Nasal carriage of methicillin-resistant Staphylococcus pseudintermedius in dogs treated with cephalexin monohydrate

Punpichaya Fungwithaya1, Pattrarat Chanchaithong1, Nathita Phumthanakorn1

  • 1Department of Veterinary Microbiology, Faculty of Veterinary Science, Chulalongkorn University, Bangkok 10330, Thailand.

Insights

Cephalexin treatment in dogs with pyoderma selected for multi-resistant methicillin-resistant Staphylococcus pseudintermedius (MRSP) nasal carriage. These MRSP strains persisted for up to one year post-treatment.

Area of Science:

  • Veterinary Dermatology
  • Antimicrobial Resistance
  • Microbiology

Background:

  • Superficial pyoderma is a common skin infection in dogs.
  • Methicillin-resistant Staphylococcus pseudintermedius (MRSP) is an emerging pathogen.
  • Cephalexin is a commonly used antibiotic for canine pyoderma.

Purpose of the Study:

  • To investigate the nasal carriage of MRSP in dogs treated with oral cephalexin monohydrate.
  • To determine the duration and clonal types of MRSP nasal carriage post-treatment.
  • To assess the antimicrobial resistance profiles of MRSP isolates.

Main Methods:

  • Longitudinal monitoring of nasal MRSP carriage in ten dogs with superficial pyoderma for up to one year post-cephalexin treatment.
  • Bacterial strain typing and determination of antibiograms.
  • Detection of methicillin-susceptible S. pseudintermedius (MSSP) and MRSP.

Main Results:

  • MRSP was detected in all dogs within one week of cephalexin treatment.
  • Three specific MRSP clones (ST45, ST112, ST181) were consistently present for up to 12 months.
  • All MRSP isolates exhibited resistance to at least seven common antimicrobials, indicating multi-drug resistance.

Conclusions:

  • Oral cephalexin monohydrate treatment selected for and promoted the persistence of multi-resistant MRSP nasal carriage in dogs.
  • MRSP nasal carriage can be a long-term consequence of cephalexin therapy for pyoderma.
  • The findings highlight the need for careful antibiotic stewardship in veterinary medicine to mitigate the spread of resistant bacteria.

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