Risk factors for colonization with carbapenemase-producing Klebsiella pneumoniae in hospital: a matched case-control study

Am J Infect Control. 2014 Sep;42(9):1006-8. doi: 10.1016/j.ajic.2014.05.028.

Abstract

The present case-control study aimed to identify the main factors associated with colonization with carbapenemase-producing Klebsiella pneumoniae (CPKP) in acute care facilities. Administration of carbapenems (odds ratio [OR], 3.67; 95% confidence interval [CI], 1.37-9.83) and other antibiotics (OR, 2.83; 95% CI, 1.10-7.31) during the hospital stay was significantly associated with outcome. The design of this study, with concurrent selection of controls and matching by hospital ward and date of screening, provides a more accurate estimation of relative risks for CPKP colonization than previous investigations.

Keywords: Antibiotic prescription; Carbapenemase; Carrier; Klebsiella pneumoniae.

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Bacterial Proteins / metabolism*
  • Carbapenems / therapeutic use
  • Case-Control Studies
  • Cross Infection / microbiology*
  • Cross Infection / prevention & control
  • Female
  • Hospitals
  • Humans
  • Klebsiella Infections / microbiology*
  • Klebsiella Infections / prevention & control
  • Klebsiella pneumoniae / enzymology*
  • Klebsiella pneumoniae / growth & development*
  • Male
  • Prospective Studies
  • Risk Factors
  • beta-Lactamases / metabolism*

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • Carbapenems
  • beta-Lactamases
  • carbapenemase