Global properties:
• Members of the genus Escherichia are common bacteria that colonize the human large intestine. Most are opportunistic normal flora but some are potent pathogens.
• Transmission of diarrheal disease is generally person to person, usually related to hygiene, food processing and sanitation.
• Four general categories of pathogenic E. coli are recognized:
- Enterotoxigenic (ETEC)
- Enteroinvasive or "Shigella-like" (EIEC)
- Enteropathogenic (EPEC)
- Enterohemorrhagic (EHEC)
• Different groups are most often delineated by serology, in particular, by the immunogenic character of the O (somatic, LPS) and H (flagellar) antigens.
Distinctive properties:
• Escherichia are Gram-negative bacilli that ferment lactose. Most are motile by peritrichious flagella.
• Escherichia possess a typical Gram-negative cell wall containing LPS.
• Approximately 170 different O antigens have been delineated and some of these are cross-reactive with Shigella, Salmonella and Klebsiella.
• Motile strains possess H (flagellar) antigens that can be used for epidemiologic purposes.
• Escherichia also possess K (capsular) antigens similar to the Vi antigen of Salmonella.
• Enterotoxigenic strains may also display colonization factor antigens (CFA/I, CFA/II).