Proceeds from website advertising help sustain Lab Tests Online. AACC is a not-for-profit organization and does not endorse non-AACC products and services.

Shiga toxin-producing Escherichia coli

Print this article
Share this page:
Also known as: E. coli; E. coli O157; E. coli non-O157; STEC
Formal name: E. coli O157 culture; Shiga-like toxin by EIA; Stx gene detection by PCR
Related tests: O&P, Stool Culture

Board approvedAll content on Lab Tests Online has been reviewed and approved by our Editorial Review Board.

Article Sources

« Return to Related Pages

NOTE: This article is based on research that utilizes the sources cited here as well as the collective experience of the Lab Tests Online Editorial Review Board. This article is periodically reviewed by the Editorial Board and may be updated as a result of the review. Any new sources cited will be added to the list and distinguished from the original sources used. To access online sources, copy and paste the URL into your browser.

Sources Used in Current Review

Stigi, K.A. et al. (2012). Laboratory Practices and Incidence of Non-O157 Shiga Toxin-producing Escherichia coli Infections. Medscape, Emerging infectious diseases. Available online at http://www.medscape.com/viewarticle/762590. Accessed 7/17/2016.

(2012 April). Atkinson, R. M. et al. Guidance for Public Health Laboratories: Isolation and Characterization of Shiga toxin-producing Esherichia coli (STEC) from Clinical Specimens. Available online at http://www.aphl.org/AboutAPHL/publications/Documents/FS_2012April_Guidance-for-PHLs-Isolation-and-Characterization-of-Shiga-Toxin-Producing-Escherichia-coli-STEC-from-Clinical.pdf. Accessed 7/17/2016.

Mayo Clinic staff (2014 August 1). E. coli. Mayo Clinic. Available online at http://www.mayoclinic.com/health/e-coli/DS01007. Accessed 7/17/2016.

(Updated 2014 December 1). E. coli, resources for clinicians and laboratories. Association of Public Health Laboratories, and the Centers for Disease Control and Prevention. Available online at http://www.cdc.gov/ecoli/clinicians.html. Accessed 7/17/2016.

Huang, J. Y. et al. (2015 April 15). Infection with pathogens transmitted commonly through food and the effect of increasing use of culture-independent diagnostic tests on surveillance — Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2012–2015. Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report. Available online at http://www.cdc.gov/mmwr/volumes/65/wr/mm6514a2.htm. Accessed 7/17/2016.

(Updated 2015 October 27). E. coli enteritis. MedlinePlus. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/000296.htm. Accessed 7/17/2016.

(Updated 2015 November 6). E. coli, General Information. Centers for Disease Control and Prevention. Available online at http://www.cdc.gov/ecoli/general/index.html. Accessed 7/17/2016.

Bush, L.M., MD and Perez, M.T., MD. (Reviewed 2016 May). Escherichia coli infections. Merck Manual Professional Version. Available online at http://www.merckmanuals.com/professional/SearchResults?query=Escherichia+coli+++Infections&icd9=041.4%3b008.0%3b038.42%3b482.82. Accessed 7/17/2016.

(Updated 2016 May 5). Shiga Toxin-Producing E. coli & Food Safety. Centers for Disease Control and Prevention. Available online at http://www.cdc.gov/features/ecoliinfection. Accessed 7/17/2016.

(Updated 2016 June). Diarrhea. ARUP Consult. Available online at http://www.arupconsult.com/Topics/BacterialDiarrhea.html?client_ID=LTD#tabs=0. 7/17/2016. Accessed 7/17/2016.

Sources Used in Previous Reviews

(Updated 2011 August 2). MedlinePlus. E. coli enteritis. [Online information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/000296.htm. Accessed August 2011.

Mayo Clinic staff (2011 July 28). E. coli. MayoClinic.com [On-line information]. Available online at http://www.mayoclinic.com/health/e-coli/DS01007. Accessed August 2011.

(Updated 2011 July 8). Investigation Update: Outbreak of Shiga toxin-producing E. coli O104 (STEC O104:H4) Infections Associated with Travel to Germany. [Online information]. Available online at http://www.cdc.gov/ecoli/2011/ecoliO104/index.html. Accessed August 2011.

(Updated 2011 July 8). Escherichia coli O157:H7 and other Shiga toxin-producing Escherichia coli (STEC). [On-line information]. Available online at http://www.cdc.gov/nczved/divisions/dfbmd/diseases/ecoli_o157h7/. Accessed August 2011.

Fisher, M. (Updated 2011 April). Diarrhea, Bacterial Evaluation. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/BacterialDiarrhea.html?client_ID=LTD#tabs=0. Accessed August 2011.

Couturier, Marc Roger, et al. Shiga-Toxigenic Escherichia coli Detection in Stool Samples Screened for Viral Gastroenteritis in Alberta, Canada. J Clin Microbiol. 2011 February; 49(2): 574–578. doi: 10.1128/JCM.01693-10.

Gould, Hannah, L. et al. (Reviewed 2009 October 1). Recommendations for Diagnosis of Shiga Toxin--Producing Escherichia coli Infections by Clinical Laboratories [Online information]. Available online at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5812a1.htm. Accessed August 2011.

Levison, Matthew, E., MD. (Reviewed 2008 September). Merck home health handbook. E.coli infections. [Online information]. Available online at http://www.merckmanuals.com/home/sec17/ch187/ch187i.html. Accessed August 2011.

(Updated 2008 July 5). National Institute of Allergy and Infectious Disease. E. coli [On-line information]. Available online at: http://www.niaid.nih.gov/topics/ecoli/Understanding/Pages/Default.aspx. Accessed August 2011.

(March 2008). World Gastroenterology Organisation practice guideline: Acute diarrhea. [On-line information]. Available online at http://www.worldgastroenterology.org/acute-diarrhea-in-adults.html. Accessed August 2011.

Boyce, Thomas, G. MD, MPH (Reviewed 2007 September). Hemorrhagic Colitis Merck home health handbook [Online Information]. Available online at http://www.merckmanuals.com/home/sec09/ch115/ch115b.html. Accessed August 2011.

Johnson K.E., Thorpe C.M., Sears C.L. The Emerging Clinical Importance of Non-O157 Shiga Toxin–Producing Escherichia coli. Clin Infect Dis. 2006 Dec 15; 43(12):1587-95.

(Reviewed 2004 April 6). Diagnosis and Management of Foodborne Ilness. [On-line information]. Available online at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5304a1.htm. Accessed August 2011.

Wong C.A., Jelacic S., Habeeb R.L., et al. The risk of the hemolytic-uremic syndrome after antibiotic treatment of Escherichia coli O157:H7 infections. N Engl J Med, 2000 Jun 29; 342(26): 1930-6.

Paton J.C., Paton A.W.. Pathogenesis and diagnosis of shiga toxin producing Escherichia coli infections. Clin Microbiol Rev.1998; 11(3): 450-479.