E. coli in a smear in men. E. coli - what is it? The first signs and symptoms, treatment of E. coli in women

E. coli in men lives in the rectum, near the exit from the anus. If hygiene is not observed, it can easily get into other organs.

This bacterium is beneficial if it is in sufficient quantity to take part in the synthesis of vitamins.

Diseases

When it enters certain organs, it causes various infectious diseases.

  • If found in feces, then it came from the intestines.
  • In urine - the pathology of the urinary system.
  • In a smear from the urethra - inflammation of the testicle or its appendages.
  • Causes prostatitis.

To avoid getting infected:

  • Keep the groin area clean.
  • Avoid unprotected intercourse.
  • Take a shower after sex.
  • Wear neat, comfortable clothing.

Causes

There are also food pathogenic strains of intestinal microbes. Ways of infection - spoiled food, contaminated water. To avoid infection you need:

  • Pay attention to the labels of the products you buy. Expired - a source of infection.
  • Wash hands after using the toilet and visiting the street, before eating.
  • Drink purified water. In a dirty microbes live and multiply.
  • Wash food with boiling water.
  • After your favorite pets, work with the earth, disinfect your hands.

Kinds

The gut microbe has over 100 strains. Conventionally, they can be divided into 4 rows.

Enterohemorrhagic. When it becomes infected, enterocolitis develops, the urethra is affected. Symptoms:

  • Severe cutting in the abdomen, liquid spotting.
  • A sharp increase in temperature (up to 39 ° C).
  • All signs of intoxication appear - nausea, vomiting.
  • Through the urethra, the infection enters the kidneys. Develops renal failure, pyelonephritis.
  • The stick can damage the liver.

At the beginning there are no symptoms, it is possible to determine the disease only by research. Urinalysis shows the presence of protein. Hemoglobin drops.

Enteropathogenic is very rare. Sometimes it can penetrate, causing nausea, loss of appetite, insomnia, and abdominal pain.

Enterotoxigenic- characterized by the fact that the bacterium is located in the rectum. The stool, in this infection, is very watery, but without blood. Suffering from nausea and vomiting. It is found in a smear in men.

Inter-invasive similar to dysentery. These are frequent urination, loose stools with blood, nausea, and vomiting.

Common to all types of Escherichia coli is that, once it enters the body, it multiplies intensively, toxins are released, causing diarrhea, nausea, and vomiting. The intestines suffer the most.

The infection affects the genitourinary system, liver, kidneys. Symptoms appear within a few days, the incubation period of infection is about a week.

In a smear

During the reception, the infectious disease specialist takes bacteriological material. The man does not feel any signs of illness, but a smear analysis shows the presence of inflammation.

It is urgent to start treatment. The infection quickly spreads through the genitourinary system and affects the genitals. May cause inflammation of the prostate, kidneys. E. coli can be treated with antibiotics permanently in an infectious diseases hospital.

In a mild form of infection, a male thrush occurs. The reason may be unprotected sex and non-compliance with cleanliness. To prevent candidiasis, you must:

  • Do not neglect personal hygiene.
  • Use gels for intimate areas.
  • Be sure to take a shower after intercourse with the use of special antibacterial agents.

in the urine

In the bladder, the infection does not manifest itself for a long time. Very rarely, the body itself copes with the problem, but in most cases the stick causes cystitis:

Symptoms of the disease:

  • Burning in urethra.
  • Rise in temperature, chills.
  • Urine has an unpleasant odor.
  • Drawing pain in the back.

If symptoms of infection appear, a course of antibiotics is needed, which the doctor will select. By contacting a specialist in a timely manner, you will get rid of complications.

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A lot of positive and conditionally pathogenic microorganisms inhabit the human body, which are necessary for its normal functioning, the proper functioning of the immune system and the synthesis of vitamins and a number of other necessary substances.

But sometimes these bacteria can be dangerous, especially if they get into areas of the body where they shouldn't be. Often this situation concerns such a microorganism as E. coli.

