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伴侣动物社区医院中手部接触表面和动物接触表面耐甲氧西林情况的发生率。

Prevalence of methicillin-resistant on hand-contact and animal-contact surfaces in companion animal community hospitals.

作者信息

Perkins Andrea V, Sellon Debra C, Gay John M, Lofgren Eric T, Moore Dale A, Jones Lisa P, Davis Margaret A

机构信息

Department of Veterinary Clinical Sciences, PO Box 647010 (Perkins, Sellon, Gay, Moore, Davis) and Paul G. Allen School for Global Animal Health, PO Box 647090 (Lofgren, Jones, Davis), Washington State University, Pullman, Washington 99164, USA.

出版信息

Can Vet J. 2020 Jun;61(6):613-620.

Abstract

Methicillin-resistant (MRSP) is an important companion animal pathogen, but few published studies have evaluated its epidemiology in primary care settings. This study determined MRSP prevalence on hand- and animal-contact surfaces in 11 small animal primary care hospitals in Washington and Idaho, USA. Overall, MRSP was isolated from at least 1 sample from 7 of 11 hospitals (64%) and from 36 of 374 total samples (10%) with no difference in prevalence between hand- and animal-contact surfaces ( = 0.51). Strain typing by pulsed-field gel electrophoresis indicated high within-hospital similarity of MRSP strains, but minimal similarity between strains from different hospitals. Indistinguishable MRSP strains were present on handand animal-contact surfaces within individual hospitals. A questionnaire was administered to a representative from each hospital. Respondents reported that animal-contact surfaces were cleaned and disinfected more frequently than hand-contact surfaces ( < 0.001). Improving hand hygiene and disinfection of hand-contact surfaces may decrease exposure of veterinary patients to MSRP.

摘要

耐甲氧西林金黄色葡萄球菌(MRSP)是一种重要的伴侣动物病原体,但很少有已发表的研究评估其在初级保健机构中的流行病学情况。本研究确定了美国华盛顿州和爱达荷州11家小型动物初级保健医院中手接触表面和动物接触表面的MRSP流行情况。总体而言,从11家医院中的7家(64%)的至少1个样本中分离出了MRSP,在总共374个样本中有36个(10%)分离出MRSP,手接触表面和动物接触表面的流行率没有差异(P = 0.51)。通过脉冲场凝胶电泳进行菌株分型表明,医院内MRSP菌株的相似性很高,但不同医院的菌株之间相似性极小。在各医院内,手接触表面和动物接触表面存在无法区分的MRSP菌株。对每家医院的一名代表进行了问卷调查。受访者报告称,动物接触表面的清洁和消毒频率高于手接触表面(P < 0.001)。改善手卫生和对手接触表面的消毒可能会减少兽医患者接触MRSP的机会。

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