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I.
Escherichia
coli
AT I V E
DEFINITION OF DISEASE
II. SYNONYMS
Enteric food borne pathogen
Enteroadherent E. coli
Intestinal Pathogenic E. coli
Acute and persistent children and adult diarrhea
Diffusely Adherent E. coli (DAEC)
V.
Persistent diarrhea
Blood in stool
Mucus in stool
Abdominal cramps
Malaise
Fever
Abdominal pain
INCUBATION PERIOD
The incubation period has been estimated to be 20 to 48 hours.
VIII.TREATMENT
Specific
Clinical studies indicate that the fluoroquinolones, especially
ciprofloxacin 500 mg bid for 3 to 7 days and rifaximin 200 or
400 mg bid for 3 days, may be the antimicrobial treatments of choice
for EAEC infections.
Symptomatic
Fluid replacement can conservatively treat EAEC infections
Preventive/ Prophylaxis
Bovine lactoferrin inhibited EAEC biofilm formation and increase
auto-agglutination, further suggesting that surface adhesins were
affected. However it is not yet clear whether lactoferrin as a
nonantibiotic approach is effective for the treatment and prophylaxis
of EAEC.
IX. PROGNOSIS
EAEC can cause both an acute and a chronic (14 days) diarrheal illness.
Sporadic food poisoning outbreaks were also observed in the
developed world. This type of E.coli is also an increasingly recognized
cause of diarrhea in developing countries. Recent outbeaks implicate
EAEC as a cause of foodborne illness in industrialized countries. It has
X.
PREVENTION
Enteroaggregative E. coli can be prevented by the following:
Wash your hands thoroughly after using the bathroom or changing
diapers and before preparing or eating food.
Wash your hands after contact with animals or their environments.
Cook meats thoroughly
Avoid raw milk, unpasteurized dairy products and unpasteurized
juices.
Avoid swallowing water when swimming or playing in lakes, ponds,
streams, swimming pools and backyard kiddie pools.
Prevent cross contamination in food preparation areas by thoroughly
washing hands, counters, cutting boards and utensils after they
touch raw meat.
REFERENCES
http://wwwnc.cdc.gov/eid/article/4/2/98-0212_article
https://www.hindawi.com/journals/ipid/2010/254159/
http://www.floridahealth.gov/diseases-and-conditions/e-coli-o157h7/_documents/non-o157.pdf