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Trend of clinical vancomycin-resistant enterococci isolated in a regional Italian hospital from 2001 to 2018.
Fioriti, Simona; Simoni, Serena; Caucci, Sara; Morroni, Gianluca; Ponzio, Elisa; Coccitto, Sonia Nina; Brescini, Lucia; Cirioni, Oscar; Menzo, Stefano; Biavasco, Francesca; Giovanetti, Eleonora; Brenciani, Andrea; Vignaroli, Carla.
Afiliação
  • Fioriti S; Unit of Microbiology of Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy.
  • Simoni S; Department of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy.
  • Caucci S; Unit of Microbiology of Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy.
  • Morroni G; Unit of Microbiology of Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy.
  • Ponzio E; Section of Hygiene of Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy.
  • Coccitto SN; Unit of Microbiology of Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy.
  • Brescini L; Infectious Diseases Clinic of Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy.
  • Cirioni O; Infectious Diseases Clinic of Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy.
  • Menzo S; Unit of Microbiology of Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy.
  • Biavasco F; Department of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy.
  • Giovanetti E; Department of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy.
  • Brenciani A; Unit of Microbiology of Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy. a.brenciani@univpm.it.
  • Vignaroli C; Department of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy.
Braz J Microbiol ; 51(4): 1607-1613, 2020 Dec.
Article em En | MEDLINE | ID: mdl-32783169
A retrospective study of the epidemiology of vancomycin-resistant enterococci (VRE) in a regional hospital of central Italy in 2001-2018 demonstrated an increased VRE prevalence since 2016. A total of 113 VRE isolates, 89 E. faecium (VREfm) and 24 E. faecalis (VREfs), were collected in the study period. All strains showed high-level resistance to vancomycin; 107 also showed teicoplanin resistance. Altogether, 84 VREfm and 20 VREfs carried vanA, whereas 5 VREfm and 1 VREfs carried vanB. MLST analysis documented that 89 VREfm isolates mainly belonged to ST78, ST80, and ST117. Most strains were isolated from 2001 to 2007, ST78 being the predominant clone. VREfm re-emerged in 2016 with a prevalence of the ST80 lineage. Most VREfs were isolated from 2001 to 2006; although they belonged to 7 different STs, there was a prevalence of ST88 and ST6. Notably, ST88 was sporadically recovered throughout the study period. The increasing rate of VREfm isolation from 2016 to 2018 may be related to the influx of new successful clones and to the renewed and widespread use of vancomycin. Improved infection control measures in hospital wards should be adopted to limit the spread of new epidemic VRE strains.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecção Hospitalar / Infecções por Bactérias Gram-Positivas / Enterococcus faecium / Enterococcus faecalis / Enterococos Resistentes à Vancomicina Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Braz J Microbiol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Itália País de publicação: Brasil
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecção Hospitalar / Infecções por Bactérias Gram-Positivas / Enterococcus faecium / Enterococcus faecalis / Enterococos Resistentes à Vancomicina Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Braz J Microbiol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Itália País de publicação: Brasil