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Volume 8, Number 2—February 2002

Research

Community-Acquired Klebsiella pneumoniae Bacteremia: Global Differences in Clinical Patterns

Wen-Chien Ko*, David L. Paterson†‡, Anthanasia J. Sagnimeni‡, Dennis S. Hansen§, Anne von Gottberg¶, Sunita Mohapatra#, Jose Maria Casellas**, Herman Goossens††, Lutfiye Mulazimoglu‡‡, Gordon Trenholme#, Keith P. Klugman¶, Joseph G. McCormack‡, and Victor L. Yu†Comments to Author 
Author affiliations: *National Cheng Kung University Medical College, Taiwan; †Veterans Administration Medical Center and University of Pittsburgh, Pittsburgh, Pennsylvania, USA; ‡University of Queensland, Mater Adults Hospital, Brisbane, Australia; §Statens Serum Institut, Copenhagen, Denmark; ¶South African Institute of Medical Research, Johannesburg, South Africa; #Rush-Presbyterian-St. Luke’s Medical Center, Chicago, Illinois, USA; **Sanatorio San Lucas, Buenos Aires, Argentina; ††University Hospital, Antwerp, Belgium; ‡‡Marmara University, Istanbul, Turkey;

Main Article

Table 2

Worldwide differences in the sites of infection associated with community-acquired Klebsiella pneumoniae bacteremia

Infection site Taiwana
(n=96) South Africa
(n=40) Other countries
(n=66) p valueb
Pneumonia 28 (29%) 25 (62%) 4 (6%) 0
Liver abscess 17 (18%) 0 1 (2%) 0
Endophthalmitis 1 (1%) 0 0 NS
Meningitis 5 (5%) 2 (5%) 0 0.06
Urinary tract infections 14 (15%) 4 (10%) 25 (38%) 0.0003
Acute cholangitis 13 (14%) 0 12 (18%) 0.02
Intravascular catheter-related infections 0 2 (5%) 11 (17%) 0
Skin and soft tissue infections 5 (5%) 1 (3%) 4 (6%) NS
Spontaneous bacterial peritonitis 7 (7%) 0 1 (2%) 0.06
Intraabdominal abscess 2 (2%) 2 (5%) 2 (3%) NS
Other 1 (1%) 0 2 (3%) NS
No primary site evident 7 (7%) 5 (12%) 4 (6%) NS

aFour Taiwanese patients had more than one site of infection: pneumonia and liver abscess (2), liver abscess and meningitis (1) and pneumonia and endophthalmitis (1). One South African patient had both pneumonia and meningitis.

bp values refer to the differences between the three regions; NS = not significant at p >0.20.

Main Article

1United States: Pittsburgh Veterans Affairs Medical Center, Pittsburgh, Pennsylvania, and Rush-Presbyterian-St. Luke’s Medical Center, Chicago, Illinois; Taiwan: National Cheng Kung University Medical College, Tainan; Australia: Royal Brisbane Hospital, Mater Adults Hospital, and Greenslopes Private Hospital, all in Brisbane; South Africa: Hillbrow Hospital and Baragwanath Hospital, both in Johannesburg; Turkey: Marmara University Hospital, Istanbul; Belgium: University Hospital, Antwerp; and Argentina: San Lucas Hospital and Comunidad Olivos Hospital, both in Buenos Aires.

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