[MRSA在猪和参与养猪的人身上的发生——德国西北部一项研究的初步结果]。

D Meemken, C Cuny, W Witte, U Eichler, R Staudt, T Blaha
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引用次数: 0

摘要

2007年,汉诺威兽医大学流行病学现场站和罗伯特·科赫研究所对下萨克森州和北威斯特伐利亚州347个不同农场中所有年龄组的678头猪和86名职业接触猪的人进行了耐甲氧西林金黄色葡萄球菌(MRSA)鼻腔定菌调查。在个体水平上,阳性结果的频率为13% (n = 85只阳性动物),在畜群水平上,阳性结果的频率为18% (n = 62只阳性畜群)。所有分离株均为ST398型多位点序列分型。在mrsa阳性的畜群中,mrsa阴性的动物多于mrsa阳性的动物。在职业暴露者(兽医、实验室人员和肉类检验人员)中,20人(23%)鼻腔定植有MRSA ST398。检测到与猪接触的强度与职业暴露者鼻腔定植的频率之间存在相当强的关联。被MRSA ST398鼻腔定植的动物或人类均未表现出任何葡萄球菌感染的临床症状。结论得出了猪群和猪群内MRSA ST398鼻定殖在猪中的流行情况,但特别是需要进一步研究解决的问题。
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[Occurrence of MRSA in pigs and in humans involved in pig production--preliminary results of a study in the northwest of Germany].

In 2007, 678 pigs of all age groups out of 347 different farms from Lower Saxony and Northrhine-Westphalia and 86 persons occupationally exposed to pigs were investigated for their nasal colonisation with methicillin-resistant Staphylococcus areus (MRSA) by the Field Station for Epidemiology of the University of Veterinary Medicine Hannover and the Robert Koch-Institute. At the individual animal level, a frequency of positive results of 13% (n = 85 positive animals) and at the herd level, a frequency of positive results of 18% (n = 62 positive herds) were found. All isolates were assigned to the Multilocus Sequence Typing Type ST398. Within MRSA-positive herds, there were more MRSA-negative than MRSA-positive animals. Among the occupationally exposed persons (veterinarians, laboratory personnel and meat inspection personnel), 20 persons (23%) showed a nasal colonisation with MRSA ST398. A quite strong association between the intensity of the contact to pigs with the frequency of nasal colonisation in the occupationally exposed persons was detected. None of the animals or the humans nasally colonised by MRSA ST398 showed any clinical symptoms of a staphylococcal infection. Conclusions are drawn on the herd and intra-herd prevalence of the nasal colonisation of pigs with MRSA ST398 in pigs, but especially on which questions need to be addressed by further research.

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