Hospital outcomes of adult respiratory tract infections with extended-spectrum b-lactamase (ESBL) producing Klebsiella pneumonia.
- Author:
Li-Cher Loh
;
Nor Izran Hanim bt Abdul Samad
;
Rosdara Masayuni bt Mohd Sani
;
Sree Raman *
;
Tarmizi Thayaparan *
;
Shalini Kumar
- Publication Type:Journal Article
- Keywords:
Extended spectrum beta-lactamase (ESBL);
Klebsiella pneumoniae;
Hospitalization;
Respiratory tract infections;
Mortality;
Malaysia
- MeSH:
Extended-spectrum beta lactamase;
Hospitals;
Adult;
Respiratory;
lower case pea
- From:Malaysian Journal of Medical Sciences
2007;14(2):36-40
- CountryMalaysia
- Language:Malay
-
Abstract:
Klebsiella pneumoniae ranks high as a cause of adult pneumonia requiring hospitalization in Malaysia. To study whether extended-spectrum b-lactamase (ESBL) producing K. pneumoniae was linked to hospital outcomes, we retrospectively studied 441 cases of adult respiratory tract infections with microbial proven K. pneumoniae from an urban-based university teaching hospital between 2003 and 2004. 47 (10.6%) cases had ESBL. Requirement for ventilation and median length of hospital stay, were greater in ‘ESBL’ than in ‘non-ESBL’ group [34% vs. 7.4%, p<0.001; 14 days vs. 5 days, p<0.001 respectively] but not crude hospital mortality rate [21.3% vs. 12.4%, p=0.092]. There was a four-fold increased risk of requiring ventilation [4.61 (2.72-7.85)] when ESBL was present. Our findings support the association of ESBL producing K. pneumoniae with adversed hospital outcomes and reiterate the need for vigilance on the part of treating clinicians.
- Full text:W020151019309903419536.pdf
