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Escherichia coli
bacteria
Presented by
Bsc Nursing
Megha Hodlur
Bagalkote
how much you know about the
Escherichia coli
or
E.coli bacteria....?
Introduction of E.coli
Escherichia coli was isolated in 1885
from a fecal sample of an infant.
Normally present in the large
intestine of humans and animals
Most stains of E.coli are harmless
and beneficial, playing an important
role in digestion, maintaining gut
health and synthesizing vitamin k.
However, some strains are pathogenic
and can cause a wide range of infections.
What is Morphology...?
Are you know about
e.coli bacterial
morphology..?
It is a Gram negative bacillus.
It is a rod- shaped bacterium.
Some strains are capsule and
some are non-capsulated.
It is a non-sporing.
It is a facultative anaerobic.
This are motile with peritrichous flagella.
1-3 micromiter in length and 0.4-0.7
micromiter in diameter.
Morphology
Structure of E.coli
• Primarily inhibits the lower intestine
of warm-blooded animals, including
humans.
• As part of normal gut flora.
• It survives outside the host in fecally contaminated
environments like soil water and sediment.
• It thrives at 37°C but survives in temperature from
7°C to 50°C.
Habitat
By using a nutrient agar or MacConkey agar.
it can grow in ordinary nutrient agar medium at 37°C after
overnight incubation.
The colonies are circular, smooth, colorless and translucent with
entire border.
on MacConkey agar, pink colonies are produced because of
lactose fermentation.
moist heat kills it at a temperature of 60°C for 30 minutes.
Chlorine (0.5-1ppm) can kill it in water bodies.
Culture of E. Coli
Virulence factors
Adhesins
toxins
Heat-stable
Heat-labile toxin
Hemolysin
Endotoxin (LPS)
k antigen
H antigen
Pathogenicity
E.coli is responsible for different
types of clinical infections as
given here.
The ability of an organism to cause
disease in a host
1. Diarrhea and dysentery
2. Urinary tract infection (UTI's)
3. Septicemia (blood infection)
4. Neonatal Meningitis
Types of infection
a. Enteropathic E.coli (EPEC)
b. Enterotoxigeic E.coli (ETEC)
c. Enteroinvasive E.coli (EIEC)
d. Enterohemorrhagic E.coli (EHEC)
e. Enteroaggregative E.coli (EAEC)
1. Diarrhea and dysentery / Gastrointestinal
infection
Urinary tract infections
E.coliisthe most common causativeorganism
of urinary tract infections in community as
well as in hospital.
Mostly bacteria from fecal flora get colonized
in the periurethral region and reach urinary
tract through blood or during sexual
intercourse.
Female have more risk of getting UTI
than male because of short urethra. They
develop honeymoon cystitis during
sexual intercourse.
Pregnant female are exposed to UTIs
because of hormonal changes and infrequent
voiding due to pressure on the urinary tract.
Burning sensation
cloudy urine
strong smell of urine
pressure on the urinary tract
flank or back pain
vaginal discharge
painful ejaculation
testicular pain
penile pain and
penile discharge
pain in the abdomen.
Symptoms
In newborns
Poor feeding
bed-wetting
hypothermia
jaundice
diarrhea
The bacteria invade the bloodstream from
urinary tract and release lipopolysaccharides (
endotoxins) in the blood. This leads to
disseminated intravascular coagulation,
systemic inflammatory response syndrome
(SIRS).
It is also known as septic shock.
Septicemia (blood infection)
1. Entry into the body
2. Adhesion (Attachment)
3. Multiplication
4. Toxin production
5. Tissue damage
6. Clinical effects
Pathogenesis
Transmission
Contaminated food
contaminated water
person to person
animal contact
Catalase test - positive
Oxidase test - negative
Uriase test - negative
Mobility - positive
Lysine decorboxylase - positive
ONPG - positive ( ferments lactose)
Biochemical reactions
1. Specimen collection test
Stool - diarrhea
Urine - urinary tract infection
Blood - Septicemia
CSF - neonatal Meningitis
Laboratory diagnosis
2. Direct microscopey
3. Toxin detection
4. Antibiotic sensitivity test
Present watery stool
Nausea
loss of appetite
fatigue
abdominal pain
fever
clinical features
How to treat or manage the
clinical symptoms.....?
Treatment
1. Oral rehydration solution (ORS)
2.provide IV fluids
3. Ceftriaxone
4. Antipyretic
6. Adequate rest and nutrition
5. Antiemetics
What are the
preventions...?
Hand wash
food safety
safe water
sanitization
personal hygiene
health education
Prevention
Ask me i can solve that...
If you have a any
doubts....?
Escherichia coli: Morphology, Pathogenicity, and Prevention