E. coli were found in a smear in a woman - what to do in this situation, what are the causes and treatment of this condition, what to do if an infection is found in a pregnant woman and how to cure it without harming the fetus? Everything is detailed and available in our article.

What it is

This microorganism was isolated in 1885. Today, many of its varieties are known. Of these, the mass is a harmless and necessary component of the intestinal microflora. E. coli takes part in the synthesis of a number of vitamins, such as K, group B.

But there are more than a hundred types of microorganism that are pathogenic and can provoke serious diseases or poisoning.

Even bacteria that are opportunistic, getting from the intestines to other organs, can be dangerous.

The normal habitat of the stick is the area of ​​the large intestine located closer to the anus.

It is believed that this bacterium may well be present in the vagina in small quantities, but when it multiplies, it leads to problems such as bacterial vaginosis and many others.

Detection methods

Most women at least once a year try to be examined in the antenatal clinic. When examining the genitals, the gynecologist takes a material known as a smear, for which a special glass is used. Then this material is sent to the laboratory, where it is analyzed in detail.

The vagina is inhabited by a mass of particles that make up the microflora. They protect the woman from getting into this area of ​​infectious particles.

Smear examination provides an opportunity to determine how healthy the local microflora is. It is the analysis through a microscope and chemical reactions that makes it possible to detect the presence of Escherichia coli in the material taken.

Reasons for the appearance

There are several main reasons why this microorganism can enter the vagina:

Do not know what colpitis is in women and what are the features of its treatment? We have, which we invite you to read.

Associated symptoms and signs

The first signs of the presence of Escherichia coli in a smear may appear a day or even a week after it has entered. Typical symptoms may be as follows:

  • severe diarrhea;

  • Heat;

  • Vomiting with greenish impurities;

  • Unpleasant pulling sensations in the abdomen;

  • Constant nausea;

  • Lack of appetite;

  • General malaise.

Symptoms usually go away on their own within a couple of days. The reason for this is the spontaneous sanitation of the intestines.. But if this condition does not go away for more than two days, consult a doctor.

How to get rid of the infection

If E. coli was detected in the vaginal smear, this is a serious reason to start treatment as soon as possible. Correctly paint his tactics, of course, only a doctor can. Mostly used antibacterial drugs.

But it must be borne in mind that some types of microorganisms may be resistant to certain medicines.

What drugs are prescribed

Sometimes local therapy is sufficient, but with a sufficiently serious nature of the lesion, more thorough treatment is required. Antibacterial correction is carried out on the basis of the antibiogram of the identified pathogen.

Quite often, drugs from the fluoroquinolone group, such as levofloxacin or ciprofloxacin, are used. The required dosage and duration of treatment is determined only by the doctor. In no case do not self-medicate, as it can cause the microorganism to become resistant to antibiotics.

Consider the popular antibacterial drugs prescribed for this problem:

  • Monural. Available in the form of a colorless granular powder, which must be taken after dissolving with water.

    The effect is due to the presence of phosphonic acid derivatives. This remedy belongs to broad-spectrum antibiotics, if necessary, it can be prescribed to pregnant women.

  • Suprax. Available in the form of capsules. The main active substance is Cifixime. It is used for a number of infections, in particular, for Escherichia coli. It is often prescribed together with Kanefron, which simultaneously protects the urinary tract from infections getting into them. This is a very strong and aggressive antibiotic.

  • Fosmycin. It also applies to broad-spectrum antibacterial drugs and is an absolute analogue of Monural. Of the contraindications - pregnancy, age under 12 years.

    However, if the lesion is severe, symptoms of inflammation appear and there is a risk of intrauterine damage, this remedy can also be prescribed to a pregnant woman with close supervision by a specialist.

Medicines are also used to normalize the microflora of the vagina. These can be vaginal probiotics, which contain a large number of lactobacilli.

