Lɛ wi lan mɔ bɔt E. coli infɛkshɔn. Nɔ fred fɔ rid dis!

Yu dɔn ɛva gɛt bɛlɛ we de at, dayarɛa fɔ sɔm dez, ɛn fil lɛk se yu de kray? Sɔntɛnde, wi kin tink se sɔntin we wi it na di stɔ bad. Bɔt sɔntɛnde, di tin we kin mek wi gɛt dɛn kayn sik ya kin bi wan smɔl kayn bɔdi we wi nɔ kin si wit wi yay. Wan pan dɛn kayn baktri dɛn de na E. coli . Di nem de mek yu fred smɔl, nɔto so? Bɔt nɔ wɔri. Tide, mek wi tok abaut wetin `E. coli` na, wetin mek i kin denja sɔmtɛm, ɛn aw wi kin protɛkt wisɛf frɔm am.

Wetin na dis E. coli?

Fɔ tɔk am simpul wan, E. coli (Escherichia coli) na wan kayn baktri. Nɔmal wan dɛn kin de na di intestinal, ɔ gastrointestinal (GI) trakt, fɔ pipul dɛn ɛn animal dɛn we gɛt wɛlbɔdi. Nɔ sɔprayz, di E. coli we de na yu gut nɔ kin mɔna yu. Infakt, dɛn de ɛp yu fɔ dayjɛst di it we yu de it.

Bɔt, sɔm tɛm, na sɔm kayn E. coli baktri dɛm nɔmɔ (lɛ wi kɔl dɛn bad kayn) kin mek wi sik if dɛn go insay wi bɔdi. Dɛn bad kayn tin ya kin atak wi sɛl dɛn ɛn mek pɔyzin . Na da tɛm de di prɔblɛm dɛn kin bigin.

So wetin na E. coli infεkshכn?

E. coli infεkshכn na εni sik we yu gεt frכm di bad E. coli baktri dεm we wi bin dכn tכk bכt. Fɔ ɛgzampul, if yu nɔ no se yu it dɛn bad bad bɔdi dɛn ya, yu kin gɛt wata we de mek yu dayarɛa, yu bɛlɛ kin pen, ɛn ɔda tin dɛn we de sho se yu de digest (gastroenteritis). Dis na di rizin we mek sɔm tɛm dɛn kin kɔl am diarrheagenic E. coli. Dis na wetin bɔku pipul dɛn kin min we dɛn de tɔk bɔt E. coli infɛkshɔn.

Nɔto dat nɔmɔ, bɔt ivin E. coli baktri dɛm, we nɔmal fɔ de na yu intestinal, kin mek yu gɛt infekshɔn if dɛn go na say dɛn we dɛn nɔ fɔ de, lɛk yu urinary tract .

Mɔs pan di E. coli baktri dɛm kin mek smɔl smɔl infɛkshɔn. Bɔt sɔm baktri dɛn, mɔ di wan dɛn we de mek pɔyzin we dɛn kɔl Shiga pɔyzin , kin mek pɔsin gɛt siriɔs sik we kin pwɛl di kidni dɛn.

Wetin na di kayn E. coli infεkshכn?

Di E. coli infεkshכn dεm we kכmכn pas כl na di dijestiv trakt infεkshכn εn urinary tract infεkshכn (UTIs). Apat frɔm dat, dɛn infɛkshɔn ya kin apin bak:

• Infɛkshɔn dɛn we de na di blɔd
• Prɔstat infɛkshɔn (Prostatitis) .
• Pεlvik inflammatory sik (PID) .
• Infεkshכn na di gal blad (`Kכlecystitis`) .
• Infεkshכn dεm na wund
• Nyumonia (dis nɔ kin bɔku smɔl) .
• Meningitis (dis bak nɔ kin apin so ɔltɛm) .

Aw kɔmɔn tin fɔ gɛt E. coli infɛkshɔn?

