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This document outlines the reporting requirements for healthcare providers related to cases of Shiga toxin-producing Escherichia coli (STEC), including guidelines for diagnosis, transmission, laboratory
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How to fill out Shiga Toxin–Producing Escherichia Coli (STEC) Disease Report

01
Step 1: Obtain a copy of the Shiga Toxin–Producing Escherichia Coli (STEC) Disease Report form.
02
Step 2: Fill in the patient's personal information, including name, age, and contact details.
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Step 3: Provide relevant medical history, including symptoms and date of onset.
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Step 4: Document any diagnostic tests performed, including dates and results.
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Step 5: Include information about potential sources of exposure, such as food or water consumed.
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Step 6: Indicate any treatment administered, including medications and supportive care.
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Step 7: Review the completed form for accuracy and completeness.
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Step 8: Submit the report to the appropriate health department or agency.

Who needs Shiga Toxin–Producing Escherichia Coli (STEC) Disease Report?

01
Healthcare providers who diagnose cases of STEC.
02
Public health officials tracking outbreaks and disease surveillance.
03
Laboratories performing testing for STEC.
04
Researchers studying the epidemiology of STEC infections.
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STEC is also called enterohemorrhagic E. coli (EHEC) because it can lead to bleeding in your intestines, causing bloody diarrhea (hemorrhagic colitis). About 5% to 10% of people with STEC develop hemolytic uremic syndrome (HUS), a condition that causes blood clots and damages your kidneys.
How long does it last? Most people infected with STEC typically feel better in 5 to 10 days and usually recover with fluids and rest. It is recommended to avoid antibiotics and antidiarrheal medicines, such as Imodium®, because they can prolong or worsen symptoms.
Severe complications, such as HUS, require hospitalization. How long can a person carry STEC? In adults, STEC infections generally resolve within one week. In children infected with this bacteria, about one-third will carry and continue to shed the bacteria in their stool for up to three weeks.
Not all types of E. coli bacteria make people sick, but a certain type of E. coli, called Shiga toxin-producing E. coli or “STEC” for short, make a toxin (poison) that can make some people very sick.
Cases commonly last between 6-18 months, but for a minority recovery can take much longer. For the few who take a long time to recover it can last for several years, or even impact them for the rest of their life.
After 5 years, 70% of STEC-infected patients presented with no sequelae but 30% had proteinuria (18%), persistent hypertension (9%), decreased glomerular filtration rate (7%), and/or neurological symptoms (4%), interestingly, in 18% hypertension and proteinuria manifested during the follow-up period, indicating a
Infection most typically occurs by eating contaminated food, particularly raw or undercooked meat. Infection can also occur after eating any product contaminated with STEC, including lettuce, alfalfa sprouts, salami, and raw (unpasteurized) milk, juice, or cider.
Most healthy adults recover from E. coli illness within a week. Some people — particularly young children and older adults — may develop a life-threatening form of kidney failure called hemolytic uremic syndrome.

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The Shiga Toxin–Producing Escherichia Coli (STEC) Disease Report is a public health document that is used to track and manage cases of STEC infections, which can lead to severe gastrointestinal illness.
Healthcare providers, laboratories that identify STEC, and public health officials are typically required to file the STEC Disease Report to ensure proper tracking and intervention.
To fill out the STEC Disease Report, one must provide patient identification information, clinical details, laboratory results, and any relevant epidemiological data.
The purpose of the STEC Disease Report is to monitor the incidence of STEC infections, inform public health responses, and prevent outbreaks by enabling timely investigations and interventions.
The report must include patient demographics, clinical symptoms, laboratory test results, exposure history, and any other relevant epidemiological information.
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