1. Colistin resistance superimposed to endemic carbapenem-resistant Klebsiella pneumoniae: a rapidly evolving problem in Italy, November 2013 to April 2014
- Author
-
Monaco, M, Giani, T, Raffone, M, Arena, F, Garcia Fernandez, A, Pollini, S, Network EuSCAPE Italy, Grundmann, H, Pantosti, A, Rossolini, Gm, Collaborators, Barbaro, A, Campion, L, Catania, M, De Bernochi, A, Di Taranto AM, Dusi, P, Grandesso, S, Luzzaro, F, Manso, E, Meledandri, M, Mencacci, A, Milano, F, Parisi, G, Pecile, P, Restelli, A, Rocchetti, A, Arrigo, C, Rossi, M, Santino, Iolanda, Sarti, M, and Sartor, A.
- Subjects
Carbapenem ,Endemic Diseases ,Epidemiology ,Carbapenem resistant Klebsiella pneumoniae ,Microbial Sensitivity Tests ,Drug resistance ,Polymerase Chain Reaction ,beta-Lactamases ,Microbiology ,Colistin resistance ,Bacterial Proteins ,Drug Resistance, Multiple, Bacterial ,Virology ,polycyclic compounds ,medicine ,Humans ,biology ,Colistin ,Public Health, Environmental and Occupational Health ,Outbreak ,biochemical phenomena, metabolism, and nutrition ,Laboratories, Hospital ,bacterial infections and mycoses ,medicine.disease ,biology.organism_classification ,Health Surveys ,Enterobacteriaceae ,Anti-Bacterial Agents ,Klebsiella Infections ,Klebsiella pneumoniae ,Carbapenems ,Italy ,Klebsiella pneumonia ,Sentinel Surveillance ,medicine.drug - 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.
- Published
- 2014
- Full Text
- View/download PDF