School of Veterinary Medicine, Rakuno Gakuen University, 582 Midorimachi Bunkyodai Ebetsu, Hokkaido 069-8501, Japan.
Appl Environ Microbiol. 2010 Aug;76(15):5165-74. doi: 10.1128/AEM.02780-09. Epub 2010 Jun 11.
Recently, methicillin-resistant Staphylococcus aureus (MRSA) and methicillin-resistant Staphylococcus pseudintermedius (MRSP) have been increasingly isolated from veterinarians and companion animals. With a view to preventing the spread of MRSA and MRSP, we evaluated the occurrence and molecular characteristics of each in a veterinary college. MRSA and MRSP were isolated from nasal samples from veterinarians, staff members, and veterinary students affiliated with a veterinary hospital. Using stepwise logistic regression, we identified two factors associated with MRSA carriage: (i) contact with an identified animal MRSA case (odds ratio [OR], 6.9; 95% confidence interval [95% CI], 2.2 to 21.6) and (ii) being an employee (OR, 6.2; 95% CI, 2.0 to 19.4). The majority of MRSA isolates obtained from individuals affiliated with the veterinary hospital and dog patients harbored spa type t002 and a type II staphylococcal cassette chromosome mec (SCCmec), similar to the hospital-acquired MRSA isolates in Japan. MRSA isolates harboring spa type t008 and a type IV SCCmec were obtained from one veterinarian on three different sampling occasions and also from dog patients. MRSA carriers can also be a source of MRSA infection in animals. The majority of MRSP isolates (85.2%) carried hybrid SCCmec type II-III, and almost all the remaining MRSP isolates (11.1%) carried SCCmec type V. MRSA and MRSP were also isolated from environmental samples collected from the veterinary hospital (5.1% and 6.4%, respectively). The application of certain disinfection procedures is important for the prevention of nosocomial infection, and MRSA and MRSP infection control strategies should be adopted in veterinary medical practice.
最近,耐甲氧西林金黄色葡萄球菌(MRSA)和耐甲氧西林中间葡萄球菌(MRSP)已从兽医和伴侣动物中越来越多地分离出来。为了防止 MRSA 和 MRSP 的传播,我们评估了兽医学院中每种细菌的发生和分子特征。从兽医医院的兽医、工作人员和兽医学生的鼻腔样本中分离出了 MRSA 和 MRSP。使用逐步逻辑回归,我们确定了与 MRSA 携带相关的两个因素:(i)与已确定的动物 MRSA 病例接触(比值比 [OR],6.9;95%置信区间 [95%CI],2.2 至 21.6)和(ii)是员工(OR,6.2;95%CI,2.0 至 19.4)。从兽医医院和狗患者获得的大多数 MRSA 分离株携带 spa 型 t002 和 II 型葡萄球菌盒染色体 mec(SCCmec),与日本医院获得性 MRSA 分离株相似。从一名兽医的三个不同采样时间以及从狗患者中获得了携带 spa 型 t008 和 IV 型 SCCmec 的 MRSA 分离株。MRSA 携带者也可能是动物 MRSA 感染的来源。大多数 MRSP 分离株(85.2%)携带混合 SCCmec 型 II-III,几乎所有剩余的 MRSP 分离株(11.1%)携带 SCCmec 型 V。MRSA 和 MRSP 也从兽医医院采集的环境样本中分离出来(分别为 5.1%和 6.4%)。应用某些消毒程序对于预防医院感染非常重要,并且应在兽医医疗实践中采用 MRSA 和 MRSP 感染控制策略。