Klebsiella pneumoniae bloodstream infections at a South African children’s hospital 2006–2011, a cross-sectional study
Identifieur interne : 001233 ( Main/Exploration ); précédent : 001232; suivant : 001234Klebsiella pneumoniae bloodstream infections at a South African children’s hospital 2006–2011, a cross-sectional study
Auteurs : Heloise Buys [Afrique du Sud] ; Rudzani Muloiwa [Afrique du Sud] ; Colleen Bamford [Afrique du Sud] ; Brian Eley [Afrique du Sud]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2016.
Abstract
We conducted a retrospective cross-sectional study of KPBSI from 1 January 2006 to 31 December 2011 using conventional descriptive and inferential statistical methods.
Of 410 hospitalised children with laboratory confirmed KPBSI, 339 (83 %) were caused by extended-spectrum β-lactamase (ESBL) producing isolates. The median age (IQR) was 5.0 (2–16) months, 212 (51.7 %) were male, 82 (20 %) were HIV-infected, and 241 (58.8 %) were moderately or severely underweight. The infection was hospital-acquired or healthcare-associated in 389 (95 %) children and community-acquired in 21 (5 %) children. Significant risk factors for ESBL-KPBSI included cephalosporin exposure in the 12 months prior to the KPBSI, adjusted risk ratio (aRR) 1.18 (95 % CI: 1.06–1.31); HIV infection, aRR 1.14 (1.04–1.25), and intravenous infusions for more than 3 days before the KPBSI, aRR 1.15 (95 % CI: 1.04–1.28).
A total of 109 (26.6 %) children died within 30 days of the KPBSI, their median age was four (IQR 1–11) months. The median (IQR) time between KPBSI and death was three (1–9) days. HIV-infection, aRR 2.44(95 % CI: 1.59–3.74); skin erosions at the time of KPBSI, aRR 2.15 (95 % CI: 1.54–3.00); being in PICU at the time of the KPBSI, aRR 1.64 (95 % CI: 1.03–2.61) or needing PICU admission after developing KPBSI, aRR 1.72 (95 % CI: 1.10–2.70) were significant risk factors for death.
ESBL-producing KP is an important cause of laboratory confirmed bloodstream infection in hospitalised children and is associated with high mortality.
Url:
DOI: 10.1186/s12879-016-1919-y
PubMed: 27751185
PubMed Central: 5067886
Affiliations:
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code="subfield">Rondebosch 7700 South Africa</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation><nlm:aff id="Aff3">Ambulatory and Emergency Paediatrics, Red Cross War Memorial Children’s Hospital, Klipfontein Road, Cape Town, Rondebosch 7700 South Africa</nlm:aff><wicri:noCountry code="subfield">Rondebosch 7700 South Africa</wicri:noCountry></affiliation></author><author><name sortKey="Muloiwa, Rudzani" sort="Muloiwa, Rudzani" uniqKey="Muloiwa R" first="Rudzani" last="Muloiwa">Rudzani Muloiwa</name><affiliation><nlm:aff id="Aff1">Department of Paediatrics and Child Health, Red Cross War Memorial Children’s Hospital, Klipfontein Road, Cape Town, Rondebosch 7700 South Africa</nlm:aff><wicri:noCountry code="subfield">Rondebosch 7700 South Africa</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Bamford, Colleen" sort="Bamford, Colleen" uniqKey="Bamford C" first="Colleen" last="Bamford">Colleen Bamford</name><affiliation wicri:level="1"><nlm:aff id="Aff2">University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">National Health Laboratory Service (Groote Schuur Hospital), Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>National Health Laboratory Service (Groote Schuur Hospital), Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Eley, Brian" sort="Eley, Brian" uniqKey="Eley B" first="Brian" last="Eley">Brian Eley</name><affiliation><nlm:aff id="Aff1">Department of Paediatrics and Child Health, Red Cross War Memorial Children’s Hospital, Klipfontein Road, Cape Town, Rondebosch 7700 South Africa</nlm:aff><wicri:noCountry code="subfield">Rondebosch 7700 South Africa</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p><italic>Klebsiella pneumoniae</italic> (KP) is a significant paediatric bloodstream pathogen in children. There is little data from Africa. In this study we describe the epidemiology of multi-drug resistant <italic>Klebsiella pneumoniae</italic> bloodstream infection (KPBSI) at Red Cross War Memorial Children’s Hospital, Cape Town, South Africa.</p></sec><sec><title>Methods</title><p>We conducted a retrospective cross-sectional study of KPBSI from 1 January 2006 to 31 December 2011 using conventional descriptive and inferential statistical methods.