Risk factors for antimicrobial resistance among Staphylococcus isolated from pets living with a patient diagnosed

Cusi Ferradas1,2,3, Caitlin Cotter1, Jonathan H Shahbazian1

  • 1Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

Insights

Pets can carry antimicrobial-resistant bacteria like methicillin-resistant Staphylococcus aureus (MRSA). This study found that the drivers of resistance in household staphylococci may differ by bacterial species, impacting One Health strategies.

Area of Science:

  • Veterinary Medicine
  • Microbiology
  • Public Health

Background:

  • Pets may harbor antimicrobial-resistant bacteria, contributing to household transmission.
  • Methicillin-resistant Staphylococcus aureus (MRSA) is a significant public health concern.
  • Understanding resistance in pet-associated bacteria is crucial for One Health approaches.

Purpose of the Study:

  • To investigate risk factors for antimicrobial-resistant coagulase-positive staphylococci in pets.
  • To specifically examine Staphylococcus aureus and Staphylococcus pseudintermedius in pets of MRSA-infected households.
  • To evaluate the association between pet antimicrobial use and multidrug-resistant (MDR) Staphylococcus spp. carriage.

Main Methods:

  • Cross-sectional study analyzing data from the Pets and Environmental Transmission of Staphylococci (PETS) study.
  • Logistic regression analyses with household-clustered standard errors were used.
  • Risk factors including demographic, healthcare, contact, and environmental factors were assessed.

Main Results:

  • Multidrug-resistant (MDR) bacteria were found in 50% of S. aureus, 3.3% of S. pseudintermedius, and 25% of other coagulase-positive staphylococci (CPS).
  • S. aureus isolates were more likely to be MDR than S. pseudintermedius.
  • No significant association was found between prior antimicrobial use in pets and MDR bacteria carriage.

Conclusions:

  • Drivers of antimicrobial resistance in household staphylococci appear to vary by bacterial species.
  • Findings have implications for One Health intervention strategies for staphylococci.
  • Further research is needed to understand reverse zoonoses, such as MRSA transmission from pets.

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