How Do You Know if You Got Ecoili
Overview
What is E. coli?
Escherichia coli (E. coli) is a leaner that normally lives in the intestines of both healthy people and animals. In most cases, this bacteria is harmless. It helps digest the nutrient you consume. Nonetheless, certain strains of Eastward. coli can cause symptoms including diarrhea, tum pain and cramps and low-grade fever. Some East. coli infections tin be unsafe.
What does East. coli look similar?
Eastward. coli is a rod-shaped bacterium of the Enterobacteriaceae family. It tin live in environments with or without air. These bacteria live in the intestines of healthy people and warm-blooded animals.
How many strains of Eastward. coli crusade diarrhea?
Six different strains of Due east. coli are known to crusade diarrhea. These strains are:
- Shiga toxin-producing Due east. coli (STEC): This is the leaner most commonly known for E. coli food contamination. This strain is also called enterohemorrhagic East. coli (EHEC) and verocytotoxin-producing Eastward. coli (VTEC).
- Enterotoxigenic E. coli (ETEC): This strain is commonly known as a cause of travelers' diarrhea.
- Enteroaggregative E. coli (EAEC).
- Enteroinvasive E. coli (EIEC).
- Enteropathogenic Eastward. coli (Epic).
- Diffusely adherent E. coli (DAEC).
How does E. coli make you lot sick?
The most familiar strains of E. coli that brand you sick do so by producing a toxin called Shiga. This toxin amercement the lining of your modest intestine and causes your diarrhea. These strains of E. coli are also called Shiga toxin-producing East. coli (STEC). The STEC that is about well-known in N America and well-nigh often referred to is E. coli O157:H7, or just Due east. coli O157
There are other types of STEC that are chosen non-O157 STEC. These strains cause similar disease to the O157 strain but are less likely to lead to serious complications.
Who can get infected with E. coli?
Anyone who comes into contact with a disease-causing strain of E. coli can get infected. People who are at greatest risk are:
- The very young (newborns and children).
- The elderly.
- People who have weakened immune systems (for example, those with cancer, diabetes, HIV, and women who are pregnant).
- People who travel to certain countries.
How mutual are Due east. coli infections?
According to the Centers for Affliction Control, about 265,000 STEC infections occur in the United States each twelvemonth. The STEC O157 strain causes about 36% of these infections and non-O157 STEC strains cause the rest. The bodily number of infections is thought to be even higher because many people do non become to their healthcare provider for their disease, many don't provide a stool sample for testing and many labs do not examination for non-O157 STEC strains.
Symptoms and Causes
What are the symptoms of an Eastward. coli infection?
People who get infections with the STEC strain of E. coli tin can take the following symptoms:
- Stomach pains and cramps.
- Diarrhea that may range from watery to encarmine.
- Fatigue.
- Loss of appetite or nausea.
- Airsickness.
- Low fever < 101 °F/ 38.5 °C (not all people have this symptom).
How soon practise symptoms of E. coli infection develop?
You usually develop symptoms of a STEC infection inside iii to v days after drinking or eating foods contaminated with this E. coli bacteria. However, y'all could have symptoms every bit early as ane 24-hour interval subsequently exposure up to near 10 days afterward.
How long do symptoms of E. coli infection last? When will I feel meliorate?
Your symptoms tin can concluding from five to seven days.
Other than diarrhea, are there serious illnesses caused past STEC strains of E. coli?
Most cases of E. coli infections are mild and do non cause a serious wellness risk. Cases resolve on their own with rest and drinking plenty of fluids. However, some strains can cause severe symptoms and even life-threatening complications, such as hemolytic uremic syndrome, which can lead to kidney failure and death.
What is hemolytic uremic syndrome?
Some people, peculiarly children age five and under, who get infected with a STEC infection (the O157:H7 strain) develop a condition called hemolytic uremic syndrome (HUS). In this condition, toxins in your intestines from STEC cause diarrhea, travel into your bloodstream, destroy red blood cells and damage your kidneys. This potentially life-threatening illness develops in about five% to 10% of people who are infected with STEC.
