Annual Surveillance Summary: Klebsiella Species Infections in the Military Health System (MHS), 2016

Abstract

The EpiData Center Department (EDC) conducts routine surveillance of Klebsiella species incidence and prevalence among all beneficiaries seeking care within the Military Health System (MHS). This report describes demographics, clinical characteristics, prescription practices, and antibiotic resistance patterns observed for Klebsiella species infections in calendar year (CY) 2016. Multiple data sources were linked to assess descriptive and clinical factors related to Klebsiella. Health Level 7 (HL7)-formatted Composite Health Care System (CHCS) microbiology data identified Klebsiella species infections. These infections were matched to HL7-formatted CHCS pharmacy data to assess prescription practices, the Standard Inpatient Data Record (SIDR) to determine healthcare-associated exposures, Defense Manpower Data Center (DMDC) rosters to determine burden among Department of Defense (DOD) active duty (AD) service members, and the DMDC Contingency Tracking System (CTS) to determine Department of the Navy (DON) deployment-related infections. Overall, incidence rates (IRs) of Klebsiella species infections in the MHS beneficiary and DOD AD populations are increasing. In 2016, the annual Klebsiella species IR increased by 10.8 percent compared to the weighted historic IR; this increase was within expected variation of Klebsiella species infections in the MHS populations. For severe nosocomial infections, viable treatment options are still present for Klebsiella species. However, for mild to moderate community-acquired infections (uncomplicated urinary tract infection), fluoroquinolones present better treatment options compared to nitrofurans based on susceptibility. Nitrofurantoin as a viable treatment option for Klebsiella species infections within the MHS population warrants further investigation.

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2017
Accession Number
AD1040551

Entities

People

  • Eboni Crawford
  • Uzo Chukwuma

Organizations

  • Navy and Marine Corps Public Health Center

Tags

DTIC Thesaurus Topics

  • Active Duty
  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Department Of Defense
  • Health
  • Health Care
  • Health Services
  • Hospitalizations
  • Hospitals
  • Infection
  • Infection Control
  • Marine Corps
  • Medical Personnel
  • Microbiology
  • Military Medicine
  • Public Health
  • United States

Fields of Study

  • Medicine

Readers

  • Medical or Health Care Field.
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