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Risk factors for methicillin-resistant Staphylococcus aureus (MRSA) infection in dogs and cats: a case-control study

机译:犬和​​猫耐甲氧西林金黄色葡萄球菌(MRSA)感染的危险因素:病例对照研究

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摘要

Risk factors for methicillin-resistant Staphylococcus aureus (MRSA) infection in dogs and cats were investigated in an unmatched case-control study. A total of 197 animals from 150 veterinary practices across the United Kingdom was enrolled, including 105 MRSA cases and 92 controls with methicillin-susceptible S. aureus (MSSA) infection. The association of owners and veterinarian staff with the human healthcare sector (HCS) and animal-related characteristics such as signalment, antimicrobial and immunosuppressive therapy, and surgery were evaluated as putative risk factors using logistic regression. We found that significant risk factors for MRSA infection were the number of antimicrobial courses (p = 0.005), number of days admitted to veterinary clinics (p = 0.003) and having received surgical implants (p = 0.001). In addition, the odds of contact with humans which had been ill and admitted to hospital (p = 0.062) were higher in MRSA infected pets than in MSSA controls. The risk factors identified in this study highlight the need to increase vigilance towards identification of companion animal groups at risk and to advocate responsible and judicious use of antimicrobials in small animal practice.
机译:在一项无与伦比的病例对照研究中,对猫和狗中耐甲氧西林金黄色葡萄球菌(MRSA)感染的危险因素进行了研究。整个英国共有197种动物来自150种兽医,其中包括105例MRSA病例和92例对甲氧西林敏感的金黄色葡萄球菌(MSSA)感染的对照。所有者和兽医人员与人类医疗保健部门(HCS)以及动物相关特征(例如信号传导,抗菌和免疫抑制疗法以及手术)的关联使用逻辑回归分析作为推定的危险因素进行了评估。我们发现,MRSA感染的重要危险因素是抗菌素疗程数(p = 0.005),兽医诊所的住院天数(p = 0.003)和接受手术植入物的时间(p = 0.001)。此外,感染MRSA的宠物与生病并入院的人接触的几率(p = 0.062)比MSSA对照者高。在这项研究中确定的风险因素突出表明,有必要提高警惕,以鉴别有风险的伴侣动物,并提倡在小动物实践中以负责任和明智的方式使用抗菌药物。

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