pathophysiology of klebsiella pneumoniaepermanent tiny homes for sale near berlin


meningitis. 87, 315317. It is crucial to identify highly conserved antigens of K. pneumoniae strains to develop antibodies or vaccines with comprehensive coverage and extensive protection across strains (Lundberg et al., 2013). Clinical features, diagnosis, and treatment of Klebsiella pneumoniae infection. The bacteria remain susceptible to aminoglycosides and some cephalosporins, and varying degrees of inhibition of the beta-lactamase with clavulanic acid have been reported. The infection is often manifested in multiple organs (Struve et al., 2015). Over the past 10 years, a progressive increase in CRKP has been seen worldwide; however, this new emerging nosocomial pathogen is probably best known for an outbreak in Israel that began around 2006 within the healthcare system there. Molecular basis of Klebsiella pneumoniae colonization in host. Microbiology and pathogenesis of Klebsiella pneumoniae The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. 1:e7. 199, 517519. Microbiol Mol Biol Rev. Importantly, mice that survived the seventh day postinfection eventually survived the complete challenge period up to day 15, suggesting the possibility of a critical time window during the disease progress. Vaccine. Carbapenems should be considered the treatment of choice against Extended-Spectrum Beta-Lactamase (ESBL)-producer stains, colistin, tigecycline, and intravenous fosfomycin should be chosen for the strains producing carbapenems (Yu and Chuang, 2015). Liver abscess caused by Klebsiella pneumoniae in diabetic patients. Bacteriophage targeting microbiota alleviates non-alcoholic Habitat association of Klebsiella species. [citation needed], The majority of AMR genes in Klebsiella pneumoniae are plasmid-borne. Necropsy and histologic findings include seropurulent or serofibrinous lesions in the thoracic and abdominal cavities, mastitis, splenomegaly, thrombosis, coagulative necrosis of the liver, granular degeneration of the renal tubule cells, and septicemias. Discriminating between colonization and infection has always been a puzzle for clinicians and researchers, making it difficult for subsequent intervention strategies. A distinct Biol. Klebsiella Infections Treatment & Management. Since its emergence in the 1990s, it has gradually become prevalent worldwide with high mortality (Table 2). Most gram-negative bacilli produce a necrotizing bronchopneumonia with hemorrhage and abscess formation. The abundant mucoid coat of the klebsiellae gives the pneumonic lesions a distinctively slimy appearance and feel. Studies on patients whose mean ages were more than 60years showed that 17.2% of all CAPs and 6.511.6% of all HAPs were caused by K. pneumoniae (Teramoto et al., 2015). Illness, antibiotic use, or a weak immune system increase the risk. Increasing reports of the multiorgan clinical manifestation associated with K. pneumoniae such as liver abscess, bacteremia, meningitis, endophthalmitis, and necrotizing fasciitis indicate a high prevalence hvKp, which has become a global disease that requires immediate attention. 2.5 Enterobacter cloacae 277. Pharyngeal flora in ambulatory alcoholic patients: prevalence of gram-negative bacilli. doi: 10.1128/iai.57.2.546-552.1989, Nassif, X., and Sansonetti, P. J. Health care-associated infectionsan overview. 4, day 2, and Chrs. doi: 10.1016/j.mib.2005.08.014. Furthermore, CM caused by K. pneumoniae is usually more severe than CM due to E. coli [ 3 ]. In hospitalized patients, colonization rates in the nasopharynx rise to 19%, while it can be as high as 77% in the gastrointestinal tract (Pollack et al., 1972; Podschun and Ullmann, 1998). Lifesty. You may also need imaging tests of the abdomen, bladder, brain, or bone, depending on your symptoms and physical examination. (2017). The epidemiology of carbapenem-resistant Enterobacteriaceae: the impact and evolution of a global menace. A., and Hardy, P. H. (1972). Further analysis revealed that SHV-2a, TEM-1, and OXA-47 were expressed, and antibiotic susceptible extracellular membrane proteins were absent, leading to their resistance to various antibiotics. doi: 10.7326/0003-4819-74-5-657, Shobowale, E. O., Adegunle, B., and Onyedibe, K. (2016). Careers. CRKP is resistant to almost all available antimicrobial agents, and infections with CRKP have caused high rates of morbidity and mortality, in particular among persons with prolonged hospitalization and those critically ill and exposed to invasive devices (e.g., ventilators or central venous catheters). Virulence, Biofilm and Antibiotic Resistance Treatment of serious infection with ESBL-producing K. pneumoniae is extremely difficult because the organisms are increasingly resistant to multiple antibiotics, which may be caused by very complex mechanisms. