E.coli symptoms, causes and how to avoid the infection

Brits are ending up in hospital due to an E. coli outbreak – but what do we know about the illness?
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An outbreak of E. coli thought to be linked to nationally distributed food has led to people being admitted to hospital, the UK Health Security Agency (UKHSA) has said.

Whole genome sequencing of samples indicates that most of the 113 cases reported across the UK since May 25 “are part of a single outbreak”, the UKHSA said.

A statement said: “Based on the wide geographic spread of cases, it is most likely that this outbreak is linked to a nationally distributed food item or multiple food items.”

The UKHSA said it was working with public health agencies in ScotlandNorthern Ireland and Wales, the Food Standards Agency (FSA) and Food Standards Scotland to determine the cause of people’s illness.

The bacteria also hit headlines in previous years when it was found to have caused the deaths of a British couple who were holidaying in Egypt.

Food and hygiene tests found high levels of E.coli at the Egyptian hotel where John Cooper, 69, and his wife Susan, 63, died.

In rare cases, E.coli can be fatal, often after people have consumed contaminated food.

So what is E.coli, what are the symptoms and can it be deadly? Here's what you should know.

What is E.coli?

E.coli is a common bacteria found in the human and animal intestines.

Although most strains of E.coli are harmless, some can make you sick.

A common cause of infection is eating contaminated food.

E.coli can survive outside the body, so its levels serve as a measure of general hygiene and faecal contamination of the environment.

E.coli bacteria are a common cause of cystitis, an infection of the bladder that occurs when there is a spread of the bacteria from the gut to the urinary system.

Some types of E.coli can also cause gastrointestinal infections or toxins that can cause severe illness.

What are the signs of infection?

Possible symptoms will depend on the type of E.coli strain.

Symptoms of intestinal infection generally begin between one and 10 days after you've been infected.

Common symptoms include:

  • abdominal cramping
  • diarrhoea
  • gas
  • loss of appetite
  • vomiting
  • fatigue
  • fever

Can E.coli be deadly?

Yes, some infections can be severe and may be life-threatening.

One complication as a result of E.coli infection is called haemolytic uremic syndrome (HUS) and may develop in five per cent to 10 per cent of people infected with a toxin-producing form of E.coli.

This is a severe kidney-related complication that may, in extreme cases, lead to renal failure and the need for renal-replacement therapy.

How is E.coli treated?

Again, the treatment will depend on the type of infection.

Cystitis infections usually go away by themselves after two to four days. In some cases, a short course of antibiotics may be administered.

Rehydration is the main source of treatment. Oral rehydration solutions are particularly helpful in children with diarrhoea, as they also replace any sodium, potassium and glucose lost from the body.

How can E.coli be prevented?

Practising good hygiene is key to preventing the spread of E.coli, such as washing your hands thoroughly after using the bathroom and before and after preparing food.

Other tips for preventing the spread of E.coli include:

  • Wash fruits and vegetables under running water
  • cook meats thoroughly, always using a food thermometer to check that the meat has reached a safe internal temperature
  • don't cause cross contamination in food preparation areas
  • avoid raw milk, unpasteurised dairy products and juices
  • don't swallow water when swimming in lakes, ponds, streams and swimming pools

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