Enteric Bacteria. Prof. Dr. Asem Shehabi Faculty of Medicine University of Jordan. Enteric Bacteria.
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Prof. Dr. Asem Shehabi
Faculty of Medicine
University of Jordan
1. Escherichia coli: Urinary Tract Infect (40-70%)..Single Organism, Septicemia, Neonatal Meningitis, Wounds.
Diarrheagenic E coli strains:
- Enteropathogenic:Infants.. mild-chronic diarrhea, Enterotoxigenic.. Heat-Labile/Stable Enterotoxin, Watery diarrhea.. More Children than Adults.. Travelers diarrhea..Contamination Water/Vegetables / Fresh food
dairy products ..Mostly Self-limited.. No need for Antibiotics treatment.
- Enterohaemorrhagic .. Common in intestinal Cattels, verotoxins.. Contamination Ground meat/Hamburger,Dairy products..Bloody diarrhea.. Haemolytic-ureamic syndrome, pertonitis, Kidney failure..Outbreaks of infections.
2. Klebsiella-Enterobacter –Serratia species: UTI, Septicemia, Wounds.. Rare Meningitis.. Common Hospitalized patients.
2- Typhoidal Salmonella:Human Enteric Fever.. Salmonella enterica /subtype Typhi & Paratyhi A, B, C., Fecal-Oral route, Fecal water contamination or drinks/ Fresh Food.. Intestine..Blood, Meningis,Urinary tract.. Incubation Period 1-3 Weeks, high Fever up to 42, Diarrhea, constipation, Septicemia, Meningitis, Hepatospenomegaly, Intestinal Perforation.. Healthy Carriers.. Mostly females in Gallbladder.. Less Intestine.. Repeat chronic infection.. Stool Excretion..single cases and community water outbreaks.
& Abdominal Cramps, CNS affection.. Rare Septicemia.