Risk factors for persistence of livestock-associated MRSA and environmental exposure in veal calf farmers and their family members: an observational longitudinal study.
OBJECTIVE
Livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) emergence is a major public health concern. This study was aimed at assessing risk factors for persistently carrying MRSA in veal calf farmers and their family members. We also evaluate the dynamics of MRSA environmental load during the veal-calf production cycle.


METHODS
Observational, longitudinal, repeated cross-sectional study.


METHODS
52 veal calf farms in the Netherlands.


METHODS
From the end of 2010 to the end of 2011, a total of 211 farmers, family members and employees were included in the study.
Nasal swabs were taken from participants on days 0, 4, 7 and week 12. A persistent MRSA carrier was defined as a person positive for MRSA on days 0, 4 and 7. Participants filled in an extensive questionnaire to identify potential risk factors and confounders. For estimation of MRSA prevalence in calves and environmental contamination, animal nasal swabs and Electrostatic Dust Collectors were taken on day 0 and week 12.


RESULTS
The presence of potential animal reservoirs (free-ranging farm cats and sheep) and the level of contact with veal calves was positively associated with persistent MRSA carriage. Interestingly, at the end of the study (week 12), there was a twofold rise in animal prevalence and a significantly higher MRSA environmental load in the stables was found on farms with MRSA carriers.


CONCLUSIONS
This study supports the hypothesis that environmental contamination with MRSA plays a role in the acquisition of MRSA in farmers and their household members and suggests that other animal species should also be targeted to implement effective control strategies.
Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
Alejandro
A
Dorado-García
Marian Eh
ME
Bos
Haitske
H
Graveland
Brigitte Agl
BA
Van Cleef
Koen M
KM
Verstappen
Jan Ajw
JA
Kluytmans
Jaap A
JA
Wagenaar
Dick Jj
DJ
Heederik
Epidemiology