Carbapenem-Resistant Klebsiella pneumoniae: Microbiology Key Points for Clinical Practice

Int J Gen Med. 2019 Nov 28:12:437-446. doi: 10.2147/IJGM.S214305. eCollection 2019.

Abstract

Carbapenemase-producing Klebsiella pneumoniae strains (Cp-Kpn) represent a challenge for clinical practitioners due to their increasing prevalence in hospital settings and antibiotic resistance. Clinical practitioners are often overwhelmed by the extensive list of publications regarding Cp-Kpn infections, treatment, characteristics, identification, and diagnosis. In this perspective article, we provide key points for clinical practitioners to consider for improved patient management including identification of risk factors and strategies for treatment. Additionally, we also discuss genetic underpinnings of antibiotic resistance, implementation of an antimicrobial stewardship program (ASP), and use of automated systems for detection of Cp-Kpn. Collectively, implementation of such key points would enhance clinical practices through providing practical knowledge to health professionals worldwide.

Keywords: carbapenemase–producing Klebsiella pneumonia; clinical practitioners; management.

Publication types

  • Review