Livestock-Associated Methicillin and Multidrug Resistant Staphylococcus aureus Is Present among Industrial, Not Antibiotic-Free Livestock Operation Workers in North Carolina
Publication Date
July 02, 2013
Journal
PLoS ONE
Authors
Jessica L. Rinsky, Maya Nadimpalli, Steve Wing, Devon Hall, et al
Volume
8
Issue
7
Pages
e67641
DOI
https://dx.plos.org/10.1371/journal.pone.0067641
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0067641
Web of Science
000321341000065
Scopus
84879760941
Mendeley
http://www.mendeley.com/research/livestockassociated-methicillin-multidrug-resistant-staphylococcus-aureus-present-among-industrial-n
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{"title"=>"Livestock-Associated Methicillin and Multidrug Resistant Staphylococcus aureus Is Present among Industrial, Not Antibiotic-Free Livestock Operation Workers in North Carolina", "type"=>"journal", "authors"=>[{"first_name"=>"Jessica L.", "last_name"=>"Rinsky", "scopus_author_id"=>"56044724000"}, {"first_name"=>"Maya", "last_name"=>"Nadimpalli", "scopus_author_id"=>"55782407500"}, {"first_name"=>"Steve", "last_name"=>"Wing", "scopus_author_id"=>"7103353536"}, {"first_name"=>"Devon", "last_name"=>"Hall", "scopus_author_id"=>"55783124000"}, {"first_name"=>"Dothula", "last_name"=>"Baron", "scopus_author_id"=>"55782509400"}, {"first_name"=>"Lance B.", "last_name"=>"Price", "scopus_author_id"=>"7201882380"}, {"first_name"=>"Jesper", "last_name"=>"Larsen", "scopus_author_id"=>"56962519500"}, {"first_name"=>"Marc", "last_name"=>"Stegger", "scopus_author_id"=>"15129298600"}, {"first_name"=>"Jill", "last_name"=>"Stewart", "scopus_author_id"=>"15021299100"}, {"first_name"=>"Christopher D.", "last_name"=>"Heaney", "scopus_author_id"=>"7004288568"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84879760941", "pui"=>"369252969", "doi"=>"10.1371/journal.pone.0067641", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "sgr"=>"84879760941", "pmid"=>"23844044"}, "id"=>"d7d76dfc-c995-337f-9171-28a772870f94", "abstract"=>"OBJECTIVES: Administration of antibiotics to food animals may select for drug-resistant pathogens of clinical significance, such as methicillin-resistant Staphylococcus aureus (MRSA). In the United States, studies have examined prevalence of MRSA carriage among individuals exposed to livestock, but prevalence of multidrug-resistant S. aureus (MDRSA) carriage and the association with livestock raised with versus without antibiotic selective pressure remains unclear. We aimed to examine prevalence, antibiotic susceptibility, and molecular characteristics of S. aureus among industrial livestock operation (ILO) and antibiotic-free livestock operation (AFLO) workers and household members in North Carolina.\\n\\nMETHODS: Participants in this cross-sectional study were interviewed and provided a nasal swab for S. aureus analysis. Resulting S. aureus isolates were assessed for antibiotic susceptibility, multi-locus sequence type, and absence of the scn gene (a marker of livestock association).\\n\\nRESULTS: Among 99 ILO and 105 AFLO participants, S. aureus nasal carriage prevalence was 41% and 40%, respectively. Among ILO and AFLO S. aureus carriers, MRSA was detected in 7% (3/41) and 7% (3/42), respectively. Thirty seven percent of 41 ILO versus 19% of 42 AFLO S. aureus-positive participants carried MDRSA. S. aureus clonal complex (CC) 398 was observed only among workers and predominated among ILO (13/34) compared with AFLO (1/35) S. aureus-positive workers. Only ILO workers carried scn-negative MRSA CC398 (2/34) and scn-negative MDRSA CC398 (6/34), and all of these isolates were tetracycline resistant.\\n\\nCONCLUSIONS: Despite similar S. aureus and MRSA prevalence among ILO and AFLO-exposed individuals, livestock-associated MRSA and MDRSA (tetracycline-resistant, CC398, scn-negative) were only present among ILO-exposed individuals. These findings support growing concern about antibiotics use and confinement in livestock production, raising questions about the potential for occupational exposure to an opportunistic and drug-resistant pathogen, which in other settings including hospitals and the community is of broad public health importance.", "link"=>"http://www.mendeley.com/research/livestockassociated-methicillin-multidrug-resistant-staphylococcus-aureus-present-among-industrial-n", "reader_count"=>114, "reader_count_by_academic_status"=>{"Unspecified"=>7, "Professor > Associate Professor"=>5, "Librarian"=>1, "Researcher"=>17, "Student > Doctoral Student"=>8, "Student > Ph. D. Student"=>21, "Student > Postgraduate"=>10, "Student > Master"=>20, "Other"=>6, "Student > Bachelor"=>13, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>7, "Professor > Associate Professor"=>5, "Librarian"=>1, "Researcher"=>17, "Student > Doctoral Student"=>8, "Student > Ph. D. Student"=>21, "Student > Postgraduate"=>10, "Student > Master"=>20, "Other"=>6, "Student > Bachelor"=>13, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>14, "Agricultural and Biological Sciences"=>33, "Veterinary Science and Veterinary Medicine"=>5, "Chemistry"=>2, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>2, "Engineering"=>2, "Environmental Science"=>20, "Biochemistry, Genetics and Molecular Biology"=>6, "Nursing and Health Professions"=>1, "Materials Science"=>1, "Mathematics"=>1, "Medicine and Dentistry"=>18, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>1, "Social Sciences"=>3, "Immunology and Microbiology"=>3}, "reader_count_by_subdiscipline"=>{"Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>18}, "Social Sciences"=>{"Social Sciences"=>3}, "Psychology"=>{"Psychology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>14}, "Environmental Science"=>{"Environmental Science"=>20}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Engineering"=>{"Engineering"=>2}, "Chemistry"=>{"Chemistry"=>2}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>2}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>33}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>6}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>5}}, "reader_count_by_country"=>{"New Zealand"=>1, "United States"=>3, "South Africa"=>1, "Malaysia"=>1, "France"=>1, "India"=>1}, "group_count"=>3}

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Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1109051"], "description"=>"<p>ILO = industrial livestock operation.</p><p>AFLO = antibiotic-free livestock operation.</p>a<p>Restricted to participants ≥25 years old.</p>", "links"=>[], "tags"=>["Animal management", "Animal production", "Animal slaughter", "Sustainable agriculture", "epidemiology", "Environmental epidemiology", "Infectious disease epidemiology", "Molecular epidemiology", "Infectious diseases", "Bacterial diseases", "Staphylococcus aureus", "Zoonoses", "Public health", "Environmental health", "Occupational and industrial health"], "article_id"=>737773, "categories"=>["Medicine"], "users"=>["Jessica L. Rinsky", "Maya Nadimpalli", "Steve Wing", "Devon Hall", "Dothula Baron", "Lance B. Price", "Jesper Larsen", "Marc Stegger", "Jill Stewart", "Christopher D. Heaney"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0067641.t001", "stats"=>{"downloads"=>3, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Distribution_of_characteristics_among_all_study_participants_by_exposure_group_North_Carolina_2011_/737773", "title"=>"Distribution of characteristics among all study participants by exposure group, North Carolina, 2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-07-02 03:42:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1109049"], "description"=>"<p>ILO = industrial livestock operation.</p><p>PR = Prevalence ratio.</p>a<p>Associations among AFLO workers are not presented due to small numbers of reported activities in the group who carried <i>S. aureus</i>.</p>b<p>Due to overlap among tetracycline-resistance, <i>scn-</i>negative, and CC398 isolates and similarity of estimates, we present prevalence ratios and 95% confidence intervals for tetracycline-resistant <i>scn</i>-negative <i>S. aureus</i> CC398.</p>", "links"=>[], "tags"=>["Animal management", "Animal production", "Animal slaughter", "Sustainable agriculture", "epidemiology", "Environmental epidemiology", "Infectious disease epidemiology", "Molecular epidemiology", "Infectious diseases", "Bacterial diseases", "Staphylococcus aureus", "Zoonoses", "Public health", "Environmental health", "Occupational and industrial health", "activities", "carriage", "mdrsa", "tetracycline-resistant", "cc398", "ilo", "carrying"], "article_id"=>737772, "categories"=>["Medicine"], "users"=>["Jessica L. Rinsky", "Maya Nadimpalli", "Steve Wing", "Devon Hall", "Dothula Baron", "Lance B. Price", "Jesper Larsen", "Marc Stegger", "Jill Stewart", "Christopher D. Heaney"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0067641.t004", "stats"=>{"downloads"=>3, "page_views"=>46, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Associations_between_reported_work_activities_and_carriage_of_MDRSA_and_tetracycline_resistant_scn_negative_S_aureus_CC398_among_ILO_workers_a_carrying_S_aureus_/737772", "title"=>"Associations between reported work activities and carriage of MDRSA and tetracycline-resistant <i>scn</i>-negative <i>S. aureus</i> CC398 among ILO workers<sup>a</sup> carrying <i>S. aureus</i>.