{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:24:39Z","timestamp":1777922679590,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T00:00:00Z","timestamp":1391212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:p>\n                    Almost all European countries are affected by the expansion of carbapenem-resistant\n                    <jats:italic toggle=\"yes\">Enterobacteriaceae<\/jats:italic>\n                    occurring during recent years. In the two hospitals of Verona, Italy, the incidence of carbapenem-nonsusceptible\n                    <jats:italic toggle=\"yes\">Klebsiella pneumoniae<\/jats:italic>\n                    (CNSKP) began to increase by the first months of 2011, reached a peak in the summer of the same year, and currently is around 30%. Contrary to what was reported by other hospitals and although significant percentages of CNSKP were detected in respiratory samples, blood and pus, urine from hospitalized patients, mainly geriatrics, are the clinical samples with the highest incidence of these strains. Elder patients are frequently transferred from the hospital to their own homes or long-term care facilities and vice-versa. Moreover, urinary tract infections are not considered as a severe pathology and frequently is asymptomatic in elderly. For these reasons, the presence of carbapenem non-susceptible bacteria in the urinary tract of geriatric patients might be an underestimated cause of multiresistant strain spreading to the non-hospitalized population and the community.\n                  <\/jats:p>","DOI":"10.1089\/mdr.2013.0036","type":"journal-article","created":{"date-parts":[[2013,8,20]],"date-time":"2013-08-20T22:32:21Z","timestamp":1377037941000},"page":"67-72","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["The High Incidence of Carbapenem-Resistant\n                    <i>Klebsiella pneumoniae<\/i>\n                    in Urine from Elderly Hospital Patients May Facilitate the Spread of Resistant Strains to the Community"],"prefix":"10.1177","volume":"20","author":[{"given":"Giuliana Lo","family":"Cascio","sequence":"first","affiliation":[{"name":"Azienda Ospedaliera Universitaria Integrata","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Soldani","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera Universitaria Integrata","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annarita","family":"Mazzariol","sequence":"additional","affiliation":[{"name":"Universit\u00e0 di Verona","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria M.","family":"Lleo","sequence":"additional","affiliation":[{"name":"Universit\u00e0 di Verona","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,2]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","first-page":"3986","DOI":"10.1128\/JCM.01242-11","article-title":"Containment of an outbreak of KPC-3-producing Klebsiella pneumoniae in Italy","volume":"49","author":"Agodi A.","year":"2011","unstructured":"Agodi A., , Voulgari E., , Barchitta M., , Politi L., , Koumaki V., , Spanakis N., , Giaquinta L., , Valenti G., , Romeo MA., , and Tsakris A.. 2011. 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