Dose-response Relationship Between Antimicrobial Drugs and Livestock-associated MRSA in Pig Farming

Overview

Journal Emerg Infect Dis

Specialty Infectious Diseases

Date 2015 May 20

PMID 25989456

Citations 28

Authors

Alejandro Dorado-Garcia

Wietske Dohmen

Marian E H Bos

Koen M Verstappen

Manon Houben

Jaap A Wagenaar

Dick J J Heederik

Affiliations

Soon will be listed here.

Abstract

The farming community can be a vehicle for introduction of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) in hospitals. During 2011-2013, an 18-month longitudinal study aimed at reducing the prevalence of LA-MRSA was conducted on 36 pig farms in the Netherlands. Evaluations every 6 months showed a slight decrease in MRSA prevalence in animals and a stable prevalence in farmers and family members. Antimicrobial use, expressed as defined daily dosages per animal per year, decreased 44% during the study period and was associated with declining MRSA prevalence in pigs. MRSA carriage in animals was substantially higher at farms using cephalosporins. Antimicrobial use remained strongly associated with LA-MRSA in humans regardless of the level of animal contact. A risk factor analysis outlined potential future interventions for LA-MRSA control. These results should encourage animal and public health authorities to maintain their efforts in reducing antimicrobial use in livestock and ask for future controlled intervention studies.

Citing Articles

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