Ver el código de «Escherichia coli»

==Background==
*[[Gram negative]] rod

==Clinical Features==

==Differential Diagnosis==
{{Diarrhea DDX}}

==Evaluation==
*Stool culture
*Rapid assay for Shiga toxin

==Management of EHEC<ref>Bush LM and Perez MT. 
Infection by Escherichia coli O157:H7 and Other Enterohemorrhagic E. coli (EHEC). Merck Manual. http://www.merckmanuals.com/professional/infectious-diseases/gram-negative-bacilli/infection-by-escherichia-coli-o157,-c-,h7-and-other-enterohemorrhagic-e,-d-,-coli-(ehec)</ref>==
*'''Supportive only'''
*Do not treat with antibiotics (typically the same for ETEC)
**Antibiotics do not alleviate symptoms, reduce carrier risk of organism, or reduce [[HUS]] risk
**[[Ciprofloxacin]] may increase enterotoxin release
*7-14 days after infection, highest risk for HUS, which may need follow up and monitoring of:
**[[Proteinuria]]
**[[Hematuria]]
**Red cell casts
**Creatinine elevation
===[[Antibiotic Sensitivities]]<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>===
{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Category'''
| align="center" style="background:#f0f0f0;"|'''Antibiotic'''
| align="center" style="background:#f0f0f0;"|'''Sensitivity'''
|-
| [[Penicillins]]||[[Penicillin G]]||R
|-
| ||[[Penicillin V]]||R
|-
| [[Anti-Staphylocccal Penicillins]]||[[Methicillin]]||R
|-
| ||[[Nafcillin]]/[[Oxacillin]]||R
|-
| ||[[Cloxacillin]]/[[Diclox.]]||R
|-
| Amino-[[Penicillins]]||[[AMP]]/[[Amox]]||I
|-
| ||[[Amox-Clav]]||'''S'''
|-
| ||[[AMP-Sulb]]||'''S'''
|-
| Anti-Pseudomonal [[Penicillins]]||[[Ticarcillin]]||I
|-
| ||[[Ticar-Clav]]||'''S'''
|-
| ||[[Pip-Tazo]]||'''S'''
|-
| ||[[Piperacillin]]||'''S'''
|-
| [[Carbapenems]]||[[Doripenem]]||'''S'''
|-
| ||[[Ertapenem]]||'''S'''
|-
| ||[[Imipenem]]||'''S'''
|-
| ||[[Meropenem]]||'''S'''
|-
| ||[[Aztreonam]]||'''S'''
|-
| [[Fluroquinolones]]||[[Ciprofloxacin]]||'''S'''
|-
| ||[[Ofloxacin]]||'''S'''
|-
| ||[[Pefloxacin]]||'''S'''
|-
| ||[[Levofloxacin]]||'''S'''
|-
| ||[[Moxifloxacin]]||'''S'''
|-
| ||[[Gemifloxacin]]||'''S'''
|-
| ||[[Gatifloxacin]]||'''S'''
|-
| 1st G [[Cephalo]]||[[Cefazolin]]||'''S'''
|-
| 2nd G. [[Cephalo]]||[[Cefotetan]]||'''S'''
|-
| ||[[Cefoxitin]]||'''S'''
|-
| ||[[Cefuroxime]]||'''S'''
|-
| 3rd/4th G. [[Cephalo]]||[[Cefotaxime]]||'''S'''
|-
| ||[[Cefizoxime]]||'''S'''
|-
| ||[[CefTRIAXone]]||'''S'''
|-
| ||[[Ceftaroline]]||'''S'''
|-
| ||[[CefTAZidime]]||'''S'''
|-
| ||[[Cefepime]]||'''S'''
|-
| Oral 1st G. [[Cephalo]]||[[Cefadroxil]]||'''S'''
|-
| ||[[Cephalexin]]||'''S'''
|-
| Oral 2nd G. [[Cephalo]]||[[Cefaclor]]/[[Loracarbef]]||'''S'''
|-
| ||[[Cefproxil]]||'''S'''
|-
| ||[[Cefuroxime axetil]]||'''S'''
|-
| Oral 3rd G. [[Cephalo]]||[[Cefixime]]||'''S'''
|-
| ||[[Ceftibuten]]||'''S'''
|-
| ||[[Cefpodox]]/[[Cefdinir]]/[[Cefditoren]]||'''S'''
|-
| [[Aminoglycosides]]||[[Gentamicin]]||'''S'''
|-
| ||[[Tobramycin]]||'''S'''
|-
| ||[[Amikacin]]||'''S'''
|-
| ||[[Chloramphenicol]]||'''S'''
|-
| ||[[Clindamycin]]||R
|-
| [[Macrolides]]||[[Erythromycin]]||R
|-
| ||[[Azithromycin]]||R
|-
| ||[[Clarithromycin]]||R
|-
| Ketolide||[[Telithromycin]]||R
|-
| Tetracyclines||[[Doxycycline]]||'''S'''
|-
| ||[[Minocycline]]||'''S'''
|-
| Glycylcycline||[[Tigecycline]]||'''S'''
|-
| ||[[Daptomycin]]||R
|-
| Glyco/Lipoclycopeptides||[[Vancomycin]]||R
|-
| ||[[Teicoplanin]]||R
|-
| ||[[Telavancin]]||R
|-
| ||[[Fusidic Acid]]||R
|-
| ||[[Trimethoprim]]||'''S'''
|-
| ||[[TMP-SMX]]||I
|-
| Urinary Agents||[[Nitrofurantoin]]||'''S'''
|-
| ||[[Fosfomycin]]||'''S'''
|-
| Other||[[Rifampin]]||R
|-
| ||[[Metronidazole]]||R
|-
| ||[[Quinupristin dalfoppristin]]||R
|-
| ||[[Linezolid]]||R
|-
| ||[[Colistimethate]]||'''S'''
|}

===Key===
{{Template:Antibacterial Spectra Key}}

==Table Overview==
{{Clinically Relevant Bacteria}}

==See Also==
*[[Microbiology (Main)]]

==References==
<references/>

[[Category:ID]]