Escherichia coli

Precautions

See 'Additional Information'

General Information

Fermenting gram negative rod, of the Enterobacteriaceae family

Normal GI flora.

Most predominant gram negative bacillus.

An exhaustive list.

Most common cause of UTI.

Also common:

  • Intra-abdominal infection/abscess

  • Nosocomial pneumonia

  • Bacteremia

  • Prosthetic device infection

  • Gastroenteritis, ranging from travelers diarrhea to invasive infection with hemolytic-uremic syndrome

  • Myriad other manifestations

Note endocarditis is rare.

May require contact precautions if highly resistant i.e. ESBL, carbapenem resistant.

Treatment of choice for ESBL strains is a ertapenem.

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