Quantification of transmission of livestock-associated methicillin resistant Staphylococcus aureus in pigs.

Vet Microbiol

Quantitative Veterinary Epidemiology Group, Wageningen Institute of Animal Sciences, Wageningen University, PO Box 338, 6700 AH Wageningen, The Netherlands.

Published: March 2012

AI Article Synopsis

  • Antimicrobial resistance in pigs poses a public health risk as resistant organisms can be transmitted to humans, particularly through livestock-associated MRSA (LA-MRSA) in pigs.
  • Two experiments were conducted to study the colonization and transmission dynamics of LA-MRSA among pigs, revealing that initial colonization efforts were unsuccessful, but later exposure led to successful transmission between pigs.
  • The reproduction ratio (R(0)) for LA-MRSA transmission was estimated to be between 3.7 and 4.3, indicating a high likelihood of MRSA persistence in pig populations even without the use of antibiotics.

Article Abstract

Antimicrobial resistance in pigs becomes a public health issue when resistant organisms transfer from pigs to humans. Pigs are a large reservoir for livestock-associated (LA-)MRSA and people in contact with pigs are at risk for infection with LA-MRSA. Transmission and persistence of LA-MRSA within a pig population contributes to the maintenance of this zoonotic reservoir. Current knowledge on colonization and transmission of LA-MRSA in pigs is limited and mainly based on observational field surveys. Two experiments were performed to colonize pigs and quantify transmission of LA-MRSA between pigs. In the first experiment, colonization of six-week old piglets failed after intranasal inoculation, confirming the complexity of MRSA-colonization. In the second experiment, naive pigs got colonized after exposure to orally inoculated pigs. Subsequently, these contact-infected pigs transmitted MRSA to a new group of naive pigs. The reproduction ratio, R(0), was estimated with a SIS-model to quantify transmission between the first and second contact pigs as this resembles more the natural transmission. Two scenarios were evaluated, with different assumptions regarding infection status of individual pigs. R(0) varied between 3.7 and 4.3 and was significantly above 1, indicating a high probability of persistence of LA-MRSA, even without antimicrobial use.

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http://dx.doi.org/10.1016/j.vetmic.2011.09.010DOI Listing

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