Methicillin-resistant Staphylococcus aureus among animals: current overview

被引:215
作者
Aires-de-Sousa, M. [1 ]
机构
[1] Escola Super Saude Cruz Vermelha Portuguesa, Ave Ceuta 1,Edificio UrbiCeuta, P-1300125 Lisbon, Portugal
关键词
Animals; Animal-adapted S. aureus strains; CC398; Livestock-associated methicillin-resistant S. aureus; mecC; Methicillin-resistant S. aureus; Staphylococcus aureus; Transmission from animals to humans; MRSA; COLONIZATION; TRANSMISSION; ST398; MECC; PREVALENCE; EVOLUTION; INFECTION; HORSES; EPIDEMIOLOGY;
D O I
10.1016/j.cmi.2016.11.002
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Currently, methicillin-resistant Staphylococcus aureus (MRSA) is a universal threat. After being well established in the healthcare setting, it has emerged in the community among people with no risk factors for MRSA acquisition, therefore imposing a new threat. The subsequent detection of MRSA colonizing or infecting animals as well as in food of animal origin was of major concern, revealing new reservoirs for MRSA. The major MRSA clonal lineages circulating in the different settings, i.e. in hospitals, in the community and among animals, are described here, differentiating between clones colonizing companion and food-chain animals. Particular attention is given to the widely spread livestock-associated MRSA clonal complex (CC) 398, which is mainly associated with professional exposure but may be of high pathogenicity. The recent detection of a mecA homologue, designated mecC, with a wide geographical distribution in Europe, and including a large diversity of hosts (food-chain, companion and wildlife animals and also detected in water samples) adds to the threat. Domestication as well as globalization of the livestock industry have intensified exchanges between human and animal bacteria. We report here several cases of transmission of MRSA between companion or food-chain animals and humans, as well as some MRSA clones of human origin that have adapted to new animal hosts eventually by losing useless virulence factors or acquiring new mobile genetic elements. (C) 2016 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:373 / 380
页数:8
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