Insay kɔntri lɛk Amɛrika, dɛn kin ripɔt pas 250,000 pipul dɛn we gɛt Shiga toxin-producing E. coli (STEC) infɛkshɔn ɛvri ia. Dis kayn STEC na di men tin we kin mek pipul dɛn gɛt bɔku bɔku sik ɛn bad bad sik we E. coli kin kam wit.

Wetin na di sayn dɛm fɔ E. coli infɛkshɔn?

E. coli infεkshכn na di dijestiv sistεm (gastroenteritis) kin mek yu gεt simptom dεm lεk:

• Daya: Bɔrku tɛm i kin gɛt wata, sɔmtɛm i kin gɛt blɔd.
• Bɛlɛ de pen ɛn blo: I kin tan lɛk se yu bɛlɛ de tɔn ova.
• Anorexia: I nɔ kin want fɔ it igen.
• Fiva: Fɔ fil se yu wam.

Bɔku tɛm i kin bigin wit wata we gɛt dayarɛa. Dɔn bak, di sayn dɛm kin difrɛn difrɛn wan bay usay di infekshɔn de na yu bɔdi.

Wetin na di sayn dɛm fɔ E. coli infɛkshɔn na di urinary tract?

If E. coli baktri infεkt pat dεm na yu urinary tract, yu kin gεt sayn dεm lεk:

• Pen na di lכw bכdi כ di pεlvik εria.
• Bɔn ɔ pen we yu de pis.
• Fɔ fil se yu nid fɔ pis kwik kwik wan.
• Dischaj ɔf urine we de smɛl fayn.

Aw kwik di sayn dɛm fɔ E. coli infɛkshɔn kin bigin?

di simptom dεm kin bigin insay tri to fayv dez afta yu it it כ drink wata we kכntamin wit di baktri dεm ``STEC``. Ɔda kayn dɛn kin mek pɔsin sik insay sɔm awa. Sɔmtɛm, di sayn dɛm nɔ kin sho fɔ te tɛn dez afta di baktri dɔn go insay di bɔdi.

Wetin kin mek pɔsin gɛt E. coli infɛkshɔn?

difrεn strayn dεm fכ E. coli baktri dεm kin mek dayariya infεkshכn dεm na di intestכn dεm. Bɔrku tɛm, de sayn dɛm kin fiba, lɛk wae yu kin gɛt wata. Bɔt sɔm strayn dɛn kin tranga pas ɔda wan dɛn. Sayɛnsman dɛn kin sheb dɛn bay di we aw dɛn kin atak di sɛl dɛn ɛn di pɔyzin we dɛn kin pul.

Bɔku kayn E. coli we kin mek pɔsin gɛt dayarɛa:

• E. coli we de mek shiga toxin (STEC) .
• Enterotoksijenik E. coli (`Ɛnterotoksijɛnik E. coli/ETEC`) .
• Ɛnteropatɔjɛnik E. coli (`Ɛnteropatɔjɛnik E. coli/EPEC`)
• Enteroaggregativ E. coli (`Enteroaggregativ E. coli/EAEC`) we de mek yu gɛt di sik.
• Enteroinvasiv E. coli (`Ɛnteroinvasiv E. coli/EIEC`) .
• E. coli we de adherent difyuz wan (DAEC) .

Ɔda impɔtant kayn E. coli na Uropathogenic E. coli (UPEC), we kin mek pɔsin gɛt urinary tract infection (UTIs), ɛn E. coli K1, we kin mek pikin dɛn we dɛn jɔs bɔn gɛt mɛningɔyt.

Wetin na Shiga toxin-prodyus E. coli (STEC)?

`STEC` na wan spɛshal kayn `E. coli` baktri dɛm. i de pul wan tכxin we dεn kכl `Shiga tכxin` , we de pwεl wi sεl dεm. i sכm kayn we lεk di tכxin we di baktri dεm we dεn kכl `Shigella` de kכmכt. `STEC` na tin we pipul sabi fɔ mek i gɛt siriɔs `E. coli` sik dɛn. Bɔku tɛm, dis kin apin bikɔs ɔf it we gɛt dɔti.

