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Prevalence of Staphylococcus aureus and methicillin-resistant Staphylococcus aureus carriage in three populations
S Kottler1, J R Middleton, J Perry
1Department of Veterinary Medicine and Surgery, University of Missouri College of Veterinary Medicine, Columbia, MO, USA.
Background:
A higher prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonization is reported in healthcare workers compared with nonhealthcare workers.
Hypothesis:
The prevalence of MRSA colonization differed in people and pets in households with healthcare workers as compared with households without healthcare workers.
Subjects:
A person and 1 dog or cat from 586 households defined as either a nonhealthcare (n = 213), veterinary healthcare (n = 211), or human healthcare (n = 162) worker household.
Methods:
Prospective cross-sectional study. Samples from humans and pets were cultured in vitro. Staphylococcus aureus was identified as methicillin sensitive (MSSA) or MRSA with mecA polymerase chain reaction. Pulsed-field gel electrophoresis and spa-typing were used to characterize relatedness of S. aureus and MRSA and assign USA types.
Results:
The prevalence of MSSA and MRSA in humans was 21.5% (126/586) and 5.63% (33/586), respectively, and 7.85% (46/586) and 3.41% (20/586), respectively, in pets. There were no differences in prevalences of either MSSA or MRSA between household types. The proportion of MRSA among all S. aureus isolates in humans and pets was 20.8% (33/159) and 30.3% (20/66), respectively. In < 1.0% (4/586) of households, the same strain of MRSA was found in both a person and a pet.
Conclusions And Clinical Importance:
There were no differences in the prevalences of MSSA or MRSA between healthcare worker and nonhealthcare worker households. Pets and people colonized with S. aureus were as likely to be colonized with MRSA. Colonization of a person and their pet with the same strain of MRSA was rare.
Insights
Healthcare workers do not show higher rates of methicillin-resistant Staphylococcus aureus (MRSA) colonization in their households. Pets and people in these homes were equally likely to carry MRSA, with rare instances of shared strains.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Healthcare workers (HCWs) have a higher reported prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonization than non-HCWs.
- This study investigated MRSA colonization in households with and without HCWs, including both human and pet occupants.
Purpose of the Study:
- To determine if MRSA colonization prevalence differs between people and pets in households with HCWs compared to those without.
- To compare the prevalence of methicillin-sensitive Staphylococcus aureus (MSSA) and MRSA in human and pet populations across different household types.
Main Methods:
- A prospective cross-sectional study involving 586 households (non-HCW, veterinary HCW, human HCW).
- Samples were collected from individuals and their companion animals (dogs or cats) and cultured.
- Staphylococcus aureus identification (MSSA/MRSA) was performed using mecA PCR; strain relatedness was analyzed by pulsed-field gel electrophoresis and spa-typing.
Main Results:
- No significant differences in MSSA or MRSA prevalence were observed between household types for either humans or pets.
- The prevalence of MRSA in humans was 5.63% and in pets was 3.41%.
- The proportion of MRSA among S. aureus isolates was 20.8% in humans and 30.3% in pets; co-colonization with the same MRSA strain in a person and their pet occurred in less than 1% of households.
Conclusions:
- The study found no difference in MSSA or MRSA prevalence in households with or without HCWs.
- Humans and pets were equally likely to be colonized with MRSA when colonized with S. aureus.
- Co-colonization of a person and their pet with the same MRSA strain is uncommon.
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