Fermenting gram negative rod, of the Enterobacteriaceae family
Normal GI flora
Most predominant gram negative bacillus
Most common cause of urinary tract infections.
Central line-associated bloodstream infection
Prosthetic device infection
Gastroenteritis, ranging from travelers diarrhea to invasive infection with hemolytic-uremic syndrome
May require contact precautions if highly resistant i.e. ESBL, carbapenem resistant.
In cases of infections due to ESBL producing organisms, carbapenems may be preferred.
Suspected/confirmed verotoxigenic infection (i.e. 0157-H7) requires notification of Public Health immediately. Antibiotics should be avoided.