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Klebsiellaoxytoca
Characteristics
Etymology
• Genus was named after the German bacteriologist Edwin Klebs
(1834- 1913)
Taxonomy
Kingdo
m
Phylum Class Order Family Genus
Bacteria Proteobacteria Gammaprotebacteri
a
Enterobacteriale
s
Enterobacteriacea
e
Klebsiella
Characteristics
Macro Morphology
• form medium sized, dome shaped, white glistening colonies (2-
3 mm in diameter).
Micro Morphology
• nonmotile cylindrical rod shape bacterium (0.3-1.0 x 0.6-6.0
µm), which appear singly, in pairs or in short chains.
Characteristics
Metabolism
• Facultative
anaerobe
• Gram-
• Produce β-
lactamase
• Indole+
Epidemiology
Habitat
• Ubiquitous in nature
• naturally found in the intestinal tract, mouth, nose of
humans;
• however, they can be found colonizing on all parts of the
body.
Mode of Transmission
• Person to person spread
• Commonly in healthcare environments
Pathogenesis& Spectrumof Diseases
Virulence factor
• Outer membrane composed of lipopolysaccharides (LPS) that
have O antigens. LPS layer has a polysaccharide chain known
as Lipid A, which produces endotoxins;
• capsules;
• resistance to multiple antimicrobial agents.
Pathogenesis& Spectrumof Diseases
Spectrum of Disease & Infection
• Nosocomial infections of the respiratory
tract,
• urinary tract,
• blood,
• and several other normally sterile sites.
• Most frequently infect hospitalized
patients.
LaboratoryDiagnosis
Specimen Collection and
Transport
Wound, Respiratory tract, Sputum, Nose, Urine
(unpreserved)
<2hrs
Blood Within 2hrs
Pleural fluid & IV catheters <15mins
Skin &Urine (preserved) Within 24hrs
LaboratoryDiagnosis
Cultivatio
nOrganism Medium Appearance
Klebsiella spp. MacConkey agar Lactose fermenter; mucoid
Hektoen enteric agar Yellow
Xylose-lysine-deoxycholate
agar
Yellow
Antimicrobial SusceptibilityTesting
• Extended Spectrum β-Lactamase (ESBL) producing
organism give effective screening methods for their
detection.
• Helps the doctor give proper antibiotics to patients infected with
the multiple antimicrobial resistant Klebsiella oxytoca.

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