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A cross sectional study of animal and human colonization with Methicillin-Resistant Staphylococcus aureus (MRSA) in an Aboriginal community.
Daley, Peter; Bajgai, Janak; Penney, Carla; Williams, Karen; Whitney, Hugh; Golding, George R; Weese, Scott.
Afiliação
  • Daley P; Department of Medicine and Laboratory Medicine, Memorial University, Room 1 J421 300 Prince Phillip Dr, St. John's, Newfoundland and Labrador, A1B 3V6, Canada. pkd336@mun.ca.
  • Bajgai J; Department of Community Health, Memorial University, St. John's, Canada.
  • Penney C; Department of Clinical Epidemiology, Memorial University, St. John's, Canada.
  • Williams K; Happy Valley Goose Bay, Labrador, Canada.
  • Whitney H; Department of Public Health, Government of Newfoundland and Labrador, St. John's, Canada.
  • Golding GR; National Microbiology Laboratory, Winnipeg, Canada.
  • Weese S; Department of Veterinary Medicine, University of Guelph, Guelph, Canada.
BMC Public Health ; 16: 595, 2016 07 19.
Article em En | MEDLINE | ID: mdl-27430299
ABSTRACT

BACKGROUND:

Methicillin-resistant Staphylococcus aureus (MRSA) infections are common among humans in Aboriginal communities in Canada, for unknown reasons.

METHODS:

Cross sectional study of humans and dogs in an Aboriginal community of approximately 1200 persons. Our objectives were to measure community-based prevalence of nasal MRSA colonization among humans, use multivariable logistic regression to analyze risk factors for MRSA colonization, and perform molecular typing of Staphylococci isolated to investigate interspecies transmission.

RESULTS:

461 humans were approached for consent and 442 provided complete data. 109/442 (24.7 %, 95 % C.I. = 20.7-28.7 %) of humans were colonized with MRSA. 169/442 (38.2 %) of humans had received antibiotics in the last 12 months. Only number of rooms in the house (OR 0.86, p = 0.023) and recreational dog use (OR 7.7, p = 0.002) were significant risk factors for MRSA colonization. 95/109 (87.1 %) of MRSA strains from humans were of the same spa type (CMRSA10/USA300). 8/157 (5.1 %, 95 % C.I. = 1.7-8.5 %) of dogs were colonized with methicillin-susceptible S. aureus, and no dogs were colonized with MRSA.

CONCLUSIONS:

Human MRSA colonization in this community is very common, and a single clone is predominant, suggesting local transmission. Antibiotic use is also very common. Crowding may partially explain high colonization, but most considered risk factors including animal exposure were not predictive. Very few dogs carried human Staphylococcal strains.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções Estafilocócicas / Etnicidade / Indígenas Norte-Americanos / Nariz / Doenças do Cão / Staphylococcus aureus Resistente à Meticilina Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções Estafilocócicas / Etnicidade / Indígenas Norte-Americanos / Nariz / Doenças do Cão / Staphylococcus aureus Resistente à Meticilina Idioma: En Ano de publicação: 2016 Tipo de documento: Article