Abstract
Food prepared for intensive care patients was frequently contaminated with Klebsiella species. Sixty-eight per cent of nasogastric feeds were contaminated with up to 10(4) klebsiellae per ml. Hospital kitchens were the source of contamination. Three patients ingested klebsiellae and subsequently excreted the same serotype in their faeces. Over a four-week period there was a correlation between kitchen, food, faecal, and clinical serotypes of klebsiellae. Serotypes ingested by intensive care patients occurred more frequently in clinical isolates from intensive care patients than from other hospital patients. Patients often acquired a food strain that had been ingested by another patient on the same ward.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Casewell M. W. Experiences in the use of commercial antisera for the capsular typing of klebsiella species. J Clin Pathol. 1972 Aug;25(8):734–737. doi: 10.1136/jcp.25.8.734. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Casewell M. W., Phillips I. Epidemiological patterns of Klebsiella colonization and infection in an intensive care ward. J Hyg (Lond) 1978 Apr;80(2):295–300. doi: 10.1017/s0022172400053651. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Casewell M. W. Titres and cross reactions of commercial antisera for the capsular typing of Klebsiella species. J Clin Pathol. 1975 Jan;28(1):33–36. doi: 10.1136/jcp.28.1.33. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Casewell M., Phillips I. Hands as route of transmission for Klebsiella species. Br Med J. 1977 Nov 19;2(6098):1315–1317. doi: 10.1136/bmj.2.6098.1315. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Montgomerie J. Z., Doak P. B., Taylor D. E., North J. D., Martin W. J. Klebsiella in faecal flora of renal-transplant patients. Lancet. 1970 Oct 17;2(7677):787–792. doi: 10.1016/s0140-6736(70)91458-3. [DOI] [PubMed] [Google Scholar]
- Rose H. D., Schreier J. The effect of hospitalization and antibiotic therapy on the gram-negative fecal flora. Am J Med Sci. 1968 Apr;255:228–236. doi: 10.1097/00000441-196804000-00003. [DOI] [PubMed] [Google Scholar]
- Selden R., Lee S., Wang W. L., Bennett J. V., Eickhoff T. C. Nosocomial klebsiella infections: intestinal colonization as a reservoir. Ann Intern Med. 1971 May;74(5):657–664. doi: 10.7326/0003-4819-74-5-657. [DOI] [PubMed] [Google Scholar]
- Shooter R. A., Cooke E. M., Faiers M. C., Breaden A. L., O'Farrell S. M. Isolation of Escherichia coli, Pseudomonas aeruginosa, and Klebsiella from food in hospitals, canteens, and schools. Lancet. 1971 Aug 21;2(7721):390–392. doi: 10.1016/s0140-6736(71)90111-5. [DOI] [PubMed] [Google Scholar]