Livestock-associated Methicillin-ResistantStaphylococcus aureusin Humans, the Netherlands

• DOI: 10.3201/eid1811.111850
• Publication Date: 2012-10-09T21:34:32Z
• Authors: Beth J. Feingold; Ellen K. Silbergeld; Frank C. Curriero; Brigite A.G.L. va...; Max E.O.C. Heck; Jan A.J.W. Kluytmans
• Keywords: Carriage; Odds

To determine whether persons living in areas of high animal density are at increased risk for carrying livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA), we used an existing dataset the Netherlands with LA-MRSA carriage and controls who carried other types MRSA. Results running univariate multivariate logistic regression models indicated that livestock-dense increases odds nasal LA-MRSA. We found doubling pig, cattle, veal calf densities per municipality over MRSA by 24.7% (95% CI 0.9%-54.2%), 76.9% 11.3%-81.3%), 24.1% 5.5%-45.9%), respectively, after adjusting direct contact, a rural area, probable source carriage. Controlling spread thus requires giving attention to community members animal-dense regions unaffiliated livestock farming.