Preferred formulations that also contain a special component that promotes the restoration of the epithelium. Good results are obtained by using vaginal tablets called Gynoflor.

To restore the microflora, drugs such as Ecofomin and Vagilak can be used. For oral use, agents such as, for example, Normoflorin, may be indicated.

Candles

In the presence of E. coli in a smear, local treatment can sometimes be dispensed with. It involves regular and proper hygiene of the external genital organs.

Sometimes doctors advise using various herbal decoctions instead of pharmaceuticals., for example, a decoction of chamomile.

Therapy may involve therapeutic douching.

From vaginal suppositories, Lactobacterin or Bifidumbacterin can be prescribed. In some cases, sessions of ultraviolet irradiation of the genital area are required.

Why can hemoglobin levels drop, what are the causes of low hemoglobin in women and how can it be prevented? Read about it.

Are folk remedies acceptable

Sometimes folk remedies really help. However, before using them, you should consult a specialist so as not to harm yourself. The following methods are popular among the people:

Do I need to treat my husband

Many are interested in the question of whether treatment is required for a partner when a woman has E. coli in a smear.

The stick can cross the placenta and infect the baby, which can cause meningitis.

Also, the baby can become infected, passing through the birth canal.

E. coli can cause vaginosis, which in turn can cause premature birth. Pregnant women also need to be careful with antibiotics. Never take any medication without the permission of a specialist.

You need to go to the doctor as soon as possible - he will help you choose medications that will be safe for the development of the fetus, and at the same time will be able to normalize the microflora.

In general, it is better to take a smear for examination at the stage of pregnancy planning. This will preserve the health of the unborn child and the peace of mind of the mother.

Prevention measures

Simple preventive measures will help prevent E. coli from entering the vagina:

  • Wash your face at least twice a day.

  • Change your underwear every day.

  • Wear the right underwear, try to avoid thongs and choose only panties made from natural materials.

  • Use protective equipment for intimate contact, be careful about the choice of sexual partners.

E. coli can cause a number of problems. But even if it is discovered, there is no need to panic. The main thing is to go to the doctor in a timely manner and start treatment, avoiding dubious initiative.

May take part in digestive metabolic processes. However, there are those in her family that can cause serious infections in the abdomen, intestines, lungs, urinary tract and brain.

Causes

Basically, E. coli infection occurs through contact with infected people and non-compliance with personal hygiene. It can be transmitted by water and alimentary. In the first case, pathogenic E. coli enters the body if you drank unboiled water. In the second case, the source of infection is inseminated food.

Where is she from

-Escherichia coli in women. There are cases when female representatives may show E. coli in a vaginal smear. This is a sign of bacterial vaginosis, which begins with vaginal discharge that has an unpleasant yellow or brown odor. In this case, the occurrence of the disease is due to non-compliance with personal hygiene.

- Escherichia coli in the urine. The appearance of such an indicator is the most common cause of cystitis in women. In this case, the probability of penetration of conditionally pathogenic microflora into the ureter and bladder is high. Here, the E. coli in the smear becomes a hostile pathogenic agent, causing very severe inflammation, changes in the integrity of the mucous membranes, frequent urination, burning, pain.

Types

- Enterotoxigenic. This E. coli in a swab is the cause of tourists' diarrhea. Causes mild illness accompanied by vomiting and diarrhoea.

- Enteropathogenic. The main source of diarrhea in children is just such E. coli in a smear. The bacteria attach to the small intestine and destroy it and the microvilli, which affects the absorption of water and nutrients from the intestine.

- Enteroinvasive. This E. coli causes a disease called dysentery. The most common symptoms are abdominal pain and severe watery diarrhea. Bloody stools are possible, and in severe cases, green vomit and fever are added to it. E. coli in infants can cause electrolyte imbalance and dehydration.

- Hemolytic. This is the most dangerous species, from the impact of which the onset of paralysis of the smooth muscles of the intestines and stomach is possible. Such E. coli in a smear has a negative tendency to cause a disorder of the mucous membrane in the colon and cause bloody diarrhea.