Early on symptoms of HUS include:
- Diarrhea (normally encarmine).
- Fever.
- Stomach pain.
- Vomiting.
As disease progresses, symptoms include:
- Decreased urination, blood in urine.
- Feeling tired.
- Stake-looking skin.
- Piece of cake bruising.
- Fast heart rate.
- Lightheadedness.
- Sleepiness, confusion, seizures.
- Kidney failure.
If you lot develop severe diarrhea (lasting longer than three days or you can't stay hydrated) or if y'all have encarmine diarrhea, get to the hospital for emergency care. HUS, if it develops, occurs an average of 7 days after your start symptoms occur. It is treated with IV fluids, blood transfusions and dialysis (for a short period of time).
What causes an E. coli infection?
Technically, you develop an E. coli infection by ingesting (taking in by oral fissure) certain strains of E. coli leaner. The bacteria travel down your digestive tract, releases a destructive toxin, called the Shiga toxin, which damages the lining of your small intestine. The growing infection causes your symptoms.
How did I get infected with E. coli?
You come into contact and eat E. coli by eating contaminated food, drinking contaminated water or by touching your mouth with your hands that are contaminated with E. coli bacteria.
Contaminated foods
- Meats: Meats become contaminated with Eastward. coli during the slaughtering process, when Eastward. coli in animal intestines gets onto cuts of meat and especially when meat from more 1 creature is ground together. If you eat undercooked meat (E. coli is killed when meat is thoroughly cooked), you can go infected with East. coli.
- Unpasteurized (raw) milk: East. coli on a cow's udder and/or the milking equipment can get into the milk. Drinking contaminated raw milk tin lead to an E. coli infection because information technology hasn't been heated to kill the leaner.
- Unpasteurized apple cider and other unpasteurized juices.
- Soft cheeses made from raw milk.
- Fruits and veggies: Crops growing near animal farms tin can go contaminated when E. coli-containing animal poop combines with rainwater and the runoff enters produce fields and lands on the produce. If you don't thoroughly wash off the produce, E. coli enters your body when y'all swallow these foods.
Contaminated h2o
- E. coli in poop from both animals and humans can stop up in all types of water sources including ponds, lakes, streams, rivers, wells, swimming pools/kiddie pools and even in local city water supplies that have not been disinfected. If you lot consume contaminated h2o, y'all could get sick.
Contaminated hands
- Yous tin swallow E. coli when it transfers from your easily straight to your rima oris or onto the food yous are eating. East. coli gets on your hands from touching poop (an invisible amount tin can be on your hands). You tin go poop on your easily afterward changing your baby's diapers, later having a bowel movement and not washing your hands completely, petting zoo or farm animals (many animals roll in or otherwise become E. coli from poop on their fur) or from poop on the easily of other people infected with affliction-causing E. coli.
Is E. coli contagious?
When you hear the give-and-take "contagious," you might immediately remember of a cold or the flu – illnesses you tin can get from breathing in bacteria or viruses lingering in the air of a sick person'due south cough or sneeze.
East. coli isn't an airborne affliction. It'south commonly spread by eating contaminated food or drinking contaminated water that contains disease-producing strains of E. coli. (Remember not all strains of E. coli are harmful.)
E. coli can, however, be contagious and spread from person to person by the "oral-fecal route." This means that harmful strains of E. coli are spread when people don't wash their hands thoroughly with soap and water afterward they use the bath or otherwise affect poop (after changing babe diapers or older person'southward incontinence undergarments, or petting zoo or farm animals that may take soiled fur) and they touch other people. People then become the invisible E. coli on their hands and swallow it when information technology is transferred from their easily to the food they eat or from putting their fingers in their mouth. E. coli spreads from person to person this way in settings such as day care centers and nursing homes.
Diagnosis and Tests
How is an E. coli infection diagnosed?
STEC infections are diagnosed by sending a sample of your poop to a laboratory. Many labs can test for both STEC O157 and non-O157 STEC bacterial infections.
