Analyze Diet
Vector borne and zoonotic diseases (Larchmont, N.Y.)2011; 11(6); 609-615; doi: 10.1089/vbz.2010.0181

Environmental methicillin-resistant Staphylococcus aureus in a veterinary teaching hospital during a nonoutbreak period.

Abstract: Concurrent to reports of zoonotic and nosocomial transmission of methicillin-resistant Staphylococcus aureus (MRSA) in veterinary settings, recent evidence indicates that the environment in veterinary hospitals may be a potential source of MRSA. The present report is a cross-sectional study to determine the prevalence of MRSA on specific human and animal contact surfaces at a large veterinary hospital during a nonoutbreak period. A total of 156 samples were collected using Swiffers(®) or premoistened swabs from the small animal, equine, and food animal sections. MRSA was isolated and identified by pre-enrichment culture and standard microbiology procedures, including growth on Mueller-Hinton agar supplemented with NaCl and oxacillin, and by detection of the mecA gene. Staphylococcal chromosome cassette mec (SCCmec) typing and pulsed-field gel electrophoresis profile were also determined. MRSA was detected in 12% (19/157) of the hospital environments sampled. The prevalence of MRSA in the small animal, equine, and food animal areas were 16%, 4%, and 0%, respectively. Sixteen of the MRSA isolates from the small animal section were classified as USA100, SCCmec type II, two of which had pulsed-field gel electrophoresis pattern that does not conform to any known type. The one isolate obtained from the equine section was classified as USA500, SCCmec type IV. The molecular epidemiological analysis revealed a very diverse population of MRSA isolates circulating in the hospital; however, in some instances, multiple locations/surfaces, not directly associated, had the same MRSA clone. No significant difference was observed between animal and human contact surfaces in regard to prevalence and type of isolates. Surfaces touched by multiple people (doors) and patients (carts) were frequently contaminated with MRSA. The results from this study indicate that MRSA is present in the environment even during nonoutbreak periods. This study also identified specific surfaces in a veterinary environment that need to be targeted when designing and executing infection control programs.
Publication Date: 2011-03-21 PubMed ID: 21417926PubMed Central: PMC3391706DOI: 10.1089/vbz.2010.0181Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article investigates the existence of Methicillin-resistant Staphylococcus aureus (MRSA) in a large veterinary hospital during a period when there wasn’t a known outbreak of the bacteria. The study concluded that MRSA was present in the hospital environment even in non-outbreak periods, with the highest prevalence in the small animal section.

Research Design and Methodology

  • The study was a cross-sectional examination aimed at discovering the prevalence of MRSA on surfaces frequently touched by both animals and humans at a large veterinary hospital, during a time when no outbreak was reported.
  • A total of 156 samples were gathered using Swiffers or premoistened swabs from the small animal, equine, and food animal sections.
  • MRSA was identified and isolated using standard microbiology procedures and the presence of the mecA gene was employed for detection.
  • The type of MRSA isolates were determined by their Staphylococcal chromosome cassette mec (SCCmec) typing and their pulsed-field gel electrophoresis profile.

Findings and Conclusions

  • The study found MRSA in 12% (19 out of 157) of sampled hospital environments.
  • The presence of MRSA was most prevalent in the small animal section at 16%, followed by the equine section at 4%, and no MRSA was detected in the food animal section.
  • The analysis of the molecular epidemiology suggested a diverse population of MRSA isolates are circulating in the hospital. However, there were instances where the same MRSA clone was found on multiple unrelated locations/surfaces.
  • There was no significant difference observed between animal and human contact surfaces in terms of prevalence and type of isolates. Surfaces touched by multiple people (doors) and patients (carts) were frequently contaminated with MRSA.
  • The results indicate that MRSA is present in veterinary hospital environments even during periods when there are no reported outbreaks.

Implications and Recommendations

  • This study identifies specific surfaces in a veterinary environment that need to be targeted when designing and executing infection control programs.
  • The prevalence of MRSA on frequently touched surfaces, even during non-outbreak periods, raises important considerations for infection control practices in veterinary hospitals.
  • More comprehensive and periodic disinfection routines, especially for high-touch surfaces, could possibly reduce the risk of MRSA transmissions in veterinary settings.

