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Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in Italy: A National Survey

Author

Listed:
  • Jessica Iera

    (Management and Health Laboratory, Institute of Management, Department EMbeDS, Sant’Anna School of Advanced Studies, 56127 Pisa, Italy
    Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Chiara Seghieri

    (Management and Health Laboratory, Institute of Management, Department EMbeDS, Sant’Anna School of Advanced Studies, 56127 Pisa, Italy)

  • Lara Tavoschi

    (Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy)

  • Claudia Isonne

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
    Department of Infectious Diseases, Istituto Superiore di Sanità, 00162 Rome, Italy)

  • Valentina Baccolini

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Daniele Petrone

    (Department of Infectious Diseases, Istituto Superiore di Sanità, 00162 Rome, Italy
    Department of Statistics, Sapienza University of Rome, 00185 Rome, Italy)

  • Antonella Agodi

    (Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, 95123 Catania, Italy)

  • Martina Barchitta

    (Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, 95123 Catania, Italy)

  • Luca Arnoldo

    (Department of Medicine, University of Udine, 33100 Udine, Italy
    Accreditation and Quality Unit, Friuli Centrale Healthcare University Trust, 33100 Udine, Italy)

  • Roberta Creti

    (Department of Infectious Diseases, Istituto Superiore di Sanità, 00162 Rome, Italy)

  • Silvia Forni

    (Regional Health Agency of Tuscany, 50139 Florence, Italy)

  • Annibale Raglio

    (Division of Microbiology and Virology, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy)

  • Enrico Ricchizzi

    (Regional Health and Social Agency, Emilia Romagna Region, 40127 Bologna, Italy)

  • Lorenzo Bandini

    (Department of Infectious Diseases, Istituto Superiore di Sanità, 00162 Rome, Italy)

  • Adriano Grossi

    (Department of Infectious Diseases, Istituto Superiore di Sanità, 00162 Rome, Italy)

  • Fortunato D’Ancona

    (Department of Infectious Diseases, Istituto Superiore di Sanità, 00162 Rome, Italy)

Abstract

Antimicrobial resistance (AMR) national surveillance systems in Italy lack alert systems for timely detection of emerging profiles of AMR with potential relevance to public health. Furthermore, the existence of early warning systems (EWS) at subnational level is unclear. This study aims at mapping and characterizing EWS for microbiological threats available at regional level in Italy, focusing on emerging AMR, and at outlining potential barriers and facilitators to their development/implementation. To this end, a three-section, web-based survey was developed and administered to all Italian regional AMR representatives from June to August 2022. Twenty out of twenty-one regions and autonomous provinces (95.2%) responded to the survey. Among these, nine (45%) reported the implementation of EWS for microbiological threats at regional level, three (15%) reported that EWS are in the process of being developed, and eight (40%) reported that EWS are not currently available. EWS characteristics varied widely among the identified systems concerning both AMR profiles reported and data flow: the microorganisms most frequently included were extensively drug-resistant (XDR) Enterobacterales , with the lack of a dedicated regional IT platform reported in most cases. The results of this study depict a highly heterogeneous scenario and suggest that more efforts aimed at strengthening national AMR surveillance systems are needed.

Suggested Citation

  • Jessica Iera & Chiara Seghieri & Lara Tavoschi & Claudia Isonne & Valentina Baccolini & Daniele Petrone & Antonella Agodi & Martina Barchitta & Luca Arnoldo & Roberta Creti & Silvia Forni & Annibale R, 2023. "Early Warning Systems for Emerging Profiles of Antimicrobial Resistance in Italy: A National Survey," IJERPH, MDPI, vol. 20(9), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:9:p:5623-:d:1131280
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