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Livestock-Associated MRSA in Household Members of Pig Farmers: Transmission and Dynamics of Carriage, A Prospective Cohort Study
Open accessAbstract
This prospective cohort study describes carriage of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) in household members from 49 farrowing pig farms in the Netherlands (2010-2011). Of 171 household members, 4% were persistent MRSA nasal carriers, and the MRSA prevalence on any given sampling moment was 10% (range 7-11%). Working in the stables (of which 98% was MRSA-positive, prevalence ratio (PR) = 2.11 per 10 hours), working with sows (PR=1.97), and living with an MRSA-positive pig farmer (PR=4.63) were significant determinants for MRSA carriage. Significant protective factors were carriage of methicillin-susceptible Staphylococcus aureus (MSSA) (PR=0.50), and wearing a facemask when working in the stables (37% decreased prevalence). All MRSA strains during the study period were known livestock-associated types. The bacteriophage φ3 was not found in household members. Transmission from pigs and the environment appeared to be important determinants; human-to-human transmission could not sufficiently be differentiated. Wearing a facemask when working in the stables and carriage of MSSA are potential interventional targets.
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References 33 · Cited by 56
Research works printed but not linked: 1
- K Leonas, 2003, The Relationship of Fabric Properties and Bacterial Filtration Efficiency for Selected Surgical Face Masks, J Text Apparel Technol Manag, 78, 1
Metadata
- Authors
- van Cleef, B. A. G. L., van Benthem, B. H. B., Verkade, E. J. M., van Rijen, M. M. L., Kluytmans-van den Bergh, M. F. Q., Graveland, H., Bosch, T., Verstappen, K. M. H. W., Wagenaar, J. A., Bos, M. E. H., Heederik, D., & Kluytmans, J. A. J. W.
- Affiliations
- Amphia Ziekenhuis (NL)
- Utrecht University (NL)
- National Institute for Public Health and the Environment (NL)
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-05-18
- Volume
- 10
- Issue
- 5
- Pages
- e0127190
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4436301
- OpenAlex
- W289010827
- Cited by
- 56
- References
- 33
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 7 · 2020: 6 · 2019: 9 · 2018: 4 · 2017: 10 · 2016: 9 · 2015: 2
- FWCI
- 6.48
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Figshare (submittedVersion, cc-by)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Rivm (National Institute for Public Health and the Environment) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
- Funders
- ZonMw (125020009)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
- Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Keywords
- livestock-associated MRSA, methicillin-resistant Staphylococcus aureus, pig farmers, household members, MRSA carriage, zoonotic transmission, human-to-human transmission, nasal carriage, masking, methicillin-susceptible Staphylococcus aureus, pig farms, occupational exposure, infection control
- MeSH terms
- Farmers, Animals, Carrier State, Humans, Netherlands, Nose, Oropharynx, Prospective Studies, Staphylococcal Infections, Swine, Methicillin-Resistant Staphylococcus aureus, Livestock
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