Cite This Article

APA
Hoet AE, Johnson A, Nava-Hoet RC, Bateman S, Hillier A, Dyce J, Gebreyes WA, Wittum TE. (2011). Environmental methicillin-resistant Staphylococcus aureus in a veterinary teaching hospital during a nonoutbreak period. Vector Borne Zoonotic Dis, 11(6), 609-615. https://doi.org/10.1089/vbz.2010.0181

Publication

ISSN: 1557-7759
NlmUniqueID: 100965525
Country: United States
Language: English
Volume: 11
Issue: 6
Pages: 609-615

Researcher Affiliations

Hoet, Armando E
  • Department of Veterinary Preventive Medicine, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio 43210, USA. hoet.1@osu.edu
Johnson, Amanda
    Nava-Hoet, Rocio C
      Bateman, Shane
        Hillier, Andrew
          Dyce, John
            Gebreyes, Wondwossen A
              Wittum, Thomas E

                MeSH Terms

                • Animals
                • Cross-Sectional Studies
                • Environmental Microbiology
                • Fomites / microbiology
                • Hospitals, Animal
                • Humans
                • Methicillin-Resistant Staphylococcus aureus / isolation & purification
                • Students
                • Veterinarians

                Grant Funding

                • UL1 RR025755 / NCRR NIH HHS

                References

                This article includes 18 references
                1. Baptiste K, Williams K, Willams N, Wattret A. Methicillin-resistant Staphylococci in companion animals.. Emerg Infect Dis 2005;11:1942–1944.
                  pmc: PMC3367626pubmed: 16485485
                2. Benedict KM, Morley PS, Metre DCV. Characteristics of biosecurity and infection control programs at veterinary teaching hospitals.. J Am Vet Med Assoc 2008;233:767–773.
                  pubmed: 18764716
                3. Cimolai N. MRSA and the environment: implications for comprehensive control measures.. Eur J Clin Microbiol 2008;27:481–493.
                  pubmed: 18273652
                4. . Performance Standards for Antimicrobial Disk and Dilution Susceptibility Tests for Bacteria Isolated from Animals; Approved Standard; Approved Standard.. Wayne, PA: CLSI; 2008. [CLSI] Clinical and Laboratory Standards Institute. M31-A3.
                5. Deurenberg RH, Stobberingh EE. The molecular evolution of hospital- and community-associated methicillin-resistant Staphylococcus aureus.. Curr Mol Med 2009;9:100–115.
                  pubmed: 19275621
                6. Fiebelkorn KR, Crawford SA, McElmeel ML, Jorgensen JH. Practical disk diffusion method for detection of inducible clindamycin resistance in Staphylococcus aureus and coagulase-negative staphylococci.. J Clin Microbiol 2003;41:4740–4744.
                  pmc: PMC254362pubmed: 14532213
                7. Heller J, Armstrong SK, Girvan EK, Reid SWJ. Prevalence and distribution of meticillin-resistant Staphylococcus aureus within the environment and staff of a university veterinary clinic.. J Small Anim Pract 2009;50:168–173.
                  pubmed: 19320810
                8. Leonard F, Abbott Y, Rossney A, Quinn P. Methicillin-resistant Staphylococcus aureus isolated from a veterinary surgeon and five dogs in one practice.. Vet Rec 2006;158:155–159.
                  pubmed: 16461622
                9. Loeffler A, Boag AK, Sung J, Lindsay JA. Prevalence of methicillin-resistant Staphylococcus aureus among staff and pets in a small animal referral hospital in the UK.. J Antimicrob Chemother 2005;56:692–697.
                  pubmed: 16141276
                10. Mulvey MR, Chui L, Ismail J, Louie L. Development of a Canadian standardized protocol for subtyping methicillin-resistant Staphylococcus aureus using pulsed-field gel electrophoresis.. J Clin Microbiol 2001;39:3481–3485.
                  pmc: PMC88375pubmed: 11574559
                11. Oie S, Hosokawa I, Kamiya A. Contamination of room door handles by methicillin-sensitive/methicillin-resistant Staphylococcus aureus.. J Hosp Infect 2002;51:140–143.
                  pubmed: 12090803
                12. Oliveira DC, Lencastre HD. Multiplex PCR strategy for rapid identification of structural types and variants of the mec element in methicillin-resistant Staphylococcus aureus.. Antimicrob Agents Chemother 2002;46:2155–2161.
                  pmc: PMC127318pubmed: 12069968
                13. O'Mahony R, Abbott Y, Leonard F, Markey B. Methicillin-resistant Staphylococcus aureus (MRSA) isolated from animals and veterinary personnel in Ireland.. Vet Microbiol 2005;109:285–296.
                  pubmed: 16026939
                14. Seguin J, Walker R, Caron J, Kloos W. Methicillin-resistant Staphylococcus aureus outbreak in a veterinary teaching hospital: potential human-to-animal transmission.. J Clin Microbiol 1999;37:1459–1563.
                  pmc: PMC84801pubmed: 10203505
                15. Van Duijkeren E, Wolfhagen M, Box A, Heck M. Human-to-dog transmission of methicillin-resistant Staphylococcus aureus.. Emerg Infect Dis 2004;10:2235–2237.
                  pmc: PMC3323405pubmed: 15663871
                16. Weese J, Archambault M, Willey B, Hearn P. Methicillin-resistant Staphylococcus aureus in horses and horse personnel, 2000–2002.. Emerg Infect Dis 2005;11:430–435.
                  pmc: PMC3298236pubmed: 15757559
                17. Weese J, Caldwell F, Willey B, Kreiswirth B. An outbreak of methicillin-resistant Staphylococcus aureus skin infections resulting from horse to human transmission in a veterinary hospital.. Vet Microbiol 2006;114:160–164.
                  pubmed: 16384660
                18. Weese J, DaCosta T, Button L, Goth K. Isolation of methicillin-resistant Staphylococcus aureus from the environment in a veterinary teaching hospital.. J Vet Intern Med 2004;18:468–470.
                  pubmed: 15320581

