E. Coli 0157:H7 (cont.)
Charles Patrick Davis, MD, PhD
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
In this Article
- E. coli definition and facts
- What are E. coli 0157:H7 bacteria?
- 25 early and late symptoms of E. coli 0157:H7 infection
- How do people get E. coli 0157:H7 infections?
- What causes E. coli infection?
- Is E. coli 0157:H7 contagious?
- Is there a test for E. coli?
- What is the treatment for E. coli 0157:H7?
- How can I prevent from getting E. coli?
- What are the complications of infection with E. coli 0157:H7?
- What kind of doctor(s) treat E. coli 0157:H7 infections?
- Other enterohemorrhagic E. coli strains (for example, 0145, 026:H11, 0104:H4 and 0121)
- Summer Food Safety FAQs
What is the treatment for E. coli 0157:H7?
Treatment for E. coli 0157:H7 depends on the severity of the disease.
Patients, especially healthy adults, often require no treatment for E. coli O157:H7 since many infections are self-limited. Moreover, for the acute diarrheal illness, antibiotics have not proven useful. In fact, some studies have shown that antibiotics may increase the chances of developing HUS (up to 17-fold). This effect is thought to occur because the antibiotic damages the bacteria, causing them to release even more toxin. Most investigators suggest antibiotic use only if a patient is septic, that is, there is evidence that the bacterium has spread to parts of the body other than the intestine. In addition, use of atropine and diphenoxylate (Lomotil), drugs that are commonly used to control diarrhea, also may increase symptoms and trigger complications.
In summary, mild infections are treated with the following:
- Fluid intake
- Rarely, antibiotics
Treatment for severe symptoms of infection and its complications may include:
Get the latest treatment options.