What steps are involved in getting a stool sample to my healthcare provider?
Telephone call your healthcare provider's role. They may have you lot come up in for an function visit and give you a sterile stool collection cup and specific directions to follow for how to collect a stool sample. They may also email specific instructions for collecting a sample at dwelling house.
Some general instructions for collecting a stool sample at dwelling include:
- First, wash your hands with soap and water.
- If it'due south possible to urinate (pee) before setting upwards for the stool collection, do so. Y'all don't want to get urine in your stool sample if y'all can help it.
- To collect diarrhea, record a plastic bag to the toilet seat. You only need to collect a small amount – a couple tablespoons.
- Place the plastic bag into a clean (washed and stale) plastic container and seal with lid.
- Wash your hands with soap and water.
- Write your proper noun and appointment on the container, identify within another bag, wash your hands again and evangelize to your healthcare provider on the aforementioned day y'all collect your sample. If you tin can't deliver your sample immediately, you can store information technology in your refrigerator for up to 24 hours.
- Do non collect the sample from the toilet bowl. Do non mix in toilet paper, soap or water.
When volition I get the results dorsum from my stool sample?
Well-nigh laboratories report back the results within two to iv days. Your healthcare provider will call you with the results as soon as they become bachelor or you lot may be notified of your results electronically if yous have an online medical record gear up with your doctor or healthcare facility.
Management and Treatment
How is an E. coli infection treated?
Fortunately, most E. coli infections get abroad on their own. You tin assistance yourself manage East. coli infection by drinking plenty of fluids to replace what you've lost through diarrhea and/or airsickness. Also, get as much rest as possible.
Antibiotics are normally not given for STEC O157 infection considering they can make your illness worse and put you lot at risk for hemolytic uremic syndrome (HUS). Also, don't take any medicines to terminate diarrhea (such equally bismuth subsalicylate [Pepto-Bismol®, Kaopectate®] or loperamide [Imodium®]), considering information technology could proceed the Due east. coli bacteria in your body and increase your gamble of HUS.
Y'all should start to experience better nigh five to seven days from the time you lot first developed symptoms.
When should I see a healthcare provider about an East. coli infection?
Come across your healthcare provider about an E. coli infection if:
You have diarrhea for more than than iii days and:
- Y'all can't keep whatever fluids downwardly.
- You have claret in your poop.
- You are feeling very tired.
- Y'all accept many bouts of vomiting.
- You have a fever higher than 102 °F.
- You lot are not peeing (urinating) a lot.
- You are losing pinkish color in cheeks and inside your lower eyelids.
Prevention
How can I prevent or avoid an E. coli infection?
The virtually important thing you can do to protect against East. coli infection is to wash your hands – frequently. Always wash your easily thoroughly earlier and after cooking and after handling raw meat or poultry.
Wash your hands after using the restroom, irresolute diapers or after contact with animals.
If yous've been infected with E. coli, scrub your easily vigorously with soap and clean under your fingernails where bacteria can get caught. Dry your hands with newspaper towels instead of cloth towels to avert transferring bacteria.
Y'all tin besides reduce your run a risk of an Due east. coli infection past following these food preparation and cooking tips.
When thawing meats:
- Don't defrost frozen meat unwrapped on the counter.
- Keep frozen meat in a separate plastic bag (for instance, a plastic grocery bag) when thawing.
When prepping foods:
- Don't rinse meat before cooking. It'south not necessary. Washing the meat could spread bacterial to nearby surfaces, utensils and other food.
- Use a plastic or ceramic cut board to cut raw meat. These materials can be cleaned more easily and thoroughly than wooden cutting boards.
- Don't "cantankerous-contaminate" a prepping surface. If you had raw meat or chicken on a prepping surface, such equally a cutting board, wash it thoroughly with soap and hot water before putting another type of nutrient (such as a raw vegetable) on it. Ameliorate yet, use different cut boards for the foods you are preparing.
