Clinical and microbiological characteristics of Klebsiella pneumoniae isolates causing community-acquired urinary tract infections

Infection

Volumn 38, Issue 6, 2010, Pages 459-464

  Lin, W H ^a   Wang, M C ^a   Tseng, C C ^a   Ko, W C ^a   Wu, A B ^a   Zheng, P X ^b   Wu, J J ^a,b  

^a NATIONAL CHENG KUNG UNIVERSITY HOSPITAL   (Taiwan)

^b NATIONAL CHENG KUNG UNIVERSITY   (Taiwan)

Author keywords

Hypermucoviscosity; Klebsiella pneumoniae; Urinary tract infection; Virulence factor

Indexed keywords

ADULT; AGED; ARTICLE; BACTERIAL GENE; BACTERIAL MEMBRANE; BACTERIAL STRAIN; BACTERIAL VIRULENCE; BACTERIUM CULTURE; BACTERIUM IDENTIFICATION; BACTERIUM ISOLATE; CHRONIC KIDNEY FAILURE; COMMUNITY ACQUIRED URINARY TRACT INFECTION; CONTROLLED STUDY; DIABETES MELLITUS; FECES CULTURE; FEMALE; GENE FREQUENCY; GENE FUNCTION; GENE IDENTIFICATION; GENE LOCUS; HUMAN; HYPERMUCOVISCOSITY; IMMUNE DEFICIENCY; KLEBSIELLA PNEUMONIAE; MAGA GENE; MAJOR CLINICAL STUDY; MALE; NONHUMAN; PHENOTYPE; POLYMERASE CHAIN REACTION; PREVALENCE; RETROSPECTIVE STUDY; RMPA GENE; SEROTYPE; SPUTUM CULTURE; STRAIN DIFFERENCE; URIDINE DIPHOSPHATE GALACTURONATE 4 EPIMERASE GENE; URINARY TRACT INFECTION; URINARY TRACT OBSTRUCTION; URINE CULTURE; UROSEPSIS; VISCOSITY; WABG GENE;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; COMMUNITY-ACQUIRED INFECTIONS; FEMALE; GENETIC ASSOCIATION STUDIES; HUMANS; KLEBSIELLA INFECTIONS; KLEBSIELLA PNEUMONIAE; MALE; MIDDLE AGED; SEROTYPING; URINARY TRACT INFECTIONS; VIRULENCE FACTORS; YOUNG ADULT;

EID: 78651284382     PISSN: 03008126     EISSN: None     Source Type: Journal    
DOI: 10.1007/s15010-010-0049-5     Document Type: Article

References (34)

