Although many types of Escherichia coli (E coli) bacteria live normally in the intestinal tract, at least 5 types are known to cause diarrhea. Shiga toxin-producing E coli has caused numerous outbreaks in group care settings. Infections with Shiga toxin-producing E coli may be associated with other severe problems, such as bleeding from irritation of the bowel, kidney damage, and blood cell damage, also known as hemolytic uremic syndrome. Other diarrhea-producing types are enteropathogenic E coli, enteroinvasive E coli, and enteroaggregative E coli. In children and adults who travel to resource-limited countries, enterotoxigenic E coli is the most serious and the most likely to be diagnosed. Currently, there are not readily available and reliable diagnostic tests for the others.

They may close the facility to new enrollees.

Yes, if Shiga toxin-producing E coli is identified and for any type of E coli diarrhea if

Yes, when all the following criteria...

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