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This article is part of the supplement: International Conference on Prevention & Infection Control (ICPIC 2011)

Open Access Poster presentation

Persistent carriage of MRSA in pig farmers

BV Cleef12*, BV Benthem1, R Teuwen3 and J Kluytmans23

  • * Corresponding author: BV Cleef

Author Affiliations

1 Centre for Infectious Disease Control Netherlands, RIVM National Institute for Public Health and the Environment, Bilthoven, Netherlands

2 Department of Medical Microbiology and Infection Prevention, VU University Medical Centre, Amsterdam, Netherlands

3 Laboratory for Microbiology and Infection Control, Amphia Hospital, Breda, Netherlands

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BMC Proceedings 2011, 5(Suppl 6):P167  doi:10.1186/1753-6561-5-S6-P167

The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1753-6561/5/S6/P167


Published:29 June 2011

© 2011 Cleef et al; licensee BioMed Central Ltd.

This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Introduction / objectives

Livestock associated methicillin-resistant Staphylococcus aureus (MRSA) is a known and prevalent pathogen related to livestock farming. Little is known about the dynamics of carriage over time in pig farmers.

Methods

In this prospective cohort study, pig farmers and their employees from 50 pig farms in The Netherlands were tested for MRSA presence in nose and throat at 5 time points in 8 months. Questionnaires were taken as well. Persistent carriers were defined as persons with 100% of nasal samples positive for MRSA. Multilevel multivariate regression analysis was performed in SAS. This is a preliminary analysis as the collection of data is still ongoing.

Results

In total, 130 pig farmers and employees entered the study (101 males, 78%). Eighty of them (62%) were MRSA nasal carriers at the start of the study and 49 (38%) were persistent carriers. Presence of MRSA in throat samples at the start of the study (OR=6.1, 95% CI 1.6-23.6), giving birth assistance to sows (OR=8.1, 95% CI 1.9-35.3), and the presence of goats on the farm (OR=6.0, 95% CI 1.0-35.7) were significantly associated with persistent carriage. Amount of working hours per week did improve the model fit, but was not a significant factor (OR=1.0, p=0.18).

Conclusion

The vast majority of persons working with pigs on a daily base is carrier of MRSA and almost 40% are persistent carriers. Throat carriage and specific tasks or farm characteristics were determinants of persistent carriage.

Disclosure of interest

None declared.