what does it mean "Esch Coli isolated" in a infant's stool culture rep!
Question: i have a 3 month old baby who's suffering from diarhhea like symptoms. A Paedetrician had advised me to get a stool culture test done. I did and the test report says
Org 1: Esch Coli Isolated
Antibiogram
SENSITIVE TO:
Imipenem
Amikacin
Piperacillin + Tazobactum
RESISTANT TO:
AMOXYCILLIN
AMPICILLIN
CEFAMANDOLE
CIPROFLOXACIN
CEFOTAXIME
CEFUROXIME
CEFAZOLIN.and many more medicines..I cant include all those.Please advise what does the report mean? I'm very much worried.
Thanks a lot
Answers:
The Esch. coli harboured in the gut constitute a reservoir of potential pathogens in the infant and child. The conditions required for these intestinal inhabitants to cause infection are not well understood. The presence of virulence factors such as capsular antigens, especially K1, may be of significance for the ability of Esch. coli to cause neonatal meningitis. The capacity of certain Esch. coli to attach to epithelial cells of mucous membranes may be important for their infective powers in the urinary as well as the intestinal tract. Furthermore, the ability of certain Esch. coli to produce enterotoxins similar to that of V. cholerae is of importance for their capacity to provoke diarrhoea. The importance of the immune defence mechanisms for prevention of these Esch. coli infections is suggested, especially in the form of local immunity provided by secretory IgA antibodies. Such antibodies directed against Esch. coli O and K antigens as well as enterotoxins are present in large amounts in human milk and may be of considerable importance for protection against Esch. coli in the breast- fed baby. Breast feeding may be of special significance until the baby has built up its own local immune defence preventing the micro- organisms from attaching to and invading the intestinal mucous membranes. SIgA antibodies in urine may have a similar protective effect against urinary tract infections. The variable pictures of Esch. coli infections in childhood are striking, ranging from severe sepsis/meningitis or diarrhoea to "asymptomatic" bacteriuria. This variability is obviously closely connected with the presence of various virulence factors and the function of different components of the immune defence.
IN A NUT SHELL, E. COLI WAS FOUND IN YOUR CHILD'S STOOL SAMPLE,
ISOLATED CASE? MAYBE...MEANING NO ONE ELSE IN THE HOUSE HAS IT?
Other Answers:
put that word in your search and see what it says
The lab found e.coli bacteria in your child's stool and that's what is making them ill. The "Sentsive to" drugs are the ones you can use to treat with, the "Resistant to" drugs are the ones that aren't going to work.
I hope your baby feels better!
Source(s):
I work for pediatricians
It is a strain of E-Coli
It is a food borne bacteria.
Most persons recover without antibiotics or other specific treatment in 5-10 days.
E.Coli is a bacteria which can infect gut. It will be treated by the drugs which are sensitive to it.There is nothing to be worried. Follow the instruction of your Doctor. Your baby will be cured.
Simply that the organism, E. coli/Escherichia coli, a common bacterium that can cause illness in an over abundant amount, has been found in the child's stool.
The bacterium can be eradicated by the drugs it is sensitive to and would be difficult or impossible to be eliminated by the drugs that it is resistant to.
Note to poo6473. You verbatim quoting of "Esch. coli infections in childhood. Significance of bacterial virulence and immune defence." by Hanson LA. without a citation is called plagiarism. Next time at least give the web address: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=795381&dopt=Abstract
"Zippythejess" has given you the very best answer. E. coli (Escheria coli) is a bacterium normally found in the large intestine. When it's found in large enough numbers to show up in a stool culture it means that there are too many of them. They may have been inadvertently introduced into the digestive tract via the mouth. Your child may have been experiencing a lot of diarrhea lately and your pediatrician ordered a stool culture and sensitivity (C&S, C/S). The culture is to determine the organism causing the problem and the sensitivity is to inform the doctor as to which antibiotics the organism is sensitive to. In other words, which antibiotics will kill it. The second part of the sesitivity is the list of antibiotics that the organism is resistant to, the meds that won't work on it. This part of the lab result is important because often a doctor will start a patient on one antibiotic based on what she/he presumes to be the cause until the micro results come back (about 3 days) and then switch to another antibiotic based on this information. I deal with C/S on a daily basis. I hope this makes things clearer for you.
Source(s):
I am a nurse.
Answers: