Livestock veterinarians at high risk of acquiring methicillin-resistant Staphylococcus aureus ST398

The prevalence and risk factors associated with livestock-associated MRSA (LA-MRSA) carriage was examined in Danish and Belgian veterinarians. The MRSA and LA-MRSA carriage rates were 9·5% (95% CI 5·3–15·6) and 7·5% (95% CI 3·8–13·1) for MRSA and LA-MRSA, respectively, in Belgium and 1·4% (95% CI: 0...

Full description

Saved in:
Bibliographic Details
Published in:Epidemiology and infection 2012-03, Vol.140 (3), p.383-389
Main Authors: GARCIA-GRAELLS, C., ANTOINE, J., LARSEN, J., CATRY, B., SKOV, R., DENIS, O.
Format: Article
Language:English
Subjects:
Animal hospitals
Animals
Antimicrobials
Bacteriology
Belgium
Biological and medical sciences
Carrier State - epidemiology
Carrier State - microbiology
Cloning
Denmark
Drug Resistance, Multiple, Bacterial
Fundamental and applied biological sciences. Psychology
Genotype
Infections
Livestock
Methicillin resistant staphylococcus aureus
Methicillin-Resistant Staphylococcus aureus - classification
Methicillin-Resistant Staphylococcus aureus - isolation & purification
Microbiology
Miscellaneous
Molecular Typing
MRSA
Occupational Exposure
Predisposing factors
Prevalence
Questionnaires
REVIEW ARTICLE
Risk Assessment
Risk factors
Staphylococcal Infections - epidemiology
Staphylococcal Infections - microbiology
Staphylococcus aureus
Staphylococcus infections
Swine
Veterinarians
Veterinary medicine
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The prevalence and risk factors associated with livestock-associated MRSA (LA-MRSA) carriage was examined in Danish and Belgian veterinarians. The MRSA and LA-MRSA carriage rates were 9·5% (95% CI 5·3–15·6) and 7·5% (95% CI 3·8–13·1) for MRSA and LA-MRSA, respectively, in Belgium and 1·4% (95% CI: 0·17–5·05) in Denmark (all Danish MRSA isolates belonged to the LA-MRSA genotype). All LA-MRSA isolates were resistant to tetracycline and 53·4% (7/13) showed a multi-resistant phenotype. LA-MRSA was significantly associated with veterinarians in contact with livestock (P=0·046). In the multivariable analysis, working with small animals in a veterinary clinic seems to be negatively associated (OR 0·15, 95% CI 0–1·0, P=0·05) and a strong direct association was found for LA-MRSA acquisition and exposure to live pigs (OR 12·1, 95% CI 1·6–548·5, P=0·01). Since carriage of MRSA ST398 may increase the risk of complications during hospitalization, our results underline that preventive measures may need to be developed for veterinary professionals, particularly for livestock veterinarians.
ISSN:0950-2688
1469-4409
DOI:10.1017/S0950268811002263