Annual Surveillance Summary: Klebsiella Species Infections in the Military Health System (MHS), 2017

Abstract

The EpiData Center (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) 2017. Multiple data sources were linked to assess descriptive and clinical factors related to Klebsiella species. 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, and the Defense Manpower Data Center (DMDC) rosters to determine burden among Department of Defense (DOD) active duty (AD) service members. Overall, incidence rates (IRs) of Klebsiella species infections in the MHS beneficiary and DOD AD populations decreased in 2017. The annual Klebsiella species IR decreased by 4.9 compared to the weighted historic IR; this decrease was within expected variation of Klebsiella species infections in the MHS population. Fluoroquinolones present better treatment options compared to nitrofurans based on susceptibility analysis. Nitrofurans, despite being one of the most frequently prescribed classes of drugs (34.2 of all prescriptions) for Klebsiella infections, presented lowest efficacy (46.6 ). Therefore, the current use of nitrofurantoin as a treatment option for Klebsiella species infections within the MHS population warrants further investigation. Current infection control practices appear effective and continued surveillance is recommended.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 2018
Accession Number
AD1061353

Entities

People

  • Tej Mishra
  • Uzo Chukwuma

Organizations

  • Navy and Marine Corps Public Health Center

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

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

Fields of Study

  • Medicine

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