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Published on: November 4, 2016
Molecular Epidemiology of Methicillin-Resistant Staphylococcus aureus Isolated from Australian Veterinarians
Mitchell D Groves1, Bethany Crouch2, Geoffrey W Coombs1,3
1School of Veterinary and Life Sciences, Murdoch University, Murdoch, Australia.
Abstract:
This work investigated the molecular epidemiology and antimicrobial resistance of methicillin-resistant Staphylococcus aureus (MRSA) isolated from veterinarians in Australia in 2009. The collection (n = 44) was subjected to extensive molecular typing (MLST, spa, SCCmec, dru, PFGE, virulence and antimicrobial resistance genotyping) and antimicrobial resistance phenotyping by disk diffusion. MRSA was isolated from Australian veterinarians representing various occupational emphases. The isolate collection was dominated by MRSA strains belonging to clonal complex (CC) 8 and multilocus sequence type (ST) 22. CC8 MRSA (ST8-IV [2B], spa t064; and ST612-IV [2B], spa variable,) were strongly associated with equine practice veterinarians (OR = 17.5, 95% CI = 3.3-92.5, P < 0.001) and were often resistant to gentamicin and rifampicin. ST22-IV [2B], spa variable, were strongly associated with companion animal practice veterinarians (OR = 52.5, 95% CI = 5.2-532.7, P < 0.001) and were resistant to ciprofloxacin. A single pig practice veterinarian carried ST398-V [5C2], spa t1451. Equine practice and companion animal practice veterinarians frequently carried multiresistant-CC8 and ST22 MRSA, respectively, whereas only a single swine specialist carried MRSA ST398. The presence of these strains in veterinarians may be associated with specific antimicrobial administration practices in each animal species.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) strains were identified in Australian veterinarians. Specific MRSA types were linked to equine and companion animal practices, suggesting links to antimicrobial use.
Area of Science:
- Veterinary Medicine
- Microbiology
- Epidemiology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant threat in both human and animal health.
- Understanding MRSA epidemiology in veterinary professionals is crucial for infection control.
Purpose of the Study:
- To investigate the molecular characteristics and antimicrobial resistance patterns of MRSA isolated from Australian veterinarians.
- To determine associations between specific MRSA strains and veterinary specializations.
Main Methods:
- Molecular typing including MLST, spa, SCCmec, dru, and PFGE.
- Antimicrobial resistance genotyping and disk diffusion testing.
- Statistical analysis to identify associations between MRSA types and practice types.
Main Results:
- MRSA strains dominated by Clonal Complex (CC) 8 and Multilocus Sequence Type (ST) 22.
- CC8 MRSA associated with equine practice (OR=17.5) and resistance to gentamicin/rifampicin.
- ST22 MRSA associated with companion animal practice (OR=52.5) and ciprofloxacin resistance.
Conclusions:
- Equine and companion animal veterinarians frequently carried distinct, multiresistant MRSA strains.
- The findings suggest a potential link between MRSA prevalence in veterinarians and antimicrobial administration practices in different animal species.
- MRSA ST398 was identified in a single pig practice veterinarian.
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