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Comparison of biochemical and serological typing results and antimicrobial susceptibility patterns in the epidemiological investigation of Klebsiella spp

Published online by Cambridge University Press:  19 October 2009

A. M. Simoons-Smit ,
A. M. J. J. Verweij-Van Vught ,
P. M. J. M. De Vries  and
D. M. Maclaren
A. M. Simoons-Smit
Affiliation:
Research Group for Commensal Infections, Department of Medical Microbiology, Free University, 1081 BT Amsterdam, The Netherlands
A. M. J. J. Verweij-Van Vught
Affiliation:
Research Group for Commensal Infections, Department of Medical Microbiology, Free University, 1081 BT Amsterdam, The Netherlands
P. M. J. M. De Vries
Affiliation:
Research Group for Commensal Infections, Department of Medical Microbiology, Free University, 1081 BT Amsterdam, The Netherlands
D. M. Maclaren
Affiliation:
Research Group for Commensal Infections, Department of Medical Microbiology, Free University, 1081 BT Amsterdam, The Netherlands
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Summary

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An analysis of the serological and biochemical typing results of 925 clinical isolates of klebsiella revealed that biotyping and serotyping of klebsiella could replace each other for epidemiological purposes. The combination of both typing methods provided even more epidemiological information in analysing clusters of particular serotypes and biotypes in time. Clustering serotypes, mainly of neonatal origin, were nearly uniformly more resistant to the antibiotics in common use than other serotypes. Biotyping as well as serotyping of klebsiella isolates recovered from environmental surveys in the neonatal ward showed that epidemic and non-epidemic klebsiella isolates could occasionally be cultured from the environment and from the staff.

Type
Research Article
Information
Epidemiology & Infection , Volume 99 , Issue 3 , December 1987 , pp. 625 - 634
Copyright
Copyright © Cambridge University Press 1987

