E. coli: Escherichia coli 0157:H7, E. coli 0157:H7 (cont.)
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E. coli 0157:H7 Treatment
Patients often require no treatment since many infections are self-limited. However, the main treatment is hydration, in the form of either oral or intravenous hydration. Several studies suggest that antibiotics should not be used because they lead to a more severe disease. This increase in severity is believed to be related to the damaging effect of the antibiotic on the bacteria, causing the damaged bacteria to release more toxins. The use of antibiotics has been reported to markedly increase the incidence of HUS (17-fold). Investigators suggest antibiotic use only if the patient is septic.
Bhupinder Anand, MD
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