title: Patient-to-patient transmission is important in extended-spectrum beta-lactamase-producing Klebsiella pneumoniae acquisition.
abstract: We performed a prospective cohort study to quantify the number of cases of patient-to-patient transmission of extended-spectrum beta-lactamase-producing Klebsiella species on perianal surveillance culture. Among 27 patients who acquired Klebsiella pneumoniae infection, 14 had infections (52%) that were due to patient-to-patient transmission, and 6 (22%) had a subsequent positive extended-spectrum beta-lactamase clinical culture results.
authors.affiliation: Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, MD 21201, USA. aharris@epi.umaryland.edu
authors.forename: A D
authors.initials: AD
authors.lastname: Harris
authors.forename: E N
authors.initials: EN
authors.lastname: Perencevich
authors.forename: J K
authors.initials: JK
authors.lastname: Johnson
authors.forename: D L
authors.initials: DL
authors.lastname: Paterson
authors.forename: J G
authors.initials: JG
authors.lastname: Morris
authors.forename: S M
authors.initials: SM
authors.lastname: Strauss
authors.forename: J A
authors.initials: JA
authors.lastname: Johnson
mesh_terms: D001003:Anal Canal / Q000382:microbiology; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000453:epidemiology / Q000382:microbiology* / Q000635:transmission*; D007711:Klebsiella pneumoniae / Q000201:enzymology*; D008297:Male; D008396:Maryland / Q000453:epidemiology; D008875:Middle Aged; D011446:Prospective Studies; D001618:beta-Lactamases / Q000096:biosynthesis*
chemical_list: D001618:beta-Lactamases