Spread of mcr-1-Driven Colistin Resistance on Hospital Surfaces, Italy

Emerg Infect Dis. 2018 Sep;24(9):1752-1753. doi: 10.3201/eid2409.171386.

Abstract

Plasmid-mediated colistin resistance driven by the mcr-1 gene is of great clinical concern. Its diffusion in the hospital environment is unknown. We detected mcr-1-driven resistance in 8.3% of Enterobacteriaceae isolates from hospital surfaces in Italy, which might represent a reservoir of threatening nosocomial pathogens.

Keywords: Acinetobacter Iwoffii; Citrobacter freundii; Colistin resistance; Enterobacter agglomerans; Enterobacter cloacae; Escherichia coli; Italy; Klebsiella oxytoca; Klebsiella pneumoniae; Pseudomonas aeruginosa; Pseudomonas putida; antimicrobial resistance; bacteria; hospitals; mcr-1; surface contamination.

Publication types

  • Letter

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Bacterial Proteins / genetics
  • Colistin / pharmacology
  • Cross Infection / transmission*
  • Drug Resistance, Bacterial*
  • Enterobacteriaceae / drug effects
  • Enterobacteriaceae / isolation & purification*
  • Enterobacteriaceae Infections / drug therapy
  • Enterobacteriaceae Infections / transmission*
  • Hospitals
  • Humans
  • Italy
  • Microbial Sensitivity Tests

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • Colistin