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. 1979 Jun;82(3):473–480. doi: 10.1017/s0022172400053997

An investigation into the incidence and sources of klebsiella infections in hospital patients.

E M Cooke, J C Brayson, A S Edmondson, D Hall
PMCID: PMC2130080  PMID: 376698

Abstract

Coliforms isolated from infections over a period of 22 months were examined and 16% were shown to be klebsiellas. The biochemical reactions and serotypes of these klebsiellas were determined and the relationship between species, serotype and type of infection investigated. Although no obvious outbreaks of infection occurred during this period a number of clusters of isolations of the same serotype of klebsiella were found. Using an enrichment method for the isolation of klebsiellas from faeces, sero and bacteriocin typing, and the examination of ten colonies, it was demonstrated that half of the patients carried a klebsiella of the same type in the bowel as caused the infection.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Curie K., Speller D. C., Simpson R. A., Stephens M., Cooke D. I. A hospital epidemic caused by gentamicin-resistant Klebsiella aerogenes. J Hyg (Lond) 1978 Feb;80(1):115–123. doi: 10.1017/s0022172400053432. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. DARRELL J. H., WAHBA A. H. PYOCINE-TYPING OF HOSPITAL STRAINS OF PSEUDOMONAS PYOCYANEA. J Clin Pathol. 1964 May;17:236–242. doi: 10.1136/jcp.17.3.236. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Dans P. E., Barrett F. F., Casey J. I., Finland M. Klebsiella-Enterobacter at Boston City Hospital, 1967. Arch Intern Med. 1970 Jan;125(1):94–101. [PubMed] [Google Scholar]
  4. Davis T. J., Matsen J. M. Prevalence and characteristics of Klebsiella species: relation to association with a hospital environment. J Infect Dis. 1974 Oct;130(4):402–405. doi: 10.1093/infdis/130.4.402. [DOI] [PubMed] [Google Scholar]
  5. Donovan T. J. A Klebsiella screening medium. J Med Lab Technol. 1966 Jul;23(3):194–197. [PubMed] [Google Scholar]
  6. Durlakowa I., Lachowicz Z., Slopek S. Serologic characterization of Klebsiella bacilli on the basis of properties of the capsular antigens. Arch Immunol Ther Exp (Warsz) 1967;15(4):497–504. [PubMed] [Google Scholar]
  7. EDWARDS P. R., FIFE M. A. Studies on the Klebsiella-Aerobacter group of bacteria. J Bacteriol. 1955 Oct;70(4):382–390. doi: 10.1128/jb.70.4.382-390.1955. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Edmondson A. S., Cooke E. M. The development and assessment of a bacteriocin typing method for Klebsiella. J Hyg (Lond) 1979 Apr;82(2):207–223. doi: 10.1017/s0022172400025626. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Martin W. J., Yu P. K., Washington J. A., 2nd Epidemiologic significance of Klebsiella pneumoniae. A 3-month study. Mayo Clin Proc. 1971 Dec;46(12):785–793. [PubMed] [Google Scholar]
  10. 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]
  11. Price D. J., Sleigh J. D. Control of infection due to Klebsiella aerogenes in a neurosurgical unit by withdrawal of all antibiotics. Lancet. 1970 Dec 12;2(7685):1213–1215. doi: 10.1016/s0140-6736(70)92179-3. [DOI] [PubMed] [Google Scholar]
  12. 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]
  13. Steinhauer B. W., Eickhoff T. C., Kislak J. W., Finland M. The Klebsiella-Enterobacter-Serratia division. Clinical and epidemiologic characteristics. Ann Intern Med. 1966 Dec;65(6):1180–1194. doi: 10.7326/0003-4819-65-6-1180. [DOI] [PubMed] [Google Scholar]
  14. Thom B. T. Klebsiella in faeces. Lancet. 1970 Nov 14;2(7681):1033–1033. doi: 10.1016/s0140-6736(70)92845-x. [DOI] [PubMed] [Google Scholar]

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