Symptoms and signs

During the incubation period (1-7 days) there are no symptoms of infection. Later, the symptoms of E. coli can be expressed:

severe diarrhea;

Vomiting with an admixture of greenery;

An increase in body temperature;

Lethargy and loss of appetite;

nausea;

Drawing pains in the abdomen.

When infected with Escherichia coli, a plentiful drink is recommended, including a solution of the drug Regidron is prescribed, and the drug Smecta is also prescribed. It is possible to carry out active antibiotic therapy. It is necessary to follow a diet that excludes fatty and fried foods.

In the intestines of warm-blooded animals there are harmless rods that are of great benefit to the carrier. They help to synthesize vitamins B and K. However, E. coli causes human food poisoning, diseases of the genitourinary system occur and can lead to the death of a child, so the symptoms, causes, diagnosis of the disease and treatment are discussed below.

What is Escherichia coli

The infection is a type of rod-shaped bacteria that belong to the group of those that live and multiply in the absence of direct oxygen. They have many strains that are found in the human intestinal microflora, help get rid of harmful microbes and synthesize vitamins. Some types of sticks can cause:

  • poisoning;
  • colibacillosis;
  • intestinal dysbacteriosis;
  • colpitis;
  • prostatitis;
  • inflammation of the genitourinary system, cystitis;
  • meningitis in newborns.

In rare cases, inflammatory diseases can cause complications:

  • peritonitis;
  • pneumonia;
  • sepsis;
  • mastitis.

How is it transmitted

The disease is transmitted by the fecal-oral route. Dirty hands, poor cooking hygiene, unwashed fruits and vegetables, contaminated water, or undercooked (undercooked) meat can be the cause. The carrier can be livestock, which is grown for milk and meat. Animals can carry bacteria or excrete them into the environment through faeces.

Kinds

There are two types of intestinal infections - non-pathogenic and pathogenic. The first live in the human body, protecting it from germs and infections. The latter cause various infections and intestinal diseases. The following pathogenic varieties are distinguished:

  • Enteropathogenic, provoke inflammatory and infectious diseases of the small intestine in babies. At the same time, the temperature rises, loose stools and vomiting are observed.
  • Enteroinvasive are manifested by acute food poisoning, which resemble dysentery in signs.
  • Enterotoxigenic are characterized by acute diarrhea.
  • Enterohemorrhagic can develop colitis and an increase in uremic syndrome in a child.

Symptoms

With intestinal dysbacteriosis, different symptoms are observed. They are similar in women, men and children, so it is not difficult to identify them. There is constipation, diarrhea, nausea, bloating, abdominal pain, vomiting. In patients, feces change their odor to an unpleasant one, which also happens in the oral cavity. There is rapid fatigue, weakness, drowsiness, or vice versa, insomnia, there is no appetite.

Among women

With a disease in women, the infection can penetrate the vagina or urethra, provoke urethritis and colpitis. If it is not cured in time, then the strain remains in the genital tract and urethra. The stick is attached to the mucous membrane, is not washed out during urination (even if the stream is strong) or vaginal discharge. If it remains there, then after a while it rises to the organs of the urinary and reproductive systems. There it can develop, cause inflammatory or chronic diseases, such as:

  • pyelonephritis;
  • cystitis;
  • salpingitis;
  • endometritis;
  • adnexitis.

There are such symptoms:

  • burning in the vagina;
  • copious discharge with an unpleasant pungent odor;
  • itching in the genitals or inside.

In men

In men, the stick enters through the urethra after anal sex without a condom or during vaginal sex with an infected woman. It penetrates through the urethra to other organs of the genitourinary system, is not washed off during urination, but is fixed on the mucous membrane. The symptoms provoked by the stick are as follows:

  • vomiting with green impurities;
  • severe diarrhea;
  • discomfort in the abdomen;
  • elevated temperature;
  • loss of appetite;
  • general weakness;
  • nausea.

