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Livestock density as risk factor for livestock-associated methicillin-resistant Staphylococcus aureus, the Netherlands



Livestock density as risk factor for livestock-associated methicillin-resistant Staphylococcus aureus, the Netherlands



Emerging Infectious Diseases 18(11): 1841-1849



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

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Accession: 054147843

Download citation: RISBibTeXText

PMID: 23092646

DOI: 10.3201/eid1811.111850


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