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Lancet Infect. classically produce a lobar pneumonia with a slimy mucoid appearance and an unexplained predilection for the upper lobes (Fig. (2001). 146, 19131916. Cobo, F. M., Aliaga, L. M., Daz, F. M., Mediavilla, J. G., and Arrebola, J. N. (1999). Yao, H., Qin, S., Chen, S., Shen, J., and Du, X.-D. (2018). Klebsiella pneumonia typically occurs in patients who are immunocompromised due to age, ethanol abuse, or diabetes mellitus. Infect. [34] The Centers for Disease Control and Prevention released guidance for aggressive infection control to combat CRKP: Israel 2007-2008. Agents 52, 898905. Afroza, S. (2006). In such cases, a microbiology laboratory must run tests to determine which antibiotics will treat the infection. Pneumonia from K. pneumoniae can result in: Fevers and chills Flu-like symptoms Cough, which may produce mucus that's yellow, green, or bloody Breathing Pneumonia Klebsiella pneumoniae is a member of the Klebsiella genus of Enterobacteriaceae and belongs to the normal flora of the human mouth and intestine. Nat. The antibodies and vaccines against capsular polysaccharides are being developed but facing difficulties due to a total of 77 different capsules and nine different kinds of LPS serotypes present in the K. pneumoniae (Ahmad et al., 2012; Diago-Navarro et al., 2017, 2018; Hegerle et al., 2018). doi: 10.1016/j.tmaid.2008.02.005, Pfeifer, Y., Schlatterer, K., Engelmann, E., Schiller, R. A., Frangenberg, H. R., Stiewe, D., et al. J. Hosp. At the same time, the effective immune system controls bacterial replication to prevent infection. An overview of carbapenem-resistant Klebsiella pneumoniae: epidemiology and control measures. Klebsiella pneumoniae (2019). Whole genome sequence analysis of the first Australian OXA-48-producing outbreak-associated Klebsiella pneumoniae isolates: the resistome and in vivo evolution. NDM-1a cause for worldwide concern. The first reported blaKPC-K. pneumoniae strain was isolated in a hospital located in North Carolina in 1996 and submitted to the Centers for Disease Control and Prevention (CDC) through the intensive care antimicrobial resistance epidemiology program (ICARE; Yigit et al., 2001). At present, cases of hvKp have already been reported from Europe, Asia, and the United States (Russo and Marr, 2019). Richard L. Kradin M.D., D.T.M. WHO (2009). Therefore, containment on a nationwide scale requires nationwide intervention. doi: 10.1016/S1473-3099(06)70601-6, Calfee, D. P. (2017). In fact, calculation of the H2 confirms that, with an H2 of 0.45. 9.41A). Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. [28][29] One of many CREs is carbapenem-resistant Klebsiella pneumoniae (CRKP). Arch. Although found in the normal flora of the mouth, skin, and intestines,[1] it can cause destructive changes to human and animal lungs if aspirated, specifically to the alveoli resulting in bloody, brownish or yellow colored jelly-like sputum. Front. These factors include: 1. For patients with gangrene, abscess, and empyema, surgery or interventional treatment should be performed. Paczosa, M. K., and Mecsas, J. doi: 10.1001/archinte.162.9.1021, Van Duin, D., and Doi, Y. [citation needed] New antibiotic-resistant strains of K. pneumoniae are appearing. [10][13], Klebsiella possesses beta-lactamase giving it resistance to ampicillin, many strains have acquired an extended-spectrum beta-lactamase with additional resistance to carbenicillin, amoxicillin, and ceftazidime. An assessment of hand hygiene practices of healthcare workers of a semi-urban teaching hospital using the five moments of hand hygiene. J Exp Med. 8 and 18, day 8). Impact of individualized active surveillance of carbapenem-resistant