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Topic:Staphylococcus

Staphylococcus is a genus of bacteria commonly found on the skin and mucous membranes of horses. These bacteria can be part of the normal flora but may also act as opportunistic pathogens, leading to infections under certain conditions. In horses, Staphylococcus species can cause a range of infections, including skin infections, wound infections, and more severe conditions such as septicemia. The most frequently identified species in equine infections is Staphylococcus aureus, known for its ability to resist certain antibiotics, complicating treatment efforts. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenic mechanisms, and treatment strategies of Staphylococcus infections in horses.
Genetic analysis of equine methicillin-resistant Staphylococcus aureus by pulsed-field gel electrophoresis.
The Journal of veterinary medical science    November 15, 1997   Volume 59, Issue 10 935-937 doi: 10.1292/jvms.59.935
Shimizu A, Kawano J, Yamamoto C, Kakutani O, Anzai T, Kamada M.Pulsed-field gel electrophoresis (PFGE) was used to determine genetic relationships among 15 methicillin-resistant Staphylococcus aureus (MRSA) isolates from mares with metritis and from a stallion with dermatitis in Hokkaido. All the 15 isolates showed phage pattern 6/47/54/75, coagulase type IV, and enterotoxin type A. The restriction endonuclease SmaI cut their genomic DNAs into 15 or 16 fragments ranging in size from 8 to 630 kb. Fourteen of the 15 isolates showed the same PFGE pattern, whereas the remaining one appeared to be closely related. The 9 human MRSA isolates showing the same phe...
Isolation of methicillin-resistant Staphylococcus aureus from a postoperative wound infection in a horse.
Journal of the American Veterinary Medical Association    September 18, 1997   Volume 211, Issue 5 590-592 
Hartmann FA, Trostle SS, Klohnen AA.Methicillin-resistant Staphylococcus aureus (MRSA) was isolated from a postoperative wound infection in a horse. Methicillin-resistant S aureus infections in animals have been reported. In human beings, MRSA is an important cause of hospital-acquired (nosocomial) infections. Infections caused by MRSA respond poorly to beta-lactam treatment, and resistance of MRSA to multiple antimicrobials, including aminoglycosides, macrolides, clindamycin, and tetracyclines, is common. Identification of MRSA by routine susceptibility testing may be difficult; therefore, techniques for MRSA detection should b...
Use of tenoscopy for management of septic tenosynovitis caused by a penetrating porcupine quill in the synovial sheath surrounding the digital flexor tendons of a horse.
Journal of the American Veterinary Medical Association    June 15, 1997   Volume 210, Issue 12 1768-1770 
Magee AA, Ragle CA, Howlett MR.A 6-year-old Quarter Horse gelding with acute onset of a grade-4/5 lameness of the left forelimb 21 days after an encounter with a porcupine was examined. Quills had been removed by the referring veterinarian, and the horse had been treated with antibiotics and hydrotherapy for 14 days. The horse was pyretic and had effusion in the digital synovial sheath. Signs of pain were elicited on palpation of the area. A tentative diagnosis of septic tenosynovitis caused by a porcupine quill was made. Exploratory tenoscopy revealed large amounts of fibrin in the sheath and a 1.2-cm quill. Bacteriologic ...
[Animal systemic iron sources utilized in vitro by staphylococci].
Medycyna doswiadczalna i mikrobiologia    January 1, 1997   Volume 49, Issue 1-2 45-53 
Lisiecki P, Sobiś-Glinkowska M, Mikucki J.Under iron-restricted conditions staphylococcal strains could utilize in vitro several animals body iron sources in form of bovine haemoglobin, hemin, lactoferrin and transferrin, ovotransferrin, horse myoglobin ferritin and cytochrome C. Spectrum of utilized iron sources was not dependent on species affiliation and kind of siderophores system. Strains isolated from clinical materials utilized largest spectrum of animal iron body sources.
Separation of equine IgG subclasses (IgGa, IgGb and IgG(T)) using their differential binding characteristics for staphylococcal protein A and streptococcal protein G.
Veterinary immunology and immunopathology    December 1, 1996   Volume 55, Issue 1-3 33-43 doi: 10.1016/s0165-2427(96)05618-8
Sheoran AS, Holmes MA.Equine IgG possesses four well-defined subisotypes, designated IgGa, IgGb, IgGc and IgG(T) on the basis of their increasing anodal mobility in electrophoresis. However, the preparation of IgGa and IgGb reference proteins has not previously been reported. Certain bacterial cell wall proteins, termed protein A and protein G, have been used for purification of IgG subisotypes from the serum of domestic animals which, combined with other techniques utilising differences in the physico-chemical properties of the proteins, has allowed the purification of Ig isotypes. This paper describes purificatio...
Antibacterial activity of antileukoprotease.
Infection and immunity    November 1, 1996   Volume 64, Issue 11 4520-4524 doi: 10.1128/iai.64.11.4520-4524.1996
Hiemstra PS, Maassen RJ, Stolk J, Heinzel-Wieland R, Steffens GJ, Dijkman JH.Antileukoprotease (ALP), or secretory leukocyte proteinase inhibitor, is an endogenous inhibitor of serine proteinases that is present in various external secretions. ALP, one of the major inhibitors of serine proteinases present in the human lung, is a potent reversible inhibitor of elastase and, to a lesser extent, of cathepsin G. In equine neutrophils, an antimicrobial polypeptide that has some of the characteristics of ALP has been identified (M. A. Couto, S. S. L. Harwig, J. S. Cullor, J. P. Hughes, and R. I. Lehrer, Infect. Immun. 60:5042-5047, 1992). This report, together with the catio...
Detection of bacteria in equine synovial fluid by use of the polymerase chain reaction.
Veterinary surgery : VS    May 1, 1996   Volume 25, Issue 3 195-198 doi: 10.1111/j.1532-950x.1996.tb01398.x
Crabill MR, Cohen ND, Martin LJ, Simpson RB, Burney N.Equine synovial fluid aliquots were inoculated with Salmonella enteritidis, Escherichia coli, Actinobacillus equuli, Staphylococcus aureus, and Streptococcus zooepidemicus to obtain approximate concentrations of 1000, 100, 10, and 1 colony forming U/mL. Synovial fluid aliquots were also inoculated with an unquantitated inoculum of Bacteroides fragilis and Clostridium perfringens. Inoculated synovial fluid was incubated in trypticase-soy broth or Columbia broth for approximately 12 hours. Then aliquots were removed for DNA extraction and polymerase chain reaction (PCR) analysis for detection of...
Effects of potentiated chlorhexidine on bacteria and tarsocrural joints in ponies.
American journal of veterinary research    May 1, 1996   Volume 57, Issue 5 756-761 
Klohnen A, Wilson DG, Hendrickson DA, Cooley AJ, MacWilliams PS.To evaluate the bactericidal properties of chlorhexidine diacetate (CHD) after potentiation with EDTA and Tris buffer (EDTA-Tris), and to find a potentiated CHD concentration that would achieve 90 to 100% killing for all bacteria tested. Methods: 6 adult ponies. Methods: Serial dilutions of CHD, CHD in EDTA-Tris and EDTA-Tris alone were evaluated for bactericidal activity against Staphylococcus aureus, Escherichia coli, and Streptococcus zooepidemicus. The tarsocrural joints of 6 ponies were lavaged with either 1 L phosphate-buffered saline solution (control) or 1 L of 0.0005% CHD in EDTA-Tris...
[Jenner’s cowpox vaccine in light of current vaccinology].
Verhandelingen - Koninklijke Academie voor Geneeskunde van Belgie    January 1, 1996   Volume 58, Issue 5 479-538 
Huygelen C.Two hundred years ago Edward Jenner inoculated James Phipps with vaccinia and 181 years later smallpox had disappeared from the surface of the earth as a result of generalized vaccination. Compared to the requirements of modern vaccinology, the procedures used by Jenner and his successors, were extremely primitive because of an almost total lack of knowledge in the field of microbiology and immunology. The active principle of smallpox vaccine is vaccinia virus, which in many respects, differs from that of natural cowpox; the term "cowpox" has been used for more than a century and a half to des...
Comparative ribotyping of Staphylococcus intermedius from dogs, pigeons, horses and mink.
