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Published on: August 22, 2018
Nonoutbreak-related airborne Staphylococcus spp in a veterinary hospital
Eric A Lutz1, Armando E Hoet, Michael Pennell
1Division of Community, Environment, and Policy, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ, USA.
Background:
Methicillin-resistant Staphylococcus spp (MRS), such as methicillin-resistant Staphylococcus aureus (MRSA), is a nosocomial pathogen of significant concern. This study evaluates the prevalence and determinants of airborne MRS and methicillin-susceptible Staphylococcus spp (MSS) in a veterinary teaching hospital during periods of no known active clinical cases of Staphylococci infections.
Methods:
Airborne MRS and MRSA were sampled from 10 areas on 3 days each over 3 consecutive months in a veterinary teaching hospital. Each location was sampled twice each day (daytime and evening). Hospital clinical personnel were surveyed for activity levels across the areas sampled.
Results:
Airborne MSS was detected in 52% (25/48) of samples and mecA-confirmed airborne MRS in 12.5% (6/48) of samples. Among daytime air samples, Staphylococcus spp varied by functional area (P < .001), and airborne MRS varied by human activity level (P = .011) with the hallway posing the greatest risk for both.
Conclusion:
Our results indicate that (1) Staphylococcus spp is present in air in clinical environments during periods of no known clinical Staphylococci cases and (2) levels of airborne Staphylococcus spp are associated with functional space and human activity level. Applying these findings to MRSA surveillance creates opportunities for improving the accuracy and precision of exposure classification and risk mitigation.
Insights
Airborne methicillin-resistant Staphylococcus species (MRS) and methicillin-susceptible Staphylococcus species (MSS) were detected in a veterinary hospital. Airborne MRS levels were linked to human activity and specific hospital areas, like hallways.
Area of Science:
- Environmental microbiology
- Nosocomial infection surveillance
- Veterinary public health
Background:
- Methicillin-resistant Staphylococcus species (MRS), including methicillin-resistant Staphylococcus aureus (MRSA), are significant nosocomial pathogens.
- This study investigated airborne MRS and MSS in a veterinary teaching hospital during periods without known active Staphylococci infections.
Purpose of the Study:
- To determine the prevalence of airborne MRS and MSS in a veterinary teaching hospital.
- To identify factors associated with airborne MRS and MSS, specifically functional area and human activity levels.
Main Methods:
- Airborne MRS and MRSA samples were collected from 10 hospital areas over 3 months.
- Sampling occurred twice daily (daytime and evening) at each location.
- Hospital staff activity levels were surveyed across sampled areas.
Main Results:
- Airborne MSS was found in 52% of samples, and mecA-confirmed airborne MRS in 12.5%.
- Staphylococcus spp. prevalence in daytime air samples varied significantly by functional area (P < .001).
- Airborne MRS levels correlated with human activity (P = .011), with hallways presenting the highest risk.
Conclusions:
- Staphylococcus species are present in the air of clinical environments even without known active infections.
- Airborne Staphylococcus spp. levels are associated with specific functional spaces and human activity.
- Findings can enhance MRSA surveillance accuracy, exposure classification, and risk mitigation strategies.
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