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Infections with Klebsiella spp. producing beta-lactams are a challenge for the management of antibiotics in hospitals and a problem for community health. The study was conducted on 24 patients admitted to St. Mary's Children's Emergency Clinical Hospital in Iasi. Most cases were reported in infants of 0-12 months (75.00%) in the second trimester, with a predominance of cases in boys. The most frequent were the hypopharyngeal aspirations (29.16%) and the urocultures (16.67%). Strains of K. pneumoniae ESBL were associated with E. coli, Acinetobacter spp. and Enterococcus spp. 18 of these (75.00%) were also resistant to cephalosporin. The issue of ESBL producing K. pneumoniae strains should be considered in order to be able to make the most appropriate recommendations for the use of antibiotics for the purpose of early and accurate application of control measures for multi-drug resistant micro-organisms. [ABSTRACT FROM AUTHOR]

Urinary tract infections are an important cause of morbidity especially for adults and are more frequent at women. Gram negative bacilli, glucoso-fermenting and glucoso-nonfermenting, are important in etiology. Although, Klebsiella, Enterobacter, Pantoea, Serratia and Hafnia spp. are seldom isolated than other Gram negative bacilli, because of their metabolic properties and antibiotic resistance, request a attentive survey. [ABSTRACT FROM AUTHOR]