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-07-02 03:42:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1109053"], "description"=>"<p>ILO = industrial livestock operation.</p><p>AFLO = antibiotic-free livestock operation.</p><p>PR = prevalence ratio.</p>a<p>PR (95% CI) comparing carriage among ILO participants to AFLO participants.</p>b<p>No estimate of the PR (95% CI) is provided due to no occurrence of the outcome of interest in at least one group.</p>", "links"=>[], "tags"=>["Animal management", "Animal production", "Animal slaughter", "Sustainable agriculture", "epidemiology", "Environmental epidemiology", "Infectious disease epidemiology", "Molecular epidemiology", "Infectious diseases", "Bacterial diseases", "Staphylococcus aureus", "Zoonoses", "Public health", "Environmental health", "Occupational and industrial health", "molecular", "carriage", "livestock"], "article_id"=>737775, "categories"=>["Medicine"], "users"=>["Jessica L. Rinsky", "Maya Nadimpalli", "Steve Wing", "Devon Hall", "Dothula Baron", "Lance B. Price", "Jesper Larsen", "Marc Stegger", "Jill Stewart", "Christopher D. Heaney"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0067641.t003", "stats"=>{"downloads"=>3, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Phenotypic_and_molecular_characteristics_of_S_aureus_carriage_among_study_participants_by_livestock_exposure_group_North_Carolina_2011_/737775", "title"=>"Phenotypic and molecular characteristics of <i>S. aureus</i> carriage among study participants by livestock exposure group, North Carolina, 2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-07-02 03:42:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1109054"], "description"=>"<div><p>Objectives</p><p>Administration of antibiotics to food animals may select for drug-resistant pathogens of clinical significance, such as methicillin-resistant <i>Staphylococcus aureus</i> (MRSA). In the United States, studies have examined prevalence of MRSA carriage among individuals exposed to livestock, but prevalence of multidrug-resistant <i>S. aureus</i> (MDRSA) carriage and the association with livestock raised with versus without antibiotic selective pressure remains unclear. We aimed to examine prevalence, antibiotic susceptibility, and molecular characteristics of <i>S. aureus</i> among industrial livestock operation (ILO) and antibiotic-free livestock operation (AFLO) workers and household members in North Carolina.</p><p>Methods</p><p>Participants in this cross-sectional study were interviewed and provided a nasal swab for <i>S. aureus</i> analysis. Resulting <i>S. aureus</i> isolates were assessed for antibiotic susceptibility, multi-locus sequence type, and absence of the <i>scn</i> gene (a marker of livestock association).</p><p>Results</p><p>Among 99 ILO and 105 AFLO participants, <i>S. aureus</i> nasal carriage prevalence was 41% and 40%, respectively. Among ILO and AFLO <i>S. aureus</i> carriers, MRSA was detected in 7% (3/41) and 7% (3/42), respectively. Thirty seven percent of 41 ILO versus 19% of 42 AFLO <i>S. aureus</i>-positive participants carried MDRSA. <i>S. aureus</i> clonal complex (CC) 398 was observed only among workers and predominated among ILO (13/34) compared with AFLO (1/35) <i>S. aureus-</i>positive workers. Only ILO workers carried <i>scn</i>-negative MRSA CC398 (2/34) and <i>scn</i>-negative MDRSA CC398 (6/34), and all of these isolates were tetracycline resistant.</p><p>Conclusions</p><p>Despite similar <i>S. aureus</i> and MRSA prevalence among ILO and AFLO-exposed individuals, livestock-associated MRSA and MDRSA (tetracycline-resistant, CC398, <i>scn</i>-negative) were only present among ILO-exposed individuals. These findings support growing concern about antibiotics use and confinement in livestock production, raising questions about the potential for occupational exposure to an opportunistic and drug-resistant pathogen, which in other settings including hospitals and the community is of broad public health importance.