title: The rise of carbapenem resistance in Europe: just the tip of the iceberg?
abstract: The European Antimicrobial Resistance Surveillance Network (EARS-Net) collects data on carbapenem resistance from invasive bacterial infections. Increasing percentages of carbapenem resistance in K. pneumoniae isolates were reported from progressively more countries in Europe between 2005 and 2010. A trend analysis showed increasing trends for Greece, Cyprus, Hungary and Italy (p < 0.01). EARS-Net collects data on invasive bacterial isolates, which likely correspond to a fraction of the total number of infections. Increasing reports of community cases suggest that dissemination of carbapenem-resistant K. pneumoniae has penetrated into the community. Good surveillance and infection control measures are urgently needed to contain this spread.
authors: European Centre for Disease Prevention and Control, Tomtebodavägen 11A, Stockholm SE-171 83, Sweden. anna-pelagia.magiorakos@ecdc.europa.eu.
authors: Anna-Pelagia
authors: AP
authors: Magiorakos
authors: Carl
authors: C
authors: Suetens
authors: Dominique L
authors: DL
authors: Monnet
authors: Carlo
authors: C
authors: Gagliotti
authors: Ole E
authors: OE
authors: Heuer