Comparison of the clinical characteristics and outcomes of Klebsiella pneumoniae and Streptococcus pneumoniae meningitis

被引：15

作者：

Jung, Jiwon ^{[1
]}

Park, Ki-Ho ^{[2
]}

Park, Seong Yeon ^{[3
]}

Song, Eun Hee ^{[4
]}

Lee, Eun Jung ^{[5
]}

Choi, Seong-Ho ^{[6
]}

Choo, Eun Ju ^{[7
]}

Kwak, Yee Gyung ^{[8
]}

Sung, Heungsup ^{[9
]}

Kim, Sung-Han ^{[1
]}

Lee, Sang-Oh ^{[1
]}

Kim, Mi-Na ^{[9
]}

Kim, Yang Soo ^{[1
]}

Woo, Jun Hee ^{[1
]}

Choi, Sang-Ho ^{[1
]}

机构：

[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Infect Dis, Seoul, South Korea

[2] Kyung Hee Univ, Kyung Hee Univ Hospital, Sch Med, Dept Internal Med,Div Infect Dis, Seoul, South Korea

[3] Dongguk Univ, Ilsan Hosp, Dept Internal Med, Div Infect Dis, Goyang, South Korea

[4] Univ Ulsan, Gangneung Asan Hosp, Coll Med, Dept Infect Dis, Kangnung, South Korea

[5] Soonchunhyang Univ Hosp, Dept Internal Med, Div Infect Dis, Seoul, South Korea

[6] Chung Ang Univ Hosp, Dept Internal Med, Div Infect Dis, Seoul, South Korea

[7] Soonchunhyang Univ, Bucheon Hosp, Dept Internal Med, Div Infect Dis, Bucheon, South Korea

[8] Inje Univ, Ilsan Paik Hosp, Dept Internal Med, Div Infect Dis, Goyarig, South Korea

[9] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Lab Med, Seoul, South Korea

来源：

DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE | 2015年 / 82卷 / 01期

关键词：

Klebsiella pneumoniae; Streptococcus pneumoniae; Meningitis; PYOGENIC LIVER-ABSCESS; ACUTE BACTERIAL-MENINGITIS; SOUTHERN TAIWAN; PROGNOSTIC FACTORS; RISK-FACTORS; SEROTYPE K1; HONG-KONG; ADULTS; KOREA; EXPERIENCE;

D O I：

10.1016/j.diagmicrobio.2015.02.006

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

This multicenter, retrospective cohort study compared the clinical characteristics and outcomes of community-acquired Klebsiella pneumoniae meningitis (CA-KPM). with those of community-acquired Streptococcus pneumoniae meningitis (CA-SPM). Eighty-three adult patients, 27 with CA-KPM and 56 with CA-SPM, were included. Diabetes mellitus (48.1% versus 21.4%; P = 0.01) and liver cirrhosis (22.2% versus 5.4%; P = 0.05) were more commonly associated with CA-KPM. Comatose mental status (40.7% versus 12.5%; P = 0.01), septic shock (44.4% versus 8.9%; P < 0.001), and concomitant extrameningeal infections (40.7% versus 7.1%; P = 0.001) were also more common in the CA-KPM group. The 28-day mortality (44.4% versus 10.7%; P < 0.001) and inhospital mortality (51.9% versus 14.3%; P < 0.001) were higher in the CA-KPM group. In conclusion, diabetes mellitus and liver cirrhosis are more common in the CA-KPM patients who were also more likely to present with severe manifestations and poor outcomes. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：87 / 91

页数：5

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