Risk Factors for Klebsiella Infections among Hospitalized Patients with Preexisting Colonization.
Adult
Aged
Aged, 80 and over
Cohort Studies
Comorbidity
Depression
/ complications
Female
Hematologic Neoplasms
/ complications
Humans
Intensive Care Units
/ statistics & numerical data
Klebsiella Infections
/ blood
Klebsiella pneumoniae
/ pathogenicity
Male
Middle Aged
Rectum
/ microbiology
Risk Factors
Klebsiella
cohort study
infection risk
intestinal colonization
multivariable model
Journal
mSphere
ISSN: 2379-5042
Titre abrégé: mSphere
Pays: United States
ID NLM: 101674533
Informations de publication
Date de publication:
30 06 2021
30 06 2021
Historique:
pubmed:
24
6
2021
medline:
15
12
2021
entrez:
23
6
2021
Statut:
ppublish
Résumé
Klebsiella commonly colonizes the intestinal tract of hospitalized patients and is a leading cause of health care-associated infections. Colonization is associated with subsequent infection, but the factors determining this progression are unclear. A cohort study was performed, in which intensive care and hematology/oncology patients with Klebsiella colonization based on rectal swab culture were enrolled and monitored for infection for 90 days after a positive swab. Electronic medical records were analyzed for patient factors associated with subsequent infection, and variables of potential significance in a bivariable analysis were used to build a final multivariable model. Concordance between colonizing and infecting isolates was assessed by
Identifiants
pubmed: 34160237
doi: 10.1128/mSphere.00132-21
pmc: PMC8265626
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0013221Subventions
Organisme : NIAID NIH HHS
ID : R01 AI125307
Pays : United States
Organisme : NIAID NIH HHS
ID : T32 AI007528
Pays : United States
Références
Med Care. 2009 Jun;47(6):626-33
pubmed: 19433995
J Clin Microbiol. 2013 Dec;51(12):4073-8
pubmed: 24088853
Am J Respir Crit Care Med. 2005 Feb 15;171(4):388-416
pubmed: 15699079
BMC Med. 2013 May 07;11:121
pubmed: 23647647
Clin Infect Dis. 2018 Mar 19;66(7):1004-1012
pubmed: 29136126
Source Code Biol Med. 2008 Dec 16;3:17
pubmed: 19087314
mSphere. 2016 Oct 19;1(5):
pubmed: 27777984
J Infect Dis. 2008 Mar 1;197(5):752-6
pubmed: 18260762
Nature. 2018 Mar 29;555(7698):623-628
pubmed: 29555994
Open Forum Infect Dis. 2020 Jan 12;7(1):ofaa012
pubmed: 32010736
Ann Intern Med. 1971 May;74(5):657-64
pubmed: 5559431
N Engl J Med. 2014 Mar 27;370(13):1198-208
pubmed: 24670166
Clin Infect Dis. 2010 Mar 1;50(5):625-63
pubmed: 20175247
mSphere. 2021 Jun 30;6(3):e0050021
pubmed: 34160234
Clin Infect Dis. 2007 Mar 1;44 Suppl 2:S27-72
pubmed: 17278083
Clin Infect Dis. 2017 Jul 15;65(2):208-215
pubmed: 28369261
mSystems. 2018 Jun 26;3(3):
pubmed: 29963640
BMC Bioinformatics. 2011 Mar 17;12:77
pubmed: 21414208
Am J Med. 2009 Sep;122(9):866-73
pubmed: 19699383
Nat Rev Microbiol. 2020 Jun;18(6):344-359
pubmed: 32055025
PLoS One. 2014 Nov 26;9(11):e113539
pubmed: 25426853