1. B Foxman L Zhang P Tallman K Palin C Rode C Bloch B Gillespie CF Marrs 1995 Virulence characteristics of Escherichia coli causing first urinary tract infection predict risk of second infection J Infect Dis 172 1536 1541 1:STN:280:DyaK28%2FotlCqug%3D%3D 7594713
2. TA Russo A Stapleton S Wenderoth TM Hooton WE Stamm 1995 Chromosomal restriction fragment length polymorphism analysis of Escherichia coli strains causing recurrent urinary tract infections in young women J Infect Dis 172 440 445 1:STN:280:DyaK2MzkvVGnsQ%3D%3D 7622887
3. JJ Huang CC Tseng 2000 Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis Arch Intern Med 160 797 805 1:STN:280:DC%2BD3c7pvFGnsg%3D%3D 10.1001/archinte.160.6.797 10737279
4. CC Tseng JJ Huang WC Ko JJ Yan JJ Wu 2001 Decreased predominance of papG class II allele in Escherichia coli strains isolated from adults with acute pyelonephritis and urinary tract abnormalities J Urol 166 1643 1646 1:CAS:528:DC%2BD3MXotVWlsr8%3D 10.1016/S0022-5347(05)65644-3 11586193
5. CC Tseng JJ Wu HL Liu JM Sung JJ Huang 2002 Roles of host and bacterial virulence factors in the development of upper urinary tract infection caused by Escherichia coli Am J Kidney Dis 39 744 752 10.1053/ajkd.2002.32992 11920340
6. CC Tseng JJ Wu MC Wang LI Hor YH Ko JJ Huang 2005 Host and bacterial virulence factors predisposing to emphysematous pyelonephritis Am J Kidney Dis 46 432 439 10.1053/j.ajkd.2005.05.019 16129204 (Pubitemid 41208178)
7. CC Tseng JJ Huang MC Wang AB Wu WC Ko WC Chen JJ Wu 2007 PapG II adhesin in the establishment and persistence of Escherichia coli infection in mouse kidneys Kidney Int 71 764 770 1:CAS:528:DC%2BD2sXktVCht7k%3D 10.1038/sj.ki.5002111 17290293 (Pubitemid 46624021)
8. A Ronald 2003 The etiology of urinary tract infection: traditional and emerging pathogens Dis Mon 49 71 82 10.1016/S0011-5029(03)90001-0 12601338 (Pubitemid 36350776)
9. WC Ko DL Paterson AJ Sagnimeni DS Hansen A Von Gottberg S Mohapatra JM Casellas H Goossens L Mulazimoglu G Trenholme KP Klugman JG McCormack VL Yu 2002 Community-acquired Klebsiella pneumoniae bacteremia: global differences in clinical patterns Emerg Infect Dis 8 160 166 10.3201/eid0802.010025 11897067
10. WL Yu WC Ko KC Cheng HC Lee DS Ke CC Lee CP Fung YC Chuang 2006 Association between rmpA and magA genes and clinical syndromes caused by Klebsiella pneumoniae in Taiwan Clin Infect Dis 42 1351 1358 1:CAS:528:DC%2BD28Xlt1Cqur0%3D 10.1086/503420 16619144
11. L Izquierdo N Coderch N Piqué E Bedini MM Corsaro S Merino S Fresno JM Tomás M Regué 2003 The Klebsiella pneumoniae wabG gene: role in biosynthesis of the core lipopolysaccharide and virulence J Bacteriol 185 7213 7221 1:CAS:528:DC%2BD3sXpvVaqsbY%3D 10.1128/JB.185.24.7213-7221.2003 14645282 (Pubitemid 37509838)
12. M Regué B Hita N Piqué L Izquierdo S Merino S Fresno VJ Benedí JM Tomás 2004 A gene, uge, is essential for Klebsiella pneumoniae virulence Infect Immun 72 54 61 10.1128/IAI.72.1.54-61.2004 14688080 (Pubitemid 38018160)
13. LC Ma CT Fang CZ Lee CT Shun JT Wang 2005 Genomic heterogeneity in Klebsiella pneumoniae strains is associated with primary pyogenic liver abscess and metastatic infection J Infect Dis 192 117 128 1:CAS:528:DC%2BD2MXmsVGltrw%3D 10.1086/430619 15942901 (Pubitemid 40863864)
14. GF Gerlach S Clegg BL Allen 1989 Identification and characterization of the genes encoding the type 3 and type 1 fimbrial adhesins of Klebsiella pneumoniae J Bacteriol 171 1262 1270 1:CAS:528:DyaK3cXhsFWl 2563996
15. KM Yeh A Kurup LK Siu YL Koh CP Fung JC Lin TL Chen FY Chang TH Koh 2007 Capsular serotype K1 or K2, rather than magA and rmpA, is a major virulence determinant for Klebsiella pneumoniae liver abscess in Singapore and Taiwan J Clin Microbiol 45 466 471 1:CAS:528:DC%2BD2sXjtFGntrg%3D 10.1128/JCM.01150-06 17151209
16. HC Lee YC Chuang WL Yu NY Lee CM Chang NY Ko LR Wang WC Ko 2006 Clinical implications of hypermucoviscosity phenotype in Klebsiella pneumoniae isolates: association with invasive syndrome in patients with community-acquired bacteraemia J Intern Med 259 606 614 1:CAS:528:DC%2BD28XntFaktbk%3D 10.1111/j.1365-2796.2006.01641.x 16704562
17. CT Fang YP Chuang CT Shun SC Chang JT Wang 2004 A novel virulence gene in Klebsiella pneumoniae strains causing primary liver abscess and septic metastatic complications J Exp Med 199 697 705 1:CAS:528:DC%2BD2cXitFyjsb0%3D 10.1084/jem.20030857 14993253 (Pubitemid 38316436)