Enterobacteriaceae on the infection rate in intensive care units: a 3-year retrospective study in a teaching hospital of peoples republic of China. Diagn. doi: 10.1371/journal.pone.0059920, Fair, R. J., and Tor, Y. Paczosa MK, Mecsas J. Klebsiella pneumoniae: Going on the offense with a strong defense. The table Your physical exam will include an assessment of your temperature, throat, breathing sounds, and an examination of your abdomen for tenderness. doi: 10.1001/archinte.1978.03630370033017. Similarly, Gorrie et al. Hypervirulent K. pneumoniae strains often show hypermucoviscosity, are of the K1 or K2 serotype, and harbor the rmpA and magA genes. Med. Due to its extensive presence in humans, gastrointestinal colonization serves as a major reservoir for transmission and infection to other sites (Martin et al., 2016; Dorman and Short, 2017). Klebsiella identification can be done with microbiological culture and string test, real time PCR, and random amplified polymorphic DNA (RAPD) analysis (Burke et al., 2009). Identification and characterization of antigens as vaccine candidates against Klebsiella pneumoniae. Today, K. pneumoniae pneumonia is considered the most common cause of hospital-acquired pneumonia in the United States, and the organism accounts for 3% to 8% of all nosocomial bacterial infections. pneumonia, etc. Ann. Centers for disease control and prevention. Genetic susceptibility to infectious diseases: big is beautiful, but will bigger be even better? These achievements emphasize the power of the CC population to enable fine mapping with high resolution of narrow genomic intervals (<0.6Mb). Lancet 2, 668671. (2014). Direct ertapenem disk screening method for identification of KPC-producing Klebsiella pneumoniae and Escherichia coli in surveillance swab specimens. Sci. (2018). All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Mark, in Diagnostic Pathology of Infectious Disease (Second Edition), 2018. The site is secure. Language links are at the top of the page across from the title. Other methods to improve immunity include maintaining a healthy lifestyle, including regular exercise, ensuring enough sleep, smoking cessation, healthy diets, including fruits and vegetables (Monye and Adelowo, 2020). The high virulence of these strains is recapitulated in animal models as demonstrated by a 50% lethal dose (LD50) being as low as 103 colony forming units (Nassif and Sansonetti, 1986). A method for generation phage cocktail with great therapeutic potential. Mol. 215, S18S27. WebKlebsiella pneumoniae is a ubiquitous Gram-negative encapsulated bacterium that resides in the mucosal surfaces of mammals and the environment (soil, water, etc.). Dis. doi: 10.1128/AEM.67.7.3325-3327.2001, Podschun, R., and Ullmann, U. Intern. Positive control of colanic acid synthesis in Escherichia coli by rmpA and rmpB, two virulence-plasmid genes of Kiebsiella pneumoniae. Klebsiella pneumoniae bacterial infections outside a hospital Also, the use of antibiotics can be a factor that increases the risk of nosocomial infection with Klebsiella bacteria. doi: 10.1016/S1473-3099(10)70143-2, Lee, K. H., Hui, K. P., Tan, W. C., and Lim, T. K. (1994). Clin. 12:13. doi: 10.1186/1471-2180-12-13, Lindstrom, S., Healey, P., and Chen, S. (1997). Aging causes a weakened/dysfunctio nal human immune system, reducing the ability to combat pathogens. For patients with indwelling devices, specimens should be screened for the presence of bacterial pathogens from relevant sites, such as skin, urine, sputum, and wound secretions (Baron et al., 2013). Gastrointestinal carriage is a major reservoir of Klebsiella pneumoniae infection in intensive care patients. In the J. Clin. 41, S481S489. Klebsiella Infections Clinical Presentation: History, Physical, Causes 16, 14901491. Klebsiella pneumoniae producing KPC carbapenemase in a district general hospital in the UK. Table 1. In summary, infections by K. pneumoniae often derive from the colonizing bacteria within the host, and both clinical and bacteriological factors should be considered to distinguish active infection from colonization. F1000Res 6:1760. doi: 10.12688/f1000research.11532.1, Cataln-Njera, J. C., Garza-Ramos, U., and Barrios-Camacho, H. (2017). Tsai, S. S., Huang, J. C., Chen, S. T., Sun, J. H., Wang, C. C., Lin, S. F., et al. Environ. Med. [30] In the US, it was first described in North Carolina in 1996;[31] since then CRKP has been identified in 41 states;[32] and is routinely detected in certain hospitals in New York and New Jersey. 