References

REFERENCES

Casewell, M. W. & Phillips, I. (1977). Hands as route of transmission for Klebsiella species. British Medical Journal 2, 1315–1317.CrossRefGoogle ScholarPubMed
Casewell, M. W. & Phillips, I. (1978). Epidemiological patterns of Klebsiella colonization and infection in an intensive care ward. Journal of Hygiene 80, 295–300.CrossRefGoogle Scholar
Casewell, M. W. & Talsania, H. G. (1979). Predominance of certain Klebsiella capsular types in hospitals in the United Kingdom. Journal of Infection 1, 77–79.CrossRefGoogle Scholar
Casewell, M. W. & Phillips, I. (1981). Aspects of plasmid-mediated antibiotic resistance and epidemiology of Klebsiella species. American Journal of Medicine 70, 459–461.CrossRefGoogle ScholarPubMed
Casewell, M. W., Dalton, M. T., Webster, M. & I., Phillips (1977). Gentamiein-resistant Klebsiella aerogenes in a urological ward. Lancet ii, 444–446.CrossRefGoogle Scholar
Cooke, E. M., Brayson, J. C., Edmondson, A. E. & Hall, D. (1979). An investigation into the incidence and sources of Klebsiella infections in hospital patients. Journal of Hygiene 82, 473–480.CrossRefGoogle ScholarPubMed
Curie, K., Speller, D. C. E., Simpson, R. A., Stephens, M. & Cooke, D. J. (1978). A hospital epidemic caused by a gentamicin-resistant Klebsiella aerogenes. Journal of Hygiene 80, 115–123.CrossRefGoogle ScholarPubMed
Davis, T. J. & Matsen, J. M. (1974). Prevalence and characteristics of Klebsiella species: relation to association with a hospital environment. Journal of Infectious Diseases 130, 402–405.CrossRefGoogle ScholarPubMed
Eickhoff, T. C., Steinhauer, B. W. & Finland, M. (1966). The Klebsiella Enterobacter–Serratia division. Biochemical and serologic characteristics and susceptibility to antibiotics. Ayutals of Internal Medicine 65, 1163–1179.Google ScholarPubMed
Hable, K. A., Matsen, J. M., Wheeler, D. J., Hunt, C. E. & Quie, P. G. (1972). Klebsiella type 33 septicemia in an infant intensive care unit. Journal of Pediatrics 80, 920–924.CrossRefGoogle Scholar
Hill, H. R., Hunt, C. E. & Matsen, J. M. (1974). Nosocomial colonization with Klebsiella type 26 in a neonatal intensive care unit associated with an outbreak of sepsis, meningitis and necrotizing enterocolitis. Journal of Pediatrics 85. 415–419.CrossRefGoogle Scholar
Julianelle, L. A. (1926). A biological classification of Encapsulatus pneumoniae (Friedländer's bacillus). Journal of Experimental Medicine 44, 113–128.CrossRefGoogle ScholarPubMed
Knittle, M. A., Eitzman, D. V. & Baer, H. (1975).Role of hand contamination of personnel in the epidemiology of Gram-negative nosocomial infections. Journal of Pediatrics 86, 433–437.CrossRefGoogle ScholarPubMed
Martin, W. J., Yu, P. K. W. & Washington, J. A. (1971). Epidemiologic significance of Klebsiella pneumoniae. A 3 month study. Mayo Clinical Proceedings 46, 785–793.Google ScholarPubMed
Morgan, M. E. I., Hart, C. A. & Cooke, R. W. I. (1984). Klebsiella infection in a neonatal intensive care unit: role of bacteriological surveillance. Journal of Hospital Infection 5, 377–385.CrossRefGoogle Scholar
Ørskov, I. (1952). Nosocomial infections with Klebsiella in lesions of the urinary tract. Acta Pathologica et Microbiologica Scandinavica 93 (suppl.), 259–271.Google ScholarPubMed
Ørskov, I. (1954). Nosocomial infections with Klebsiella in lesions of the urinary tract. Acta Pathologica et Microbiologica Scandinavica 35, 194–204.CrossRefGoogle ScholarPubMed
Price, D. J. E. & Sleigh, J. D. (1970). Control of infection due to Klebsiella aerogenes in a neurosurgical unit by withdrawal of all antibiotics. Lancet ii, 1213–1215.CrossRefGoogle Scholar
Riser, E., Noone, P. & Howard, F. M. (1980). Epidemiological study of Klebsiella infection in the special care baby unit of a London hospital. Journal of Clinical Pathology 33, 400–407.CrossRefGoogle ScholarPubMed
Salzman, T. C., Clark, J. J. & Klemm, L. (1967). Hand contamination of personnel as a mechanism of cross-infection in nosocomial infections with antibiotic-resistant Escherichia coli and Klebsiella-Aerobacter. Antimicrobial Agents and Chemotherapy 7, 97–100.Google ScholarPubMed
Shinebaum, R., Cooke, E. M. & Brayson, J. C. (1979). Acquisition of Klebsiella aerogenes by neonates. Journal of Medical Microbiology 12, 201–205.CrossRefGoogle ScholarPubMed
Simoons-Smit, A. M., Verweij-van Vught, A. M. J. J., Kanis, I. Y. R. & Maclaren, D. M. (1985). Biochemical and serological investigations on clinical isolates of Klebsiella. Journal of Hygiene 95, 265–276.CrossRefGoogle ScholarPubMed
Steinhauer, B. W., Eickhoff, T. C., Kislak, J. W. & Finland, M. (1966). The Klebsiella–Enterobacter–Serratia Division. Clinical and epidemiologic characteristics. Annals of Internal Medicine 65, 1180–1194.CrossRefGoogle ScholarPubMed
Thomas, F. E., Jackson, R.Melly, A. & Alford, R. H. (1977). Sequential hospital-wide outbreaks of resistant Serratia and Klebsiella infections. Archives of Internal Medicine 137, 581–584.CrossRefGoogle Scholar