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Klebsiella Infection: Causes, Symptoms Diagnosis, and Treatment

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Klebsiella is a Gram-negative bacterium and a leading cause of healthcare-associated infections (HAIs). Read this article to learn more.

Medically reviewed by

Dr. Shubadeep Debabrata Sinha

Published At November 2, 2023
Reviewed AtNovember 2, 2023

Introduction:

Klebsiella is a genus of bacteria that includes several species, with Klebsiella pneumoniae being the most well-known. This bacterium is commonly found in the human respiratory system and can cause pneumonia and other infections. Klebsiella is a type of bacteria that is found in nature. These bacteria are typically found in areas of the digestive tract where they do not cause problems. Klebsiella pneumoniae and Klebsiella Oxytoca cause the majority of human illnesses. Many Klebsiella infections occur in hospitals or other long-term care facilities. Klebsiella is responsible for up to eight percent of all hospital infections. Klebsiella infections are more likely in people with a weakened immune system or with a medical device in their airway, such as a urinary catheter or a tube. Antibiotic-resistant Klebsiella strains have proliferated due to the widespread use of antibiotics.

What Are the Causes of Transmission of Klebsiella Infection?

Klebsiella infection is caused by the Klebsiella bacteria. This bacterium is commonly found in the human respiratory system, as well as in the digestive tract. Klebsiella infection can occur when the bacteria enter the body through a wound, surgical site, or catheter. Contact with infected surfaces or objects is another route of transmission. Klebsiella infection is more common in hospital settings, where patients are more vulnerable to infection due to weakened immune systems. Patients on ventilators or with catheters are also at a higher risk of developing Klebsiella infection.

What Are the Symptoms of Klebsiella Infection?

The symptoms of Klebsiella infection depends on the type of infection and the location. Some common symptoms of Klebsiella infection include:

• Fever.

• Chills.

• Cough.

• Shortness of breath.

• Chest pain.

• Fatigue.

• Muscle aches.

• Joint pain.

• Headache.

• Nausea and vomiting.

• Diarrhea.

How Is a Klebsiella Infection Diagnosed?

Klebsiella infections are typically diagnosed by collecting and testing appropriate specimens in the laboratory, such as blood, urine, or sputum. Doctors may collect a urine sample if they suspect a urinary tract infection. Antibiotics are usually prescribed right away to treat the infection. The clinical features, diagnosis, and treatment of Klebsiella infections depend on the type of infection and site within the body. It is best to seek medical care if one suspects they have a Klebsiella infection, as these infections can be dangerous if left untreated. The turnaround time for Klebsiella infection testing can vary widely between laboratories and test types. However, people should immediately see a doctor if they suspect they have a Klebsiella infection. Taking samples and sending them to a laboratory are the only surefire ways to diagnose Klebsiella infection. For instance, a urine sample might be taken if a urinary tract infection is suspected. A physician may recommend imaging tests, like X-ray or CT scan.

How Is a Klebsiella Infection Treated?

The treatment of a Klebsiella infection is dependent on the type of infection as well as the degree to which it has progressed. Antibiotics are typically the treatment of choice for infections considered mild, while hospitalization and intravenous antibiotics may be necessary for infections considered severe. It is essential to be aware that the bacteria that cause Klebsiella infections are becoming more resistant to antibiotics, which makes treatment more challenging. In some instances, the bacteria may be resistant to all the antibiotics currently on the market, making it difficult or even impossible to treat the infection.

Antibiotics for Klebsiella infection: Antibiotics used to treat Klebsiella infections include Cefoperazone, Sulbactam, and Piperacillin. Tazobactam, Imipenem, Ampicillin or Sulbactam, Ticarcillin or Clavulanate, and Ceftazidime. In some cases, combination therapy with β-lactam or/β-lactamase inhibitors, third- and fourth-generation cephalosporins, carbapenems, and aminoglycosides may be used. The antibiotic choice depends on the type of Klebsiella bacteria causing the infection and its antibiotic resistance. It is important to note that self-medication, lack of awareness, and the misuse of antibiotics can contribute to antibiotic resistance. Therefore, it is important to follow the advice of a healthcare professional when taking antibiotics for a Klebsiella infection.

What Are the Risk Factors for Klebsiella Infection?

Usage of or the presence of an indwelling catheter, feeding tube, or central venous catheter, poor health status, diabetes, alcoholism, chronic liver or lung diseases, dialysis, kidney failure, cancer, chemotherapy, chronic obstructive pulmonary disease (COPD), and institutional treatment are all risk factors for Klebsiella infection.

What Are the Complications of Klebsiella Infection?

The severity of complications from a Klebsiella infection depends on the body system that is afflicted. It can lead to bacteremia or septicemia if it gets into the bloodstream. Klebsiella pneumoniae infections typically manifest in patients with compromised host defenses and are acquired in a healthcare setting. Although Klebsiella oxytoca infections rarely cause long-term complications, untreated lung infections can cause permanent lung damage. Upper right abdominal pain, nausea, vomiting, diarrhea, and lung damage are all possible symptoms of an infection caused by Klebsiella pneumoniae.

How to Prevent Klebsiella Infection?

  • Patients should wash their hands often, especially before preparing or eating food, touching their eyes, nose, or mouth, going to the bathroom, blowing their nose, coughing or sneezing, and after using the bathroom.

  • Healthcare workers should follow specific infection control precautions. Furthermore, it is critical to avoid antibiotic resistance by only taking antibiotics as prescribed by a healthcare provider.

  • When soap and water are unavailable, use hand sanitizer.

  • When coughing or sneezing, make sure to cover the mouth and nose.

  • Cleaning and disinfecting surfaces and objects regularly.

  • Following proper infection control procedures in healthcare settings.

Is There Any Vaccine Available for Klebsiella Infection?

There is not yet a vaccine to protect humans against Klebsiella pneumoniae. Vaccine against hypervirulent Klebsiella strains, which can cause severe infections in healthy adults. Vaccination with extracellular vesicles (EVs) derived from Klebsiella pneumoniae has also been investigated as a potential new vaccine material to prevent fatalities caused by K.pneumoniae infection. However, there is currently no licensed or even in-development vaccine.

Conclusion:

Klebsiella infection is a serious condition that can cause mild to severe symptoms. If individuals suspect they have a Klebsiella infection, they should immediately seek medical attention. Taking infection-prevention measures, such as hand washing and infection-control procedures, can help reduce the risk of infection.

Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

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klebsiella pneumoniabacterial infection
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