The stools can become bloody within 24 hours. There is usually no fever or a very low-grade fever associated with the illness. This intestinal infection can occur in persons of all ages, but children under five years of age and the elderly are at the most risk for severe symptoms, even death, with this illness. There were five outbreaks of E. Coli infection identified by the Minnesota Department of Health in 1998. Three of the five outbreaks occurred in childcare settings and included 40 cases among staff and children, with five of the children being hospitalized.
Treatment is usually just fluid and electrolyte replacement, and supportive care.
The role of antibacterial medicines is still uncertain with this infection. The E. Coli organism can be transmitted directly from person to person, so it is important to use good hygiene to help prevent the spread of infection. This includes frequently washing the hands with soap and water, especially after a stool and before preparing foods and liquids. Individuals should also be very careful when handling soiled diapers, to prevent contamination. Another of the E. Coli strains is the organism that causes traveler's diarrhea.