Drug Resistant Klebsiella Pneumoniae and the Likelihood of Death of Patients at Sisaket Hospital

Abstract

Background: Drug resistant K. pneumoniae is a drug resistant strain that causes pneumonia, urinary tract infection and infectious disease in the hospital. It is the most common cause of death in the 10th Public Health Region. Antibiotic testing results will help medical treatment to reduce deaths.
Objective: To study the relationship between sex, age, ward, specimen, type of organisms, antibiotic test results, length of hospital stay, intubation and the likelihood of death of patients infected with drug resistant K. pneumoniae.
Study design: Retrospective study
Methods: The population was 766 K. pneumoniae infected patients. Research tools were ward, specimen, type of organisms, antibiotic test results, length of hospital stay, intubation and the likelihood of death of patients. The statistics were number and percentage. Studies on the correlation analysis of variables. Statistical analyses were Chi Square Test, Phi correlation, Cramer'V and Contingency Coefficient.
Results: 1) 59% of the patients were male, 55.6% were over 61 years, the length of hospital stay less than 10 days was 38.9%. Admitted in the medicine ward 56.1%, 68.4% were sputum samples, 42.9% were intubated and died 27.6%. 2) K. pneumoniae is susceptible to Netilmicin, Amikacin, Meropenem, Imipenem, Doripenem, and Ertapenem.3) Most of the fatal patients were male 60.1%, over 61 years old 59.6%, hospitalized at the medicine ward 51.3%, 70.4% of Samples testing were sputum and tracheal intubation 59.6% 4) Death of patient was related to sputum sample for testing, and intubated while admitted at the medicine ward statistically significant.
Conclusion: Patients who died from drug resistant K. pneumoniae infections were patients who have a sputum sample for testing and intubated while admitted at the medicine ward significantly.