Prevalence of methicillin resistant Staphylococcus aureus and risks factors in pig farmers in rural West region, Cameroon

Célestin Tagne Kamga, Gildas Tazemda, J. Magne, Michel Kengne, Suzie Lacmago, Pomte Olivier, Danielle Wonkam, Sonia Anouwou, I. Djuikoue
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Abstract

Background: Animal farming can be a potential reservoir of microbial resistance. Little data and information are documented on the prevalence and spread of methicillin resistant Staphylococcus aureus (MRSA) in remote and rural and semi-urban settings in developing countries. Yet, the increasing spread of antibiotics resistance either in the community or at the hospital has become a major public health problem in Cameroon. This study aimed to determine the prevalence of nasal methicillin resistant Staphylococcus aureus carriers among pig farmers and breeders in the West Region of Cameroon. Methods: A total of 103 nasal scraping samples were collected in four distant division of Bamboutos, Nkoung-Khi, Menoua and Mifi for microbiological, biochemical and sensitivity testing according to the standard protocol of CASFM 2018. Results: A high presence of Staphylococcus aureus of 29.13% was documented. S. aureus resistant showed 93.3%, to the ß-lactamases family, with MRSA prevalence at 27.18%. Resistance to glycopeptides (vancomycin) was 60%, macrolides-lincosamides-streptogramines mainly resistance to erythromycin 90% and clindamycin 30.6%, tetracycline 83.3%, fusidic acid 96.6% and to aminosides (tobramycin and gentamycin 76.6%). All isolated samples were sensitive to fluoroquinolones, notably to ofloxacin (80%) and to ciprofloxacin (86.6%). Conclusion: There is an urgent need to implement a robust and sustainable MRSA and AMR surveillance in curbing the growing threat locally.
喀麦隆西部农村养猪户耐甲氧西林金黄色葡萄球菌流行及危险因素分析
背景:动物养殖业可能是微生物耐药性的潜在储存库。关于发展中国家偏远、农村和半城市环境中耐甲氧西林金黄色葡萄球菌(MRSA)的流行和传播的数据和信息很少。然而,无论是在社区还是在医院,抗生素耐药性的日益蔓延已成为喀麦隆的一个主要公共卫生问题。本研究旨在确定喀麦隆西部地区养猪户和饲养者中鼻耐甲氧西林金黄色葡萄球菌携带者的流行情况。方法:根据casfm2018标准方案,在Bamboutos、Nkoung-Khi、Menoua和Mifi 4个偏远地区采集103份鼻刮拭标本,进行微生物学、生化和敏感性检测。结果:金黄色葡萄球菌的高检出率为29.13%。金黄色葡萄球菌对ß-内酰胺酶家族耐药率为93.3%,MRSA患病率为27.18%。对糖肽类(万古霉素)的耐药率为60%,对红霉素的耐药率为90%,对克林霉素的耐药率为30.6%,对四环素的耐药率为83.3%,对夫西地酸的耐药率为96.6%,对氨基苷类(妥布霉素和庆大霉素)的耐药率为76.6%。所有分离样品对氟喹诺酮类药物均敏感,其中氧氟沙星敏感(80%),环丙沙星敏感(86.6%)。结论:为了遏制当地日益增长的威胁,迫切需要实施强有力的、可持续的MRSA和AMR监测。
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