Abstract
We report an investigation into faecal carriage of Klebsiella aerogenes and the distribution of this organism in the environment of three wards. In all three wards faecal carriage rates were high (60-70%). The faecal carriage rate increased with antibiotic administration and with length of in-patient stay. K. aerogenes was widely distributed in the ward environment and was found on the hands of nursing staff. Clusters of isolations of K. aerogenes of the same serotype were demonstrated indicating either patient-to-patient transfer or a common source of infection. The results indicate that even under conditions in which there are no outbreaks of K. aerogenes infection, there is a large reservoir of this organism both in the bowel of patients and in the ward environment.
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Selected References
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- Buck A. C., Cooke E. M. The fate of ingested Pseudomonas aeruginosa in normal persons. J Med Microbiol. 1969 Nov 4;2(4):521–525. doi: 10.1099/00222615-2-4-521. [DOI] [PubMed] [Google Scholar]
- Cooke E. M., Brayson J. C., Edmondson A. S., Hall D. An investigation into the incidence and sources of klebsiella infections in hospital patients. J Hyg (Lond) 1979 Jun;82(3):473–480. doi: 10.1017/s0022172400053997. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cooke E. M., Hettiaratchy I. G., Buck A. C. Fate of ingested Escherichia coli in normal persons. J Med Microbiol. 1972 Aug;5(3):361–369. doi: 10.1099/00222615-5-3-361. [DOI] [PubMed] [Google Scholar]
- 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]
- 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]
- Shinebaum R., Cooke E. M., Brayson J. C. Acquisition of Klebsiella aerogenes by neonates. J Med Microbiol. 1979 May;12(2):201–205. doi: 10.1099/00222615-12-2-201. [DOI] [PubMed] [Google Scholar]