malo, respecto a los ítems que en mayor porcentaje de respuestas correctas tuvieron fueron: concepto de manipuladores de alimentos con el 51,52 % (136), el 80% de actitud positiva ante las siguientes afirmaciones: que el cumplimiento de las normas de higiene y manipulación de alimentos es su prioridad con el 95,79% (252), respecto el nivel de práctica que predominó fue el malo con el 79,92% (211)  Conclusión:  El nivel de conocimiento global fue malo, las actitudes fueron en su mayoría positivas y las prácticas en su mayoría malas, es por ello que es necesario implementar programas de capacitación continua basadas en temas relacionados a la manipulación e higiene de alimentos, con el fin de concientizar y fomentar hábitos de higiene.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To determine the Knowledge, Attitudes and Practices on good manufacturing practices of food handlers in three districts of Caaguazú, Paraguay during the year 2017.  Material and Methods: Observational, descriptive cross-sectional study. The type of sampling was probabilistic sampling in food handlers of three districts (Coronel Oviedo, Caaguazú and J. Eulogio Estigarribia) of a department of Caaguazú, Paraguay during the year 2017.  Results: 264 food handlers participated in the investigation. 100% had bad knowledge, regarding the items that had the highest percentage of correct answers were: concept of food handlers with 51.52% (136), 80% positive attitude towards the following statements: that compliance of hygiene standards and food handling is his priority with 95.79% (252), compared to the level of practice that predominated was the bad with 79.92% (211).  Conclusion: The level of global knowledge was bad, the attitudes were mostly positive and the practices mostly bad, that is why it is necessary to implement ongoing training programs based on issues related to food handling and hygiene, with the to raise awareness, promote hygiene habits.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Manipulación de Alimentos]]></kwd>
<kwd lng="es"><![CDATA[Conocimientos, Actitudes y Práctica en Salud]]></kwd>
<kwd lng="es"><![CDATA[Alimentos.]]></kwd>
<kwd lng="en"><![CDATA[Food Handling]]></kwd>
<kwd lng="en"><![CDATA[Knowledge, Attitudes and Practice in Health]]></kwd>
<kwd lng="en"><![CDATA[Foods]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zanin]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[da Cunha]]></surname>
<given-names><![CDATA[DT]]></given-names>
</name>
<name>
<surname><![CDATA[de Rosso]]></surname>
<given-names><![CDATA[VV]]></given-names>
</name>
<name>
<surname><![CDATA[Capriles]]></surname>
<given-names><![CDATA[VD]]></given-names>
</name>
<name>
<surname><![CDATA[Stedefeldt]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Knowledge, attitudes and practices of food handlers in food safety: An integrative review.]]></article-title>
<source><![CDATA[Food Res Int.]]></source>
<year>2017</year>
<volume>100</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>53-62</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Murray]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Glass-Kaastra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gardhouse]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Marshall]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Ciampa]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Franklin]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Canadian Consumer Food Safety Practices and Knowledge: Foodbook Study]]></article-title>
<source><![CDATA[J Food Prot.]]></source>
<year>2017</year>
<volume>80</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1711-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Organización de las Naciones Unidas para la Agricultura y la Alimentación</collab>
<source><![CDATA[Organización del Fortalecimiento de los Sistemas nacionales de Control de Alimentos]]></source>
<year>2002</year>
<publisher-loc><![CDATA[Ginebra ]]></publisher-loc>
<publisher-name><![CDATA[FAO/ OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud/Organización panamericana de la salud (OMS/OPS)</collab>
<source><![CDATA[Nota de prensa]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Geneve, Suiza ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Madruga]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Dutra]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Menezes]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pinheiro]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La importancia del manipulador de alimentos en la calidad del servicio hotelero de la ciudad de Joao Pessoa, Brasil]]></article-title>
<source><![CDATA[Univ Fed Paraíba.]]></source>
<year>2012</year>
<volume>21</volume>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud/Organización de las Naciones Unidas para la alimentación y la Agricultura (OMS/FAO)</collab>
<source><![CDATA[Higiene de los alimentos]]></source>
<year>2009</year>
<numero>4</numero>
<issue>4</issue>
<page-range>1-152</page-range><publisher-loc><![CDATA[Roma, Italia ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud/Organización Panamericana de la Salud (OMS/OPS)</collab>
<source><![CDATA[Higiene personal, buenas prácticas de inocuidad de los alimentos]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Washington D. C., Estados Unidos ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="">
<collab>Organización de las Naciones Unidas para la Agricultura y la Alimentación/Organización panamericana de la salud (FAO/OPS)</collab>
<source><![CDATA[Educación en inocuidad de alimentos]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Washington D. C., Estados Unidos ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud (OMS)</collab>
<source><![CDATA[Enfermedades de transmisión alimentaria]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Washington D. C., Estados Unidos ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ansari-Lari]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Soodbakhsh]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lakzadeh]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Knowledge, attitudes and practices of workers on food hygienic practices in meat processing plants in Fars, Iran]]></article-title>
<source><![CDATA[Food Control]]></source>
<year>2010</year>
