Michigan State University Veterinary Teaching Hospital, East Lansing, Michigan, USA.
Vet Q. 2013 Jun;33(2):60-7. doi: 10.1080/01652176.2013.799792. Epub 2013 May 30.
Over the past 10 years, an increase in methicillin and multi-drug resistant staphylococcal species has been identified worldwide and anecdotally reported within our veterinary teaching hospital.
To determine the methicillin resistance (MR) and multi-drug resistance (MDR) patterns of staphylococcal species isolated from canine patients between 2006 and 2011.
Staphylococcal isolates (n = 1069) were cultured from the canine patient population of the veterinary teaching hospital. The susceptibility reports of Staphylococcus pseudintermedius, S. aureus, S. schleiferi v. coagulans, S. schleiferi v. schleiferi, and other coagulase-negative staphylococci (CoNS) were assessed. Isolates were organized into five site categories. Isolates were scored on a 0-10 scale based on resistance to antimicrobial classes, with MDR classified as an isolate scoring a value ≥3. Statistical analysis included χ(2), Fisher's exact test, and ANOVA with mean square and post hoc analysis; p < 0.05 was significant.
S. pseudintermedius (76.6%), S. aureus (15.5%), S. schleiferi v. coagulans (5.7%), S. schleiferi v. schleiferi (1.2%), and CoNS (0.9%) isolation was observed. MR occurred in 11.4% of all combined isolates, with no difference between sites and years. Of the S. pseudintermedius isolates, 4.5% were methicillin resistant. Of all the isolates, 27.5% were MDR. The mean resistance score of S. pseudintermedius isolates increased significantly comparing 2006 and 2008 (p = 0.0006) and 2006 and 2009 (p = 0.0009). The mean score of all combined isolates increased significantly comparing 2006 and 2008 (p = 0.001).
MR staphylococci isolation is similar when compared to other studies. However, increased MDR isolation is of greater concern and high-scoring MDR staphylococci will limit our future antimicrobial choices.
在过去的 10 年中,耐甲氧西林和多药耐药葡萄球菌种在全球范围内有所增加,并在我们的兽医教学医院中有报道。
确定 2006 年至 2011 年期间从犬病患者中分离的葡萄球菌种的耐甲氧西林(MR)和多药耐药(MDR)模式。
从兽医教学医院的犬病患者人群中培养了葡萄球菌分离株(n = 1069)。评估了中间葡萄球菌、金黄色葡萄球菌、凝固酶阴性葡萄球菌(CoNS)等凝固酶阴性葡萄球菌(CoNS)的药敏报告。将分离物分为五类。根据对抗菌药物类别的耐药性,对分离物进行 0-10 分评分,将 MDR 定义为评分≥3 的分离物。统计分析包括 χ(2)、Fisher 确切检验和方差分析,以及均方和事后分析;p < 0.05 有统计学意义。
分离到中间葡萄球菌(76.6%)、金黄色葡萄球菌(15.5%)、凝固酶阴性葡萄球菌(CoNS)(5.7%)、凝固酶阴性葡萄球菌(CoNS)(1.2%)和凝固酶阴性葡萄球菌(CoNS)(0.9%)。所有合并分离物的 MR 发生率为 11.4%,各部位和年份之间无差异。在中间葡萄球菌分离物中,有 4.5%为耐甲氧西林。所有分离物中,27.5%为 MDR。2006 年与 2008 年(p = 0.0006)和 2006 年与 2009 年(p = 0.0009)相比,中间葡萄球菌分离物的平均耐药评分显著增加。与 2006 年相比,所有合并分离物的平均评分均显著增加2008 年(p = 0.001)。
与其他研究相比,耐甲氧西林葡萄球菌的分离率相似。然而,耐多药分离株的增加更为令人担忧,高评分的耐多药葡萄球菌将限制我们未来的抗菌药物选择。