The aim of this study was to investigate knowledge, attitudes and practices of food service staff in nursing
homes and long-term care facilities for the elderly in Sicily, Italy. Association with some demographic and
work-related variables was also investigated. This survey provides information and outlines many complex
questions concerning the basics of food hygiene. Education level, length of service in the employment
and attending courses on food hygiene influenced the knowledge, attitudes and practices of food
service staff. This study has evidenced the need for continuous training among food service staff regarding
food safety in LTCF and nursing homes.