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What to know about Escherichia coli!

Updated: Oct 3, 2023


Characteristics:

Escherichia coli also known as E. coli is mostly harmless to the general public. E. coli naturally occurs in the intestine of animals and people and help contribute to intestinal health.

There are 100s of strains of E. coli, majority of them being good and helpful with keeping our system healthy, while others are considered to be pathogenic or illness causing. An example of a pathogenic E. coli would be Shiga toxin-producing E. coli or STEC for short, this strain can be life threatening.

Even though there are different strains of E.coli they all share similar characteristics. E. coli is known to be a straight, rod shape also known as bacillus, with a size of 1-3 micrometer x 0.4-0.7 micrometer. E. coli can be arranged singly or in pairs and some strains can be motile thank to the presence of flagella while other strains are non-motile. E. coli is considered a gram (-) bacterium which means when stained under a microscope it will appear pink. Last E. coli can be aerobic. meaning it grows best in the presence of oxygen. However, it can also be facultative anaerobic meaning it can be grown in low oxygen environments.







Symptoms:

When infected with E. coli symptoms can start to appear between 3-9 days after consuming contaminated food.

General Symptoms:

  • Severe stomach cramps


  • Diarrhea

  • Fever

  • Nausea

  • Vomiting

Depending on the strain contracted some may experience...


  • Bloody Diarrhea

  • Kidney failure

  • High blood pressure

  • Chronic kidney disease

  • Neurologic problems (nervous system problems)










Causes:

There are 3 main ways that you can contract E. coli


Eating contaminated food:

Drinking contaminated water:


  • Streams

  • Rivers

  • Lakes

  • Water used to irrigate crops

  • Private water wells

Personal contact:

E. coli can be spread through person to person contact if the individual who comes in contact with infected person doesn't wash their hands properly.



Risk Factors:

Age

People of any age can contract E. coli. However, young children and older adults are more susceptible to contracting E. coli due to their weakened digestive system.


Weakened immune system

Individuals whose immune system that has been affected from AIDS, drugs to treat cancer, and from drugs to prevent rejection from an organ transplant.

Eating certain types of foods

Individuals who eat undercooked beef, unpasteurized apple juice/ cider, and soft cheeses made from raw milk are all at high risk of contracting E. coli.


Time of year

There is always an increase of E. coli cases between the months of June- September due to the increased number of cookouts, and people not grilling the meat all the way through.


Medications that help decrease stomach acid

Nexium

Protonix

Prev acid

Prilosec


Prevention:

No vaccine / antibiotics

  • Researchers are investigating potential vaccines

Avoid risky foods


  • Cook beef all the way

  • Drink pasteurized milk, juice, or cider

  • Wash raw produce thoroughly


Avoid cross contamination

  • Wash utensils in-between uses

  • Keep raw foods separate (meats and veggies)

  • Wash your hands!



Diagnosis:

The doctor will request a stool sample to send to the lab to test for the E. coli bacteria.



Treatment:

  • Plenty of rest

  • Drinking lots of clear fluids to help prevent dehydration and fatigue

  • Avoid taking anti-diarrheal medications

This will slow down the digestive system and prevent the body from flushing out the toxins.

  • Serious E. coli infections can cause kidney failure

This can lead to an admission into the hospital, IV fluids, blood transfusions, and kidney dialysis

  • Avoid eating certain foods

You want to avoid eating dairy products, fatty foods, high fiber foods, and highly seasoned foods. This type of food can make the symptoms worse.


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