Klebsiella pneumoniae and ventilator
![[Post New]](/jforum/templates/default/images/icon_minipost_new.gif){kind=icon}
Anonymous
| 58yo dh, healthy, active, was in hosp for a few days due to appendectomy. There was a complication during anesthesia and he went hypotensive which resulted in extended intubation of four or so days. Recuperating now but was diagnosed prior to discharge with lung infection klebsiella pneumoniae. He is doing a course of oral antibiotics and they never did mention follow-up. Has anyone had experience with this type of infection? They mentioned it being hospital acquired and not transmitted via droplet. He is weak but cough isn't too bad. Has congestion in lungs but trying to move around and get some strength back. I'm concerned bc I read that kp can be quite difficult to treat. Thanks. |
Anonymous
| I am so sorry he had this complication. Do you have a PCP to discuss this with? |
Anonymous
| OP here. Have an appt for Dec. |
Anonymous
How long is the course of antibiotics? I would not hesitate a moment to seek care sooner if he’s not clearly improved. |
Anonymous
|
The most important thing is monitoring for signs that the antibiotic isn't working. A fever coming back, difficulty breathing, increased lethargy, nausea and vomiting, or any signs that he's getting worse should be a trip to the doctor.
Also, he should 100% not be waiting until December for a follow up. Does he not have a PCP at all? Or was it his PCP who said December? |
Anonymous
+100000 OP I don't want to scare you but it can get into other organs, cause sepsis. It's important to have the right antibiotics and monitor their efficacy. You should get a referral to an infectious disease specialist or pulmonologist. You cannot wait until December. Don't let the hospital slide on this. Not mentioning follow up is borderline negligence. If your primary care doctor is indifferent follow up with the surgeon. But please be an advocate for DH. |
Anonymous
| PCP office booked us for Dec. We asked for a quicker appt and we are apparently on a list. They told us to go to the ED or urgent care in the meantime. I remember not that long ago they saved a couple of last minute type spots for those that were unexpectedly unwell. Guess they don't do that anymore. Now I can see why people like concierge. |
Anonymous
| What hospital? |
Anonymous
Health care provider here. That is absolutely insane to me. Even without the infection, he should have had a "check in" follow up due to having an ICU stay. My PCPs office reached out to me to schedule a follow up a week out of my 1 night ICU stay . I would also recommend trying to get an appt with either an ID doc or pulmonologist. |
Anonymous
| I don't want to mention hospital name but it's one of the ones most people would have heard of. |
Anonymous
| I will see if I can get a pulmonary appt. I will also be pulling medical records. I want to see all the notes for the OR etc. |
Anonymous
|
Call the surgeon. Ask for who to see to follow up on the Kleb Pn. Explain your PCP has no availability and you want a pulmonologist or infectious disease person.
If they waffle, just go looking. He is 58. He could end up with permanent lung damage or get sepsis. That can be sudden and fatal. You also need a new PCP. |
Anonymous
Good. Now you're on the move. |
Anonymous
+1 that’s not acceptable. I’d try again with pcp. I would send portal message saying you tried to make an appt but didn’t get one til Dec and “that seems too long for a 58 year old just discharged from the ICU currently being treated for hospital acquired pneumonia. Are you saying that’s an okay follow timeline and we should stick with the December appt?” That should do the trick. |
Anonymous
And mention it was kleb pn |