[내성균] 네덜란드 육계농장 및 양계업 종사자들의 MRSA

건강과대안 — Thu, 18 Apr 2013 12:18:48 +0000

네덜란드 육계농장 및 농장 거주자 및 노동자축산업과 연관된 메티실린내성포도상구균(MRSA) 발생율 조사

50개의 네덜란드 육계농장(고기용 닭 농장)을 대상으로 실시. 육계농장 거주자 및 노동자 145명 중에서 8건의 MRSA 양성 검출됨.(5·5%)

육계의 목구멍에서 채취한 50개의 샘플과 755개의 먼지 샘플을 조사한 결과 50개의 육계농장 중 4곳에서 MRSA 양성 검출됨 (8·0%).

MRSA 양성이 검출된 육계농장은 MRSA 매개체 역할을 할 위험이 있음. MRSA 양성 농장거주자
및 노동자의 66·7%에서 MRSA 양성이 나타난데 반해 MRSA 음성 농장거주자 및 노동자의 1.5%
에서만 MRSA 양성이 나타났음.

육계농장의 MRSA 양성율은 양돈 농장이나 송아지 농장보다 낮았음.

그러나 육계농장 거주자 및 노동자의 MRSA 양성율(5·5%)은 네덜란드의 일반 시민들(0.1%
이하)과 비교해 볼 때 아주 높게 나타났음.

이러한 상황은 네덜란드 뿐만 아니라 양계업을 하는 세계의 다른 나라에서도 마찬가지일
것으로 추정됨.

Prevalence of livestock-associated MRSA on Dutch broiler farms and in people living and/or working on these farms

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P. L. GEENEN, E. A. M. GRAAT, A. HAENEN, P. D. HENGEVELD, A. H. A. M. VAN HOEK, X. W. HUIJSDENS, C. C. KAPPERT, G. A. C. LAMMERS, E. VAN DUIJKEREN and A. W. VAN DE GIESSEN

Epidemiology and Infection / Volume 141 / Issue 05 / 5월 2013, pp 1099 – 1108

DOI: http://dx.doi.org/10.1017/S0950268812001616 (About DOI), Published online: 25 7월 2012

====================

Original Papers

Streptococci, streptococcal and enterococci

Prevalence of livestock-associated MRSA on Dutch broiler farms and in people living and/or working on these farms

P. L. GEENEN^a1^†, E. A. M. GRAAT^a2 ^c1^†, A. HAENEN^a1, P. D. HENGEVELD^a1, A. H. A. M. VAN HOEK^a1, X. W. HUIJSDENS^a1, C. C. KAPPERT^a2, G. A. C. LAMMERS^a2, E. VAN DUIJKEREN^a1 and A. W. VAN DE GIESSEN^a1

^a1Centre for Infectious Disease Control Netherlands (CIb), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands

^a2Quantitative Veterinary Epidemiology Group, Wageningen Institute of Animal Sciences, Wageningen University, The Netherlands

http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8876728

SUMMARY

This study aimed to determine the prevalence and risk factors for methicillin-resistant Staphylococcus aureus (MRSA) on 50 Dutch broiler farms. Of 145 persons living and/or working on these farms, eight tested positive for MRSA (5·5%). Investigation of 250 pooled throat samples of broilers and 755 dust samples resulted in four farms where MRSA-positive samples were present (8·0%). All isolates belonged to the CC398 complex. Living and/or working on a MRSA-positive farm was a risk for MRSA carriage; 66·7% of people on positive farms were MRSA positive vs. 1·5% on negative farms (P<0·0001). Due to the low number of positive farms and persons, and high similarity in farm management, it was impossible to draw statistically valid conclusions on other risk factors. For broiler farming, both farm and human MRSA prevalence seem much lower than for pig or veal farming. However, MRSA carriage in people living and/or working on broiler farms is higher compared to the general human population in The Netherlands (5·5% vs. <0·1%). As broiler husbandry systems are not unique to The Netherlands, this might imply that people in contact with live broilers are at risk for MRSA carriage worldwide.

(Received March 20 2012)

(Revised June 15 2012)

(Accepted June 29 2012)

(Online publication July 25 2012)

Key words

Broilers;
CC398;
methicillin-resistant Staphylococcus aureus (MRSA);
prevalence;
risk factors

Correspondence

^c1 Author for correspondence: Dr E. A. M. Graat, Quantitative Veterinary Epidemiology Group, Wageningen Institute of Animal Sciences, Wageningen University, P.O. Box 338, 6700 AH, Wageningen, The Netherlands. (Email: Lisette.Graat@wur.nl)

Footnotes

^† These authors contributed equally to this work

건강과 대안 » 양계장

[내성균] 네덜란드 육계농장 및 양계업 종사자들의 MRSA

Original Papers

Streptococci, streptococcal and enterococci

Prevalence of livestock-associated MRSA on Dutch broiler farms and in people living and/or working on these farms

P. L. GEENENa1 †, E. A. M. GRAATa2 c1 †, A. HAENENa1, P. D. HENGEVELDa1, A. H. A. M. VAN HOEKa1, X. W. HUIJSDENSa1, C. C. KAPPERTa2, G. A. C. LAMMERSa2, E. VAN DUIJKERENa1 and A. W. VAN DE GIESSENa1

P. L. GEENEN^a1^†, E. A. M. GRAAT^a2 ^c1^†, A. HAENEN^a1, P. D. HENGEVELD^a1, A. H. A. M. VAN HOEK^a1, X. W. HUIJSDENS^a1, C. C. KAPPERT^a2, G. A. C. LAMMERS^a2, E. VAN DUIJKEREN^a1 and A. W. VAN DE GIESSEN^a1