Dɛn kin kɔl STEC bak enterohemorrhagic E. coli (EHEC) , bikɔs i kin mek blɔd kɔmɔt na di intestin ɛn blɔd dayarɛa (hemorrhagic colitis). Na lɛk 5% to 10% pan di pipul dɛm wae gɛt STEC kin gɛt wan sik wae dɛn kɔl Hemolytic Uremic Syndrome (HUS) , wae kin mek blɔd klɔt ɛn kidni kin pwɛl. di E. coli O157:H7 sabtayp na di wan we kin mek yu sik pasmak.

Us kayn E. coli kin mek pɔsin gɛt Traveller’s Diarrhea?

Enterotoxigenic E. coli (`Enterotoxigenic E. coli/ETEC`) na di kayn we de mek di infεkshכn ``Traveler's diarrhea`` . Di sayn dɛm fɔ dis kin bigin kwik kwik wan – sɔmtɛm insay sɔm awa. Di ``ETEC`` tayp de mɔ na kɔntri dɛn we gɛt wam klaymat. Insay Sri Lanka bak, if wi nɔ tek tɛm we wi de travul, dis kin apin.

Aw wi kin gɛt E. coli?

Bɔku kayn E. coli we kin mek pɔsin gɛt dayarɛa kin pas tru wan tin we dɛn kɔl fecal-oral transmission . Fɔ tɔk am simpul wan, dis kin apin we smɔl smɔl fes dɛn we tu smɔl fɔ si, kin go insay wi dijestiv trakt tru wi mɔt. Sɔm kayn, lɛk STEC, kin skata bak tru mit we nɔ kuk fayn ɛn drink dɛn we nɔ pastɔrayz.

sכm spεshal wan, E. coli kin transmit insay dεn we dεm ya:

• Bay we yu it it we gɛt dɔti: tin dɛn lɛk mit we nɔ kuk fayn, raw vɛjitebul ɛn frut dɛn we dɛn nɔ was fayn. Wi nid fɔ tek tɛm bak bɔt tin dɛn lɛk salad ɛn sambol we wi kin bay na stɔ.
• Na bay we yu drink drink dɛn we nɔ pastɔrayz: milk, frut jus (ɛn tin dɛn we dɛn mek wit dɛn, lɛk chiz ɛn ayskrim).
• Fɔ drink (ɔ swɛla) wata we gɛt dɔti: Animal ɛn mɔtalman fes kin dɔti natura wata sɔs (lek, strim, riva), swimin pul, ɛn wata fɔ drink we dɛn nɔ trit.
• We yu tɔch fes ɔ say we gɛt dɔti: We yu de chenj dayapɛt, was afta yu dɔn yuz tɔylɛt, tɔch animal dɛn we de na fam, ɔ tɔch tin ɔ say we pɔsin we gɛt E. coli infɛkshɔn dɔn tɔch, yu an kin gɛt fes pan am. If yu den put dɛn an dɛn de na yu mɔt, yu kin gɛt E. coli.
• Nɔ was fayn afta yu dɔn yuz tɔylɛt: Dis kin mek E. coli we de na yu stɔl go insay yu urinary tract ɛn mek yu gɛt urinary tract infection (UTI).

sכmtεm yכŋ pikin dεm kin gεt E. coli infεkshכn we dεn bכn dεm.

Yu tink se E. coli na sik we pɔsin kin pas?

Yɛs, E. coli kin pas frɔm pɔsin to ɔda pɔsin. Pan ɔl we i nɔ kin pas tru dairekt kɔntakt, i kin spre bay we yu kia fɔ pɔsin we gɛt E. coli infɛkshɔn, mɔ if yu kam nia dɛn fes. I kin pas bak bay we yu tɔch tin, say, ɔ it we pɔsin we gɛt E. coli infɛkshɔn dɔn tɔch we i nɔ was in an fayn.

Udat de pan ay risk fɔ gɛt E. coli?

