Community-onset Escherichia coli and Klebsiella pneumoniae bacteremia: influence of health care exposure on antimicrobial susceptibility

Hsin Yun Sun, Shey Ying Chen, Shan Chwen Chang, Sung Ching Pan, Chan Ping Su, Yee Chun Chen

研究成果: 雜誌貢獻文章同行評審

22 引文 斯高帕斯(Scopus)

摘要

Three hundred forty-one case patients with Escherichia coli bacteremia and 173 case patients with Klebsiella pneumoniae bacteremia were enrolled in this prospective observational study to compare the clinical manifestations of infections in the 2 organisms and to delineate the change in resistance of isolates after health care exposure. Liver abscess, primary bacteremia, and respiratory tract infection were more commonly seen in patients with K. pneumoniae bacteremia, whereas urinary tract infection was more common in those with E. coli bacteremia. The influence of prior hospitalization on resistance of E. coli to some antibiotics could be observed for as long as 6 months after discharge. Patients undergoing procedures in the outpatient setting and nursing home residents also had infections with more resistant E. coli strains than those without hospital exposure within the previous year. However, no difference in resistance was observed in K. pneumoniae isolates from patients in different clinical settings.

原文英語
頁(從 - 到)135-141
頁數7
期刊Diagnostic Microbiology and Infectious Disease
55
發行號2
DOIs
出版狀態已發佈 - 6月 1 2006
對外發佈

ASJC Scopus subject areas

  • 傳染性疾病
  • 免疫學和過敏
  • 病毒學
  • 寄生物學
  • 微生物學
  • 免疫學
  • 應用微生物與生物技術

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