About this topic
An extended-spectrum beta lactamase infection is also known as an ESBL infection. Many kinds of germs cause infections. The ESBL germ causes an infection and is able to break down antibiotics. This makes it much harder to treat an ESBL infection. ‚
What are the causes?
ESBL infections are spread in many ways. They can be passed from one person to another. You can also touch something with the ESBL germs on it and then the germs can get into your body. This germ can be found in hospitals. It is also found in contaminated water and animals. ‚
Some people have ESBL germs in their body and do not become sick. This is called colonization. People who have the ESBL germ in their body can still spread it to others. ‚
What can make this more likely to happen?
You are more likely to have an ESBL infection if you have: ‚
- Had a long hospital stay or live in a nursing home
- Been a patient in the ICU
- Had surgery
- Been on drugs to treat an infection or have a weak immune system
- A urinary catheter, feeding tube, or breathing tube
- Been born prematurely or are an older adult
What are the main signs?
Your signs are based on where your infection is. You can have infections in your skin, urine, or blood. You may have an infection in your intestines or other places in your body. If your infection is not getting better with standard antibiotics, then your doctor may look closer for an ESBL infection. ‚
How does the doctor diagnose this health problem?
- Your doctor will take your history and do an exam. Talk to the doctor about:
- All the drugs you are taking. Be sure to include all prescription, over the counter, and herbal supplements. Tell the doctor if you have any drug allergy. Bring a list of drugs you take with you.
- Your doctor may order:
- A culture from your blood, urine, or any other place that may be infected to look for the germ
- Other lab tests
How does the doctor treat this health problem?
Your doctor may give you very strong antibiotics to get rid of the germs. You may need to have an I.V. to take the drugs. Other times, they may be given in a shot. You may need other care in a hospital if you are very sick. ‚
You may need surgery if you have an ESBL infection in your skin or deep tissue. ‚
What drugs may be needed?
The doctor may order drugs to: ‚
- Fight an infection
- Prevent blood clots
- Lower fever
- Boost the immune system
- Treat an upset stomach or throwing up
Will there be any other care needed?
You may need to have help at home if you are still on treatment. Some people go home on I.V. antibiotics. Others need shots after they go home. ‚
What can be done to prevent this health problem?
- In the hospital, you may be on isolation. This means doctors and nurses will wear special gowns and gloves when caring for you.
- Avoid antibiotics unless you absolutely need them. This may lower your chance of getting an ESBL infection.
- People with history of ESBL infection may continue to have the germ inside their bowels for many years. It is easy to spread to others. Take extra care and:
- Practice proper sanitation and disposal of stool.
- Wash your hands often with soap and water for at least 15 seconds.
- Always wash your hands after going to the toilet and before eating or cooking.
- Teach children to keep their hands out of their mouth.
Where can I learn more?
Centers for Disease Control and Prevention ‚
http://www.cdc.gov/hai/index.html ‚
Public Health England ‚
http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/ESBLs/GeneralInformation/ ‚
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚
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Copyright ‚ © 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. ‚