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New Delhi metallo-beta-lactamase 1-producing Enterobacteriaceae: emergence and response in Europe

dc.contributor.authorStruelens, M. J.
dc.contributor.authorMonnet, D. L.
dc.contributor.authorMagiorakos, A. P.
dc.contributor.authorO’Connor, F. Santos
dc.contributor.authorGiesecke, J .
dc.contributor.authorThe European NDM-1 Survey Participants
dc.date.accessioned2011-09-19T12:35:35Z
dc.date.available2011-09-19T12:35:35Z
dc.date.issued2010-11-18
dc.descriptionThe European NDM-1 Survey Participants: Manuela Caniça (Departamento de Doenças Infecciosas do INSA)por
dc.description.abstractAcquired carbapenemases confer extensive antibiotic resistance to Enterobacteriaceae and represent a public health threat. A novel acquired carbapenemase, New Delhi metallo-beta-lactamase 1 (NDM-1), has recently been described in the United Kingdom and Sweden, mostly in patients who had received care on the Indian subcontinent. We conducted a survey among 29 European countries (the European Union Member States, Iceland and Norway) to gather information on the spread of NDM-1-producing Enterobacteriaceae in Europe, on public health responses and on available national guidance on detection, surveillance and control. A total of 77 cases were reported from 13 countries from 2008 to 2010. Klebsiella pneumoniae was the most frequently reported species with 54%. Among 55 cases with recorded travel history, 31 had previously travelled or been admitted to a hospital in India or Pakistan and five had been hospitalised in the Balkan region. Possible nosocomial acquisition accounted for 13 of 77 cases. National guidance on NDM-1 detection was available in 14 countries and on NDM-1 control in 11 countries. In conclusion, NDM-1 is spreading across Europe, where it is frequently linked to a history of healthcare abroad, but also to emerging nosocomial transmission. National guidance in response to the threat of carbapenemase-producing Enterobacteriaceae is available in approximately half of the surveyed European countries. Surveillance of carbapenemase- producing Enterobacteriaceae must be enhanced in Europe and effective control measures identified and implemented.por
dc.identifier.citationEuro Surveill. 2010 Nov 18;15(46). pii: 19716por
dc.identifier.issn1025-496X
dc.identifier.urihttp://hdl.handle.net/10400.18/205
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherEuropean Centre for Disease Prevention and Controlpor
dc.relation.publisherversionhttp://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19716por
dc.subjectBeta-lactamasepor
dc.subjectEnterobacteriaceaepor
dc.subjectResistência aos Antimicrobianospor
dc.titleNew Delhi metallo-beta-lactamase 1-producing Enterobacteriaceae: emergence and response in Europepor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleEurosurveillancepor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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