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Multi-drug and methicillin resistance of staphylococci from canine patients at a veterinary teaching hospital (2006–2011)

机译:兽医教学医院的犬科患者葡萄球菌对多药和甲氧西林的耐药性(2006-2011年)

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Background: Over the past 10?years, an increase in methicillin and multi-drug resistant staphylococcal species has been identified worldwide and anecdotally reported within our veterinary teaching hospital.Objective: To determine the methicillin resistance (MR) and multi-drug resistance (MDR) patterns of staphylococcal species isolated from canine patients between 2006 and 2011.Animals and Methods: Staphylococcal isolates (n = 1069) were cultured from the canine patient population of the veterinary teaching hospital. The susceptibility reports of Staphylococcus pseudintermedius , S. aureus, S. schleiferi v. coagulans , S. schleiferi v. schleiferi , and other coagulase-negative staphylococci (CoNS) were assessed. Isolates were organized into five site categories. Isolates were scored on a 0–10 scale based on resistance to antimicrobial classes, with MDR classified as an isolate scoring a value ≥3. Statistical analysis included χ~(2), Fisher's exact test, and ANOVA with mean square and post hoc analysis; p 0.05 was significant.Results: S. pseudintermedius (76.6%), S. aureus (15.5%), S. schleiferi v. coagulans (5.7%), S. schleiferi v. schleiferi (1.2%), and CoNS (0.9%) isolation was observed. MR occurred in 11.4% of all combined isolates, with no difference between sites and years. Of the S. pseudintermedius isolates, 4.5% were methicillin resistant. Of all the isolates, 27.5% were MDR. The mean resistance score of S. pseudintermedius isolates increased significantly comparing 2006 and 2008 (p = 0.0006) and 2006 and 2009 (p = 0.0009). The mean score of all combined isolates increased significantly comparing 2006 and 2008 (p = 0.001).Conclusion: MR staphylococci isolation is similar when compared to other studies. However, increased MDR isolation is of greater concern and high-scoring MDR staphylococci will limit our future antimicrobial choices.
机译:背景:在过去的10年中,全球范围内发现了甲氧西林和耐多种药物的葡萄球菌种类,并在我们的兽医教学医院中进行了报道。目的:确定耐甲氧西林(MR)和耐多种药物(MDR)动物和方法:从兽医教学医院的犬科患者群体中培养葡萄球菌分离株(n = 1069)。 >假单胞菌, S。 aureus,S. schleiferi诉凝结菌, S。评估了schleiferi v。schleiferi和其他凝固酶阴性葡萄球菌(CoNS)。隔离区分为五个站点类别。根据对抗菌剂类别的耐药性,对分离株进行评分,评分范围为0-10,MDR分类为≥3的分离株。统计分析包括χ〜(2),Fisher精确检验和具有均方和事后分析的ANOVA。 p <0.05显着。结果: S。 pseudintermedius(76.6%),S。金黄色葡萄球菌(15.5%),S.schleiferi v。凝结物(5.7%),S。 schleiferi v 。观察到鹅肝菌(1.2%)和CoNS(0.9%)分离。 MR发生在所有合并菌株中的11.4%,部位和年份之间无差异。在 S。 pseudintermedius分离株,有4.5%对甲氧西林耐药。在所有分离株中,有27.5%是MDR。 S的平均抵抗力得分。与2006年和2008年(p = 0.0006)以及2006年和2009年(p = 0.0009)相比,pseudintermedius分离株显着增加。与2006年和2008年相比,所有合并菌株的平均得分均显着提高(p = 0.001)。结论:与其他研究相比,MR葡萄球菌的分离相似。但是,增加耐多药耐药性越来越引起人们的关注,高分比的耐多药葡萄球菌将限制我们未来的抗菌选择。

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