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耐甲氧西林金黄色葡萄球菌和耐甲氧西林中间葡萄球菌在一家学术兽医医院的发生和分子特征。

Occurrence and molecular characteristics of methicillin-resistant Staphylococcus aureus and methicillin-resistant Staphylococcus pseudintermedius in an academic veterinary hospital.

机构信息

School of Veterinary Medicine, Rakuno Gakuen University, 582 Midorimachi Bunkyodai Ebetsu, Hokkaido 069-8501, Japan.

出版信息

Appl Environ Microbiol. 2010 Aug;76(15):5165-74. doi: 10.1128/AEM.02780-09. Epub 2010 Jun 11.

Abstract

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.

摘要

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。

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