Infectious Outbreak Should Be Of Major Concern To The Chronic Kidney Disease Community

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End Stage Renal Disease is associated with significantly increased mortality resulting from infections due to their immune system dysfunction. This makes the E. Coli outbreak (announced by USA Today) in certain packaged salads and wraps sold at mainstream stores very alarming to many with late stage Chronic Kidney Disease (CKD) as "problems are most likely to occur in adults with weak immune systems," according to U.S. Department of Health and Human Services.

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The Symptoms of an E.coli infection include abdominal cramps, nausea, vomiting, fever and diarrhea that is sometimes bloody. They usually develop three to four days after exposure to the virus, but could appear in as short as 1 day or take as long as 10 days. Often, the symptoms begin mildly and worsen over several days. If you show signs of E. coli then you should consult your Nephrologist immediately and avoid taking over the counter anti-diarrheal medications or antibiotics until the E. coli infection is ruled out because  some medications can actually make the issue worse, according to the U.S. Food and Drug Administration. 

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Trevor Suslow, a food safety expert at the University of California, suggests that outbreaks such as these seem to occur more often with packaged products than whole raw vegetables for several reasons including the fact that if ready-to-eat products such as wraps and salads are not kept adequately chilled as they are prepared, shipped and sold, bacteria can grow more easily. Also, cut greens and vegetables are more easily contaminated because bacteria can enter the cuts.

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The FDA is working with the CDC and state health departments on an investigation of the outbreak. In addition, there are certain precautions those suffering with CKD can take to reduce the risk of being infected with E. coli such as cooking all meat thoroughly, never cross-contaminating raw meat with other food, washing all produce carefully, promptly freezing all raw meats, and keeping your kitchen clean.

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References: 

Elizabeth Weise and John Bacon. "Salads, Wraps Recalled Due to E. Coli Threat." http://www.usatoday.com/. USA TODAY

"E. Coli Infections: MedlinePlus." http://www.nlm.nih.gov/. U.S National Library of Medicine, U.S. Department of Health and Human Services, National Institutes of Health. 

Edited by CDC Bot, Oscuro87, Thomas, Wingrider and 10 Others. "How to Prevent E.Coli Poisoning." Http://www.wikihow.com/. Mediawiki