Written by Taylor Newman, MS/DI student | Edited by Laurel Sanville, MS, RDN, LD
- What is E. coli?
- Where could you get an E. coli infection from?
- Should you stop eating certain foods?
- How quickly could you get sick after being infected with E. coli?
- What are the signs and symptoms of being infected with E. coli?
- How long do the symptoms last?
- What should I do if I get infected with E. coli?
- How can I prevent getting infected with E. coli in the future?
The United States has had a recent E. Coli outbreak that infected over 20 people across 15 states. What exactly is E. coli, and what can you do to protect yourself from getting it?
What is E. coli?,
Escherichia coli (also known as E. coli) are bacteria found in the “environment, foods, and guts of people and animals.”1 Most strains of E. coli are harmless but others can make you sick. The strain causing the outbreak in the U.S. is called E. coli O157:H7.
Where could you get an E. coli infection from?
Infections start when you swallow the bacteria, or as the Center for Disease Control and Prevention (CDC) says, “when you get tiny (usually invisible) amounts of human or animal feces in your mouth.”1
Unfortunately it happens more than we would like to think it does. The bacteria typically live in the guts of animals like cattle, goats, sheep, and deer. The major source for human infection are cattle food products and fresh produce contaminated with cattle waste.
Foods that can be at high risk for contamination include:
- Undercooked beef (especially hamburger)
- Unpasteurized milk and juice
- Raw fruits and vegetables (like sprouts)
- Contaminated water
Should you stop eating certain foods?
The CDC is not recommending that the public avoid any particular food at this time. Leafy greens are suspected to be the source of the E. coli outbreak but the exact type of greens have not been confirmed.
Since the last illness was a month ago, the good news is that the CDC thinks it is likely that the contaminated leafy greens linked to the outbreak are no longer available for sale. The investigation is ongoing, however.
How quickly could you get sick after being infected with E. coli? 3,
What are the signs and symptoms of being infected with E. coli?1,2
- Severe (often bloody) diarrhea
- Stomach cramps
- Some people may have a fever but it is usually not very high.
- Children 4 years-old or younger are especially vulnerable. So are the elderly.
- In 5-10% of cases, a condition called hemolytic uremic syndrome (HUS) may develop, which can lead to kidney failure or even death.
How long do the symptoms last?4
What should I do if I get infected with E. coli?
Call your healthcare provider if you are concerned that you have an E. coli infection.
How can I prevent getting infected with E. coli in the future? 3,
- Avoid eating high-risk foods like undercooked ground beef, unpasteurized milk or juice, soft cheeses made from unpasteurized milk, or alfalfa sprouts
- Wash your hands thoroughly before and after preparing or eating food.
- Use a food thermometer to make sure that ground beef has reached a safe temperature of 160° F.
- Wash cutting boards and utensils after they touch raw meat to avoid contaminating other foods.
- Wash hands before preparing food or after changing infants’ diapers. Wash hands after contact with cows, sheep, or goats, their food or treats, or their living environment.
- Avoid preparing food when you are sick, especially if you are sick with diarrhea
Bacteria original photo source
Raw hamburger original photo source
 U S Food and Drug Administration. Foodborne Illnesses: What You Need to Know. Center for Food Safety and Applied Nutrition; 2018. Internet: https://www.fda.gov/food/resourcesforyou/consumers/ucm103263.htm (accessed 13 January 2018)
 Centers for Disease Control and Prevention. Update: Multistate Outbreak of E. coli O157:H7 Infections. CDC Newsroom; 2018. Internet: https://www.cdc.gov/media/releases/2018/s0110-update-ecoli.html (accessed 13 January 2018).
 U.S. Department of Health and Human Services. E. coli. FoodSafety.gov; 2009. Internet: https://www.foodsafety.gov/poisoning/causes/bacteriaviruses/ecoli/index.html (accessed 13 January 2018)