In children

The infection is dangerous for infants, children over 12 years of age: the stick affects them with a low body weight. The strain is transmitted from sick adults or carriers of the pathogen, can get to the child during childbirth. In this case, the infection tends to the organs of urination, fixing itself on the mucous membrane. With this disease, the following symptoms are observed:

  • heat;
  • yellow-orange watery diarrhea;
  • weight loss;
  • dehydration of the body;
  • diarrhea with big amount water;
  • vomit;
  • the appearance of purulent foci;
  • decreased immunity;
  • stinking chair.

Reasons for the appearance

Cows, goats can carry pathogenic strains that are manifested by the above symptoms. The reasons for reproduction among can be:

  • unwashed fruits and vegetables;
  • unwashed hands (violation of hygiene rules when preparing food);
  • use of waste or contaminated water for irrigation or drinking;
  • consumption of undercooked pig or sheep meat;
  • consumption of unboiled milk.

What does the detection of E. coli in various analyzes mean?

It is important to know what the presence of a microorganism means (these include Escherichia coli) in certain fluids or secretions. Consider the main signs of the presence of a pathogenic organism, the consequences and causes of reproduction. In the presence of sticks in the urine or smear, the disease can be recorded as a pathology of the urinary tract and kidneys. With the first symptoms of the disease, it is recommended to consult a doctor.

in the urine

The presence of sticks in the urine may appear if the rules of hygiene are not observed, unprotected anal intercourse. It adheres to the epithelial cells of the urinary tract and is not washed out. The analysis is carried out as follows: urine is taken, which is collected during catheterization of the bladder. If the patient's symptoms coincide with acute pyelonephritis, 1 ml of fresh urine contains approximately 104 rods in the liquid.

In a smear in women

If hygiene rules are not followed, wearing tight or synthetic underwear, or unprotected vaginal-anal sexual contact, the appearance and reproduction of the bacillus in the genitals is possible. In men, this leads to inflammation of the testicles and its appendages; in women, inflammation of the vagina, ovaries and uterus occurs. A smear is taken from the wall of the uterus, vagina, or urethra. If there are 20 leukocytes in the field of view, the analysis may indicate the presence of an inflammatory process.

E. coli and pregnancy

Bacteria during pregnancy enter the body after intercourse without a condom. Vaginal smear analysis is the main diagnostic procedure. When collecting tests, the wand can get into the urine, but the detection of bacteria does not mean that the woman is sick. In the presence of escherichia coli in planting on the flora of a woman, mucous discharge from the vagina is examined. Bacteria can get to the baby from the woman's vagina during childbirth, which, with subsequent infection, provokes the risk of meningitis in the newborn.

Diagnosis of infections caused by Escherichia coli

The infection is diagnosed on the basis of bacteriological examination. It is often very difficult to isolate a pure culture of a pathogenic bacterium in the presence of coli in the research material, which is the main part of the normal microflora of the intestine. If an inflammatory process occurs in the body, urgent treatment is recommended. To obtain the result of the analysis, use:

  • feces and vomit;
  • blood;
  • urine;
  • pus;
  • smears or scrapings taken from the mucous membranes of the genital organs.

Treatment

This disease is treated with antibiotics. To begin with, a bacteriological culture is carried out to determine sensitivity to antibiotics and decide which drugs will be effective at a certain stage of the disease. Treatment occurs within 14 days. A couple of months after a long course of treatment, a second analysis is carried out. In the presence of sticks, treatment is continued with another antibiotic.

In the treatment of intestinal infections, patients are credited with a sparing diet:

  • watery soups;
  • porridge on the water;
  • stale white bread;
  • crackers;
  • boiled vegetables;
  • boiled lean fish and meat.

