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Low incidence of livestock-associated methicillin-resistant Staphylococcus aureus bacteraemia in The Netherlands in 2009
Methicillin-resistant Staphylococcus aureus (MRSA) is a worldwide problem in both hospitals and communities all over the world. In 2003, a new MRSA clade emerged with a reservoir in pigs and veal calves: livestock-associated MRSA (LA-MRSA). We wanted to estimate the incidence of bacteraemias due to...
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Published in: | PloS one 2013-08, Vol.8 (8), p.e73096-e73096 |
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description | Methicillin-resistant Staphylococcus aureus (MRSA) is a worldwide problem in both hospitals and communities all over the world. In 2003, a new MRSA clade emerged with a reservoir in pigs and veal calves: livestock-associated MRSA (LA-MRSA). We wanted to estimate the incidence of bacteraemias due to LA-MRSA using national surveillance data from 2009 in the Netherlands. We found a low incidence of LA-MRSA and MRSA bacteraemia episodes, compared to bacteraemias caused by all S. aureus (0.04, 0.18 and 19.3 episodes of bacteraemia per 100,000 inhabitants per year, respectively). LA-MRSA and MRSA were uncommon compared to numbers from other countries as well. MRSA in general and LA-MRSA in specific does not appear to be a public health problem in the Netherlands now. The low incidence of LA-MRSA bacteraemia episodes may best be explained by differences in the populations affected by LA-MRSA versus other MRSA. However, reduced virulence of the strain involved, and the effectiveness of the search and destroy policy might play a role as well. |
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In 2003, a new MRSA clade emerged with a reservoir in pigs and veal calves: livestock-associated MRSA (LA-MRSA). We wanted to estimate the incidence of bacteraemias due to LA-MRSA using national surveillance data from 2009 in the Netherlands. We found a low incidence of LA-MRSA and MRSA bacteraemia episodes, compared to bacteraemias caused by all S. aureus (0.04, 0.18 and 19.3 episodes of bacteraemia per 100,000 inhabitants per year, respectively). LA-MRSA and MRSA were uncommon compared to numbers from other countries as well. MRSA in general and LA-MRSA in specific does not appear to be a public health problem in the Netherlands now. The low incidence of LA-MRSA bacteraemia episodes may best be explained by differences in the populations affected by LA-MRSA versus other MRSA. However, reduced virulence of the strain involved, and the effectiveness of the search and destroy policy might play a role as well.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0073096</identifier><identifier>PMID: 24009733</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Animals ; Annual reports ; Antibiotics ; Antimicrobial agents ; Bacteremia ; Bacteremia - epidemiology ; Calves ; Carrier State - epidemiology ; Child ; Child, Preschool ; Disease control ; Drug resistance ; Farming ; Female ; Health surveillance ; Hogs ; Hospitals ; Humans ; Immunology ; Incidence ; Infant ; Infant, Newborn ; Infectious diseases ; Inhabitants ; Laboratories ; Livestock ; Livestock - microbiology ; Male ; Methicillin ; Methicillin-Resistant Staphylococcus aureus - classification ; Methicillin-Resistant Staphylococcus aureus - genetics ; Methicillin-Resistant Staphylococcus aureus - isolation & purification ; Microbiology ; Middle Aged ; Netherlands - epidemiology ; Public health ; Skin ; Staphylococcal Infections - epidemiology ; Staphylococcus aureus ; Staphylococcus infections ; Veal ; Virulence ; Young Adult</subject><ispartof>PloS one, 2013-08, Vol.8 (8), p.e73096-e73096</ispartof><rights>2013 van Cleef et al. 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However, reduced virulence of the strain involved, and the effectiveness of the search and destroy policy might play a role as well.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Animals</subject><subject>Annual reports</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>Bacteremia</subject><subject>Bacteremia - epidemiology</subject><subject>Calves</subject><subject>Carrier State - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Disease control</subject><subject>Drug resistance</subject><subject>Farming</subject><subject>Female</subject><subject>Health surveillance</subject><subject>Hogs</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Immunology</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Inhabitants</subject><subject>Laboratories</subject><subject>Livestock</subject><subject>Livestock - 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In 2003, a new MRSA clade emerged with a reservoir in pigs and veal calves: livestock-associated MRSA (LA-MRSA). We wanted to estimate the incidence of bacteraemias due to LA-MRSA using national surveillance data from 2009 in the Netherlands. We found a low incidence of LA-MRSA and MRSA bacteraemia episodes, compared to bacteraemias caused by all S. aureus (0.04, 0.18 and 19.3 episodes of bacteraemia per 100,000 inhabitants per year, respectively). LA-MRSA and MRSA were uncommon compared to numbers from other countries as well. MRSA in general and LA-MRSA in specific does not appear to be a public health problem in the Netherlands now. The low incidence of LA-MRSA bacteraemia episodes may best be explained by differences in the populations affected by LA-MRSA versus other MRSA. However, reduced virulence of the strain involved, and the effectiveness of the search and destroy policy might play a role as well.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24009733</pmid><doi>10.1371/journal.pone.0073096</doi><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Animals Annual reports Antibiotics Antimicrobial agents Bacteremia Bacteremia - epidemiology Calves Carrier State - epidemiology Child Child, Preschool Disease control Drug resistance Farming Female Health surveillance Hogs Hospitals Humans Immunology Incidence Infant Infant, Newborn Infectious diseases Inhabitants Laboratories Livestock Livestock - microbiology Male Methicillin Methicillin-Resistant Staphylococcus aureus - classification Methicillin-Resistant Staphylococcus aureus - genetics Methicillin-Resistant Staphylococcus aureus - isolation & purification Microbiology Middle Aged Netherlands - epidemiology Public health Skin Staphylococcal Infections - epidemiology Staphylococcus aureus Staphylococcus infections Veal Virulence Young Adult |
title | Low incidence of livestock-associated methicillin-resistant Staphylococcus aureus bacteraemia in The Netherlands in 2009 |
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