Prevalence of Livestock-Associated Methicillin-Resistant Staphylococcus Aureus (LA-MRSA) Among Farm and Slaughterhouse Workers in Italy.

J Occup Environ Med

Department of Health Sciences, University of Catanzaro "Magna Græcia," Catanzaro, Italy (Dr Mascaro, Dr Leonetti, and Dr Pavia); Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Cosenza, Italy (Dr Nobile); Department of Biomedical Sciences and Public Health, Polytechnic University of the Marche Region, Ancona, Italy (Dr Barbadoro, Dr Ponzio, Dr Recanatini, and Dr Prospero).

Published: August 2018

Objective: We measured the prevalence of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) in swine livestock workers, examined LA-MRSA resistance profile, and associated carriage with the working activities.

Methods: Information was collected on demographics and occupational history. Swabs were collected and tested for the isolation of S. aureus, examined for antimicrobial susceptibility, and all MRSA underwent ST398qPCR assay.

Results: LA-MRSA was isolated in 7.3% of the 396 enrolled workers. LA-MRSA colonization was more likely in farmers than in slaughterhouse workers (Fisher exact P = 0.001). Carriage was associated with herd size, being less frequent in small/medium farms (odds ratio = 0.20; 95% confidence interval = 0.07 to 0.53), and with the number of working days per week (OR = 2.11; 95% confidence interval = 1.07 to 4.19).

Conclusions: LA-MRSA carriage is strongly animal-exposure related, and educational intervention informing about the risks related to the activity with livestock is needed.

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http://dx.doi.org/10.1097/JOM.0000000000001385DOI Listing

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