Evidence map›Paper›PMID 26492860›Full record

ArticleJournal of veterinary internal medicine

Pneumonia Caused by Klebsiella spp. in 46 Horses.

K E Estell, A Young, T Kozikowski, E A Swain, B A Byrne, C M Reilly, P H Kass, M Aleman

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 32 citations in OpenAlex.

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  7. Identification of serotype O3b and high-risk clone ST37 ofFrontiers in cellular and infection microbiology · 2024
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  10. Hyponatremia in horses with septic pneumopathy.Journal of veterinary internal medicine · 2022
    Article
  11. Retrospective study of pneumonia in non-racing horses in California.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Klebsiella-induced infections in domestic species: a case-series study in 697 animals (1997-2019).Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2022
    Article
  16. Diversity in the Characteristics ofFrontiers in microbiology · 2022
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  19. First evidence ofVeterinary world · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

K E EstellWilliam R. Pritchard Veterinary Medical Teaching Hospital, University of California, Davis, CA.
A YoungWilliam R. Pritchard Veterinary Medical Teaching Hospital, University of California, Davis, CA.
T KozikowskiWilliam R. Pritchard Veterinary Medical Teaching Hospital, University of California, Davis, CA.
E A SwainWilliam R. Pritchard Veterinary Medical Teaching Hospital, University of California, Davis, CA.
B A ByrneDepartment of Pathology, Microbiology, and Immunology, School of Veterinary Medicine, University of California, Davis, CA.
C M ReillyDepartment of Pathology, Microbiology, and Immunology, School of Veterinary Medicine, University of California, Davis, CA.
P H KassDepartment of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, CA.
M AlemanDepartment of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA.
University of California, Davis · USVeterinary Medical Teaching Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKlebsiella spp. are implicated as a common cause of bacterial pneumonia in horses, but few reports describe clinical presentation and disease progression. HYPOTHESIS/

objectivesTo describe the signalment, clinicopathologic data, radiographic and ultrasonographic findings, antimicrobial susceptibility, outcome, and pathologic lesions associated with Klebsiella spp. pneumonia in horses. ANIMALS: Forty-six horses from which Klebsiella spp. was isolated from the lower respiratory tract.

methodsRetrospective study. Medical records from 1993 to 2013 at the William R. Pritchard Veterinary Medical Teaching Hospital, University of California, Davis were reviewed. Exact logistic regression was performed to determine if any variables were associated with survival to hospital discharge.

resultsSurvival in horses <1 year old was 73%. Overall survival in adults was 63%. For adults in which Klebsiella pneumoniae was the primary isolate, survival was 52%. Mechanical ventilation preceded development of pneumonia in 11 horses. Complications occurred in 25/46 horses, with thrombophlebitis and laminitis occurring most frequently. Multi-drug resistance was found in 47% of bacterial isolates. Variables that significantly impacted survival included hemorrhagic nasal discharge, laminitis, and thoracic radiographs with a sharp demarcation between marked caudal pulmonary alveolar infiltration and more normal-appearing caudodorsal lung. CONCLUSIONS AND CLINICAL IMPORTANCE: Klebsiella spp. should be considered as a differential diagnosis for horses presenting with hemorrhagic pneumonia and for horses developing pneumonia after mechanical ventilation. Multi-drug resistance is common. Prognosis for survival generally is fair, but is guarded for adult horses in which K. pneumoniae is isolated as the primary organism.

Indexed as

AnimalsAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialHorse DiseasesHorsesKlebsiellaKlebsiella InfectionsPneumonia, BacterialRetrospective StudiesAnti-Bacterial AgentsHemorrhagic pneumoniaMulti-drug resistanceRespiratory infection

Identifiers

PMID26492860
PMCPMC4913652
OpenAlexW2195552604

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.