Klebsiella pneumoniae

Klebsiella pneumoniae Overview

Klebsiella pneumoniae is a Gram-negative rod that is commonly associated with respiratory infections, urinary tract infections, and wound infections.

Respiratory infections: Klebsiella pneumoniae causes severe pneumonia, particularly in people with alcoholism, diabetes, or compromised lung function. It accounts for a notable share of community-acquired and nosocomial pneumonias (approximately 3–5% of CAP in Western countries, higher in developing regions) and is included because of its association with high-mortality pneumonia and outbreaks in hospitals (Kumar & Zhang 2024, Ashurst & Dawson 2023).

Urinary tract infections: Klebsiella pneumoniae is a major cause of both uncomplicated and complicated UTIs, particularly in hospital settings. It produces various virulence factors such as capsules, adhesins, and siderophores, and it is a common carrier of multidrug resistance mechanisms including extended-spectrum β-lactamase (ESBL)s and carbapenemase. Its clinical significance makes it an essential target in any UTI molecular panel (Paczosa & Mecsas 2016, Timm et al. 2025).

Wound infections: Klebsiella pneumoniae is a significant pathogen in wound infections and surgical sites, particularly in hospitalized patients. It is known for its thick capsule, which enhances virulence, and its frequent multidrug resistance, including carbapenem-resistant strains. Infected wounds with K. pneumoniae can result in delayed healing and serious complications. Its detection is vital for infection control and targeted treatment (Podschun & Ullman, 1998, CDC 2019).

References:

Li, Y., Kumar, S., & Zhang, L. (2024). Mechanisms of Antibiotic Resistance and Developments in Therapeutic Strategies to Combat Klebsiella pneumoniae InfectionInfection and drug resistance17, 1107–1119.

Ashurst JV, Dawson A. Klebsiella Pneumonia. [Updated 2023 Jul 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

Paczosa MK, Mecsas J. Klebsiella pneumoniae: Going on the Offense with a Strong Defense. Microbiol Mol Biol Rev. 2016 Jun 15;80(3):629-61. doi: 10.1128/MMBR.00078-15. PMID: 27307579; PMCID: PMC4981674.

Timm, M.R., Russell, S.K. & Hultgren, S.J. Timm, M.R., Russell, S.K. & Hultgren, S.J. Urinary tract infections: pathogenesis, host susceptibility and emerging therapeutics. Nat Rev Microbiol 23, 72–86 (2025).

Flores-Mireles AL, Walker JN, Caparon M, Hultgren SJ. Urinary tract infections: epidemiology, mechanisms of infection and treatment options. Nat Rev Microbiol. 2015 May;13(5):269-84.

Podschun, R., & Ullmann, U. (1998). Klebsiella spp. as nosocomial pathogens: epidemiology, taxonomy, typing methods, and pathogenicity factors. Clinical microbiology reviews, 11(4), 589–603.

CDC. Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. Department of Health and Human Services, CDC; 2019

Products used to detect Klebsiella pneumoniae

The x-large respiratory PCR panel is designed for multiplex in vitro assessment of 25 common respiratory microbiota and resistance markers, using real-time PCR.
The UTI large PCR panel is designed for multiplex in vitro assessment of 24 common urinary tract microbiota, using real-time PCR.
The wound large PCR panel is designed for multiplex in-vitro assessment of 30 microbiota associated with wounds or tissue damage, using real-time PCR.