Review on colonization of residents and staff in Italian long-term care facilities by multidrug-resistant bacteria compared with other European countries

Aschbacher, Richard; Pagani, Elisabetta; Confalonieri, Massimo; Farina, Claudio; Fazii, Paolo; Luzzaro, Francesco; Montanera, Pier Giorgio; Piazza, Aurora; Pagani, Laura

doi:10.1186/s13756-016-0136-1

Antimicrobial Resistance & Infection Control

Table 3 Characteristics of MDR Enterobacteriaceae isolated from surveillance or clinical samples of Italian LTCF residents or staff

From: Review on colonization of residents and staff in Italian long-term care facilities by multidrug-resistant bacteria compared with other European countries

Italian Province, year	Bacterial species	Resistance gene (number of isolates)	Clonal group (number of isolates)	References
ESBL or high-level AmpC producing Enterobacteriaceae
Pavia, 2003–04	E. coli	bla _CTXM (61)		[21]
		bla _SHV-5 (1)
		bla _TEM (15)
Various provinces, 2006		bla _CTXM (41)		[22]
		bla _SHV-5 (1)
		bla _SHV-2 (1)
		AmpC (3)
Lodi, 2009–10		bla _CTXM (61)		[20]
Lodi, 2009–10		bla _SHV-type (2)		[20]
Bolzano, 2012		bla _CTXM-15 (45)	ST131 (50)	[14]
		bla _CTXM-9 (4)
		bla _SHV-5/12 (6)
		bla _TEM-type (1)
Various provinces, 2006	K. pneumoniae	bla _CTXM (6)		[22]
Various provinces, 2006		bla _TEM-151 (1)		[22]
Lodi, 2009–10		bla _CTXM-15 (11)		[20]
Bolzano, 2012		bla _SHV-12 (9)		[14]
Bolzano, 2012		bla _CTXM-15 (1)		[14]
Pavia, 2004–05	P. mirabilis	bla _TEM-92 (23)		[25]
Pavia, 2004–05		bla _CMY-16 (3)		[25]
Pavia, 2003–06		ESBL (197)		[24]
Pavia, 2003–06		bla _CMY-16 (20)		[24]
Various provinces, 2006		bla _TEM-92 (23)		[22]
		bla _{TEM-92 +} bla _CMY-16 (4)
		bla _TEM-4 (9)
		bla _TEM-24 (1)
Lodi, 2009–10		bla _TEM-92 (10)		[20]
Lodi, 2009–10		bla _CMY-16 (15)		[20]
Bolzano, 2012		bla _TEM-92 (17)		[14]
Bolzano, 2012		bla _CMY-16 (1)		[14]
Various provinces, 2006	M. morganii	bla _TEM-92 (14)		[22]
Bolzano, 2012	M. morganii	bla _TEM-92 (10)		[14]
Various provinces, 2015	E. coli	Not reported	H30-ST131 (175)	[23]
Carbapenemase producing Enterobacteriaceae
Bolzano, 2008–12	E. coli	bla _VIM-1 (14)	Typing of 3 E. coli: all ST131; 1 E. coli subtyped: H30-ST131	[13, 14, 29, 30, 32]
	K. pneumoniae	bla _VIM-1 (5)
	Klebsiella oxytoca	bla _VIM-1 (4)
	M. morganii	bla _VIM-1 (1)
	P. mirabilis	bla _VIM-1 (1)
	Providencia stuartii	bla _VIM-1 (1)
Bologna, 2011	K. pneumoniae	bla _NDM-1 (4)		[37]
Milan, 2011–13	E. coli	bla _KPC-2 (9)	ST131 (8)	[33]
		bla _KPC-3 (1)
		bla _KPC-8 (1)
Cuneo, 2013	E. coli	bla _VIM-1 (1)	H30- ST131 (1)	[32]
Valle d’Aosta, 2013–14	K. pneumoniae	bla _KPC-2 (6)	ST1789 (6)	[36]
Various provinces, 2015	K. pneumoniae	bla _KPC-3 (3)		[23]
Various provinces, 2015	E. coli	bla _VIM-1 (2)		[23]

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