18. YH Ku YC Chuang WL Yu 2008 Clinical spectrum and molecular characteristics of Klebsiella pneumoniae causing community-acquired extrahepatic abscess J Microbiol Immunol Infect 41 311 317 1:CAS:528:DC%2BD1MXht1yrt7w%3D 18787738
19. X Nassif JM Fournier J Arondel PJ Sansonetti 1989 Mucoid phenotype of Klebsiella pneumoniae is a plasmid-encoded virulence factor Infect Immun 57 546 552 1:CAS:528:DyaL1MXhtFWmt7k%3D 2643575
20. Farmer JJ III. Enterobacteriaceae: introduction and identification. In: Murray PR, Baron EJ, Pfaller MA, Tenover FC, Yolken RH, editors. Manual of clinical microbiology. Washington: American Society for Microbiology; 2007. p. 438-49.
21. JS Garner WR Jarvis TG Emori TC Horan JM Hughes 1988 CDC definitions for nosocomial infections, 1988 Am J Infect Control 16 128 140 1:STN:280: DyaL1czgvVSnug%3D%3D 10.1016/0196-6553(88)90053-3 2841893
22. YC Liu DL Cheng CL Lin 1986 Klebsiella pneumoniae liver abscess associated with septic endophthalmitis Arch Intern Med 146 1913 1916 1:STN:280:DyaL2s%2FisVyqsA%3D%3D 10.1001/archinte.146.10.1913 3532983 (Pubitemid 16006678)
23. C Struve M Bojer EM Nielsen DS Hansen KA Krogfelt 2005 Investigation of the putative virulence gene magA in a worldwide collection of 495 Klebsiella isolates: magA is restricted to the gene cluster of Klebsiella pneumoniae capsule serotype K1 J Med Microbiol 54 1111 1113 1:CAS:528:DC%2BD2MXht1Cgu7nK 10.1099/jmm.0.46165-0 16192445 (Pubitemid 41566784)
24. WL Yu CP Fung WC Ko KC Cheng CC Lee YC Chuang 2007 Polymerase chain reaction analysis for detecting capsule serotypes K1 and K2 of Klebsiella pneumoniae causing abscesses of the liver and other sites J Infect Dis 195 1235 1236 10.1086/512686 17357063 (Pubitemid 46543458)
25. CT Fang SY Lai WC Yi PR Hsueh KL Liu SC Chang 2007 Klebsiella pneumoniae genotype K1: an emerging pathogen that causes septic ocular or central nervous system complications from pyogenic liver abscess Clin Infect Dis 45 284 293 1:CAS:528:DC%2BD2sXptFSgs7k%3D 10.1086/519262 17599305 (Pubitemid 47101023)
26. JC Lin FY Chang CP Fung JZ Xu HP Cheng JJ Wang LY Huang LK Siu 2004 High prevalence of phagocytic-resistant capsular serotypes of Klebsiella pneumoniae in liver abscess Microbes Infect 6 1191 1198 1:CAS:528:DC%2BD2cXos1Chtb0%3D 10.1016/j.micinf.2004.06.003 15488738 (Pubitemid 39370087)
27. K Kabha L Nissimov A Athamna Y Keisari H Parolis LAS Parolis RM Grue J Schlepper-Schafer AR Ezekowitz DE Ohman I Ofek 1995 Relationships among capsular structure, phagocytosis, and mouse virulence in Klebsiella pneumoniae Infect Immun 63 847 852 1:CAS:528:DyaK2MXktVGgurY%3D 7868255
28. AM Simoons-Smit AM Verweij-van Vught DM MacLaren 1986 The role of K antigens as virulence factors in Klebsiella J Med Microbiol 21 133 137 1:CAS:528:DyaL28XhvVCms7Y%3D 10.1099/00222615-21-2-133 3512838
29. CP Fung FY Chang SC Lee BS Hu BI Kuo CY Liu M Ho LK Siu 2002 A global emerging disease of Klebsiella pneumoniae liver abscess: is serotype K1 an important factor for complicated endophthalmitis? Gut 50 420 424 10.1136/gut.50.3.420 11839725 (Pubitemid 34161062)
30. RW Tsay LK Siu CP Fung FY Chang 2002 Characteristics of bacteremia between community-acquired and nosocomial Klebsiella pneumoniae infection: risk factor for mortality and the impact of capsular serotypes as a herald for community-acquired infection Arch Intern Med 162 1021 1027 10.1001/archinte.162. 9.1021 11996612
31. VL Yu DS Hansen WC Ko A Sagnimeni KP Klugman A von Gottberg H Goossens MM Wagener VJ Benedi International Klebseilla Study Group 2007 Virulence characteristics of Klebsiella and clinical manifestations of K. pneumoniae bloodstream infections Emerg Infect Dis 13 986 993 1:CAS:528: DC%2BD2sXosF2gt7c%3D 18214169
32. WE Stamm TM Hooton JR Johnson C Johnson A Stapleton PL Roberts SL Moseley SD Fihn 1989 Urinary tract infections: from pathogenesis to treatment J Infect Dis 159 400 406 1:STN:280:DyaL1M7isVGjsA%3D%3D 2644378
33. Wiselka MJ. Bacterial and host factors in the pathogenesis of UTI. In: Cattell WR, editor. Infections of the kidney and urinary tract. New York: Oxford University Press; 1996. p. 1597-654.
34. YP Chuang CT Fang SY Lai SC Chang JT Wang 2006 Genetic determinants of capsular serotype K1 of Klebsiella pneumoniae causing primary pyogenic liver abscess J Infect Dis 193 645 654 1:CAS:528:DC%2BD28XitF2ht7k%3D 10.1086/499968 16453259 (Pubitemid 43271498)