Veterinary microbiology    June 1, 1995   Volume 45, Issue 1 11-17 doi: 10.1016/0378-1135(94)00125-g
Hesselbarth J, Schwarz S.Strains of Staphylococcus (S.) intermedius from dogs, pigeons, horses and mink were typed by comparison of rRNA gene restriction fragment length polymorphisms (ribotyping) and the resulting ribotypes examined by cluster-analysis. Digestion of whole-cell DNA with HindIII resulted in 9 ribotypes with 3 to 4 bands. Separation of isolates from different host animal species was not possible. EcoRI yielded 11 different patterns with 4 to 9 fragments. The EcoRI-ribotypes of all canine strains grouped in one cluster encompassing four closely related ribotypes. Isolates were indistinguishable with resp...
[Susceptibility of bacterial isolates from the equine respiratory tract to trimethoprim, sulfadoxine, sulfadimethoxine and combinations of these compounds].
Tierarztliche Praxis    April 1, 1995   Volume 23, Issue 2 148-154 
Fey K, Schmid P.Using a broth microdilution technique, the in vitro susceptibility of bacterial isolates from the equine respiratory tract to trimethoprim, sulfadoxine, sulfadimethoxine, and combinations of these compounds was determined. The bacterial strains (n = 88) isolated recently from horses with respiratory symptoms belonged to the following species: Streptococcus equi subsp. zooepidemicus (n = 34), Streptococcus equi subsp. equi (n = 22), Staphylococcus aureus (n = 9), Klebsiella pneumoniae (n = 7), Rhodococcus equi (n = 4), Pseudomonas spp. (n = 3) and Escherichia coli (n = 3). In addition, two isol...
Eosinophilic keratoconjunctivitis in a horse.
Journal of the American Veterinary Medical Association    November 1, 1994   Volume 205, Issue 9 1308-1311 
Ramsey DT, Whiteley HE, Gerding PA, Valdez RA.An 11-year-old Quarter Horse gelding was evaluated because of a persistent, raised band of 1- to 2-mm subepithelial plaques of the left cornea. Cytologic examination of corneal scrapings revealed numerous eosinophils and segmented neutrophils, with few mast cells, plasma cells, and lymphocytes. Bacteriologic culture yielded sparse growth of alpha-hemolytic Streptococcus and Staphylococcus spp. Histologically, the plaques consisted of subepithelial foci of fragmented and degenerated collagen fibers infiltrated by eosinophils and neutrophils, with few lymphocytes, plasma cells, and macrophages. ...
A new type of staphylococcal exfoliative toxin from a Staphylococcus aureus strain isolated from a horse with phlegmon.
Infection and immunity    September 1, 1994   Volume 62, Issue 9 3780-3785 doi: 10.1128/iai.62.9.3780-3785.1994
Sato H, Matsumori Y, Tanabe T, Saito H, Shimizu A, Kawano J.A new type of staphylococcal exfoliative toxin (sET) was isolated from the culture filtrate of a Staphylococcus aureus strain isolated from a horse with skin infection including phlegmon. The new sET was purified by precipitation with 80% saturated ammonium sulfate, column chromatography on DEAE-cellulofine A-500, gel filtration on a Sephadex G-75 column, and polyacrylamide gel electrophoresis (7.5% polyacrylamide). The new sET elicited general exfoliation of the epidermis with the so-called Nikolsky sign when inoculated into both 3-day-old mice and 1-day-old chicks, whereas sETA and sETB from...
Phagocytic activity of polymorphonuclear leukocytes lavaged from the lungs of horses with clinically diagnosed chronic pulmonary disease.
Zentralblatt fur Veterinarmedizin. Reihe A    September 1, 1994   Volume 41, Issue 7 558-567 doi: 10.1111/j.1439-0442.1994.tb00123.x
Kluciński W, Winnicka A, Olszewski M, Sikora J, Sitarska E, Niemiałtowski M, Muzylak M, Bylinka G, Wyszyński M.The aim of this study was to compare phagocytic activity of polymorphonuclear cells (PMNs) from the bronchoalveolar lavage of clinically healthy horses and those with severe chronic bronchiolitis. Research was carried out on 28 horses. Chronic inflammation of the lower airways was diagnosed in nine horses. Cells from the respiratory tract were lavaged according to accepted methods. For comparison, PMNs were isolated from peripheral blood of all investigated horses. The phagocytic activity of PMNs was determined in relation to two standard strains of Staphylococcus aureus, Staph, aureus Smith w...
[Dermonecrosis along the course of the caudal branch of the lateral saphenous vein in foals due to a Staphylococcus aureus infection].
