A Comparative Study of Community-acquired Klebsiella pneumoniae Bacteremia and Escherichia coli Bacteremia / 감염
Korean Journal of Infectious Diseases
;
: 197-202, 2000.
Artigo
em Coreano
| WPRIM
| ID: wpr-45868
ABSTRACT
BACKGROUND:
Klebsiella pneumoniae is the second most common causative pathogen only next to Escherichia coli among the facultative Gram-negative rods causing both community-acquired and nosocomial bacteremia.METHODS:
We have reviewed the clinical and laboratory data from all patients with community-acquired K. pneumoniae bacteremia and compared it with randomly selected community-acquired E. coli bacteremia in the patients who were admitted to Ajou University hospital between the period from 1997 to 1998.RESULTS:
The incidence of K. pneumoniae bacteremia was 1.8/1,000 patient discharge. Of 51 patients with K. pneumoniae bacteremia, 27 were male and 24 were female. The mean age was 58.4 years. The primary foci of K. pneumoniae bacteremia were hepatobiliary tract (35%), urinary tract (22%), respiratory tract (16%) and 20% of patients had no primary focus identified. The attributable mortality of K. pneumoniae bacteremia was 20%. Patients with K. pneumoniae and E. coli bacteremia had common clinical features, but K. pneumoniae bacteremia had high incidence of diabetes mellitus as an underlying illness and there was a tendency to form abscess and neutropenia more frequently than in E. coli bacteremia. E. coli was found to be more resistant to antibiotics (ampicillin/ sulbactam, ciprofloxacin, gentamicin, cephalothin, co-trimoxazole, tetracycline and tobramycin) than K. pneumoniae.CONCLUSION:
K. pneumoniae bacteremia occurred more frequently in diabetes mellitus and the major primary focus was hepatobiliary tract. K. pneumoniae bacteremia had a higher incidence of abscess formation and neutropenia than E. coli.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Alta do Paciente
/
Pneumonia
/
Sistema Respiratório
/
Tetraciclina
/
Sistema Urinário
/
Gentamicinas
/
Ciprofloxacina
/
Sulbactam
/
Combinação Trimetoprima e Sulfametoxazol
/
Cefalotina
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Journal of Infectious Diseases
Ano de publicação:
2000
Tipo de documento:
Artigo
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