Clinical Features and Outcomes of VAP Due to Multidrug-Resistant Klebsiella spp.: A Retrospective Study Comparing Monobacterial and Polybacterial Episodes

Clinical Features and Outcomes of VAP Due to Multidrug-Resistant Klebsiella spp.: A Retrospective Study Comparing Monobacterial and Polybacterial Episodes

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VAP due to multidrug-resistant Apparel Kits (MDR) bacteria is a frequent infection among patients in ICUs.Patient characteristics and mortality in mono- and polybacterial cases of VAP may differ.A single-centre, retrospective 3-year study was conducted in the four ICUs of a Lithuanian referral university hospital, aiming to compare both the clinical features and the 60-day ICU all-cause mortality of monobacterial and polybacterial MDR Klebsiella spp.VAP episodes.

Of the 86 MDR Klebsiella spp.VAP episodes analyzed, 50 (58.1%) were polybacterial.The 60-day mortality was higher (p Klebsiella spp.

(46.4 Feeding Supplies - Infant Nursing vs.17.6%).

The ICU mortality (44.0 vs.22.5%) was also higher in the polybacterial episodes.

The monobacterial MDR Klebsiella spp.VAP was associated (p p Klebsiella spp.VAP had distinct demographic and clinical characteristics compared to monobacterial, and was associated with poorer outcomes.