No confirmed cases of Taenia solium taeniasis in a group of recently arrived Sub-Saharan migrants to Italy

One-hundred and sixty-four migrants from Sub-Saharan Africa to Italy were screened with the Taenia solium specific enzyme-linked immunosorbent assay coproantigen (ELISA CoAg) and four (2.4%) were recorded as positive, but with optical density values near to the cut-off. No ELISA CoAg positive samples were confirmed by parasitological methods. Low positivity could be attributed to false positive result or cross-reaction with other Taenia species. Further studies are needed to assess the role of migration on sporadic autochthonous transmission of T. solium taeniasis/cysticercosis in Europe

Building materials and decay assessment of the Gerace Cathedral (Reggio Calabria, Southern Italy)

A multi-analytical approach was employed for the first time to study the stone materials, wall paintings and related degradation forms in the Cathedral of Gerace (Reggio Calabria, southern Italy). With an area of around 1898 square meters, the Gerace Cathedral is the largest in Calabria: its construction dates back to the Norman era (between 1085 and 1120), and currently displays distinct features of Greek and Latin architectural orders. Despite having undergone numerous restorations, the church perfectly preserves its original buildings materials. Following an extensive site inspection campaign, supported by the experts dealing with building restoration, several areas were selected for analyses. Both in situ investigations and laboratory tests were carried out on micro-fragments using Non-Destructive and Micro-Destructive Techniques (NDTs and MDTs). The first step involved an inspection through InfraRed Thermography (IRT) in order to map the internal walls of the Cathedral and identify zones with potential degradation phenomena. Subsequently, a more in-depth study was designed based on the thermographic results, and laboratory tests were carried out on micro-fragments and powders to characterize the different kinds of materials (i.e., stones, mortars, plasters and pigments) and decay agents (i.e., salts and efflorescences). Thirty-one samples were subjected to a complementary analytical approach which included Polarizing Optical Microscopy (POM), Ion Chromatography (IC), X-Ray Powder Diffraction (XRPD) and Scanning Electron Microscopy (SEM) coupled with microanalysis (EDS). The results allowed us to preliminarily characterize the different materials from which the Cathedral was built, determine its state of conservation and provide a better knowledge of the entire building, revealing details not visible to the naked eye which are important for future conservation interventions. As for the state of conservation, the integrated use of various techniques enabled the detection of rising damp generally correlated with the occurrence of water infiltration and migration phenomena which appear to affect a large part of the building, causing noticeable damage (i.e., loss of surface material, micro-cracks, white salt efflorescence, etc.). The characterization of the materials carried out on mortars, plasters, and pigments also confirmed the local origin of the raw materials. However, the provenance of the studied marbles and crystalline limestones, could not be established and, therefore, further in-depth studies are required

Relentless increase of resistance to fluoroquinolones and expanded-spectrum cephalosporins in Escherichia coli: 20 years of surveillance in resource-limited settings from Latin America.

AbstractPrevious studies on commensal Escherichia coli from healthy children in the Bolivian Chaco have shown remarkable resistance rates to the old antibiotics since the early 1990s, and the emergence of resistance to newer drugs (fluoroquinolones and expanded-spectrum cephalosporins) in the 2000s. Here we report the results of a new survey conducted in 2011 in the same setting. Rectal swabs were obtained from 482 healthy children (aged 6–72 months) from three urban areas of the Bolivian Chaco. Screening for antibiotic-resistant E. coli was performed by a direct plating method, as in the previous studies. The blaCTX-M genes were investigated by PCR/sequencing, and CTX-M-producing isolates were subjected to genotyping and detection of several plasmid-mediated quinolone resistance mechanisms. Results showed high rates of resistance to nalidixic acid (76%), ciprofloxacin (44%) and expanded-spectrum cephalosporins (12.4%), demonstrating a relentless increase of resistance to those drugs over the past two decades. CTX-M-type extended-spectrum beta-lactamases were found to be widespread (12%, 97% of extended-spectrum beta-lactamase producers). Compared with the previous studies, CTX-M-producing E. coli underwent a dramatic dissemination (120-fold increase since early 2000s) and a radical change of dominant CTX-M groups (CTX-M-1 and CTX-M-9 groups versus CTX-M-2 group). Most CTX-M producers were not susceptible to quinolones (91%), and 55% carried plasmid-mediated quinolone resistance genes (different combinations of aac(6')-Ib-cr, qnrB and qepA). This study shows the rapid and remarkable increasing trend for resistance to fluoroquinolones and expanded-spectrum cephalosporins in one of the poorest regions of Latin America, and underscores the need for urgent control strategies aimed at preserving the efficacy of those drugs in similar settings

High prevalence of carriage of mcr-1-positive enteric bacteria among healthy children from rural communities in the Chaco region, Bolivia, september to october 2016

Background: The mcr-1 gene is a transferable resistance determinant against colistin, a last-resort anti-microbial for infections caused by multi-resistant Gram-negatives. Aim: To study carriage of antibiotic-resistant bacteria in healthy school children as part of a helminth control and antimicrobial resistance survey in the Bolivian Chaco region. Methods: From September to October 2016 we collected faecal samples from healthy children in eight rural villages. Samples were screened for mcr-1-and mcr-2 genes. Antimicrobial susceptibility testing was performed, and a subset of 18 isolates representative of individuals from different villages was analysed by whole genome sequencing (WGS). Results: We included 337 children (mean age: 9.2 years, range: 7–11; 53% females). The proportion of mcr-1 carriers was high (38.3%) and present in all villages; only four children had previous antibiotic exposure. One or more mcr-1-positive isolates were recovered from 129 positive samples, yielding a total of 173 isolates (171 Escherichia coli, 1 Citrobacter europaeus, 1 Enterobacter hormaechei). No mcr-2 was detected. Co-resistance to other antimicrobials varied in mcr-positive E. coli. All 171 isolates were susceptible to carbapenems and tigecycline; 41 (24.0%) were extended-spectrum β-lactamase producers and most of them (37/41) carried bla CTX - M -type genes. WGS revealed heterogeneity of clonal lineages and mcr-genetic supports. Conclusion: This high prevalence of mcr-1-like carriage, in absence of professional exposure, is unexpected. Its extent at the national level should be investigated with priority. Possible causes should be studied; they may include unrestricted use of colistin in veterinary medicine and animal breeding, and importation of mcr-1-positive bacteria via food and animals

Chagas disease in Italy: breaking an epidemiological silence

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