Prolonged outbreak of New Delhi metallo-beta-lactamase-producing carbapenem-resistant Enterobacterales (NDM-CRE), Tuscany, Italy, 2018 to 2019

In Tuscany, Italy, New Delhi metallo-beta-lactamase-producing carbapenem-resistant Enterobacterales (NDM-CRE) have increased since November 2018. Between November 2018 and October 2019, 1,645 samples were NDM-CRE-positive: 1,270 (77.2%) cases of intestinal carriage, 129 (7.8%) bloodstream infections...

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Veröffentlicht in:Euro surveillance : bulletin européen sur les maladies transmissibles 2020-02, Vol.25 (6), p.1
Hauptverfasser: Tavoschi, Lara, Forni, Silvia, Porretta, Andrea, Righi, Lorenzo, Pieralli, Filippo, Menichetti, Francesco, Falcone, Marco, Gemignani, Giulia, Sani, Spartaco, Vivani, Paola, Bellandi, Tommaso, Tacconi, Danilo, Turini, Lucia, Toccafondi, Giulio, Privitera, Gaetano, Lopalco, Pierluigi, Baggiani, Angelo, Gemmi, Fabrizio, Luchini, Grazia, Petrillo, Maurizio, Roti, Lorenzo, Pezzotti, Patrizio, Pantosti, Annalisa, Iannazzo, Stefania, Mechi, Maria Teresa, Rossolini, Gian Maria, On Behalf Of The Tuscan Clinical Microbiology Laboratory Network
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Sprache:eng
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Zusammenfassung:In Tuscany, Italy, New Delhi metallo-beta-lactamase-producing carbapenem-resistant Enterobacterales (NDM-CRE) have increased since November 2018. Between November 2018 and October 2019, 1,645 samples were NDM-CRE-positive: 1,270 (77.2%) cases of intestinal carriage, 129 (7.8%) bloodstream infections and 246 (14.9%) infections/colonisations at other sites. were prevalent (1,495; 90.9%), with ST147/NDM-1 the dominant clone. Delayed outbreak identification and response resulted in sustained NDM-CRE transmission in the North-West area of Tuscany, but successfully contained spread within the region.
ISSN:1560-7917
1025-496X
1560-7917
DOI:10.2807/1560-7917.ES.2020.25.6.2000085