Colistin resistance superimposed to endemic carbapenem-resistant Klebsiella pneumoniae: a rapidly evolving problem in Italy, November 2013 to April 2014-Reference-Cited by-同舟云学术

Colistin resistance superimposed to endemic carbapenem-resistant Klebsiella pneumoniae: a rapidly evolving problem in Italy, November 2013 to April 2014

Published:2014-10-23 Issue:42 Volume:19 Page:
ISSN:1560-7917
Container-title:Eurosurveillance
language:en
Short-container-title:

Author:

Monaco M.¹²,Giani T²³,Raffone M⁴¹,Arena F³,Garcia-Fernandez A¹,Pollini S³,Network EuSCAPE-Italy collective⁵,Grundmann H⁶,Pantosti A¹,Rossolini G M⁷⁸³

Affiliation:

1. Department of Infectious, Parasitic and Immune-mediated Diseases, Istituto Superiore di Sanità, Rome, Italy

2. MM and TG have equally contributed to this work

3. Department of Medical Biotechnologies, University of Siena, Siena, Italy

4. Federico II University Hospital, Neaples, Italy

5. The network EuSCAPE-Italy participants are listed at the end of this article

6. Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, the Netherlands

7. Clinical Microbiology and Virology Unit, Florence Careggi University Hospital, Florence, Italy

8. Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy

Abstract

Consecutive non-replicate clinical isolates (n=191) of carbapenem non-susceptible Enterobacteriaceae were collected from 21 hospital laboratories across Italy from November 2013 to April 2014 as part of the European Survey on Carbapenemase-producing Enterobacteriaceae (EuSCAPE) project. Klebsiella pneumoniae carbapenemase-producing K. pneumoniae (KPC-KP) represented 178 (93%) isolates with 76 (43%) respectively resistant to colistin, a key drug for treating carbapenamase-producing Enterobacteriaceae. KPC-KP colistin-resistant isolates were detected in all participating laboratories. This underscores a concerning evolution of colistin resistance in a setting of high KPC-KP endemicity.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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