With vomiting or diarrhea, the patient is given a rehydration solution of 400 ml for each moment of vomiting or diarrhea. Consider each antibiotic in more detail:

  • The drug Imipenem copes well with harmful bacteria. The advantage of this tool is its cost and ease of use (in the form of injections). The downside is the patient's possible allergy to penicillins or other substances of the drug, it is not attributed. It should not be taken by children under 3 months of age, during lactation or children with renal insufficiency. The drug is dispensed only by prescription of the attending physician.
  • Ofloxacin is an effective remedy in the fight against sticks. The advantage of this drug is oral use (tablets or capsules), low price. Minus - can not be used for epilepsy, after a stroke or inflammation of the central nervous system, for children under 18 years of age, during pregnancy, allergies to components or during lactation. It can only be bought with a prescription.

After recovery, enterosbrents, probiotics are taken for approximately 2 weeks:

  • Polyphepan is a natural sorbent that absorbs all possible toxic rods. Plus, you can buy it without a prescription at a low cost. Minus - you can not take with constipation, gastritis, diabetes or allergies to the main or auxiliary substances.
  • Enterol is a probiotic that contributes to the normalization of the intestinal microflora, is an antidiarrheal agent. Plus - you can buy at a low cost, without a prescription from your doctor. Minus - it can not be taken with an allergy to the main or auxiliary components of the drug, or to patients with a central venous catheter installed.

Treatment of Escherichia coli in gynecology

Everyone needs to know how to treat E. coli in gynecology. The treatment process helps to relieve the inflammatory process of the female genital organs. Treatment is carried out combined, with emphasis on local therapy. To get rid of E. coli, it is recommended:

  • carry out washing of the external genitalia with decoctions of herbs;
  • perform therapeutic douching;
  • insert vaginal suppositories with Nystatin;
  • attend ultraviolet irradiation (physiotherapy on the genitals).

In severe cases, drug treatment is prescribed:

  • vitamins;
  • antibiotics;
  • drugs that strengthen the immune system.

Prevention

In order not to become infected with harmful sticks, it is necessary to improve sanitary conditions (clean food, disinfected water, high-quality hand soap). Children should thoroughly wash their hands and the products from which the dishes will be prepared. It is recommended to use wet wipes and get rid of antibacterial soap: it reduces immunity by killing beneficial microbes. Try to change towels, bathrobes more often, wash dishes often.

Video

The normal habitat for E. coli is that part of the colon, which is located closer to the anus. E. coli is present in the intestines of every person. In a normal amount, it does no harm and only benefits, for example, it takes part in the synthesis of vitamin K. However, under certain circumstances, E. coli can spread from the intestine to other parts of the human body. For example, when E. coli enters the abdominal cavity, a very serious disease called peritonitis begins to develop. If E. coli "moves" into the prostate gland, the man will begin to develop prostatitis. And E. coli in a smear may indicate diseases of the genitourinary system. It is important to know about the manifestations of diseases that E. coli can provoke in order to consult a doctor in a timely manner and undergo treatment.

Causes of the spread of E. coli

Signs of diseases provoked by E. coli begin to appear, first of all, in those who do not follow the rules of personal hygiene and are in contact with infected people. E. coli can be transmitted through food and water.

In addition, the body of a man can be affected not only directly by E. coli, but also by its waste products. It happens through food. Such products are very dangerous for the body of a man, and after their use, extremely unpleasant symptoms begin to appear.

To eliminate the risk of pathogenic reproduction and spread of E. coli, you need:

  1. Strictly observe the rules of hygiene.
  2. Do not drink raw water and do not eat expired foods.
  3. Do not eat at questionable catering establishments. Food must be prepared in compliance with sanitary standards and requirements.
  4. Wash your hands not only after using a public toilet, but also after visiting it at home.
  5. Fruits and vegetables must be boiled before eating.
  6. After contact with the ground or animals, hands should be treated with a special disinfectant or an appropriate type of soap.

Why can E. coli appear in a smear?

Quite often, during a preventive medical examination in men, Escherichia coli is found in a smear from the urethra. In this case, any symptoms of diseases are often absent. However, with a high degree of probability, the presence of E. coli in a smear indicates the presence of a bacterial infection in a man. Often E. coli leads to the development of male thrush.

