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Cited by 836

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Outcomes of Carbapenem-Resistant Klebsiella pneumoniae Infection and the Impact of Antimicrobial and Adjunctive Therapies

Patel, Gopi, Huprikar, Shirish, Factor, Stephanie H., Jenkins, Stephen G., Calfee, David P.·2008·Infection Control & Hospital Epidemiology

Abstract

Background.: Carbapenem-resistant Klebsiella pneumoniae is an emerging healthcare-associated pathogen. Objective.: To describe the epidemiology of and clinical outcomes associated with carbapenem-resistant K. pneumoniae infection and to identify risk factors associated with mortality among patients with this type of infection. Setting.: Mount Sinai Hospital, a 1,171-bed tertiary care teaching hospital in New York City. Design.: Two matched case-control studies. Methods.: In the first matched case-control study, case patients with carbapenem-resistant K. pneumoniae infection were compared with control patients with carbapenem-susceptible K. pneumoniae infection. In the second case-control study, patients who survived carbapenem-resistant K. pneumoniae infection were compared with those who did not survive, to identify risk factors associated with mortality among patients with carbapenem-resistant K. pneumoniae infection. Results.: There were 99 case patients and 99 control patients identified. Carbapenem-resistant K. pneumoniae infection was independently associated with recent organ or stem-cell transplantation (P = .008), receipt of mechanical ventilation (P = .04), longer length of stay before infection (P = .01), and exposure to cephalosporins (P = .02) and carbapenems (P < .001). Case patients were more likely than control patients to die during hospitalization (48% vs 20%; P < .001) and to die from infection (38% vs 12%; P < .001). Removal of the focus of infection (ie, debridement) was independently associated with patient survival (P = .002). The timely administration of antibiotics with in vitro activity against carbapenem-resistant K. pneumoniae was not associated with patient survival. Conclusions.: Carbapenem-resistant K. pneumoniae infection is associated with numerous healthcare-related risk factors and with high mortality. The mortality rate associated with carbapenem-resistant K. pneumoniae infection and the limited antimicrobial options for treatment of carbapenem-resistant K. pneumoniae infection highlight the need for improved detection of carbapenem-resistant K. pneumoniae infection, identification of effective preventive measures, and development of novel agents with reliable clinical efficacy against carbapenem-resistant K. pneumoniae.

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Metadata

Authors
Patel, G., Huprikar, S., Factor, S. H., Jenkins, S. G., & Calfee, D. P.
Venue
Infection Control & Hospital Epidemiology
Published
2008-12
Volume
29
Issue
12
Pages
1099-1106
ISSN
  • 0899-823X (ISSN-L)
  • 1559-6834
OpenAlex
W2196782563
Cited by
836
References
25
FWCI
11.94
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Outcomes of Carbapenem-Resistant Klebsiella pneumoniae Infection and the Impact of Antimicrobial and Adjunctive Therapies. https://app.cochat.ai/papers/10.1086/592412
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Patel, G., Huprikar, S., Factor, S. H., Jenkins, S. G., & Calfee, D. P. (2008). Outcomes of Carbapenem-Resistant Klebsiella pneumoniae Infection and the Impact of Antimicrobial and Adjunctive Therapies. Infection Control & Hospital Epidemiology. https://doi.org/10.1086/592412

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.