Human Campylobacter spp. infections in Italy

被引:1
作者
Zerbato, Verena [1 ]
Di Bella, Stefano [2 ]
Pol, Riccardo [1 ]
Luzzati, Roberto [2 ]
Sanson, Gianfranco [2 ]
Ambretti, Simone [3 ,4 ]
Andreoni, Stefano [5 ]
Aschbacher, Richard [6 ]
Bernardo, Mariano [7 ]
Bielli, Alessandra [8 ]
Brigante, Gioconda [9 ]
Busetti, Marina [10 ]
Camarlinghi, Giulio [11 ]
Carcione, Davide [9 ]
Carducci, Antonella [9 ]
Clementi, Nicola [12 ,13 ]
Carretto, Edoardo [14 ]
Chilleri, Chiara [15 ,16 ]
Codda, Giulia [17 ]
Consonni, Alessandra [18 ]
Costantino, Venera [10 ]
Cortazzo, Venere [19 ,20 ]
Di Santolo, Manuela [10 ]
Dodaro, Saveria [21 ]
Fiori, Barbara [22 ]
Garcia-Fernandez, Aurora [23 ]
Foschi, Claudio [3 ,4 ]
Gobbato, Elisa [5 ]
Greco, Francesca [21 ]
La Ragione, Roberto Marcello [24 ,25 ]
Mancini, Nicasio [26 ,27 ]
Maraolo, Alberto Enrico [28 ]
Marchese, Anna [17 ,29 ]
Marcuccio, Daniela [30 ]
Marrollo, Roberta [14 ]
Mauri, Carola [18 ]
Mazzariol, Annarita [31 ]
Morroni, Gianluca [32 ]
Mosca, Adriana [33 ]
Nigrisoli, Giacomo [3 ]
Pagani, Elisabetta [6 ]
Parisio, Eva Maria [11 ]
Pollini, Simona [15 ,16 ]
Sarti, Mario [34 ]
Sorrentino, Annarita [31 ]
Trotta, Domenico [32 ]
Villa, Laura [23 ]
Vismara, Chiara [8 ]
Principe, Luigi [30 ]
机构
[1] Trieste Univ Hosp ASUGI, Infect Dis Unit, Trieste, Italy
[2] Univ Trieste, Clin Dept Med Surg & Hlth Sci, Trieste, Italy
[3] IRCCS Azienda Osped Univ Bologna, Microbiol Unit, Bologna, Italy
[4] Univ Bologna, Dept Med & Surg Sci DIMEC, Bologna, Italy
[5] Azienda Osped Univ Maggiore Della Carita, Lab Microbiol & Virol, Corso Mazzini 18, I-28100 Novara, Italy
[6] Azienda Sanit Alto Adige, Comprensorio Sanit Bolzano, Lab Aziendale Microbiol & Virol, Bolzano, Italy
[7] AORN Osped Colli Monaldi Hosp, Microbiol Unit, Naples, Italy
[8] ASST Grande Osped Metropolitano Niguarda, Clin Microbiol Unit, Milan, Italy
[9] ASST Valle Olona, Clin Pathol Lab, Busto Arsizio, Italy
[10] Trieste Univ Hosp ASUGI, Microbiol Unit, Trieste, Italy
[11] San Donato Hosp, USL Toscana Sud Est, Microbiol Anal Unit, Arezzo, Italy
[12] Univ Vita Salute San Raffaele, Lab Med Microbiol & Virol, Milan, Italy
[13] IRCCS San Raffaele Hosp, Lab Med Microbiol & Virol, Milan, Italy
[14] IRCCS Arcispedale Santa Maria Nuova, Clin Microbiol Lab, Reggio Emilia, Italy
[15] Careggi Univ Hosp, Microbiol & Virol Unit, Florence, Italy
[16] Univ Florence, Dept Expt & Clin Med, Florence, Italy
[17] Univ Genoa, Dept Surg Sci & Integrated Diagnost DISC, Genoa, Italy
[18] A Manzoni Hosp, Clin Microbiol & Virol Unit, Lecce, Italy
[19] Univ Cattolica Sacro Cuore, Dipartimento Sci Biotecnol Base, Clin Intensivol & Perioperatorie, Rome, Italy
[20] IRCCS, Bambino Gesu Childrens Hosp, Dept Diagnost & Lab Med, Microbiol & Diagnost Immunol Unit, Rome, Italy
[21] Annunziata Hosp, Microbiol & Virol Unit, Cosenza, Italy
[22] Fdn Policlin Univ A Gemelli IRCCS, Dipartimento Sci Lab & Infettivol, Rome, Italy
[23] Ist Super Sanita, Dept Infect Dis, Rome, Italy
[24] Univ Surrey, Sch Vet Med, Guildford, Surrey, England
[25] Univ Surrey, Sch Biosci, Guildford, Surrey, England
[26] Univ Insubria, Dept Med & Technol Innovat, Lab Med Microbiol & Virol, Varese, Italy
[27] Fdn Macchi Univ Hosp, Lab Med Microbiol & Virol, Varese, Italy
[28] Cotugno Hosp, AORN Colli, Div Infect Dis 1, Naples, Italy
[29] IRCCS Osped Policlin San Martino, Microbiol Unit, Genoa, Italy
[30] Great Metropolitan Hosp Bianchi Melacrino Morelli, Microbiol & Virol Unit, Reggio Di Calabria, Italy
[31] Azienda Osped Univ Integrata Verona, Dept Pathol, Microbiol & Virol Unit, Verona, Italy
[32] Polytech Univ Marche, Dept Biomed Sci & Publ Hlth, Microbiol Unit, Ancona, Italy
[33] Univ Bari Aldo Moro, DIM, Policlin, Bari, Italy
[34] AOU Policlin, Clin Microbiol Unit, Modena, Italy
关键词
(6): Campylobacter spp; Antimicrobial resistance; Multidrug-resistant; Italy; Surveillance; Campylobacter jejuni;
D O I
10.1007/s10096-024-04803-0
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
PurposeCampylobacter is a frequent cause of enteric infections with common antimicrobial resistance issues. The most recent reports of campylobacteriosis in Italy include data from 2013 to 2016. We aimed to provide national epidemiological and microbiological data on human Campylobacter infections in Italy during the period 2017-2021. MethodsData was collected from 19 Hospitals in 13 Italian Regions. Bacterial identification was performed by mass spectrometry. Antibiograms were determined with Etest or Kirby-Bauer (EUCAST criteria). ResultsIn total, 5419 isolations of Campylobacter spp. were performed. The most common species were C. jejuni (n = 4535, 83.7%), followed by C. coli (n = 732, 13.5%) and C. fetus (n = 34, 0.6%). The mean age of patients was 34.61 years and 57.1% were males. Outpatients accounted for 54% of the cases detected. Campylobacter were isolated from faeces in 97.3% of cases and in 2.7% from blood. C. fetus was mostly isolated from blood (88.2% of cases). We tested for antimicrobial susceptibility 4627 isolates (85.4%). Resistance to ciprofloxacin and tetracyclines was 75.5% and 54.8%, respectively; resistance to erythromycin was 4.8%; clarithromycin 2% and azithromycin 2%. 50% of C. jejuni and C. coli were resistant to >= 2 antibiotics. Over the study period, resistance to ciprofloxacin and tetracyclines significantly decreased (p < 0.005), while resistance to macrolides remained stable. ConclusionCampylobacter resistance to fluoroquinolones and tetracyclines in Italy is decreasing but is still high, while macrolides retain good activity.
引用
收藏
页码:895 / 904
页数:10
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