title: Unusual microorganisms and antimicrobial resistances in a group of Syrian migrants: Sentinel surveillance data from an asylum seekers centre in Italy.
abstract: BACKGROUND
  Three years of civil war in Syria have caused death and increase of communicable diseases. The suffering population has been forced to migrate creating a fertile condition for epidemic spread of infection within the refugee camps.
  
  
  METHODS
  Forty-eight Syrian migrants, upon their arrival in Italy, were accommodated at the asylum seekers centre of Castelnuovo di Porto. They received a physical examination and were subjected to microbiological surveillance by blood, rectal, pharyngeal and nasal swabs collection and delivering to the Clinical Pathology and Microbiology Laboratory of the University Campus Bio-Medico of Rome.
  
  
  RESULTS
  All refugees resulted negative for HBV, HCV and HIV infections. In swabs a large number of unusual gram-negative bacteria species were isolated, such as Pseudomonas putida, Pseudomonas monteilii, Pseudomonas fulva, Pseudomonas moselii, Aeromonas veronii, Aeromonas caviae, Aeromonas hydrophila, Acinteobacter guilloviae, Acinteobacter lowffii; Acinetobacter johnsonii; Acinteobacter tjernbergae; Pantoea agglomerans; Pantoea calida. Among isolates, strains resistant to carbapenems, ESBL producers and methicillin resistant were found.
  
  
  CONCLUSIONS
  The microbiological surveillance performed represents a useful action to understand refugees health status and to trace unusual microorganisms movement even carriers of antimicrobial resistance during migrants traveling.
authors.affiliation: Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico of Rome, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Angeletti
authors.affiliation: Department of Public Health and Infectious Diseases. University of Rome, "Sapienza," Policlinico Umberto I", Rome, Italy; Migrant Health Research Organisation (Mi-HeRO) - Centro di Ricerca sulla Salute delle Popolazioni Mobili e Globale, Italy.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Ceccarelli
authors.affiliation: Department of Public Health and Infectious Diseases. University of Rome, "Sapienza," Policlinico Umberto I", Rome, Italy; Migrant Health Research Organisation (Mi-HeRO) - Centro di Ricerca sulla Salute delle Popolazioni Mobili e Globale, Italy.
authors.forename: Serena
authors.initials: S
authors.lastname: Vita
authors.affiliation: Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico of Rome, Italy.
authors.forename: Giordano
authors.initials: G
authors.lastname: Dicuonzo
authors.affiliation: Sanitary Bureau of Asylum Seekers Center of Castelnuovo di Porto, Rome, Italy; Auxilium Società Cooperativa Sociale, Senise (PZ), Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Lopalco
authors.affiliation: Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico of Rome, Italy.
authors.forename: Etleva
authors.initials: E
authors.lastname: Dedej
authors.affiliation: Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico of Rome, Italy.
authors.forename: Aletheia
authors.initials: A
authors.lastname: Blasi
authors.affiliation: Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico of Rome, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Antonelli
authors.affiliation: Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico of Rome, Italy.
authors.forename: Alessia
authors.initials: A
authors.lastname: Conti
authors.affiliation: Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico of Rome, Italy.
authors.forename: Marina
authors.initials: M
authors.lastname: De Cesaris
authors.affiliation: Department of Infectious, Parasitic, and Immune-Mediated Diseases, Epidemiology Unit, Reference Centre on Phylogeny, Molecular Epidemiology, and Microbial Evolution (FEMEM), National Institute of Health, Rome, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Farchi
authors.affiliation: Department of Infectious, Parasitic, and Immune-Mediated Diseases, Epidemiology Unit, Reference Centre on Phylogeny, Molecular Epidemiology, and Microbial Evolution (FEMEM), National Institute of Health, Rome, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Lo Presti
authors.affiliation: Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico of Rome, Italy; Department of Infectious, Parasitic, and Immune-Mediated Diseases, Epidemiology Unit, Reference Centre on Phylogeny, Molecular Epidemiology, and Microbial Evolution (FEMEM), National Institute of Health, Rome, Italy. Electronic address: ciccozzi@iss.it.
authors.forename: Massimo
authors.initials: M
authors.lastname: Ciccozzi
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D002648:Child; D004352:Drug Resistance, Microbial; D005260:Female; D006090:Gram-Negative Bacteria / Q000187:drug effects* / Q000302:isolation & purification; D016905:Gram-Negative Bacterial Infections / Q000453:epidemiology / Q000382:microbiology*; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D011159:Population Surveillance; D012036:Refugees; D013593:Syria; D014195:Travel; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antimicrobial resistance; Microbiological surveillance; Syrian migrants; Unusual microorganisms