Ɛnibɔdi we kam nia di E. coli baktri we de mek pɔsin gɛt di sik kin gɛt di sik. Bɔt dɛn pipul ya kin de pan denja pas ɔl:

• Nyu bɔn pikin dɛn ɛn smɔl pikin dɛn
• Pipul dɛn we dɔn pas 65 ia
• Pipul dɛn we gɛt wikɛd imyun sistɛm (fɔ ɛgzampul, di wan dɛn we gɛt HIV ɔ kansa, ɔ di wan dɛn we de tek mɛrɛsin we de mek dɛn bɔdi nɔ gɛt bɛtɛ wɛlbɔdi) .
• Pipul wae gɛt shuga (`Diabetes Mellitus`)
• Pipul dɛm wae gɛt dis sik lɛk ɔlsa kɔlayt

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt E. coli?

Sɔntɛnde, E. coli kin mek yu gɛt prɔblɛm dɛn we kin mek yu layf de pan denja, lɛk:

• Hemolytic Uremic Syndrome (HUS) : Dis kin mek di kidni dɛn pwɛl bad bad wan.
• Sepsis : Na bad bad tin we di bɔdi kin du we infɛkshɔn de na di blɔd.
• Nɔr de it fayn ɔr nɔr de gro fayn : Yɔŋ pikin dɛm wae gɛt dayarɛa ɔltɛm nɔr kin ebul fɔ tek di tin dɛm wae dɛn bɔdi nid ɛn dɛn kin gɛt stɛp fɔ gro.

Aw yu kin no se yu gɛt E. coli infɛkshɔn?

Yu dɔktɔ go no se yu gɛt E. coli infɛkshɔn bay di sayn dɛm we yu gɛt. If yu gɛt dayarɛa ɔ ɔda dijestiv simptom dɛm, yu dɔktɔ go tɛst wan stɔl sɛmpul fɔ si if E. coli de. If yu gɛt ɔda sayn dɛn, i kin tɛst yu urine, blɔd, ɔ cerebrospinal fluid (CSF) .

Us tɛst dɛn kin yuz fɔ no E. coli?

Spɛshal tɛst fɔ E. coli na:

• Stɔl tɛst
• Urinalysis ɔ urine kɔlchɔ
• Blɔd kɔlchɔ
• Spinal tap/lɔmba pankchɔ

Aw dɛn kin trit E. coli infɛkshɔn?

E. coli infεkshכn dεm we de mek yu gεt digεstiv simptom bכku tεm nכ nid tritmεnt. Dɔktɔ dɛn nɔ kin gi antibayɔtik ɔ antidiarɛa fɔ STEC infɛkshɔn, bikɔs dɛn mɛrɛsin dɛn de kin mek pɔsin we gɛt STEC gɛt HUS. Bifo dat, dɔktɔ dɛn go wach yu sik ɛn gi yu wata lɛk salin fɔ mek yu nɔ gɛt wata na yu bɔdi.

Impɔtant:If yu gɛt STEC infɛkshɔn, nɔ tek mɛrɛsin fɔ mek yu nɔ gɛt dayarɛa (e.g., Loperamide) we yu nɔ gɛt dɔktɔ advays.

Bɔt if yu gɛt ɔda kayn E. coli infɛkshɔn - lɛk urinary tract infection, meningitis ɔ sepsis - ɔ if yu simptom dɛn rili bad, yu dɔktɔ go trit yu wit antibayɔtik.

Us antibayɔtiks dɛn kin gi fɔ E. coli infɛkshɔn?

Sɔm antibayɔtik dɛm we dɔktɔ dɛn kin yuz fɔ E. coli infɛkshɔn na:

• `Trimethoprim/sulfametoksazol/TMP/SMX`
• `Siproflɔksasin`
• `Rifaksimin`
• Nitrofurantoin (bɔku tɛm fɔ infɛkshɔn na di urinary tract) .

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt E. coli infɛkshɔn?

