Sociodemographic Risk Factors for Dermal Infections with Methi-cillin Sensitive and Methicillin Resistant Staphylococcus aureus among Sheep Breeders in Diyala Governorate , Iraq

Zainab Bressam Fajer, Ali Ibrahim Ali Al-Ezzy, Ahmed H AL-Zuhairi
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Abstract

Background: Staphylococcus aureus is one of the dominant pathogen among skin infections in human and animals. Objective: To isolation and identification of S.aureus from sheep breeders by traditional method &Automated Vitek 2 system ,Detection of methicillin resistant gene (mecA) by conventional PCR. Evaluation of relationship between S.aureus in-fection and possible risk factors in human (age, sex, education level, economic statue, hospitalization in last four weeks contact with sheep skin lesions, and contact with pets). Patients and Methods: A total of 44 skin swaps collected from sheep breeders suffered from variety of infected skin lesions (wounds, abscesses, atopic dermatitis, acne, chronic skin diseases etc.) recording; sex, age, education level, economic statue, hospitaliza-tion in last four weeks, contact with sheep skin lesions, and contact with pets to detect S. aureus, MRSA and estimating the risk factors, by employing traditional laboratories methods in addition to confirmatory techniques by VETEK2 sys-tem and PCR, using specific primers (Staur 4, 6), MRSA gene primers (mecA). Results: Methicillin sensitive S. aureus was reported in 34.09% versus40% for MRSA among sheep breeders. Significant correlation reported between age groups and MRSA infections. Although, the rate of infection with methicillin sensitive S. aureus and MRSA was higher among males compared with females , no signifi-cant correlation reported between sex and infection with methicillin sensitive S. aureus and MRSA. Female breeders were at high risk for getting dermal MRSA infections compared with males. No significant correlation between the educa-tion level, economic status, contact with pets and methicillin sensitive S. aure-us , MRSA infections as Risk factors. Methicillin sensitive S. aureus infections among breeders significantly correlated with hospitalization in last four weeks .Significant correlation reported between contact with skin lesions of sheep and methicillin sensitive S. aureus , MRSA infections among breeders. Conclusion: Methicillin resistant trait was common among S.aureus isolated from sheep breeders .MRSA infections correlated with age. Female sheep breeders were at high risk for getting S.aureus and MRSA infections. Sex , education level, eco-nomic status, contact with pet play no role in infection with S.aureus. hospitali-zation in last four weeks, contact with skin lesions correlated significantly with S. aureus, MRSA infections among breeders.
伊拉克迪亚拉省绵羊养殖者皮肤感染甲氧西林敏感和耐甲氧西林金黄色葡萄球菌的社会人口危险因素
背景:金黄色葡萄球菌是人畜皮肤感染的主要病原菌之一。目的:采用传统方法和自动Vitek - 2系统分离鉴定羊源金黄色葡萄球菌,采用常规PCR检测耐甲氧西林基因(mecA)。评估人类金黄色葡萄球菌感染与可能的危险因素(年龄、性别、文化程度、经济状况、最近四周内与绵羊皮损接触的住院情况以及与宠物接触)之间的关系。患者和方法:收集绵羊养殖者各种感染皮损(伤口、脓肿、特应性皮炎、痤疮、慢性皮肤病等)的44例皮肤置换记录;性别、年龄、受教育程度、经济状况、最近四周住院情况、是否接触过绵羊皮肤病变、是否接触过宠物等,除采用VETEK2系统和PCR验证技术外,采用特异性引物(Staur 4,6)、MRSA基因引物(mecA),采用传统实验室方法检测金黄色葡萄球菌、MRSA并评估其危险因素。结果:绵羊养殖者甲氧西林敏感金黄色葡萄球菌检出率为34.09%,MRSA检出率为40%。据报道,年龄组与MRSA感染之间存在显著相关性。虽然甲氧西林敏感金黄色葡萄球菌和MRSA的感染率在男性中高于女性,但性别与甲氧西林敏感金黄色葡萄球菌和MRSA感染之间没有明显的相关性。与男性相比,女性育种者皮肤感染MRSA的风险较高。受教育程度、经济状况、接触宠物与甲氧西林敏感金黄色葡萄球菌、MRSA感染无显著相关性。育种者中甲氧西林敏感金黄色葡萄球菌感染与最近四周住院治疗显著相关。绵羊皮肤损伤接触与育种者中甲氧西林敏感金黄色葡萄球菌、MRSA感染显著相关。结论:从绵羊养殖场分离的金黄色葡萄球菌普遍具有耐甲氧西林性状,其感染与年龄相关。母羊养殖者感染金黄色葡萄球菌和耐甲氧西林金黄色葡萄球菌的风险较高。性别、文化程度、经济状况、接触宠物对金黄色葡萄球菌感染无影响。最近四周内住院、接触皮肤损伤者与金黄色葡萄球菌、MRSA感染显著相关。
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