Escherichia coli

Precautions

See 'Additional Information'

General Information

Fermenting gram negative rod, of the Enterobacteriaceae family

Normal GI flora.

Most predominant gram negative bacillus.

Most common cause of UTI.

Also common:

  • Intra-abdominal infection/abscess

  • Nosocomial pneumonia

  • Bacteremia

  • Prosthetic device infection

  • Gastroenteritis – do NOT treat with antibiotics due to risk of 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 carbapenem.

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