Di impɔtant tin we yu kin du fɔ protɛkt yusɛf frɔm E. coli infɛkshɔn na fɔ was yu an . I impɔtant mɔ fɔ was yu an fayn fayn wan wit sop ɛn ɔt wata insay dɛn tɛm ya:

• Bifo ɛn afta yu kuk it, ɛn afta yu dɔn ol raw mit ɛn fish.
• Afta yu dɔn go na di bafa, afta yu dɔn chenj dayapɛt, afta yu dɔn tɔch animal dɛn.

Apat frɔm dat, yu kin ridyus di risk fɔ gɛt E. coli infɛkshɔn bay we yu fala di we dɛn we sef fɔ pripia it:

• Nɔ drink milk we nɔ pastɔrayz ɔ frut jus.
• Wash ɔl di raw vegjetabul ɛn frut dɛn fayn fayn wan ɔnda wata we de rɔn bifo yu it.
• Nɔ jɔs lɛf mit kɔmɔt na frij na di kɔwnta ɛn thaw am. Thaw am insay wan plastic bag.
• Nɔ was mit bifo yu kuk am. We yu was mit, i kin mek baktri dɛn go na di say dɛn we de rawnd am, di tin dɛn we yu kin yuz fɔ it, ɛn ɔda tin dɛn we yu kin it.
• Yuz plastic, silikon, ɔ sɛramik kɔt bɔd fɔ raw mit. I nɔ izi fɔ klin di bɔd dɛn we dɛn mek wit wud ɛn dɛn kin kip baktri dɛn.
• Yuz difrɛn say dɛn fɔ pripia difrɛn kayn it dɛn. Surfaces lek cutting board kin spred baktri. If yu nɔ gɛt sɛpret kɔt bod, afta yu dɔn wok wit raw mit, was di say we yu de kɔt fayn fayn wan wit sop ɛn ɔt wata bifo yu put ɔda kayn it (lɛk raw vɛjitebul) pan am.
• Kuk ɔl di mit dɛn to say we sef bifo yu it.
• Nɔ put mit we yu dɔn kuk pan plet we dɔn gɛt raw mit.
• Put di it we lɛf na frij wantɛm wantɛm.

Wetin kin apin if E. coli kam?

E. coli infεkshכn kin mek εnitin frכm sכm kayn dayariya to sik we de mek yu layf de pan denja. Bɔrku pipul kin wɛl fɔ dɛnsɛf ɔr wit antibayɔtik. Dɛn nɔ kin trit STEC infɛkshɔn, bɔt yu kin nid sɔpɔt fɔ kia fɔ yu, lɛk salin. Yu kin put yu na ɔspitul ɛn put yu wansay fɔ stɔp STEC fɔ skata.

Aw lɔng E. coli dɔn de?

Dipen pan di kayn E. coli infεkshכn wae yu gεt, yu sik kin te frכm tu dez to tu wik. STEC infεkshכn kin te lεk fayv to sεvin dez.

Yu tink se E. coli infɛkshɔn go bɛtɛ fɔ insɛf?

Smɔl E. coli gastroenteritis ɛn sɔm urinary tract infection kin bɛtɛ fɔ dɛnsɛf. Yu kin wɛl insay lɛk wan wik so if yu nɔr gɛt ɛni tritmɛnt. Bɔt if yu gɛt siriɔs dayarɛa we de te fɔ sɔm dez, yu bɛlɛ de pen, yu gɛt pen we yu de pis, ɔ yu nɔ de pis smɔl, yu fɔ rili go to dɔktɔ.

Yu kin day wit E. coli?

Yɛs, E. coli infɛkshɔn kin kil pɔsin. stכdi dεm sho se di mכtalman rεt frכm E. coli infεkshכn na bכt 17%. Bɔt di rizɔlt fɔ dɛn stɔdi ya difrɛn bad bad wan (we de frɔm 8% to 35%). in jεnarכl, di urinary tract infεkshכn dεm we E. coli kכz nכ kin kil pas כda E. coli infεkshכn dεm.

