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Klebsiellaspp. MATERIAL SAFETY DATA SHEET - INFECTIOUS SUBSTANCES SECTION I - INFECTIOUS AGENT NAME: Klebsiella spp. SYNONYM OR CROSS REFERENCE: K. pneumoniae, Friedlander's pneumonia, K. oxytoca, K. ozaenae CHARACTERISTICS: Family Enterobacteriaceae, gram negative small rods, nonmotile, facultatively anaerobic, occurring singly, capsulated and in mucoid colonies SECTION II - HEALTH HAZARD PATHOGENICITY: Frequent cause of nosocomial urinary and pulmonary infections; wound infections; secondary infection in lungs of patients with chronic pulmonary disease; enteric pathogenicity (enterotoxin); ozena (atrophy of nasal mucosa) and rhinoscleroma EPIDEMIOLOGY: Worldwide; 2/3 of all infection due to Klebsiella spp. are hospital-acquired; causes 3% of all acute bacterial pneumonia; common source of nosocomial outbreaks HOST RANGE: Humans, animals (horses, cattle) INFECTIOUS DOSE: Not known MODE OF TRANSMISSION: Feces are the most significant source of patient infection; contact with contaminated equipment in hospitals (catheters, I.V. etc, respiratory devices) INCUBATION PERIOD: Not clearly identified COMMUNICABILITY: Not directly transmitted from person-to-person SECTION III - DISSEMINATION RESERVOIR: Soil, water, human skin, nasopharynx and bowel of humans and intestinal tract of animals ZOONOSIS: None VECTORS: None SECTION IV - VIABILITY DRUG SUSCEPTIBILITY: Generally susceptible to aminoglycosides and cephalosporins (7% resistant to ceftazidime); resistant to carbenicillin, ampicillin and quinolones SUSCEPTIBILITY TO DISINFECTANTS: Susceptible to many disinfectants - 1% sodium hypochlorite, 70% ethanol, 2% glutaraldehyde, iodines, phenolics, formaldehyde PHYSICAL INACTIVATION: Sensitive to moist heat (121° C for at least 15 min) and dry heat (160-170° C for at least 1 hour) SURVIVAL OUTSIDE HOST: Glass coverslips - 4 hrs; lanolin hand cream several days; bronchodilator solution - days; sawdust in barn - days SECTION V - MEDICAL SURVEILLANCE: Monitor for symptoms; confirmation by sputum samples FIRST AID/TREATMENT: Administer antibiotic therapy where necessary IMMUNIZATION: None PROPHYLAXIS: Not usually administered SECTION VI - LABORATORY HAZARDS LABORATORY-ACQUIRED INFECTIONS: 1 reported laboratory acquired infection with K. pneumoniae up to 1976 SOURCES/SPECIMENS: Respiratory specimens, sputum, pleural exudate; blood, feces, urine, wounds, abscesses, cerebrospinal fluid PRIMARY HAZARDS: Direct contact of mucous membranes with contaminated objects; inhalation of infectious aerosols; accidental parenteral inoculation; ingestion SPECIAL HAZARDS: None SECTION VII - RECOMMENDED PRECAUTIONS CONTAINMENT REQUIREMENTS: Biosafety level 2 practices, containment equipment and facilities for activities with cultures or potentially infectious clinical materials PROTECTIVE CLOTHING: Laboratory coat; gloves when direct contact with infectious materials is unavoidable OTHER PRECAUTIONS: None SECTION VIII - HANDLING INFORMATION SPILLS: Allow aerosols to settle; wearing protective clothing, gently cover spill with paper towels and apply 1% sodium hypochlorite, starting at perimeter and working towards the centre; allow sufficient contact time (30 min) before clean up DISPOSAL: Decontaminate before disposal; steam sterilization, chemical disinfection, incineration STORAGE: In sealed containers that are appropriately labelled SECTION IX - MISCELLANEOUS INFORMATION Date prepared: March, 2001 Prepared by: Office of Laboratory Security, PHAC Although the information, opinions and recommendations contained in this Material Safety Data Sheet are compiled from sources believed to be reliable, we accept no responsibility for the accuracy, sufficiency, or reliability or for any loss or injury resulting from the use of the information. Newly discovered hazards are frequent and this information may not be completely up to date. Copyright © Health Canada, 2001