                Citations

                This article has been cited 21 times.
                1. Caddey B, Fisher S, Barkema HW, Nobrega DB. Companions in antimicrobial resistance: examining transmission of common antimicrobial-resistant organisms between people and their dogs, cats, and horses. Clin Microbiol Rev 2025 Mar 13;38(1):e0014622.
                  doi: 10.1128/cmr.00146-22pubmed: 39853095google scholar: lookup
                2. Suhr R, Peart A, Vesely B, Waller M, Trudgian A, Peatey C, Chellappah J. Risk Identification and Mitigation of Skin and Soft Tissue Infections in Military Training Environments. Trop Med Infect Dis 2024 Dec 14;9(12).
                  doi: 10.3390/tropicalmed9120306pubmed: 39728833google scholar: lookup
                3. Ríos AM, Penelo S, Barquero MR, Ayllón T, Ortiz-Díez G. Prevalence and anti-microbial resistance of Staphylococcus spp. isolated from the environment and veterinary personnel in a Spanish veterinary teaching hospital. Vet Res Forum 2024;15(7):325-334.
                4. Zendri F, Schmidt V, Mauder N, Loeffler A, Jepson RE, Isgren C, Pinchbeck G, Haldenby S, Timofte D. Rapid typing of Klebsiella pneumoniae and Pseudomonas aeruginosa by Fourier-transform Infrared spectroscopy informs infection control in veterinary settings. Front Microbiol 2024;15:1334268.
                  doi: 10.3389/fmicb.2024.1334268pubmed: 38371930google scholar: lookup
                5. Sebola DC, Oguttu JW, Kock MM, Qekwana DN. Hospital-acquired and zoonotic bacteria from a veterinary hospital and their associated antimicrobial-susceptibility profiles: A systematic review. Front Vet Sci 2022;9:1087052.
                  doi: 10.3389/fvets.2022.1087052pubmed: 36699325google scholar: lookup
                6. Fungwithaya P, Sontigun N, Boonhoh W, Boonchuay K, Wongtawan T. Antimicrobial resistance in Staphylococcus pseudintermedius on the environmental surfaces of a recently constructed veterinary hospital in Southern Thailand. Vet World 2022 Apr;15(4):1087-1096.
                7. Soza-Ossandón P, Rivera D, Allel K, González-Rocha G, Quezada-Aguiluz M, San Martin I, García P, Moreno-Switt AI. Mec-Positive Staphylococcus Healthcare-Associated Infections Presenting High Transmission Risks for Antimicrobial-Resistant Strains in an Equine Hospital. Antibiotics (Basel) 2022 May 4;11(5).
                  doi: 10.3390/antibiotics11050621pubmed: 35625265google scholar: lookup
                8. Verdial C, Carneiro C, Machado I, Tavares L, Almeida V, Oliveira M, Gil S. Controlling bacteriological contamination of environmental surfaces at the biological isolation and containment unit of a veterinary teaching hospital. Ir Vet J 2021 Jun 28;74(1):18.
                  doi: 10.1186/s13620-021-00197-zpubmed: 34183065google scholar: lookup
                9. Horsman S, Rynhoud H, Zhou X, Soares Magalhães RJ, Gibson JS, Meler E. Environmental Recovery of Nosocomial Bacteria in a Companion Animal Shelter Before and After Infection Control Procedures. Front Vet Sci 2020;7:608901.
                  doi: 10.3389/fvets.2020.608901pubmed: 33553281google scholar: lookup
                10. Soza-Ossandón P, Rivera D, Tardone R, Riquelme-Neira R, García P, Hamilton-West C, Adell AD, González-Rocha G, Moreno-Switt AI. Widespread Environmental Presence of Multidrug-Resistant Salmonella in an Equine Veterinary Hospital That Received Local and International Horses. Front Vet Sci 2020;7:346.
                  doi: 10.3389/fvets.2020.00346pubmed: 32754619google scholar: lookup
