Treatment and Monitoring

The only recommended treatment of EHEC infection is supportive, including fluid and electrolyte replacement, often in the form of ORT. Most illnesses resolve in 5 to 7 days. Patients should be monitored for the development of HUS. Antibiotics are currently contraindicated because they can induce the expression and release of toxin. Antimotility agents should be avoided because they may delay clearance of the pathogen and toxin. This, in turn, may increase the risk of systemic complications.

Proper cooking of foods is essential. Supervision of hand washing by children in daycare centers and exclusion of symptomatic children may reduce person-to-person spread.

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