48, 1522. 18). Front Cell Infect Microbiol. Thus, the strains that are initially susceptible to antibiotics may quickly become resistant through horizontal gene transfer. [9][10] In terms of the pathophysiology of Klebsiella pneumonia the neutrophil myeloperoxidase defense against K. pneumoniae is often seen. [46] The recent 2022 IHME study showed that in 2019 K. pneumoniae was responsible for 790,000 deaths [571,000 - 1,060,000] in all age groups across 11 infectious syndromes. [43], Multiple drug-resistant K. pneumoniae strains have been killed in vivo by intraperitoneal, intravenous, or intranasal administration of phages in laboratory tests. Ashurst, John V, Dawson, Adam. Ray, C. G., and Ryan, K. J. These may progress to massive pulmonary gangrene.80 Chronic Klebsiella pneumonia may mimic tuberculosis by presenting with cavitating upper-lobe disease. The blaKPC-K. pneumoniae strains have been isolated across the globe in recent years, indicating their global presence. The Carb NP test and molecular identification have been used to screen Enterobacteriaceae producing carbohydrase, especially for CRKP in asymptomatic carriers (Dortet et al., 2014). Khler, W., and Mochmann, H. (1987). It appears as a mucoid lactose fermenter on MacConkey agar. This material is mucicarminophilic, a characteristic that is often helpful in identifying the infection in histological sections. Health 3:e000647. 58, 12141217. Moreover, variances of the mean survival time at different time points between days 1 and 2 were successfully mapped, using only 48 CC lines. Russo, T. A., and Marr, C. M. (2019). Infect. mSphere 1, e00261e00316. 12:750662. doi: 10.3389/fmicb.2021.750662. [7], The most common condition caused by Klebsiella bacteria outside the hospital is pneumonia, typically in the form of bronchopneumonia and also bronchitis. Any wounds or painful skin areas will be examined for redness, swelling, or warmth. 29, 15701571. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. However, the colonization can turn into an infection when the host immunity fails to control the pathogen growth, examples of which include patients with diabetes, on glucocorticoid therapy, and those who have received organ transplantation. Acta Paediatr. Infect. Related symptoms can include fever and a productive (2020). Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: a molecular, biological, and epidemiological study. It is a common cause of ventilator-associated pneumonia (VAP).48 Like the pneumococcus, Klebsiella spp. Arch. Klebsiella pneumoniae Accessed: VacZine Analytics. Microbiol. (1986). Carbapenems are described as our last line of defense against drug-resistant bacteria. doi: 10.1001/archinte.1986.00360220057011, Liu, C., and Guo, J. doi: 10.1093/cid/cix270, Gu, J., Liu, X., Li, Y., Han, W., Lei, L., Yang, Y., et al. Bethesda, MD 20894, Web Policies produce a chronic necrotizing pneumonia with scarring and distortion of the pulmonary anatomy (see Fig. Microbiol. Gomez-Simmonds, A., and Uhlemann, A.-C. (2017). Illness most commonly affects middle-aged and older men more often than women with debilitating diseases. My blood creatinine of 1.60 mg/dL, age 72, male, diabetic with HbA1c of 5.5%. 49, 43714373. Emergence of oxacillinase-mediated resistance to imipenem in Klebsiella pneumoniae. Klebsiella Oxytoca 58, 24412445. doi: 10.1017/S0195941700062603, Baron, E. J., Miller, J. M., Weinstein, M. P., Richter, S. S., Gilligan, P. H., Thomson, R. B., et al. PLoS One 7:e31698. Klebsiella pneumoniae is a type of bacteria that lives naturally in our environment, per the hospital. [24], Klebsiella organisms are often resistant to multiple antibiotics. WebKlebsiella is a type of bacteria commonly found in nature. Most frightening of all, CRKP can pass on its resistance to other bacteria through horizontal gene transfer by various methods, including bacterial conjugation, leading to drug resistance. Klebsiella pneumoniae is a gram-negative, encapsulated, non-motile bacterium found in the environment and has been associated with pneumonia in