Escherichia coli
Escherichia coli is a topic covered in the Johns Hopkins ABX Guide.
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MICROBIOLOGY
- Aerobic, gram-negative (GN) rod, E. coli is a member of Enterobacteriaceae: human strains may be: (1) commensal bowel flora; (2) intestinal pathogenic (enteric/diarrheagenic); (3) extra-intestinal pathogenic.
- The predominant gram negative in the composition of normal human colonic flora.
- Motile, flagellated, non-spore-forming.
- On gram stain, tend to be plump rods [Fig]
- E. coli is easy to grow from sterile specimens.
- Stool cx: only if severe diarrhea (may need reference lab to ID) or suspect O157:H7 (cx all bloody diarrhea) use sorbitol-MacConkey agar or perform Shiga toxin EIA.
- ~ 90% strains ferment lactose (i.e., lactose-fermenter, D-glucose fermentation produces mixed acids that trigger an indicator such as methyl red)
- Some diarrheagenic E. coli strains, including many of the EIEC strains, typically lactose negative.
- Indole testing in all E. coli ~ 99% (+).
- Catalase positive, oxidase negative.
- Major resistance concerns[16]:
- Plasmid-mediated AmpC β-lactamases (e.g., CMY)
- Extended-spectrum β-lactamases (e.g., CTX-M)
- Now worldwide concern in community-acquired UTIs and also bloodstream infections
- In some Asian countries rates of ESBL E. coli have been reported as high as 55-79%.
- Rates are lower in North America but rising.
- Carbapenemases (e.g., New Delhi metallo-β-lactamase, Klebsiella pneumonaie carbapenemase and OXA-48)
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MICROBIOLOGY
- Aerobic, gram-negative (GN) rod, E. coli is a member of Enterobacteriaceae: human strains may be: (1) commensal bowel flora; (2) intestinal pathogenic (enteric/diarrheagenic); (3) extra-intestinal pathogenic.
- The predominant gram negative in the composition of normal human colonic flora.
- Motile, flagellated, non-spore-forming.
- On gram stain, tend to be plump rods [Fig]
- E. coli is easy to grow from sterile specimens.
- Stool cx: only if severe diarrhea (may need reference lab to ID) or suspect O157:H7 (cx all bloody diarrhea) use sorbitol-MacConkey agar or perform Shiga toxin EIA.
- ~ 90% strains ferment lactose (i.e., lactose-fermenter, D-glucose fermentation produces mixed acids that trigger an indicator such as methyl red)
- Some diarrheagenic E. coli strains, including many of the EIEC strains, typically lactose negative.
- Indole testing in all E. coli ~ 99% (+).
- Catalase positive, oxidase negative.
- Major resistance concerns[16]:
- Plasmid-mediated AmpC β-lactamases (e.g., CMY)
- Extended-spectrum β-lactamases (e.g., CTX-M)
- Now worldwide concern in community-acquired UTIs and also bloodstream infections
- In some Asian countries rates of ESBL E. coli have been reported as high as 55-79%.
- Rates are lower in North America but rising.
- Carbapenemases (e.g., New Delhi metallo-β-lactamase, Klebsiella pneumonaie carbapenemase and OXA-48)
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Last updated: April 13, 2022
Citation
Auwaerter, Paul. "Escherichia Coli." Johns Hopkins ABX Guide, The Johns Hopkins University, 2022. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540214/2/Escherichia_coli.
Auwaerter P. Escherichia coli. Johns Hopkins ABX Guide. The Johns Hopkins University; 2022. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540214/2/Escherichia_coli. Accessed February 2, 2023.
Auwaerter, P. (2022). Escherichia coli. In Johns Hopkins ABX Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540214/2/Escherichia_coli
Auwaerter P. Escherichia Coli [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2022. [cited 2023 February 02]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540214/2/Escherichia_coli.
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