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

Jessica Iera (), Chiara Seghieri, Lara Tavoschi, Claudia Isonne, Valentina Baccolini, Daniele Petrone, Antonella Agodi, Martina Barchitta, Luca Arnoldo, Roberta Creti, Silvia Forni, Annibale Raglio, Enrico Ricchizzi, Lorenzo Bandini, Adriano Grossi and Fortunato D’Ancona
Additional contact information
Jessica Iera: Management and Health Laboratory, Institute of Management, Department EMbeDS, Sant’Anna School of Advanced Studies, 56127 Pisa, 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
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
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
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

IJERPH, 2023, vol. 20, issue 9, 1-12

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.

Keywords: antimicrobial resistance; early warning system; emerging antimicrobial resistance; surveillance (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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