Klebsiella bacteremia: an analysis of 100 episodes
| Autor: | M. A. Meseguer, J Martínez-Beltrán, J Romero-Vivas, Emilio Bouza, Antonio Guerrero, M García de la Torre |
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| Rok vydání: | 1985 |
| Předmět: |
Microbiology (medical)
Adult Male Klebsiella medicine.medical_specialty Adolescent Klebsiella pneumoniae Drug resistance Internal medicine Sepsis Antimicrobial chemotherapy medicine Humans Child Aged Retrospective Studies biology business.industry Septic shock Incidence (epidemiology) Klebsiella oxytoca Drug Resistance Microbial Middle Aged biology.organism_classification medicine.disease Surgery Anti-Bacterial Agents Klebsiella Infections Infectious Diseases Spain Bacteremia Child Preschool Female Gentamicins business |
| Zdroj: | Europe PubMed Central |
| ISSN: | 0162-0886 |
| Popis: | During a five-year period, 204 patients had klebsiella bacteremia at this institution; these cases constituted 6.6% of the total episodes of bacteremia. The incidence was 2.3 cases per 1,000 admitted patients. A random group of 100 cases was chosen for analysis in the present study. The disease was community acquired in 23%, nosocomially acquired in 77%, unimicrobial in 88%, or part of a polymicrobial bacteremia in 12% of episodes. Three-quarters of the episodes were caused by Klebsiella pneumoniae and the remaining one-quarter, by Klebsiella oxytoca. Portals of entry, in decreasing order of frequency, were urinary, respiratory, and biliary tracts. Twenty-four percent of the Klebsiella isolates were resistant to gentamicin. The most frequent clinical finding (in 96% of the cases) was fever. Shock occurred in 22% and pyogenic metastatic foci, in 5% of the patients. None of the patients had evidence of disseminated intravascular coagulation. Overall mortality was 25%, and factors associated with poor prognosis were inadequacy of antimicrobial chemotherapy, septic shock, type of underlying disease, and clinical condition of the patients. |
| Databáze: | OpenAIRE |
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