</p></sec><sec><title>Results</title><p>Of 410 hospitalised children with laboratory confirmed KPBSI, 339 (83 %) were caused by extended-spectrum β-lactamase (ESBL) producing isolates. The median age (IQR) was 5.0 (2–16) months, 212 (51.7 %) were male, 82 (20 %) were HIV-infected, and 241 (58.8 %) were moderately or severely underweight. The infection was hospital-acquired or healthcare-associated in 389 (95 %) children and community-acquired in 21 (5 %) children. Significant risk factors for ESBL-KPBSI included cephalosporin exposure in the 12 months prior to the KPBSI, adjusted risk ratio (aRR) 1.18 (95 % CI: 1.06–1.31); HIV infection, aRR 1.14 (1.04–1.25), and intravenous infusions for more than 3 days before the KPBSI, aRR 1.15 (95 % CI: 1.04–1.28).</p><p>A total of 109 (26.6 %) children died within 30 days of the KPBSI, their median age was four (IQR 1–11) months. The median (IQR) time between KPBSI and death was three (1–9) days. HIV-infection, aRR 2.44(95 % CI: 1.59–3.74); skin erosions at the time of KPBSI, aRR 2.15 (95 % CI: 1.54–3.00); being in PICU at the time of the KPBSI, aRR 1.64 (95 % CI: 1.03–2.61) or needing PICU admission after developing KPBSI, aRR 1.72 (95 % CI: 1.10–2.70) were significant risk factors for death.</p></sec><sec><title>Conclusion</title><p>ESBL-producing KP is an important cause of laboratory confirmed bloodstream infection in hospitalised children and is associated with high mortality.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Pitout, Jd" uniqKey="Pitout J">JD Pitout</name></author><author><name sortKey="Laupland, Kb" uniqKey="Laupland K">KB Laupland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zaoutis, Te" uniqKey="Zaoutis T">TE Zaoutis</name></author><author><name sortKey="Goyal, M" uniqKey="Goyal M">M Goyal</name></author><author><name sortKey="Chu, Jh" uniqKey="Chu J">JH Chu</name></author><author><name sortKey="Coffin, Se" uniqKey="Coffin S">SE Coffin</name></author><author><name sortKey="Bell, Lm" uniqKey="Bell L">LM Bell</name></author><author><name sortKey="Nachamkin, I" uniqKey="Nachamkin I">I Nachamkin</name></author><author><name sortKey="Mcgowan, Kl" uniqKey="Mcgowan K">KL McGowan</name></author><author><name sortKey="Bilker, Wb" uniqKey="Bilker W">WB Bilker</name></author><author><name sortKey="Lautenbach, E" uniqKey="Lautenbach E">E Lautenbach</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Y K" uniqKey="Kim Y">Y-K Kim</name></author><author><name sortKey="Pai, H" uniqKey="Pai H">H Pai</name></author><author><name sortKey="Lee, H J" uniqKey="Lee H">H-J Lee</name></author><author><name sortKey="Park, S E" uniqKey="Park S">S-E Park</name></author><author><name sortKey="Choi, E H" uniqKey="Choi E">E-H Choi</name></author><author><name sortKey="Kim, J" uniqKey="Kim J">J Kim</name></author><author><name sortKey="Kim, J H" uniqKey="Kim J">J-H Kim</name></author><author><name sortKey="Kim, E C" uniqKey="Kim E">E-C Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tsai, Mh" uniqKey="Tsai M">MH Tsai</name></author><author><name sortKey="Chu, Sm" uniqKey="Chu S">SM Chu</name></author><author><name sortKey="Hsu, Jf" uniqKey="Hsu J">JF Hsu</name></author><author><name sortKey="Lien, R" uniqKey="Lien R">R Lien</name></author><author><name sortKey="Huang, Hr" uniqKey="Huang H">HR Huang</name></author><author><name sortKey="Chiang, Mc" uniqKey="Chiang M">MC Chiang</name></author><author><name sortKey="Fu, Rh" uniqKey="Fu R">RH Fu</name></author><author><name sortKey="Lee, Cw" uniqKey="Lee C">CW Lee</name></author><author><name sortKey="Huang, Yc" uniqKey="Huang Y">YC Huang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ariffin, H" uniqKey="Ariffin H">H Ariffin</name></author><author><name sortKey="Navaratnam, P" uniqKey="Navaratnam P">P Navaratnam</name></author><author><name sortKey="Mohamed, M" uniqKey="Mohamed M">M Mohamed</name></author><author><name sortKey="Arasu, A" uniqKey="Arasu A">A Arasu</name></author><author><name sortKey="Abdullah, Wa" uniqKey="Abdullah W">WA Abdullah</name></author><author><name sortKey="Lee, Cl" uniqKey="Lee C">CL Lee</name></author><author><name sortKey="Peng, Lh" uniqKey="Peng L">LH Peng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Levy, I" uniqKey="Levy I">I Levy</name></author><author><name sortKey="Leibovici, L" uniqKey="Leibovici L">L Leibovici</name></author><author><name sortKey="Drucker, M" uniqKey="Drucker M">M Drucker</name></author><author><name sortKey="Samra, Z" uniqKey="Samra Z">Z Samra</name></author><author><name sortKey="Konisberger, H" uniqKey="Konisberger H">H Konisberger</name></author><author><name sortKey="Ashkenazi, S" uniqKey="Ashkenazi S">S Ashkenazi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kuo, Kc" uniqKey="Kuo K">KC Kuo</name></author><author><name