                11. Oh JY, Chae JC, Han JI, Song WK, Lee CM, Park HM. Distribution and epidemiological relatedness of methicillin-resistant Staphylococcus aureus isolated from companion dogs, owners, and environments. J Vet Med Sci 2020 Oct 7;82(9):1379-1386.
                  doi: 10.1292/jvms.19-0523pubmed: 32713876google scholar: lookup
                12. Perkins AV, Sellon DC, Gay JM, Lofgren ET, Moore DA, Jones LP, Davis MA. Prevalence of methicillin-resistant Staphylococcus pseudintermedius on hand-contact and animal-contact surfaces in companion animal community hospitals. Can Vet J 2020 Jun;61(6):613-620.
                  pubmed: 32675813
                13. Rojas I, Barquero-Calvo E, van Balen JC, Rojas N, Muñoz-Vargas L, Hoet AE. High Prevalence of Multidrug-Resistant Community-Acquired Methicillin-Resistant Staphylococcus aureus at the Largest Veterinary Teaching Hospital in Costa Rica. Vector Borne Zoonotic Dis 2017 Sep;17(9):645-653.
                  doi: 10.1089/vbz.2017.2145pubmed: 28816638google scholar: lookup
                14. Bortolami A, Williams NJ, McGowan CM, Kelly PG, Archer DC, Corrò M, Pinchbeck G, Saunders CJ, Timofte D. Environmental surveillance identifies multiple introductions of MRSA CC398 in an Equine Veterinary Hospital in the UK, 2011-2016. Sci Rep 2017 Jul 14;7(1):5499.
                  doi: 10.1038/s41598-017-05559-8pubmed: 28710350google scholar: lookup
                15. Fungwithaya P, Brikshavana P, Chanchaithong P, Prapasarakul N. Distribution of methicillin-resistant coagulase-positive staphylococci (MRCoPS) in a surgical unit and cystotomy operation sites in a veterinary teaching hospital. J Vet Med Sci 2017 Feb 28;79(2):359-365.
                  doi: 10.1292/jvms.16-0146pubmed: 27990009google scholar: lookup
                16. Traverse M, Aceto H. Environmental cleaning and disinfection. Vet Clin North Am Small Anim Pract 2015 Mar;45(2):299-330, vi.
                  doi: 10.1016/j.cvsm.2014.11.011pubmed: 25555560google scholar: lookup
                17. van Balen J, Mowery J, Piraino-Sandoval M, Nava-Hoet RC, Kohn C, Hoet AE. Molecular epidemiology of environmental MRSA at an equine teaching hospital: introduction, circulation and maintenance. Vet Res 2014 Mar 19;45(1):31.
                  doi: 10.1186/1297-9716-45-31pubmed: 24641543google scholar: lookup
                18. Reem RE, Van Balen J, Hoet AE, Cebulla CM. Screening and characterization of Staphylococcus aureus from ophthalmology clinic surfaces: a proposed surveillance tool. Am J Ophthalmol 2014 Apr;157(4):781-787.e2.
                  doi: 10.1016/j.ajo.2014.01.008pubmed: 24412125google scholar: lookup
                19. van Balen J, Kelley C, Nava-Hoet RC, Bateman S, Hillier A, Dyce J, Wittum TE, Hoet AE. Presence, distribution, and molecular epidemiology of methicillin-resistant Staphylococcus aureus in a small animal teaching hospital: a year-long active surveillance targeting dogs and their environment. Vector Borne Zoonotic Dis 2013 May;13(5):299-311.
                  doi: 10.1089/vbz.2012.1142pubmed: 23473216google scholar: lookup
                20. Aklilu E, Zakaria Z, Hassan L, Hui Cheng C. Molecular relatedness of methicillin-resistant S. aureus isolates from staff, environment and pets at University Veterinary Hospital in Malaysia. PLoS One 2012;7(8):e43329.
                  doi: 10.1371/journal.pone.0043329pubmed: 22937034google scholar: lookup
                21. Julian T, Singh A, Rousseau J, Weese JS. Methicillin-resistant staphylococcal contamination of cellular phones of personnel in a veterinary teaching hospital. BMC Res Notes 2012 Jul 10;5:193.
                  doi: 10.1186/1756-0500-5-193pubmed: 22533923google scholar: lookup