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Ebola: Information for U.S. Healthcare Workers and Settings

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Disease Name: E. coli


Quick Links

Please review the Idaho Reportable Disease Rules (IDAPA 16.02.10) for the most up-to-date information.

E-Coli (Escherichia coli): http://www.cdc.gov/ecoli/index.html

Idaho Food Code (Personnel section): http://www.healthandwelfare.idaho.gov/Portals/0/Health/FoodProtection/Chapter%202%20Management%20and%20Personnel.pdf


Overview / Case Definition

An infection of variable severity characterized by diarrhea (often bloody) and abdominal cramps. Illness may be complicated by hemolytic uremic syndrome (HUS). Asymptomatic infections also may occur, and the organism may cause extraintestinal infection. 

 


Restrictions

Restrictions - Daycare Facility

A person who is excreting E. coli O157:H7 or other STEC must not attend daycare facilities while fecally incontinent or provide personal care to children in a daycare facility while the disease is present in a communicable form without the approval of the Department or Health District. Before returning to work or attendance at a daycare, the person must provide two (2) successive approved fecal specimens collected at least twenty-four (24) hours apart, that fail to show E. coli O157:H7 or other STEC.

Restrictions - Food Service Facility

A person diagnosed with E. coli O157:H7 or other STEC must be managed under IDAPA 16.02.19, “The Idaho Food Code.”  Worker may work on a restricted basis 24 hours after symptoms resolve.  Restriction may be lifted when more than 7 calendar days have passed since the worker became asymptomatic.

Restrictions - Health Care Facility

A person who is excreting E. coli O157:H7 or other STEC must not provide personal care to persons in a health care facility while the disease is present in a communicable form without the approval of the Department or Health District. Before returning to work, the person must provide two (2) successive approved fecal specimens collected at least twenty-four (24) hours apart, that fail to show E. coli O157:H7 or other STEC.


Reporting

Within 1 working day

Reportable by Healthcare and Labs:

Reportable by Food Service Facility: Yes

Suspect Reportable: Yes

Reporting Timeframe: Within 1 working day



Diagnosis / Testing

Isolation of STEC from a clinical specimen. Escherichia coli O157 isolates that produce the H7 antigen may be assumed to be Shiga toxin-producing. For all other E. coli isolates, Shiga toxin production or the presence of Shiga toxin genes must be determined to be considered STEC.

Supportive Lab results


Treatment


Additional Information

E-Coli (Escherichia coli): http://www.cdc.gov/ecoli/index.html

Idaho Food Code (Personnel section): http://www.healthandwelfare.idaho.gov/Portals/0/Health/FoodProtection/Chapter%202%20Management%20and%20Personnel.pdf


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