It appears, first of all, in violation of the rules of hygiene. A man should regularly wash his genitals with warm water using specially designed products for intimate places, change underwear every day, and use high-quality toilet paper. The presence of E. coli in a smear requires immediate treatment, even if the man is not bothered by any symptoms of illness.

The main symptoms of Escherichia coli

The first symptoms may occur after 1-7 days. The characteristic signs of Escherichia coli are:

  1. Strong diarrhea.
  2. Vomiting, often with green impurities.
  3. Elevated temperature.
  4. Unpleasant pulling sensation in the abdomen.
  5. Nausea.
  6. Loss of appetite and general weakness.

In most patients, symptoms resolve completely within 2-3 days. This indicates spontaneous sanitation of the intestine. Adults need to see a doctor if the symptoms of the lesion do not go away in 2 days. In children with symptoms, a doctor should be consulted immediately.

Dangerous types of Escherichia coli

In total, there are more than 100 strains of E. coli that can harm the body of a man. All of them are combined into 4 main classes:

  1. Enterohemorrhagic.
  2. Enterotoxigenic.
  3. Enteropathogenic.
  4. Enteroinvasive.

Morphologically, representatives of different strains do not differ. Once in the human body, pathogenic E. coli begin to produce enterotoxins, which cause diarrhea. Enterotoxins are resistant to high temperatures. Each group causes individual symptoms and can lead to different diseases.

What diseases are caused by pathogenic Escherichia coli?

Diseases that develop when the human body is affected by pathogenic Escherichia coli are called escherichiosis. Such diseases are characterized by intoxication of the body and damage to the gastrointestinal tract. Sometimes there is a lesion of the urinary system, biliary tract and other organs. Sepsis may occur.

Infection most often occurs through contaminated food and water. Children and immunocompromised adults are at risk. Most often, the first symptoms begin to appear 2-3 days after the defeat of the body. In rare cases, they appear after 1 day. In some patients, the incubation period can be extended up to 7-10 days.

Diseases caused by enteropathogenic Escherichia coli practically do not occur in adult men. Most often, this E. coli affects young children. However, under certain conditions, it can also penetrate the body of an adult male. Among the characteristic symptoms of such a disease, nausea is noted, often with vomiting, uncharacteristically frequent loose stools, pain in the abdomen, sleep and appetite disturbances.

Enterotoxigenic E. coli attaches to the walls of the intestinal epithelium, which leads to a significant violation of their function and severe watery diarrhea. Most often found in a smear in those men who, on duty or personal preferences, often travel. The characteristic symptoms of the lesion are pain in the abdomen, nausea, possible vomiting, diarrhea without pathological impurities (blood).

Enterohemorrhagic Escherichia coli leads to rather serious diseases. A man develops hemorrhagic colitis. Some patients may have hemolytic uremic syndrome. The temperature rises to 39-40 degrees, symptoms of intoxication of the body appear, the patient suffers from severe pain in the abdomen, the stool becomes liquid, blood impurities appear. Acute renal failure, hemolytic anemia and hemorrhagic syndrome may develop.

The latter is characterized by the presence of symptoms of acute liver failure, hemolytic anemia and a critical decrease in platelet concentration. Most often occurs in older men. Almost always observed in intestinal infections. In most cases, it begins to appear a week after the infection. Symptoms may vary in intensity. The syndrome manifests itself in the form of jaundice, hemorrhages on the skin, edema, urination disorders. These are signs of a detailed clinical picture of the syndrome. In the early stages, it can only be determined in the laboratory. So, erythrocytes and proteins can appear in the urine. In the blood, creatinine may increase, hemoglobin and red blood cells may decrease.