Tierarztliche Praxis    February 1, 1994   Volume 22, Issue 1 55-57 
Elze K, Schulz J, Rob O.Necrosis of the skin on both lateral aspects of the hind limbs following the caudal branch of the lateral saphenous vein in 22 suckling foals is described. The first clinical signs were observed on days 2-5 post natum. S. aureus was isolated from the wounds. Decubitus in the region of the malleolus lateralis tibiae was considered the starting point of an ascending infection. This type of dermonecrosis was only observed in boxes with hard floors where the straw bedding was pushed aside by the lying foals regularly, never, however, in boxes with deep and permanent sawdust or straw bedding. Thera...
Association of microbiologic flora with clinical, endoscopic, and pulmonary cytologic findings in foals with distal respiratory tract infection.
American journal of veterinary research    October 1, 1993   Volume 54, Issue 10 1615-1622 
Hoffman AM, Viel L, Prescott JF, Rosendal S, Thorsen J.Undifferentiated distal respiratory tract disease (nasal discharge, cough, pneumonia) in foals (1 to 8 months old) is a burdensome economic problem on breeding farms; yet, the infective agents associated with these episodes have not been well described. Possible causes of these episodes of illness were investigated by culturing specimens of proximal and distal airways of clinically diseased foals (n = 101), prior to any treatment, for aerobic and anaerobic bacteria and viruses (rhinoviruses, equine arteritis virus, equine herpesvirus subtype 1 [EHV-1], influenza virus, and adenovirus). Pairs o...
Vancomycin kinetics in plasma and synovial fluid following intravenous administration in horses.
Journal of veterinary pharmacology and therapeutics    December 11, 1992   Volume 15, Issue 4 351-363 doi: 10.1111/j.1365-2885.1992.tb01027.x
Orsini JA, Ramberg CF, Benson CE, Dreyfuss DJ, Vecchione JA, Kunz CC.Vancomycin hydrochloride was infused intravenously (i.v.) over a 30-min period in five horses at doses of 6.6, 11.0 and 15.4 mg/kg. Vancomycin concentration in plasma and synovial fluid samples was measured using a polarization immunoassay. A pharmacokinetic model was developed to accommodate the special features of the present study. The data were described by a two compartment open model with synovial fluid as an additional compartment in exchange with plasma. Minimum inhibitory concentration (MIC) and minimum bacterial concentration (MBC) were measured for Staphylococcus aureus and Enteroco...
Septic arthritis in 15 standardbred racehorses after intra-articular injection.
Equine veterinary journal    November 1, 1992   Volume 24, Issue 6 430-434 doi: 10.1111/j.2042-3306.1992.tb02872.x
Lapointe JM, Laverty S, Lavoie JP.Case histories, results of synovial fluid analyses, treatment regimens and outcome are described for 15 adult Standardbred horses with confirmed post-injection septic arthritis. Joint sepsis followed injection of corticosteroids, hyaluronic acid, polysulphated glycosaminoglycan, or local anaesthetic. The median interval from injection to appearance of clinical signs was 2.5 days, and median interval from injection to referral was 9 days. The median initial synovial leucocyte count on admission was 57 x 10(9)/litre, but there was a wide range of values (18-258 x 10(9)/litre). The median synovia...
A retrospective study of 192 horses affected with septic arthritis/tenosynovitis.
Equine veterinary journal    November 1, 1992   Volume 24, Issue 6 436-442 doi: 10.1111/j.2042-3306.1992.tb02873.x
Schneider RK, Bramlage LR, Moore RM, Mecklenburg LM, Kohn CW, Gabel AA.The medical records of 192 horses with septic arthritis/tenosynovitis 1979-1989 were reviewed. Forty-three horses developed infection after an intra-articular injection, 46 following a penetrating wound, 25 following surgery, 66 were foals less than 6 months old, and 12 were adult horses without a known aetiology. Haematogenous infection of a joint occurs in adult horses and should be considered as a differential diagnosis in horses with an acute onset of severe lameness. The aetiology of the infection had a significant effect on the type of bacteria identified by culture. Staphylococcus was c...
Evaluation of progesterone treatment to create a model for equine endometritis.
