Chapter title |
Mortality Due to Nosocomial Infection with Klebsiella pneumoniae ESBL+
|
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Chapter number | 38 |
Book title |
Clinical Management of Pulmonary Disorders and Diseases
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Published in |
Advances in experimental medicine and biology, April 2017
|
DOI | 10.1007/5584_2017_38 |
Pubmed ID | |
Book ISBNs |
978-3-31-969544-0, 978-3-31-969545-7
|
Authors |
Starzyk-Łuszcz, Katarzyna, Zielonka, Tadeusz M., Jakubik, Joanna, Życińska, Katarzyna, Katarzyna Starzyk-Łuszcz, Tadeusz M. Zielonka, Joanna Jakubik, Katarzyna Życińska |
Abstract |
Klebsiella pneumoniae is one of the most important hospital pathogens, particularly concerning the multidrug-resistant strain ESBL(+). The aim of this study was to evaluate nosocomial infections with K. pneumoniae ESBL(+) in the context of infection location, risk factors, and prognosis. This hospital study was conducted retrospectively and covered a 3 months' period. The infection with K. pneumoniae ESBL(+) was diagnosed in 36 patients (19 women and 17 men) of the mean age of 74.2 ± 14.8 years. The number of infected patients amounted to 2.2% of all patients admitted to Czerniakowski Hospital in Warsaw, Poland, over the study time. Twenty of these patients died (13 women and 7 men), representing 14% of all hospital deaths at the time. The infection with K. pneumoniae ESBL(+) occurred most frequently in the department of internal diseases, and rarely in neurology or intensive care wards. Bacteria was most often isolated from the urine, with the most distinct association between the use of urinary catheters and death (p = 0.019). We conclude that infections with K. pneumoniae ESBL(+) were associated with over 55% mortality and usually occurred in the setting of internal diseases. Deaths due to K. pneumoniae ESBL(+) infection were significantly related to the use of urinary bladder catheters. |
X Demographics
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Australia | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 36 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 7 | 19% |
Researcher | 5 | 14% |
Student > Doctoral Student | 3 | 8% |
Unspecified | 2 | 6% |
Lecturer | 2 | 6% |
Other | 4 | 11% |
Unknown | 13 | 36% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 7 | 19% |
Immunology and Microbiology | 6 | 17% |
Unspecified | 2 | 6% |
Biochemistry, Genetics and Molecular Biology | 2 | 6% |
Nursing and Health Professions | 2 | 6% |
Other | 2 | 6% |
Unknown | 15 | 42% |