Outbreaks of methicillin-resistant Staphylococcus aureus among staff and dogs in Swedish small animal hospitals.

Ulrika Grönlund Andersson, Anders Wallensten, Sara Hæggman, Christina Greko, Göran Hedin, Ingegerd Hökeberg, Fredrik Lindström, Barbro Olsson-Liljequist, Jan Smedjegård, Tomas Söderblom, Ulrika Windahl, Johan Struwe
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引用次数: 15

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) was found in a dog for the first time in Sweden in 2006. Between October 2006 and May 2007, MRSA was diagnosed in 7 more dogs that had been treated in 3 different small animal hospitals, located 150-200 km apart, in different counties of Sweden. Screening of the animal hospital staff and environment in these small animal hospitals showed 20 of 152 staff to be positive for MRSA, with rates between 2% and 18% in the different hospitals, while all 128 environmental samples were negative. All MRSA isolates from dogs and staff belonged to spa type t032, were Panton-Valentine leukocidin (PVL)-negative, and had indistinguishable pulsed-field gel electrophoresis patterns, except for 2 isolates with closely related patterns. To our knowledge, this is the first report of multiple outbreaks of MRSA in dogs caused by the same strain within a short time frame, and appearing in a country with low prevalence of MRSA in both humans and dogs. This highlights the importance of infection control programs in animal hospitals and in animal health care. Awareness of MRSA as an occupational risk for veterinary personnel is essential.

瑞典小动物医院工作人员和狗中爆发耐甲氧西林金黄色葡萄球菌。
2006年,瑞典首次在狗身上发现了耐甲氧西林金黄色葡萄球菌(MRSA)。2006年10月至2007年5月期间,在瑞典不同县相距150-200公里的3家不同的小型动物医院接受治疗的另外7只狗被诊断出耐甲氧西林金黄色葡萄球菌。对这些小型动物医院的动物医院工作人员和环境的筛查显示,152名工作人员中有20人对MRSA呈阳性,不同医院的比例在2%至18%之间,而所有128个环境样本均为阴性。犬和工作人员MRSA分离株均为spa型t032, pton - valentine leukocidin (PVL)阴性,除2株具有密切相关的脉冲场凝胶电泳图谱外,其余均无明显差异。据我们所知,这是第一次在短时间内由同一菌株引起的犬类MRSA多次暴发的报告,并且出现在一个人与犬类MRSA流行率均较低的国家。这突出了动物医院和动物保健感染控制项目的重要性。对兽医人员来说,认识到MRSA是一种职业风险是必要的。
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