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

Open Access Poster presentation

MRSA in pig farms: a prospective cohort study

BV Cleef12*, BV Benthem2, R Teuwen3 and J Kluytmans13

  • * Corresponding author: BV Cleef

Author Affiliations

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

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

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

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BMC Proceedings 2011, 5(Suppl 6):P19  doi:10.1186/1753-6561-5-S6-P19

The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1753-6561/5/S6/P19


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

The aims of this study were to determine the prevalence, determinants and dynamics of human carriage of livestock associated methicillin-resistant Staphylococcus aureus (MRSA) in pig farms.

Methods

In this prospective cohort study in 50 pig farms in The Netherlands, human nasal samples were collected on 5 time points in 8 months. At start of the study, throat samples and environmental samples were taken. Persistent carriers were defined as persons with 100% of nasal samples positive for MRSA, non-carriers had no MRSA and intermittent carriers had at least one positive sample. Data collection is still ongoing (total follow-up 1 year).

Results

In total, 281 persons participated in the study. At start of the study, 21% of household members (31/147) and 68% of farmers/employees (90/132) were MRSA positive in nose or throat. Fifty-four persons were persistent MRSA carriers (54/281=19%): 5 household members (5/149=4%) and 49 farmers/employees (49/132=37%). Furthermore, 79 intermittent carriers and 148 non-carriers were found. Sixty-seven percent (33/49) of the residences and 80% (40/50) of the stables harboured MRSA. Working in the stables on a daily base and presence of MRSA in throat samples were significantly associated with persistent carriage (OR=12.7, 95%CI 4.1-39.3, and OR=5.0, 95%CI 2.3-10.9, respectively).

Conclusion

Persistent MRSA nasal carriage is common in persons working at pig farms. A possible explanation is the frequent exposure to high amounts of MRSA in the stables. Working in the stables still is an important factor in persistent carriage, as is throat carriage.

Disclosure of interest

None declared.