Equine veterinary journal    November 1, 1992   Volume 24, Issue 6 457-461 doi: 10.1111/j.2042-3306.1992.tb02876.x
Hinrichs K, Spensley MS, McDonough PL.To investigate a model for equine endometritis, 12 mares with normal reproductive tracts were divided into 2 groups. All mares received progesterone in oil, 250 mg im, daily. At 5 days after initiation of progesterone administration, the uteri were inoculated with 10(6) colony forming units of Pseudomonas aeruginosa. The day of inoculation was designated Day 0. On Day 6, endometrial swab samples yielded P. aeruginosa in 5 mares; samples from the other 7 mares yielded heavy growth of Escherichia coli, Streptococcus zooepidemicus, Klebsiella pneumoniae, Enterobacter spp., Citrobacter diversus, S...
Regional limb perfusion for antibiotic treatment of experimentally induced septic arthritis.
Veterinary surgery : VS    September 1, 1992   Volume 21, Issue 5 367-373 doi: 10.1111/j.1532-950x.1992.tb01713.x
Whithair KJ, Bowersock TL, Blevins WE, Fessler JF, White MR, Van Sickle DC.Septic arthritis was induced in one antebrachiocarpal joint of seven horses by the intra-articular injection of 1 mL Staphylococcus aureus suspension containing a mean of 10(5) colony-forming units. Twenty-four hours after inoculation, four horses were treated by regional perfusion with 1 g of gentamicin sulfate, and three horses received 2.2 mg/kg gentamicin sulfate intravenously (IV) every 6 hours. Synovial fluid was collected for culture and cytology at regular intervals, and the synovial membranes were collected for culture and histologic examination at euthanasia 24 hours after the first ...
Effects of transport on constituents of bronchoalveolar lavage fluid from horses.
The Cornell veterinarian    July 1, 1992   Volume 82, Issue 3 233-246 
Crisman MV, Hodgson DR, Bayly WM, Liggitt HD.To determine whether road transport affected pulmonary phagocyte activity, 7 healthy Thoroughbred horses were shipped 1,160 kilometers over 36 hours. Fluid collected by bronchoalveolar lavage (BAL) 12 hours, and 7 and 14 days after transport was analyzed. Results were compared to those from the same horses pre-transport, and 7 non-transported control horses that had BAL performed at the same times as the transported horses. Of cells recovered with BAL the percentage of viable pulmonary alveolar macrophages (PAMs) declined from 90.0 +/- 0.9% pre-transport to 80.0 +/- 3.7% by 2 weeks post transp...
Distribution of Staphylococcus species on animal skin.
The Journal of veterinary medical science    April 1, 1992   Volume 54, Issue 2 355-357 doi: 10.1292/jvms.54.355
Shimizu A, Ozaki J, Kawano J, Saitoh Y, Kimura S.No abstract available
Arthrotomy versus arthroscopy and partial synovectomy for treatment of experimentally induced infectious arthritis in horses.
American journal of veterinary research    April 1, 1992   Volume 53, Issue 4 585-591 
Bertone AL, Davis DM, Cox HU, Kamerling SS, Roberts ED, Caprile KA, Gossett KA.To evaluate the clinical, laboratory, and histologic effects of 2 methods of treatment for infectious arthritis in horses, Staphylococcus aureus (3.4 to 3.9 x 10(3) colony-forming units) was inoculated into the tarsocrural joints of 8 horses on day 0. Each horse was treated with phenylbutazone (2 g, PO, q 24 h) and gentamicin sulfate (2.2 mg/kg of body weight, IV, q 8 h) for 14 days. On day 2, general anesthesia was induced, and each horse had 1 tarsocrural joint treated by arthrotomy, with removal of accessible fibrin and lavage with 3 L of sterile balanced electrolyte solution. An indwelling...
Evaluation of sodium hyaluronate therapy in induced septic arthritis in the horse.
Equine veterinary journal. Supplement    February 1, 1992   Issue 11 18-23 doi: 10.1111/j.2042-3306.1992.tb04766.x
Brusie RW, Sullins KE, White NA, Coffin PC, Parker GA, Anver MR, Rosenberger JL.This study was conducted to determine the efficacy of sodium hyaluronate (SH) with antibiotic therapy and joint lavage for reducing acute inflammatory and degenerative changes induced by septic arthritis. Septic arthritis was induced in six adult horses by inoculating the tarsocrural joints with 1 x 10(4) colony-forming units of Staphylococcus aureus. When clinical signs appeared, trimethoprim-sulphamethoxazole (30 mg/kg bodyweight [bwt] daily) and phenylbutazone (4.4 mg/kg bwt sid) were administered and continued until termination of the study (Treatment Day 18). Twenty-four hours post inocul...
