Aspecte privind infecțiile pediatrice cu Klebsiella pneumoniae producătoare de betalactamaze | [Aspects regarding pediatric infections with Klebsiella pneumoniae ESBL]

Authors

  • Petronela-Cristina Chiriac Universitatea de Medicină și Farmacie, Craiova, România
  • Letiția-Doina Duceac Universitatea Apollonia din Iași, România
  • Vladimir Poroch Universitatea de Medicină și Farmacie „Grigore T. Popa” Iași, România
  • Magdalena Diaconu Universitatea de Medicină și Farmacie, Craiova, România
  • Liviu Stafie Direcția de Sănătate Publică, Iași, România
  • Valentin Cârlig Universitatea de Medicină și Farmacie, Craiova, România
  • Monica Marilena Țânțu Universitatea din Pitești, România

Keywords:

healthcare-associated infections, antibioresistance, Klebsiella, betalactamase, pediatrics

Abstract

Infections with Klebsiella spp. producing beta-lactams are a challenge for the management of antibiotics in hospitals and a problem for community health. The study was conducted on 24 patients admitted to St. Mary's Children’s Emergency Clinical Hospital in Iasi. Most cases were reported in infants of 0-12 months (75.00%) in the second trimester, with a predominance of cases in boys. The most frequent were the hypopharyngeal aspirations (29.16%) and the urocultures (16.67%). Strains of K. pneumoniae ESBL were associated with E. coli, Acinetobacter spp., and Enterococcus spp. 18 of these (75.00%) were also resistant to cephalosporin. The issue of ESBL-producing K. pneumoniae strains should be considered in order to be able to make the most appropriate recommendations for the use of antibiotics for the purpose of early and accurate application of control measures for multi-drug resistant micro-organisms.

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Published

2018-03-08

Issue

No. 2 (2017)

Section

Studii originale