</p></div>", "links"=>[], "tags"=>["Animal management", "Animal production", "Animal slaughter", "Sustainable agriculture", "epidemiology", "Environmental epidemiology", "Infectious disease epidemiology", "Molecular epidemiology", "Infectious diseases", "Bacterial diseases", "Staphylococcus aureus", "Zoonoses", "Public health", "Environmental health", "Occupational and industrial health", "livestock-associated", "methicillin", "multidrug", "resistant", "antibiotic-free", "livestock", "workers", "carolina"], "article_id"=>737776, "categories"=>["Medicine"], "users"=>["Jessica L. Rinsky", "Maya Nadimpalli", "Steve Wing", "Devon Hall", "Dothula Baron", "Lance B. Price", "Jesper Larsen", "Marc Stegger", "Jill Stewart", "Christopher D. Heaney"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0067641", "stats"=>{"downloads"=>5, "page_views"=>21, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Livestock_Associated_Methicillin_and_Multidrug_Resistant_Staphylococcus_aureus_Is_Present_among_Industrial_Not_Antibiotic_Free_Livestock_Operation_Workers_in_North_Carolina/737776", "title"=>"Livestock-Associated Methicillin and Multidrug Resistant <i>Staphylococcus aureus</i> Is Present among Industrial, Not Antibiotic-Free Livestock Operation Workers in North Carolina", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-07-02 03:42:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1109052"], "description"=>"<p>ILO = industrial livestock operation.</p><p>AFLO = antibiotic-free livestock operation.</p>a<p>Categories are not exclusive.</p>b<p>Restricted to workers reporting direct contact with pigs.</p>c<p>Restricted to workers reporting direct contact with poultry.</p>d<p>The maximum number of hours/week worked in direct contact with livestock was 73.5 and 35 hours for ILO and AFLO workers, respectively.</p>", "links"=>[], "tags"=>["Animal management", "Animal production", "Animal slaughter", "Sustainable agriculture", "epidemiology", "Environmental epidemiology", "Infectious disease epidemiology", "Molecular epidemiology", "Infectious diseases", "Bacterial diseases", "Staphylococcus aureus", "Zoonoses", "Public health", "Environmental health", "Occupational and industrial health", "livestock", "operations"], "article_id"=>737774, "categories"=>["Medicine"], "users"=>["Jessica L. Rinsky", "Maya Nadimpalli", "Steve Wing", "Devon Hall", "Dothula Baron", "Lance B. Price", "Jesper Larsen", "Marc Stegger", "Jill Stewart", "Christopher D. Heaney"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0067641.t002", "stats"=>{"downloads"=>1, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_livestock_operations_and_worker_exposures_North_Carolina_2011_/737774", "title"=>"Characteristics of livestock operations and worker exposures, North Carolina, 2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-07-02 03:42:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/1109048"], "description"=>"<p>Antibiotic resistance profiles, clonal complexes, and multi-locus sequence types of all <i>S. aureus</i> isolates from (A) ILO and (B) AFLO participants, stratified by <i>scn</i> status, North Carolina, 2011.</p>", "links"=>[], "tags"=>["Animal management", "Animal production", "Animal slaughter", "Sustainable agriculture", "epidemiology", "Environmental epidemiology", "Infectious disease epidemiology", "Molecular epidemiology", "Infectious diseases", "Bacterial diseases", "Staphylococcus aureus", "Zoonoses", "Public health", "Environmental health", "Occupational and industrial health", "clonal", "multi-locus", "types", "isolates", "ilo", "aflo", "stratified"], "article_id"=>737771, "categories"=>["Medicine"], "users"=>["Jessica L. Rinsky", "Maya Nadimpalli", "Steve Wing", "Devon Hall", "Dothula Baron", "Lance B. Price", "Jesper Larsen", "Marc Stegger", "Jill Stewart", "Christopher D. Heaney"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0067641.g001", "stats"=>{"downloads"=>0, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Antibiotic_resistance_profiles_clonal_complexes_and_multi_locus_sequence_types_of_all_S_aureus_isolates_from_A_ILO_and_B_AFLO_participants_stratified_by_scn_status_North_Carolina_2011_/737771", "title"=>"Antibiotic resistance profiles, clonal complexes, and multi-locus sequence types of all <i>S. aureus</i> isolates from (A) ILO and (B) AFLO participants, stratified by <i>scn</i> status, North Carolina, 2011.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-07-02 03:42:42"}

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Relative Metric

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