patient populations with alcohol use disorder or diabetes mellitus. WHO Guidelines on Hand Hygiene in Health Care: World Alliance for Patient Safety . Microbiol. Clin. Med. QNF19074). Rational and standardized use of antibiotics, which includes particular indications, adequate dose, sufficient duration of treatment, cautious change of antibiotics, and other interventions such as surgical drainage and removal of implants, whenever possible, should be followed (Weichman et al., 2013). In subsequent years, outbreaks of the OXA-48 strains occurred in various regions of Turkey. Because of this, some institutions maintain physical separation between Cercopithecus aethiops (African green monkeys), and macaque species (Burke et al., 2009). Other frequent resistance targets include aminoglycosides, fluoroquinolones, tetracyclines, chloramphenicol, and trimethoprim/sulfamethoxazole.[26]. Research conducted at King's College, London has implicated molecular mimicry between HLA-B27 and two Klebsiella surface molecules as the cause of ankylosing spondylitis. 71, 140143. The organisms are short gram-negative bacilli that can be demonstrated with both tissue gram stain (see Fig. B., et al. WebGeneral Information Klebsiella [klebseeelluh] is a type of gram-negative bacteria that can cause different types of healthcare-associated infections, including pneumonia, Giuliano, C., Patel, C. R., and Kale-Pradhan, P. B. Clin. Klebsiella pneumoniaeis a gram-negative, encapsulated, non-motile bacterium found in the environment and has been associated with pneumonia in patient Klebsiella pneumonia, StatPearls, November 22,. (1994) observed 101 patients diagnosed with Klebsiella bacteremia and found that 36% of patients had diabetes, and 26% had malignant tumors (Tsai et al., 2010). 2018 Jan 22;8:4. doi: 10.3389/fcimb.2018.00004. 8:4. doi: 10.3389/fcimb.2018.00004, Martin, R. M., Cao, J., Brisse, S., Passet, V., Wu, W., Zhao, L., et al. ScienceDirect is a registered trademark of Elsevier B.V. ScienceDirect is a registered trademark of Elsevier B.V. IHU Mditerrane Infection, Marseille, France, Study Group on Mechanisms of Action and Resistance to Antimicrobials (GEMARA) the Behalf of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), Madrid, Spain, Istituto Superiore Di Sanita, Rome, Italy, Bioactive Food as Dietary Interventions for Arthritis and Related Inflammatory Diseases (Second Edition), Collaborative Cross as the Next-Generation Mouse Genetic Reference Population Designed for Dissecting Complex Traits, Molecular-Genetic and Statistical Techniques for Behavioral and Neural Research, The Laboratory Rabbit, Guinea Pig, Hamster, and Other Rodents, Laboratory Animal Medicine (Third Edition), Diagnostic Pathology of Infectious Disease (Second Edition), Diagnostic Pathology of Infectious Disease, Nervous System Disorders of Nonhuman Primates and Research Models, Nonhuman Primates in Biomedical Research (Second Edition), Volume 2, Fox and Rohovsky, 1975; Gonzalo and Montoyo, 1991; Pisharath et al., 2005, Twenhafel et al., 2008; Burke et al., 2009, Klebsiella pneumoniae and Pseudomonas aeruginosa, Molecular Medical Microbiology (Second Edition). doi: 10.4161/hv.23225, Magiorakos, A., Burns, K., Bao, J. R., Borg, M., Daikos, G., Dumpis, U., et al. We report a case of pan-susceptible HvKP infection in Klebsiella pneumoniae This site needs JavaScript to work properly. -, Esposito EP, Cervoni M, Bernardo M, Crivaro V, Cuccurullo S, Imperi F, Zarrilli R. Molecular Epidemiology and Virulence Profiles of Colistin-Resistant Klebsiella pneumoniae Blood Isolates From the Hospital Agency "Ospedale dei Colli," Naples, Italy. Klebsiella pneumoniae is a gram-negative, nonmotile bacillus that causes rare epizootics in guinea pigs of all ages and both sexes. The gene that encodes the blakpc enzyme is carried on a mobile piece of genetic material (a transposon; the specific transposon involved is called Tn4401), which increases the risk for dissemination. Typical K. pneumoniae genomes are ~56 Mbp in size, encoding ~5,0006,000 genes. Klebsiella pneumonia is a leading cause of nosocomial infection among people of all ages, ranging from infants to older adultsthat is, disease originating in the hospital. From a genomic perspective, these studies demonstrated that gastrointestinal microbiota is a prominent source of nosocomial K. pneumoniae infections, 80% of which are caused by self-colonizing strains. Rev. Trautner, B. W., and Darouiche, R. O. Quinolones could be administered intravenously if patients respond rapidly. doi: 10.1128/AAC.00774-09. Trautmann M et al. Front Microbiol. Superbugs and Hospital-Acquired Infections. (2016). isolates from North American Pacific coastal marine mammals Authors Community acquired Klebsiella pneumoniae meningitis, although rare in the United States, commonly causes rapid deterioration of mental status and high mortality. 