Sepsis na di big tin we kin mek pipul dɛn we gɛt E. coli infɛkshɔn day. Di pipul dɛm we de day kin bɔku pan pipul dɛm we nɔ rich 1 ia, we dɔn pas 44 ia, di wan dɛm we gɛt infɛkshɔn na di say we dɛn de blo, ɔ di wan dɛm we gɛt infɛkshɔn we nɔ de ansa to antibayɔtik.

Aw a kin kia fɔ misɛf?

• Nɔ it ɔ drink ɛnitin we go mek yu gɛt dayarɛa (lɛk kafin, rɔm).
• Drink bɔku wata fɔ mek yu nɔ gɛt wata na yu bɔdi.
• If dɔktɔ dɔn no se yu gɛt STEC (spɛshal wan E. coli O157:H7), nɔ tek mɛrɛsin dɛn we de mek yu nɔ gɛt dayarɛa (lɛk bismuth subsalicylate - Pepto-Bismol®, Kaopectate®, ɔ loperamide - Imodium®). Dɛn mɛrɛsin ya kin mek yu gɛt mɔ chans fɔ gɛt HUS.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt dayarɛa fɔ pas tri dez, yu gɛt sayn dɛn fɔ yurinary tract infection, ɔ yu gɛt ɔda wɛlbɔdi prɔblɛm, go to dɔktɔ.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt ɛni wan pan dɛn sik ya, go na di imejensi rum we de nia yu ɔ go to dɔktɔ wantɛm wantɛm:

• If yu nɔ ebul fɔ kip ɛni fluid dɔŋ.
• If yu gɛt dayarɛa wit blɔd.
• If yu de vɔmit bɔku tɛm.
• If di fiva pas 103 digri F (40 digri sɛlshiɔs).
• If yu de pis smɔl.
• If yu gɛt kɔnfyushɔn ɔ ɔda chenj dɛn na yu maynd.
• If yu wik bad bad wan ɔ yu de slip.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

I go fayn fɔ aks dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us mɛrɛsin dɛn we nɔ bad fɔ mek a tek?
• Us kayn E. coli a gɛt?
• Aw fɔ mek E. coli nɔ skata?
• Wetin a fɔ du fɔ mek dis nɔ apin tumara bambay?

E. coli na wan kayn baktri we kin liv na wi bɔdi we nɔ kin mek wi gɛt ɛni prɔblɛm. Bɔt sɔm strayn kin mek wi sik, mɔ if dɛn go na say dɛn we dɛn nɔ fɔ go. Mɔs pan di E. coli infɛkshɔn dɛn go bɛtɛ fɔ dɛnsɛf. Bɔt if yu sik dɔn pas sɔm dez ɔ i rili bad, yu fɔ rili go to dɔktɔ.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt E. coli. Yu fɔ mɛmba dɛn pɔynt dɛn ya:

• E. coli nɔr bad fɔ ɔlman, bɔt sɔm kayn dɛn kin denja.
• Fɔ was yu an na di bɛst we fɔ avɔyd dis. Mek shɔ se yu was yu an bifo yu pripia it ɛn afta yu dɔn yuz tɔylɛt.
• Tek tɛm fɔ klin we yu de pripia it. Kuk raw mit ɛn fish fayn fayn wan, ɛn was frut ɛn vɛjitebul dɛn fayn fayn wan.
• If yu gɛt dayarɛa ɔ yu bɛlɛ de pen fɔ sɔm dez, if di dayarɛa de wit blɔd, ɔ if yu gɛt fiva , mek shɔ se yu go to dɔktɔ.
• Nɔ tek mɛrɛsin fɔ dayarɛa if yu nɔ gɛt dɔktɔ in advays, mɔ if na `STEC` infɛkshɔn.

Wi op se dis infɔmeshɔn go fayn fɔ yu. Stay wit wɛlbɔdi!

` E. coli, E. coli, infεkshכn, dayariya, bεlε at, urinary tract infεkshכn, fכd pכyzin, baktri dεm