Grönthal Thomas, Ollilainen Matti, Eklund Marjut, Piiparinen Heli, Gindonis Veera, Junnila Jouni, Saijonmaa-Koulumies Leena, Liimatainen Riitta, Rantala Merja
Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, P.O. Box 57, 00014, Helsinki, Finland.
4Pharma Ltd., Ahventie 4, 02170, Espoo, Finland.
Acta Vet Scand. 2015 Jul 17;57(1):37. doi: 10.1186/s13028-015-0129-8.
Methicillin resistant Staphylococcus pseudintermedius (MRSP) and Staphylococcus aureus (MRSA) are common multi-drug resistant (MDR) bacteria in dogs. In 2012-2013 three dogs of the Guide Dog School of the Finnish Federation of the Visually Impaired were found to be MRSP positive. Guide dogs have regular contact with each other during their first year of life and prolonged contact when in training. Since dogs are placed in different parts of Finland after training, there is a risk for national spread of MDR bacteria. In this study the prevalence of MRSP and MRSA, as well as the risk factors for MRSP were determined in the Finnish guide dog population. MRSP isolates were investigated using molecular methods and compared to the earlier isolates.
Out of 132 tested dogs 4 were MRSP positive thus giving the prevalence estimate of 3% (95% CI: 1-8%) for MRSP in the target population. MRSA was not detected (prevalence estimate 0%, 95% CI: 0-3%). Risk factors associated with MRSP were being a breeding bitch (OR = 8.4; 95% CI: 1.1-64.1, P = 0.012), the number of veterinary visits (OR = 1.23; 95% CI: 1.0-1.5, P = 0.025) and number of antimicrobial courses (OR = 1.63; 95% CI: 1.0-2.55; P = 0.035). Identified MRSP isolates belonged to five different sequence types (ST45, 71, 402, 403 and 404). All ST71 isolates carried SCCmec II-III, while the SCCmec type of the ST45 and ST402 (a single locus variant of ST45) isolates were non-typeable with the method used.
MRSP and MRSA had low prevalence in the studied dog population despite the close contact between dogs, and the MRSP population was heterogenic. Antimicrobial therapy and veterinary visits are risk factors for MRSP even among a small case group.
耐甲氧西林中间型葡萄球菌(MRSP)和耐甲氧西林金黄色葡萄球菌(MRSA)是犬类中常见的多重耐药(MDR)细菌。2012 - 2013年,芬兰视障者联合会导盲犬学校的三只犬被检测出MRSP呈阳性。导盲犬在出生后的第一年相互之间有定期接触,在训练期间接触时间更长。由于犬只训练后被安置在芬兰的不同地区,存在多重耐药细菌在全国传播的风险。在本研究中,测定了芬兰导盲犬群体中MRSP和MRSA的流行率以及MRSP的风险因素。使用分子方法对MRSP分离株进行了研究,并与早期分离株进行了比较。
在132只受试犬中,有4只MRSP呈阳性,因此目标群体中MRSP的流行率估计为3%(95%置信区间:1 - 8%)。未检测到MRSA(流行率估计为0%,95%置信区间:0 - 3%)。与MRSP相关的风险因素包括作为繁殖母犬(比值比[OR] = 8.4;95%置信区间:1.1 - 64.1,P = 0.012)、兽医就诊次数(OR = 1.23;95%置信区间:1.0 - 1.5,P = 0.025)和抗菌药物疗程数(OR = 1.63;95%置信区间:1.0 - 2.55;P = 0.035)。鉴定出的MRSP分离株属于五种不同的序列类型(ST45、71、402、403和404)。所有ST71分离株携带SCCmec II - III,而ST45和ST402(ST45的单一位点变体)分离株的SCCmec类型用所用方法无法分型。
尽管犬只之间接触密切,但在研究的犬类群体中MRSP和MRSA的流行率较低,且MRSP群体具有异质性。即使在一个小病例组中,抗菌治疗和兽医就诊也是MRSP的风险因素。