- Rinse all raw fruits and vegetables under cold running water before eating them. Information technology's ok to scrub business firm produce but don't utilise detergent or soap.
When cooking and serving meats:
- Cook all meat well (undercooked meat is another source of E. coli contagion). Cooking foods well kills leaner.
- Use a nutrient thermometer when cooking meat, and cook all meat and other foods to the safe temperatures recommended by the The states Department of Agriculture (see references for link).
- Don't put a cooked hamburger on a plate that had raw basis beef or whatsoever other raw meat on it.
- Air-condition leftovers right away.
Outlook / Prognosis
What can I expect if I accept an Eastward. coli infection?
It'south of import to keep in mind that nigh strains of E. coli are harmless. They live naturally in your abdominal tract and help digest your nutrient. Sometimes, however, you may consume food or beverage water that is contaminated with affliction-causing Eastward. coli. Sometimes a balmy Due east. coli infection will cause a brief bout of diarrhea. Other strains of East. coli, the Shiga toxin-producing E. coli (STEC), crusade bloody diarrhea, airsickness, breadbasket pain and cramps. If yous are otherwise healthy, yous should recover from an Eastward. coli infection within well-nigh a week without whatsoever handling.
Although hemolytic uremic syndrome (HUS) is a serious complexity, it is rare and occurs in well-nigh 5% to ten% of people. With early treatment and proper care, people can recover from HUS.
Living With
How long does E. coli survive exterior the body?
E. coli can survive outside the trunk from hours to months. It tin can alive in soil for about 130 days. Due east. coli survives in river water for 27 days and in cattle slurry for ten days. On stainless steel, East. coli was shown to survive for more than than 60 days. It survives for at to the lowest degree 12 hours on wooden cutting boards.
Many factors touch on how long E. coli can live outside the body including temperature, presence of water, availability of nutrients, pH and solar radiation.
How does Eastward. coli cause a urinary tract infection?
Urinary tract infections are sometimes caused when E. coli from your gastrointestinal tract get into your urinary tract. This tin happen more easily in women because the anus (where poop exits your torso) is located close to the urethra (the tube from which urine exits the torso). E. coli leaner tin travel upwardly the urethra to the bladder and even up to the ureters and kidneys. You may have been told – if yous are a woman – to always "wipe from front end to back." This is and so you don't accidently spread E. coli leaner from your anus to your urethra.
The most common urinary tract infections caused past E. coli are a float infection (cystitis), infection of the urethra (urethritis) and kidney infection.
Are there better food choices I tin can make as I showtime to feel improve after an E. coli infection?
Beverage clear liquids, such every bit broths, articulate sodas and water. Stick with bland, depression-fiber foods similar toast, rice, plain crackers and absurdity. Stay abroad from high-fiber foods, fatty foods and dairy products.
When can I return to piece of work or school if I've been infected with E. coli?
Check with your healthcare provider. If your infection was role of a local outbreak, your local state health department may have specific instructions nearly when it's safe to exist around groups of people.
A note from Cleveland Clinic
The all-time and easiest way to avoid getting an E. coli infection is to ofttimes wash your hands with soap and water. Wash your hands before and after handling foods (including prepping, cooking and serving foods), after using the bathroom, after touching animals (especially farm or zoo animals), after changing diapers and after shaking hands or being touched by others (yous never know what their hands have touched). Washing your hands can not only preclude contracting E. coli, but also many other infectious illness that are spread from person to person. Make frequent hand washing a new habit.
Go on in listen that most strains of E. coli are harmless. Even if you do come down with the STEC O157 strain, your symptoms will resolve on their own inside five to seven days. Drink plenty of fluids to stay hydrated and go plenty of rest.
Practise telephone call your healthcare provider if yous have diarrhea (and especially bloody diarrhea) for more iii days, have trouble keeping fluids down and have continuous bouts of airsickness and have a fever. These symptoms could mean you are developing serious complications that could atomic number 82 to kidney failure.
Source: https://my.clevelandclinic.org/health/diseases/16638-e-coli-infection
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