Prevention of hemolytic uremic syndrome with daily bowel lavage in patients with shiga toxin-producing enterohemorrhagic Escherichia coli O104:H4 infection

摘要

Infection with Shiga toxin-producing enterohemorrhagic Esch-erichia coli (EHEC) can cause hemorrhagic colitis and hemo-lytic uremic syndrome (HUS).1 An epidemic outbreak of EHEC 0104:H4 started in May 2011 in northern Germany, affecting 3842 patients and causing 855 cases of HUS.2 There is little evidence in the literature that HUS can be effectively prevented.In this case-series, we present our experience of daily intestinal lavage with polyethylene glycol (PEG) for prevention of HUS in an at-risk group of patients with EHEC.