Department of Translational Research and New technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Regional Health Agency of Tuscany, Florence, Italy.
Euro Surveill. 2020 Feb;25(6). doi: 10.2807/1560-7917.ES.2020.25.6.2000085.
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.
在意大利托斯卡纳,自 2018 年 11 月以来,产新德里金属β-内酰胺酶的碳青霉烯类耐药肠杆菌科细菌(NDM-CRE)有所增加。在 2018 年 11 月至 2019 年 10 月期间,有 1645 个样本呈 NDM-CRE 阳性:1270 例(77.2%)为肠道携带,129 例(7.8%)为血流感染,246 例(14.9%)为其他部位感染/定植。产 NDM-1 肠杆菌科细菌(1495 例;90.9%)普遍存在,ST147/NDM-1 是主要克隆。由于延迟发现和应对,导致托斯卡纳西北部地区的 NDM-CRE 持续传播,但成功控制了该地区的传播。