<volume>21</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>260-3</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ba&#351;]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ersun]]></surname>
<given-names><![CDATA[A&#350;]]></given-names>
</name>
<name>
<surname><![CDATA[K&#305;vanç]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The evaluation of food hygiene knowledge, attitudes, and practices of food handlers&#8217; in food businesses in Turkey]]></article-title>
<source><![CDATA[Food Control]]></source>
<year>2006</year>
<volume>17</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>317-22</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Capunzo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cavallo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Boccia]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Brunetti]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Buonomo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mazza]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<source><![CDATA[Food Control]]></source>
<year>2005</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>183-8</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jev&#353;nik]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hlebec]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Raspor]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Food safety knowledge and practices among food handlers in Slovenia]]></article-title>
<source><![CDATA[Food Control]]></source>
<year>2008</year>
<volume>19</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1107-18</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Hogg]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Otero]]></surname>
<given-names><![CDATA[JG.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Food handlers&#8217; knowledge on food hygiene: The case of a catering company in Portugal.]]></article-title>
<source><![CDATA[Food Control]]></source>
<year>2012</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>184-90</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seaman]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Eves]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perceptions of hygiene training amongst food handlers, managers and training providers-A qualitative study.]]></article-title>
<source><![CDATA[Food Control]]></source>
<year>2010</year>
<volume>21</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1037-41</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud/Organización panamericana de la salud (OMS/OPS)</collab>
<source><![CDATA[&#8220;Reglas de Oro&#8221; de la OMS para la preparación higiénica de los alimentos]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Washington D. C., Estados Unidos ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Iwu]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Uwakwe]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Duru]]></surname>
<given-names><![CDATA[CB]]></given-names>
</name>
<name>
<surname><![CDATA[Diwe]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
<name>
<surname><![CDATA[Chineke]]></surname>
<given-names><![CDATA[HN]]></given-names>
</name>
<name>
<surname><![CDATA[Merenu]]></surname>
<given-names><![CDATA[IA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Knowledge, Attitude and Practices of Food Hygiene among Food Vendors in Owerri, Imo State, Nigeria]]></article-title>
<source><![CDATA[Occup Dis Environ Med.]]></source>
<year>2017</year>
<volume>05</volume>
<numero>01</numero>
<issue>01</issue>
<page-range>11-25</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carrasco]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Guevara]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Falcón]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conocimientos y buenas prácticas de manufactura en personas dedicadas a la elaboración y expendio de alimentos preparados , en el distrito de Los Olivos.]]></article-title>
<source><![CDATA[Salud tecnol vet.]]></source>
<year>2013</year>
<volume>1</volume>
<page-range>7-13</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Akabanda]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Hlortsi]]></surname>
<given-names><![CDATA[EH]]></given-names>
</name>
<name>
<surname><![CDATA[Owusu-Kwarteng]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Food safety knowledge, attitudes and practices of institutional food-handlers in Ghana]]></article-title>
<source><![CDATA[BMC Public Health.]]></source>
<year>2017</year>
<volume>17</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>40</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fadaei]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of Knowledge, Attitudes and Practices of Food Workers about Food Hygiene in Shahrekord Restaurants.]]></article-title>
<source><![CDATA[World Appl Sci J]]></source>
<year>2015</year>
<volume>33</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1113-7</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martinez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lampin.]]></surname>
<given-names><![CDATA[K C]]></given-names>
</name>
</person-group>
<source><![CDATA[Conocimiento y prácticas sobre la guía de nutrición e higiene del PINE-MINED de los encargados y/o dueños de los kioscos escolares en escuelas públicas de Managua, octubre-diciembre del 2014]]></source>
<year>2015</year>
<publisher-name><![CDATA[Universidad Nacional Autonoma de Nicaragua]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Firdaus]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Son]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mohhiddin]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Toh]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Chai]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Food court hygiene assessment and food safety knowledge, attitudes and practices of food handlers in Putrajaya.]]></article-title>
<source><![CDATA[Int Food Res J.]]></source>
<year>2015</year>
<volume>22</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1843-54</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thelwell-Reid]]></surname>
<given-names><![CDATA[M.A]]></given-names>
</name>
</person-group>
<source><![CDATA[Food Safety Knowledge and Self-Reported Practices of Food Handlers in Jamaica.]]></source>
<year>2014</year>
<publisher-name><![CDATA[Walden University]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