sortKey="Shen, Yh" uniqKey="Shen Y">YH Shen</name></author><author><name sortKey="Hwang, Kp" uniqKey="Hwang K">KP Hwang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Samanta, S" uniqKey="Samanta S">S Samanta</name></author><author><name sortKey="Farrer, K" uniqKey="Farrer K">K Farrer</name></author><author><name sortKey="Breathnach, A" uniqKey="Breathnach A">A Breathnach</name></author><author><name sortKey="Heath, Pt" uniqKey="Heath P">PT Heath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Velaphi, S" uniqKey="Velaphi S">S Velaphi</name></author><author><name sortKey="Wadula, J" uniqKey="Wadula J">J Wadula</name></author><author><name sortKey="Nakwa, F" uniqKey="Nakwa F">F Nakwa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bonadio, Wa" uniqKey="Bonadio W">WA Bonadio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bamford, C" uniqKey="Bamford C">C Bamford</name></author><author><name sortKey="Goodway, J" uniqKey="Goodway J">J Goodway</name></author><author><name sortKey="Hoffmann, R" uniqKey="Hoffmann R">R Hoffmann</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Cardoso, T" uniqKey="Cardoso T">T Cardoso</name></author><author><name sortKey="Almeida, M" uniqKey="Almeida M">M Almeida</name></author><author><name sortKey="Friedman, Nd" uniqKey="Friedman N">ND Friedman</name></author><author><name sortKey="Aragao, I" uniqKey="Aragao I">I Aragão</name></author><author><name sortKey="Costa Pereira, A" uniqKey="Costa Pereira A">A Costa-Pereira</name></author><author><name sortKey="Sarmento, Ae" uniqKey="Sarmento A">AE Sarmento</name></author><author><name sortKey="Azevedo, L" uniqKey="Azevedo L">L Azevedo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schneider, E" uniqKey="Schneider E">E Schneider</name></author><author><name sortKey="Whitmore, S" uniqKey="Whitmore S">S Whitmore</name></author><author><name sortKey="Glynn, K" uniqKey="Glynn K">K Glynn</name></author><author><name sortKey="Dominguez, K" uniqKey="Dominguez K">K Dominguez</name></author><author><name sortKey="Mitsch, A" uniqKey="Mitsch A">A Mitsch</name></author><author><name sortKey="Mckenna, Mt" uniqKey="Mckenna M">MT McKenna</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Clapp, Dw" uniqKey="Clapp D">DW Clapp</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beisel, Wr" uniqKey="Beisel W">WR Beisel</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Naidoo, R" uniqKey="Naidoo R">R Naidoo</name></author><author><name sortKey="Nuttall, J" uniqKey="Nuttall J">J Nuttall</name></author><author><name sortKey="Whitelaw, A" uniqKey="Whitelaw A">A Whitelaw</name></author><author><name sortKey="Eley, B" uniqKey="Eley B">B Eley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Hasan, Mn" uniqKey="Al Hasan M">MN Al-Hasan</name></author><author><name sortKey="Huskins, Wc" uniqKey="Huskins W">WC Huskins</name></author><author><name sortKey="Lahr, Bd" uniqKey="Lahr B">BD Lahr</name></author><author><name sortKey="Eckel Passow, Je" uniqKey="Eckel Passow J">JE Eckel-Passow</name></author><author><name sortKey="Baddour, Lm" uniqKey="Baddour L">LM Baddour</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koerner, R" uniqKey="Koerner R">R Koerner</name></author><author><name sortKey="Morgan, S" uniqKey="Morgan S">S Morgan</name></author><author><name sortKey="Ford, M" uniqKey="Ford M">M Ford</name></author><author><name sortKey="Orr, K" uniqKey="Orr K">K Orr</name></author><author><name sortKey="Mccomb, J" uniqKey="Mccomb J">J McComb</name></author><author><name sortKey="Gould, F" uniqKey="Gould F">F Gould</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moodley, P" uniqKey="Moodley P">P Moodley</name></author><author><name sortKey="Coovadia, Ym" uniqKey="Coovadia Y">YM Coovadia</name></author><author><name sortKey="Sturm, Aw" uniqKey="Sturm A">AW Sturm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berkley, Ja" uniqKey="Berkley J">JA Berkley</name></author><author><name sortKey="Lowe, Bs" uniqKey="Lowe B">BS Lowe</name></author><author><name sortKey="Mwangi, I" uniqKey="Mwangi I">I Mwangi</name></author><author><name sortKey="Williams, T" uniqKey="Williams T">T Williams</name></author><author><name sortKey="Bauni, E" uniqKey="Bauni E">E Bauni</name></author><author><name sortKey="Mwarumba, S" 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first="Brian" last="Eley">Brian Eley</name><name sortKey="Muloiwa, Rudzani" sort="Muloiwa, Rudzani" uniqKey="Muloiwa R" first="Rudzani" last="Muloiwa">Rudzani Muloiwa</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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