Test 2- Klebsiella

Question 1

Klebsiella

Answer 1

• Klebsiella pneumoniae • Klebsiella oxytoca • In waters, soil, environment, GI tract • Coliform • Important in nosocomial infections and health care associated infections in humans (sepsis, UTI, respiratory) ( to a much lesser instance in animals)
• Opportunistic pathogen
• Non human primates

Question 2

Klebsiella infections in animals

Answer 2

• Equine metritis, DD with
• Streptococcus equi ssp. zooepidemicus
• Streptococcus dysgalactiae ssp. dysgalactiae
• Escherichia coli
• Staphylococci
• Pseudomonas aeruginosa
• Taylorella equigenitalis
• Yeasts
• Vaginitis, infertility, abortion
• Transmission: stallion, fomites, vaginal specula & biopsy equipment (vets!!)
• Umbilical infections in horses
• Mainly animals with too little colostrum consumed (rather susceptible to a lot of infections…)
• Omphalitis, and further septicaemiae, arthritis, pneumonia, pyelonephritis
• Dogs (rare finding)
• Pyometra
• Cystitis,…
• Mastitis in bovines
• Non-human primates

Treatment:

• Natural resistance to amoxy/ampi (chromosomal β-lactamase)
• Susceptible to amoxy+clav
• High level of acquired resistance
• Difficult to treat- HAVE TO CLEAN THE UTERUS