Transmission of methicillin-resistant Staphylococcus aureus CC398 from livestock veterinarians to their household members.

There are indications that livestock-associated MRSA CC398 has a reduced human-to-human transmissibility, limiting its impact on public health and justifying modified control measures. This study determined the transmissibility of MRSA CC398 from livestock veterinarians to their household members in...

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Main Authors: Erwin Verkade, Marjolein Kluytmans-van den Bergh, Birgit van Benthem, Brigitte van Cleef, Miranda van Rijen, Thijs Bosch, Leo Schouls, Jan Kluytmans
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4111304?pdf=render
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author Erwin Verkade
Marjolein Kluytmans-van den Bergh
Birgit van Benthem
Brigitte van Cleef
Miranda van Rijen
Thijs Bosch
Leo Schouls
Jan Kluytmans
author_facet Erwin Verkade
Marjolein Kluytmans-van den Bergh
Birgit van Benthem
Brigitte van Cleef
Miranda van Rijen
Thijs Bosch
Leo Schouls
Jan Kluytmans
author_sort Erwin Verkade
collection DOAJ
description There are indications that livestock-associated MRSA CC398 has a reduced human-to-human transmissibility, limiting its impact on public health and justifying modified control measures. This study determined the transmissibility of MRSA CC398 from livestock veterinarians to their household members in the community as compared to MRSA non-CC398 strains. A one-year prospective cohort study was performed to determine the presence of MRSA CC398 in four-monthly nasal and oropharyngeal samples of livestock veterinarians (n  =  137) and their household members (n  =  389). In addition, a cross-sectional survey was performed to detect the presence of MRSA non-CC398 in hospital derived control patients (n  =  20) and their household members (n  =  41). Staphylococcus aureus isolates were genotyped by staphylococcal protein A (spa) typing and multiple-locus variable-number tandem repeat analysis (MLVA). Mean MRSA CC398 prevalence over the study period was 44% (range 41.6-46.0%) in veterinarians and 4.0% (range 2.8-4.7%) in their household members. The MRSA CC398 prevalence in household members of veterinarians was significantly lower than the MRSA non-CC398 prevalence in household members of control patients (PRR 6.0; 95% CI 2.4-15.5), indicating the reduced transmissibility of MRSA CC398. The impact of MRSA CC398 appears to be low at the moment. However, careful monitoring of the human-to-human transmissibility of MRSA CC398 remains important.
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spelling doaj.art-e2efefb9830448f5b03a5b8c11d78ad92022-12-21T20:29:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0197e10082310.1371/journal.pone.0100823Transmission of methicillin-resistant Staphylococcus aureus CC398 from livestock veterinarians to their household members.Erwin VerkadeMarjolein Kluytmans-van den BerghBirgit van BenthemBrigitte van CleefMiranda van RijenThijs BoschLeo SchoulsJan KluytmansThere are indications that livestock-associated MRSA CC398 has a reduced human-to-human transmissibility, limiting its impact on public health and justifying modified control measures. This study determined the transmissibility of MRSA CC398 from livestock veterinarians to their household members in the community as compared to MRSA non-CC398 strains. A one-year prospective cohort study was performed to determine the presence of MRSA CC398 in four-monthly nasal and oropharyngeal samples of livestock veterinarians (n  =  137) and their household members (n  =  389). In addition, a cross-sectional survey was performed to detect the presence of MRSA non-CC398 in hospital derived control patients (n  =  20) and their household members (n  =  41). Staphylococcus aureus isolates were genotyped by staphylococcal protein A (spa) typing and multiple-locus variable-number tandem repeat analysis (MLVA). Mean MRSA CC398 prevalence over the study period was 44% (range 41.6-46.0%) in veterinarians and 4.0% (range 2.8-4.7%) in their household members. The MRSA CC398 prevalence in household members of veterinarians was significantly lower than the MRSA non-CC398 prevalence in household members of control patients (PRR 6.0; 95% CI 2.4-15.5), indicating the reduced transmissibility of MRSA CC398. The impact of MRSA CC398 appears to be low at the moment. However, careful monitoring of the human-to-human transmissibility of MRSA CC398 remains important.http://europepmc.org/articles/PMC4111304?pdf=render
spellingShingle Erwin Verkade
Marjolein Kluytmans-van den Bergh
Birgit van Benthem
Brigitte van Cleef
Miranda van Rijen
Thijs Bosch
Leo Schouls
Jan Kluytmans
Transmission of methicillin-resistant Staphylococcus aureus CC398 from livestock veterinarians to their household members.
PLoS ONE
title Transmission of methicillin-resistant Staphylococcus aureus CC398 from livestock veterinarians to their household members.
title_full Transmission of methicillin-resistant Staphylococcus aureus CC398 from livestock veterinarians to their household members.
title_fullStr Transmission of methicillin-resistant Staphylococcus aureus CC398 from livestock veterinarians to their household members.
title_full_unstemmed Transmission of methicillin-resistant Staphylococcus aureus CC398 from livestock veterinarians to their household members.
title_short Transmission of methicillin-resistant Staphylococcus aureus CC398 from livestock veterinarians to their household members.
title_sort transmission of methicillin resistant staphylococcus aureus cc398 from livestock veterinarians to their household members
url http://europepmc.org/articles/PMC4111304?pdf=render
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