Escherichia coli (E coli) Infections Treatment & Management

Updated: Feb 11, 2019
  • Author: Tarun Madappa, MD, MPH; Chief Editor: Michael Stuart Bronze, MD  more...
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Treatment

Medical Care

Medical care of E coli infection is based on the site and severity of infection. In addition to antibiotics, provide supportive care, such as hydration, adequate oxygenation, and blood pressure support, if indicated.

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Surgical Care

Surgical drainage/decompression may be indicated in patients with cholecystitis or cholangitis.

Surgical debridement may be indicated for those patients with intra-abdominal abscess.

In patients with urinary tract obstruction, such as prostatic hypertrophy, TURP may be indicated. In some cases, place ureteral stents for obstructed renal stones; however, remove these stents as soon as possible. Institute adequate surgical drainage for prostatic abscesses using transurethral unroofing or a perineal incision.

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Diet

Food should be given to prevent malnutrition during an E coli diarrheal episode.

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Activity

Activity can be continued as tolerated by the patient.

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