Morris Daniel O, Rook Kathryn A, Shofer Frances S, Rankin Shelley C
Department of Clinical Studies - Philadelphia, University of Pennsylvania, 3900 Delancey St., Philadelphia, PA 19104, USA.
Vet Dermatol. 2006 Oct;17(5):332-7. doi: 10.1111/j.1365-3164.2006.00536.x.
Companion animal staphylococcal isolate antibiograms were screened retrospectively to determine the frequency of methicillin-resistant (MR) infection by Staphylococcus aureus, Staphylococcus intermedius, and Staphylococcus schleiferi. Rates of MR were: S. aureus 35%, S. intermedius 17%, and S. schleiferi 40%. Frequency of isolation of methicillin-resistant S. aureus (MRSA) from dogs and cats was similar, whereas methicillin-resistant S. intermedius (MRSI) and methicillin-resistant S. schleiferi (MRSS) were significantly more common in dogs. MRSS was more commonly associated with superficial (skin and ear canal) infections, whereas MRSA was more commonly associated with deep infections. The MR strain resistance pattern to other classes of antibiotics was also investigated. MRSA was resistant to the most classes of antibiotics, followed by MRSI, while MRSS maintained the most favourable susceptibility profile. MR staphylococci may pose a significant risk to animal and public health. Therefore, to avoid selecting for resistant strains in cases of suspected staphylococcal infection, clinicians should consider culture and susceptibility testing early in the course of treatment.
对伴侣动物葡萄球菌分离株的抗菌谱进行回顾性筛查,以确定金黄色葡萄球菌、中间葡萄球菌和施氏葡萄球菌耐甲氧西林(MR)感染的频率。耐甲氧西林率分别为:金黄色葡萄球菌35%,中间葡萄球菌17%,施氏葡萄球菌40%。从犬猫中分离出耐甲氧西林金黄色葡萄球菌(MRSA)的频率相似,而耐甲氧西林中间葡萄球菌(MRSI)和耐甲氧西林施氏葡萄球菌(MRSS)在犬中更为常见。MRSS更常与浅表(皮肤和耳道)感染相关,而MRSA更常与深部感染相关。还研究了MR菌株对其他类抗生素的耐药模式。MRSA对大多数类抗生素耐药,其次是MRSI,而MRSS的药敏谱最为良好。耐甲氧西林葡萄球菌可能对动物和公共卫生构成重大风险。因此,为避免在疑似葡萄球菌感染病例中选择耐药菌株,临床医生应在治疗过程早期考虑进行培养和药敏试验。