Enteroinvasive Escherichia coli causes such diseases, the biochemical properties of which are similar to those caused by dysentery pathogens. Such a bacillus infects the cells of the epithelium of the colon and begins to actively multiply. As a result, extremely unpleasant symptoms appear, such as pain in the lower left side of the abdomen, frequent and copious watery stools. There may be impurities of blood, mucus.

Thus, there is no single specific set of symptoms characteristic of E. coli in a smear in men. Most often, there is an increased body temperature, watery stools with or without impurities, the urge to vomit, vomiting with possible green impurities, pain in different parts of the abdomen, usually aching in nature.

The presence of E. coli in a smear often indicates the presence of genitourinary infections. Most often, E. coli enters the urethra from the large intestine. This is facilitated by violation of the rules of intimate hygiene. Also, E. coli can enter the urethra of a man when having anal sex without using a condom.

About 80% of urinary tract infections are caused by Escherichia coli. In addition, over 65% of acute inflammatory processes in the prostate are associated with it. E. coli is the cause of chronic prostatitis in most patients.

When the urinary system is affected by Escherichia coli, prostatitis, urethritis, pyelonephritis, and cystitis may begin to develop. The reproductive system can also be significantly affected. E. coli is capable of provoking inflammatory processes in the testicle, inflammation of the epididymis and their combined lesion.

How are diseases diagnosed?

If E. coli is found in a smear in a man, the doctor, first of all, will prescribe tests that will determine the pathogen and its resistance to various antibacterial drugs.

The most commonly prescribed bacteriological method of research. The material is sown on nutrient media. Due to the fact that E. coli can affect different systems and organs of the human body, the material can also be different. So, for infections of the reproductive system, scrapings and smears are used. If there is a suspicion of the presence of diseases of the urinary system, a urine test is performed. If E. coli has led to an intestinal infection, vomit and feces are used for analysis. The pathogen is identified and an antibiogram is carried out, during which the sensitivity of microorganisms to various antibiotics is established.

Additionally, instrumental and general clinical research methods can be used. Among the instrumental ones, ultrasound, sigmoidoscopy, etc. are most often used. General clinical methods include such methods as a general blood and urine test, biochemical research, coprogram, etc.

How is E. coli in urine treated?

Hospitalization is performed if necessary. First of all, important organizational and regime measures are being taken. A diet is prescribed taking into account the degree and nature of the lesion. The course of treatment necessarily includes etiotropic (bacteriophages and antibiotics are used), post-syndromic and pathogenic (in most cases infusion) therapy.

When conducting antibiotic therapy, the antibiogram must be taken into account. A specific drug, dosage, feature and duration of taking the medicine - all this can only be established by a doctor. Uncontrolled self-medication with the use of antibiotics, as well as other medicines, is categorically unacceptable and can have extremely adverse consequences.

Quite often, bacteriophages are used to combat diseases provoked by pathogenic E. coli. Some drugs contain specially bred strains of Escherichia coli. Usually they are prescribed for dysbacteriosis. If there is an overgrowth of E. coli, the patient is usually prescribed probiotics.

Infusion therapy is carried out, during which various solutions of a certain concentration and volume are introduced into the patient's bloodstream. These solutions provide detoxification and replenish fluid loss in case of damage to the gastrointestinal tract. They are used to detoxify the body and in case of kidney damage.

The procedure and features of post-syndromal therapy are determined by the doctor individually. In this case, the leading symptom of the disease is of great importance.

In immunocompromised men and elderly patients, treatment usually begins with probiotics and bacteriophages. And only if these drugs are ineffective, antibiotics are prescribed, with the obligatory consideration of the intensity of the lesion and the age of the patient.

Every man should follow preventive measures that will reduce the likelihood that E. coli will be detected in his smear. First, you need to follow the rules of personal hygiene. Secondly, it is necessary to comply with the requirements for the storage and thermal processing of food products. It is important to thoroughly wash fruits and vegetables before eating. Do not drink raw water and water from dubious sources. When the first alarming symptoms appear, consult a doctor and be sure to undergo the prescribed treatment. Be healthy!

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