199, 697705. A whole-cell bacterin vaccine was used beneficially in a colony experiencing significant mortality due to K. pneumoniae in marmosets, cebus, and squirrel monkeys (Ludlage and Mansfield, 2003). Chang Gung Med. doi: 10.1001/archinte.164.8.842. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher. Of The most important mechanism of resistance by CRKP is the production of a carbapenemase enzyme, blakpc. 9.5A), ranging between 2 and 15days of survival postinfection. cough with mucus. The hypermucoviscous phenotype is contributed by a unique plasmid in some of these strains (Nassif et al., 1989; Nassrf et al., 1989). (1971), which demonstrated that K. pneumoniae infections often show similar serotypes as colonizing bacteria in the intestinal tract. Klebsiella pneumoniae The intervention entailed physical separation of all CRE carriers and appointment of a task force to oversee efficacy of isolation by closely monitoring hospitals and intervening when necessary. Please enable it to take advantage of the complete set of features! [48]. Mymensingh Med. 200, e45e67. PLoS One 8:e59920. Of the pathogenic Klebsiella species, K. pneumoniae is the Pharmacy Ther. (2017) analyzed the relationship between colonization and susceptibility to infection by K. pneumoniae in 498 ICU patients. 2018;9:1463. Westmoreland, in Nonhuman Primates in Biomedical Research (Second Edition), Volume 2, 2012. Extrinsic factors include exposure to a causative [21] Further examinations and treatments are made on a case-by-case basis, as there are currently no international guidelines. doi: 10.1093/cid/cit278, Burgner, D., Jamieson, S. E., and Blackwell, J. M. (2006). The bacterium typically colonizes human mucosal surfaces of the oropharynx and gastrointestinal (GI) tract. 7-39A, B). with extensive scarification of necrotic lung. doi: 10.1016/j.jhin.2011.03.016, Weichman, K. E., Levine, S. M., Wilson, S. C., Choi, M., and Karp, N. S. (2013). Emerg. doi: 10.3201/eid0702.010217, Podschun, R., Pietsch, S., Hller, C., and Ullmann, U. [Serological varieties of Klebsiella pneumoniae in pneumonia]. doi: 10.1371/journal.pone.0031698, Guven, G., and Uzun, O. J. 7-40B) and GMS by virtue of their capsules. Identification of biomarkers for differentiation of hypervirulent Klebsiella pneumoniae from classical K. pneumoniae. Invasive Klebsiella pneumoniae infections, California, USA. Dis. Klebsiella pneumoniae is an important gram-negative opportunistic pathogen that causes a variety of infectious diseases, including urinary tract infections, bacteremia, pneumonia, and liver abscesses. The ST11 CR-HvKp strain infects the lungs and causes pneumonia, and invades the blood and other organs, potentially resulting in incurable and fatal infections in relatively healthy individuals. The threat of antibiotic resistance in gram-negative pathogenic bacteria: -lactams in peril! It has a death rate around 50%, even with antimicrobial therapy. Appl. Clin. 11, 211219. However, colistin-resistant strains of K. pneumoniae have been reported in ICUs. (2001). The KP strain used in this study, K2, was originally isolated from human blood (further details in Ref. If you have an infection caused by Klebsiella pneumoniae, it can be treated, but it may take time for your medical team to identify the right antibiotic and for the infection to be eradicated for a full recovery. An example of a niche would be soil, often considered a hotspot for gene transfer. November 24, 2010. Zh Mikrobiol Epidemiol Immunobiol. Fliss M, van den Berg CHSB, Kuijper E, Notermans DW, Hendrickx APA, Schoots MH, Bathoorn E. Eur J Clin Microbiol Infect Dis. Richard L. Kradin, Eugene J. 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