Research Article

Factors Associated with Klebsiella Bacteremia and Its Outcome in Under-Five Children Admitted with Diarrhea

Table 1

Characteristics of under-five diarrheal children with (cases) and without (controls) Klebsiella bacteremia at hospitalization and their outcome during hospitalization.

CharacteristicsCulture positive
= 30
(%)
Culture negative
= 90
(%)
OR (95% CI)

Young age (<12 months)24 (80)53 (59)2.79 (1.00–8.5)0.037
Male 19 (63)53 (60)1.14 (0.45–2.93)0.933
Duration of diarrhea in days (median IQR)4 (2.00–7.00)3 (2.00–5.00)0.193
Antibiotics prior to admission28 (97)67 (78)0.13 (0.01–0.97)0.05
Severe dehydration6 (20)4 (5)5.25 (1.18–24.56)0.017
Fever (≥38°C) 8 (27)47 (53)0.32 (0.14–0.87)0.023
Abnormal mentation 25 (83)41 (57)5.48 (1.92–15.67)<0.001
Systolic BP (mean ± SD)86 ± 1393 ± 190.218
Diastolic BP (mean ± SD)53 ± 1155 ± 140.799
Hypotension 3/17 (18)5/29 (17)1.03 (0.16–6.15)1.00
Fast breathing 9 (30)46 (52)0.4 (0.15–1.05)0.064
SpO2 (mean ± SD)96.70 ± 3.0896.56 ± 3.410.847
Creatinine (mean ± SD)49.80 ± 39.5942.80 ± 45.910.250
Severe wasting13 (59)19 (26)4.18 (1.39–12.81)0.007
Severe underweight21 (72)46 (55)2.16 (0.8–6.04)0.151
Vibrio cholerae1 (3)3 (3)0.33 (0.01–3.92)0.614
Shigella5 (17)5 (6)0.34 (0.08–1.4)0.132
Positive stool culture13 (43)10 (11)6.12 (2.08–18.28)<0.001
HAI11 (37)2 (2)25.47 (5.21–124.43)<0.001
Death12 (40)3 (3)19.33 (4.41–97.31)<0.001

Figures represent (total number), unless specified. OR: odds ratio. CI: confidence interval. IQR: interquartile range. SD: standard deviation. SpO2: transcutaneously measured blood oxygen concentration. HAI: hospital acquired infection.