Annual Surveillance Summary: Klebsiella Infections in the Military Health System (MHS), 2015
Abstract
This report provides an annual update for calendar year (CY) 2015 of previously reported retrospective data regarding Klebsiella infection burden among Military Health System (MHS) beneficiaries and Department of the Navy (DON) active duty (AD) service members with deployment-related infections. In 2015, the annual Klebsiella incidence rate (IR) for all MHS beneficiaries was 100.8 per 100,000 persons per year, reflecting a 24.6 increase of the weighted historic IR. The annual IR of multidrug-resistant (MDR) Klebsiella infections was 6.7 per 100,000 persons, or one-fifteenth the IR of non-MDR infections. Klebsiella infection burden was highest among females and the most frequent clinical presentation was urinary tract infection (UTI). Three-quarters of infections were community-associated (CA) cases, underscoring the need for research and surveillance assessing Klebsiella as a community-acquired infection. Elevated multidrug-resistant organism (MDRO) admission metrics indicated that a higher magnitude of MDR Klebsiella was imported into the MHS rather than pre-existing as a reservoir of infection. Viable treatment options remain for Klebsiella infections; low susceptibility to nitrofurantoin appears to conflict with high numbers of prescriptions for it.
Document Details
- Document Type
- Technical Report
- Publication Date
- Mar 01, 2017
- Accession Number
- AD1032751
Entities
People
- Kristen Rossi
- Uzo Chukwuma
Organizations
- Navy and Marine Corps Public Health Center