This Swiss research confirms the dangers to farmers (and
veterinarians) from Pig MRSA,
The quite extraordinary absence of multidrug resistant MRSA
st398 et al from Britain’s pigs, pig farmers and veterinarians would be one of
the wonders of the world, if it was true.
Abstract here
Published ahead of print 7 September 2012, doi: 10.1128/AEM.01902-12
Antimicrobial
resistance of Staphylococcus aureus acquired by pig farmers from pigs
+Author Affiliations
1.
1Institut universitaire romand de Santé au
Travail (Institute for Work and Health), University of Lausanne and Geneva, rue
du Bugnon 21, CH-1011 Lausanne, Switzerland
ABSTRACT
Carriage of animal-associated MRSA CC398 is common among
pig farmers. This study was conducted to investigate: 1) whether pig farmers
are colonized with pig-specific S. aureus genotypes
different than CC398, and 2) survey antimicrobial resistance of S.
aureus isolates from
pigs and pig farmers. Forty-eight S. aureus isolates
from pig farmers and veterinarians and 130 isolates from pigs collected in
Western Switzerland were genotyped by spa-typing and amplified fragment length
polymorphism (AFLP). Antimicrobial resistance profiles were determined for
representative sample of the isolates. Obtained earlier data on healthy S.
aureus carriers
without exposure to agriculture were used for comparison. The genotype
composition of S. aureus isolates
from pig farmers and veterinarians was similar to isolates from pigs with
predominant AFLP Clusters CC398, CC9 and CC49. The resistance to tetracycline
and macrolides (clarithromycin) was common among the isolates from farmers and
veterinarians (52% and 21%, respectively), and similar to resistance levels in
isolates from pigs (39% and 23%, respectively). This was in contrast to
isolates from persons without contact with agriculture, where no (0/128)
isolates were resistant to tetracycline and 3% of isolates were resistant to
clarithromycin. MRSA CC398 was isolated from pigs (n=11) and pig farmers (n=5).
These data imply that zoonotic transmission of multidrug resistant S.
aureus from pigs to
farmers is frequent, and well-known MRSA transmission merely represents a tip
of an iceberg of this phenomenon. We speculate that relatively low frequency of
MRSA isolation is related to lower antimicrobial use in Switzerland compared to
e.g. the Netherlands.