Chikungunya virus (CHIKV) infection: Analytical performance of real-time NASBA assay

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Analysis and characterization of mouse monoclonal antibodies reactive to Chikungunya virus (CHIKV)

occurring in 1984). However, plague has made an astonishing comeback in the last decade. Methods: n/a. Results: After a silence of 50 years, an outbreak of bubonic plague suddenly occurred close to Oran in Algeria, in June 2003. Eighteen bubonic cases were identified, and Yersinia pestis was isolated from 6 patients. In July 2008, a new cluster was reported among nomads 300 km south of the first one. Four members of one family were affected and one died. The bacillus was isolated from one patient. No epidemiological association was identified between the two events. On June 2009, 25 years after the last occurrence in the country, Libya reported five confirmed cases of bubonic plague in the Tobruk area. Y. pestis was isolated from three patients. In all these cases, further local ecological investigations confirmed the existence of a natural focus The re-emergence of human plague in the region is not without international consequences. Two of the last concerned natural foci are close to an international port which raises the question of the potential exportation of infected rodents. Cross-border tensions, between ''plague countries'' and ''plague-free countries'' have been observed although the foci's limits are unknown as any systematic ecological investigation and surveillance is lacking. Additionally, the potential weaponization of Y.pestis together with international political tensions feed a recurrent interest in plague in North Africa. False rumors of alleged military laboratory accidents or terrorist acts are routinely mentioned, although events could be first explained by the natural history of the disease. Conclusion: In this context, and although the number of human cases has been very limited so far, the first priorities are to establish appropriate ecological surveillance and agree on a common plague control strategy for the region

Imported cases of Chikungunya and Dengue fever in Emilia Romagna region, Italy

Imported cases of Chikungunya and Dengue fever in Emilia Romagna region, Italy F. Cavrini 1,∗, P. Gaibani2, C. Manisera3, A. Pierro4, G. Rossini 5, M.P. Landini 5, V. Sambri6 1 S. Orsola-Malpighi Hospital, BOLOGNA, Italy 2 S.Orsola-Malpighi Hospital, Section of Microbiology, BOLOGNA, Italy 3 S.Orsola-Malpighi Hospital, Section of Microbiology, BOLOGNA, Italy 4 S.Orsola-Malpighi, Bologna, Italy 5 S.Orsola-Malpighi Hospital, section of Microbiology, BOLOGNA, Italy 6 University of Bologna, Bologna, Ital

Sero-prevalence of West Nile virus in north-eastern Italy

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Serological update of the Chikungunya epidemic outbreak in Italy

Serological update of the Chikungunya epidemic outbreak in Italy P. Gaibani1,∗, A. Pierro1, F. CAVRINI2, G. Rossini 3, M.P. Landini 3, C. Manisera4, V. Sambri5 1 S.Orsola-Malpighi, Bologna, Italy 2 S. Orsola-Malpighi Hospital, BOLOGNA, Italy 3 S.Orsola-Malpighi Hospital, section of Microbiology, BOLOGNA, Italy 4 S.Orsola-Malpighi Hospital, Microbiology, Bologna, Italy 5 University of Bologna, Bologna, Ital

Virological and Immunological Monitoring of Human Cytomegalovirus Infection in Heart and Small Bowel/Multivisceral Transplantation

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Phylogenetic analysis of West Nile virus isolates, Italy, 2008-2009.

To determine the lineage of West Nile virus that caused outbreaks in Italy in 2008 and 2009, several West Nile virus strains were isolated from human specimens and sequenced. On the basis of phylogenetic analyses, the strains isolated constitute a distinct group within the western Mediterranean cluster

Comparative evaluation of the new xTAG GPP multiplex assay in the laboratory diagnosis of acute gastroenteritis. Clinical assessment and potential application from a multicentre Italian study.

Objective: Gastroenteritis caused by a single pathogen or multiple pathogens remains a major diagnostic challenge for the laboratory. The treatment of diarrhoea is based on microbiological results. Diagnosis is achieved using different laboratory techniques that have variable sensitivity and specificity. xTAG GPP is a new multiplex PCR assay that simultaneously detects 15 different pathogens responsible for diarrhoea. The results of the first multicentre study in Italy to evaluate the potential clinical application of the GPP assay in the laboratory diagnosis of diarrhoea are reported here. Methods: Faeces specimens (N = 664) from hospitalized patients were tested with the GPP assay using a Luminex 200 instrument. All specimens were run using comparator methods following a routine algorithm: culture for bacteria, enzyme immunoassay and PCR for viruses, and microscopy for parasites. Results: Of the samples tested with the GPP, 53.61% (356/664) gave positive results, as compared to 45.33% by routine testing. Of the positive specimens, 34.55% showed the presence of genomic DNA from multiple pathogens. The Luminex method showed an increase in the percentage of positivity of 8.28%. Conclusions: The GPP assay can be considered a helpful tool for the detection of gastrointestinal pathogens, with a hands-on time of 5 h; it provides accurate data for the clinical management of hospitalized patients and for epidemiological surveillance

Genomic epidemiology of Klebsiella pneumoniae in Italy and novel insights into the origin and global evolution of its resistance to carbapenem antibiotics

Klebsiella pneumoniae is at the forefront of antimicrobial resistance for Gram-negative pathogenic bacteria, as strains resistant to third-generation cephalosporins and carbapenems are widely reported. The worldwide diffusion of these strains is of great concern due to the high morbidity and mortality often associated with K. pneumoniae infections in nosocomial environments. We sequenced the genomes of 89 K. pneumoniae strains isolated in six Italian hospitals. Strains were selected based on antibiotypes, regardless of multilocus sequence type, to obtain a picture of the epidemiology of K. pneumoniae in Italy. Thirty-one strains were carbapenem-resistant K. pneumoniae carbapenemase producers, 29 were resistant to third-generation cephalosporins, and 29 were susceptible to the aforementioned antibiotics. The genomes were compared to all of the sequences available in the databases, obtaining a data set of 319 genomes spanning the known diversity of K. pneumoniae worldwide. Bioinformatic analyses of this global data set allowed us to construct a whole-species phylogeny, to detect patterns of antibiotic resistance distribution, and to date the differentiation between specific clades of interest. Finally, we detected an 3c1.3-Mb recombination that characterizes all of the isolates of clonal complex 258, the most widespread carbapenem-resistant group of K. pneumoniae. The evolution of this complex was modeled, dating the newly detected and the previously reported recombination events. The present study contributes to the understanding of K. pneumoniae evolution, providing novel insights into its global genomic characteristics and drawing a dated epidemiological scenario for this pathogen in Italy