Pathogens
Klebsiella pneumoniae

Klebsiella pneumoniae

Precautions

See 'Additional Information'

General Information

Preferred

  •  Ceftriaxone
  •  Cefazolin (Urinary isolates)

Alternative

  • Levofloxacin (Severe β-lactam allergy)

ESBL

  • Meropenem (for invasive infections)

CRE

  • Contact microbiology laboratory for ceftazidime-avibactam and meropenem-vaborbactam susceptibility
  • Consult ID

Fermenting gram negative rod, of the Enterobacteriaceae family

In healthy hosts, can cause:

  • UTI
  • Pneumonia
  • Liver abscesses

Nosocomial infection:

  • UTI
  •  Pneumonia
  •  Intra-abdominal and biliary infection
  •  Prosthetic material and vascular catheter infection

May require contact precautions if highly resistant i.e. ESBL, carbapenem resistant.

Treatment of choice for ESBL strains is a carbapenem.