Clostridium perfringens Root Causes

For Public Health

At a glance

This study identified root causes of Clostridium perfringens outbreaks in the restaurant environment. These are situations that caused food to reach unsafe temperatures and led to outbreaks. Learn more about these root causes.

Several large covered food serving pans with heated burners underneath.

Key takeaways

Retail food establishments, such as restaurants, can work to avoid the root causes of Clostridium perfringens outbreaks.

Outbreak investigators reported three underlying root causes that precede C. perfringens outbreaks. These causes are linked with people, processes, and food equipment.

To avoid outbreaks linked to C. perfringens and their root causes, restaurants can:

  • Provide food safety training and certification programs
  • Conduct routine maintenance on food equipment
  • Use only properly working food equipment
  • Train workers on how to properly use food equipment

Why this is important

C. perfringens outbreaks occur when food reaches unsafe temperatures. C. perfringens bacteria are one of the most common causes of foodborne illness (food poisoning). CDC estimates these bacteria cause nearly one million illnesses in the United States every year. Properly preparing and storing food can keep foods within safe temperatures.

What we learned

We found three types of root causes of C. perfringens outbreaks. Each type included three categories.

People:

  • Lack of adherence to food safety procedures
  • Poor food safety culture
  • Lack of managerial control over food safety

Process:

  • Process changed during preparation
  • New operations
  • Increased customer volume

Food equipment (for storing and holding food):

  • Lack of food equipment
  • Malfunctioning food equipment
  • Food equipment not used properly

More information

About this study

This study assessed outbreak data reported to the National Environmental Assessment Reporting System (NEARS). Local, state, tribal, and territorial programs use NEARS to report environmental assessment data. These data come from foodborne illness outbreak investigations in restaurants, banquet facilities, schools, and other institutions.


Content Source
National Center for Environmental Health
About This Page
Published: May 15, 2024
Updated: April 11, 2024

This page was last updated on this date. Updates may include minor edits, image changes, or other modifications to page content.

Reviewed: August 27, 2026

The information on this page was last reviewed by subject matter experts to ensure accuracy.