Evaluation of a guarded bronchoscopic method for microbial sampling of the lower airways in foals.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 1, 1991   Volume 55, Issue 4 325-331 
Hoffman AM, Viel L, Muckle CA, Tesarowski DB.A novel method to reduce contamination of the bronchoscope during microbial sampling of the lower airways of foals was evaluated. Methylene blue (MB) was used as a nasopharyngeal dye marker to assess the relative contamination from the upper airways of bronchoalveolar lavage (BAL) specimens obtained by standard bronchoscopy (SB) and a "guarded" bronchoscopic method (GB). For GB, a clear sterile cellulose sheath was fitted over the bronchoscope in an effort to protect the endoscope tip and channel from contamination. Methylene blue was detected visually in seven of eight BAL samples from foals ...
Effects of chlorhexidine gluconate and chlorous acid-chlorine dioxide on equine fibroblasts and Staphylococcus aureus.
Veterinary surgery : VS    September 1, 1991   Volume 20, Issue 5 306-310 doi: 10.1111/j.1532-950x.1991.tb01272.x
Redding WR, Booth LC.Equine fibroblasts and Staphylococcus aureus were exposed for 30 minutes to six dilutions of chlorhexidine gluconate, a chlorous acid-chlorine dioxide irrigation solution, a chlorous acid-chlorine dioxide disinfectant, and phosphate buffered saline controls. Cell viability was determined by trypsinizing the cells, staining them with trypan blue, and counting cells that did not take the stain. All fibroblasts were killed when exposed to 1.0% and 0.5% chlorhexidine. The survival rate of fibroblasts increased linearly with decreasing concentrations of chlorhexidine gluconate, with a peak survival...
Characteristics of Staphylococcus aureus isolated from lesions of horses.
The Journal of veterinary medical science    August 1, 1991   Volume 53, Issue 4 601-606 doi: 10.1292/jvms.53.601
Shimizu A, Kawano J, Ozaki J, Sasaki N, Kimura S, Kamada M, Anzai S, Saito H, Sato H.Seventy-six Staphylococcus aureus strains isolated from various lesions of horses were characterized. All of the 76 strains were identified as biotypes B (38.2%) and C (61.8%). Of 55 strains tested, 42 (76.4%) were differentiated into 7 coagulase types. Coagulase types V and VII were predominant in the metritis strains. Coagulase type II was found most frequently in the strains from phlegmon, dermatitis, sinusitis, empyema sinus, and nasal catarrh. Forty-two (55.3%) of the 76 strains were differentiated into 24 phage patterns. Twenty (58.8%) of 34 typable strains from metritis were lysed by th...
Bone abscess in the mandible of a quarter horse gelding.
The Cornell veterinarian    July 1, 1991   Volume 81, Issue 3 239-243 
Smyth GB.A 4-year-old Quarter horse gelding presented with a swelling in the soft tissues over the junction of the body and ramus of the left mandible. Radiography showed a well circumscribed lytic area within the mandible surrounded by sclerosis unassociated with any tooth. Aspiration of the lesion yielded pus. The abscess cavity was opened, curetted and lavaged. A Penrose drain was placed in the abscess cavity for 10 days. Bacteriological culture of the exudate and soft tissues from the abscess produced a few colonies of Staphylococcus intermedius. Histopathology showed chronic pyogenic infection. Th...
Antimicrobial susceptibilities of Staphylococcus aureus isolated from animal and human sources in Brazil.
The British veterinary journal    January 1, 1990   Volume 146, Issue 1 50-56 doi: 10.1016/0007-1935(90)90076-f
Lopes CA, Moreno G, Curi PR.The susceptibilities of 760 Staphylococcus aureus strains isolated from animal infections (400), human infections (300) and healthy human carriers (60) to seven antibiotics were determined by an agar dilution technique. The isolates from human infections were more resistant to a wider spectrum of antibiotics than were the strains from animal infections and healthy human carriers. Amikacin and gentamicin were the most active drugs against all groups of strains.