Escherichia coli (E. coli) are bacteria that are all around you. You can find E. coli everywhere in your environment, including on your skin and in your intestines. Most strains of E. coli are harmless but some strains can make you very sick and can cause sepsis. (Read about a 2018 food-borne E. coli outbreak here: E. Coli Outbreak Associated With Romaine Lettuce Still Active)

Sometimes incorrectly called blood poisoning, sepsis is the body’s often deadly response to infection.  Sepsis kills and disables millions and requires early suspicion and treatment for survival.

Sepsis and septic shock can result from an infection anywhere in the body, such as pneumonia, influenza, or urinary tract infections. Worldwide, one-third of people who develop sepsis die. Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue, organ dysfunction (organs don’t work properly) and/or amputations.

 

How Is E. Coli Spread?

An E. coli infection can be spread from person to person and from animal to person, or you can contract the infection by touching a contaminated object or consuming contaminated food or drink.

The type of E. coli infection we may be most familiar with is often referred to as travelers’ diarrhea. This type of infection is caused by the enterotoxigenic E. coli (ETEC) bacteria. These bacteria produce substances that are toxic to intestinal cells. The toxins stimulate the intestinal wall lining, which then produces more fluid and this in turns causes diarrhea. Travelers may get the infection by drinking unclean water or eating food that hasn’t been properly prepared. Closer to home, there are often reports in the news of E. coli outbreaks or recalls for processed foods that may be contaminated with the bacteria.

Food and water:

  • Contaminated ground beef is one of the most common causes of E. coli infection. Thorough cooking will kill the bacteria.
  •  E. coli bacteria found either on a cow’s udder or on milking equipment can get into raw milk. Pasteurizing the milk will kill the bacteria.
  • Fresh produce can be contaminated with E. coli as it comes in touch with the runoff from cattle farms. The bacteria can also be transferred to fresh produce during harvesting and packing, if the workers or the equipment carry the bacteria.
  • Human and animal feces may pollute ground and surface water.

Personal contact

  • People can spread E. coli bacteria. It can easily travel from person to person if someone has the bacteria on their hands, most often when infected adults and children don’t wash their hands properly. Children who visit petting zoos and animal barns can also contract the infection after touching the animals.

Symptoms of E. Coli Infection

The symptoms of an E. coli infection can be much more serious among infants and seniors, as well as people who are already ill. It can take anywhere from one to seven days for the symptoms to appear after you’ve been exposed to the bacteria. The most commonly known symptoms are severe abdominal cramping and watery or bloody diarrhea. Others include:

  • Nausea
  • Vomiting
  • Headache
  • Mild fever

Most healthy people recover from an E. coli infection in a week or so. However, young children and seniors, as well as anyone who is medically fragile can become very ill quite quickly. The diarrhea and vomiting can cause dehydration. If you are experiencing severe diarrhea and/or vomiting, consult with your doctor or nurse practitioner as soon as possible.

E. coli infection can also lead to a life-threatening complication of the kidneys called hemolytic uremic syndrome. If you experience any of these symptoms, see your doctor or go to an emergency department immediately:

  • Decreased urine output
  • Unexplained bruises
  • Unusual bleeding
  • Extreme fatigue

E. coli infection can lead to sepsis, so it is important to watch for the signs and symptoms of sepsis, particularly among seniors:

S – Shivering, feeling very cold or having a fever

E – Extreme pain or discomfort

P – Pale or discolored skin

S – Sleepiness, difficulty rousing

I – “I feel like I may die,” a feeling like you’ve never felt before

S – Short of breath

 

Treatment

There is no treatment for E. coli infection yet. Treatment focuses on staying hydrated and resting. If necessary, your doctor may recommend IV fluids for hydration. It may be tempting to take an anti-diarrhea medication, but if you have an E. coli infection, this could slow down your body’s efforts to naturally expel the toxin so check with your doctor first. There are no antibiotics for most E. coli infections.

If you have contracted traveler’s diarrhea, your doctor may recommend that you do take anti-diarrhea medications for a short period or bismuth subsalicylate (Pepto-Bismol). In some instances, antibiotics may be prescribed.

Prevention

Not all infections can be prevented, but the chances of developing an E. coli infection are lower if you follow these tips:

  • Cook all meat thoroughly, particularly ground beef or meet that has been mechanically tenderized.
  • Don’t reuse cutting boards or utensils after using them for meat products unless they’ve been washed in hot, soapy water first.
  • Drink only pasteurized milk and eat pasteurized dairy products.
  • Wash all fruits and vegetables thoroughly.
  • Wash your hands thoroughly, especially after touching animals and before and after handling food.

To reduce the risk of contracting travelers’ diarrhea while in countries where the bacteria is more common:

  • Drink bottled water and use bottled water to brush your teeth
  • Do not eat undercooked foods.
  • Do not use ice cubes made with tap water
  • Eat fruits that you can peel yourself
  • Wash your hands frequently

 

If you suspect sepsis, call 9-1-1 or go to a hospital and tell your medical professional, “I AM CONCERNED ABOUT SEPSIS.” 

 

Updated December 13, 2017