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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
Euro surveillance : bulletin européen sur les maladies transmissibles, 02/2020, Letnik: 25, Številka: 6Journal Article
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.
