摘要
The spread of antibiotic resistance, whether in the community or in the hospital, has recently become a major public health problem. Moreover, livestock seems to be a reservoir of resistant microorganisms such as porcine methicillin resistant Staphylococcus aureus (P-MRSA) whose carriage and transmission was mainly demonstrated in persons with occupational exposure to pigs. Much uncertainty remains about the public health implications of P-MRSA. To address concerns that exist regarding the zoonotic risk that pig carriers pose to breeders, the prevalence of P-MRSA in pigs and pig breeders was determined among 152 pig breeders in three regions of Cameroon. Materials and Method: Participants in this study came from Adamawa, Far North and Littoral regions of Cameroon. A total of 152 pig breeders or farm workers participated in this study. After having collected some social and cultural data with the aid of a questionnaire, nasal swabs were collected from pigs (n = 275) and their breeders using the standard collection procedures and placed in cooler containing cold accumulators. For each sample, microbiological assays were done as well as antibiotic susceptibility tests. Results: MRSA was isolated from 25 out of 275 pigs sampled (9.09%) and from 32 out of 152 (21.05%) pig breeders sampled;33 breeders (21.71%) were carriers of S. aureus including 32 MRSA and one MSSA. The prevalence of MRSA nasal carriage was 21.05% ± 6.48. A significant negative association between body protection and nasal carriage of MRSA (OR = 0.29, 95% CI [0.093;0.93];p = 0.04) was observed. In each region, similar strains of MRSA were isolated both in pigs and their breeders with the same antibiotic resistant profile. Conclusion: The prevalence of MRSA though not high compared to European countries warrants further research as data on this zoonosis is scarce in our context. As such, transmission of MRSA from pigs to pig breeders or vice-versa constitutes a real danger, and this relationship may be a starting point for MRSA contamination in the community. Moreover, proper use of body protections and antibiotic medications as recommended will be a better protective measure against nasal MRSA carriage.
The spread of antibiotic resistance, whether in the community or in the hospital, has recently become a major public health problem. Moreover, livestock seems to be a reservoir of resistant microorganisms such as porcine methicillin resistant Staphylococcus aureus (P-MRSA) whose carriage and transmission was mainly demonstrated in persons with occupational exposure to pigs. Much uncertainty remains about the public health implications of P-MRSA. To address concerns that exist regarding the zoonotic risk that pig carriers pose to breeders, the prevalence of P-MRSA in pigs and pig breeders was determined among 152 pig breeders in three regions of Cameroon. Materials and Method: Participants in this study came from Adamawa, Far North and Littoral regions of Cameroon. A total of 152 pig breeders or farm workers participated in this study. After having collected some social and cultural data with the aid of a questionnaire, nasal swabs were collected from pigs (n = 275) and their breeders using the standard collection procedures and placed in cooler containing cold accumulators. For each sample, microbiological assays were done as well as antibiotic susceptibility tests. Results: MRSA was isolated from 25 out of 275 pigs sampled (9.09%) and from 32 out of 152 (21.05%) pig breeders sampled;33 breeders (21.71%) were carriers of S. aureus including 32 MRSA and one MSSA. The prevalence of MRSA nasal carriage was 21.05% ± 6.48. A significant negative association between body protection and nasal carriage of MRSA (OR = 0.29, 95% CI [0.093;0.93];p = 0.04) was observed. In each region, similar strains of MRSA were isolated both in pigs and their breeders with the same antibiotic resistant profile. Conclusion: The prevalence of MRSA though not high compared to European countries warrants further research as data on this zoonosis is scarce in our context. As such, transmission of MRSA from pigs to pig breeders or vice-versa constitutes a real danger, and this relationship may be a starting point for MRSA contamination in the community. Moreover, proper use of body protections and antibiotic medications as recommended will be a better protective measure against nasal MRSA carriage.
作者
Cecile Ingrid Djuikoue
Dorine Ekeu Ngatcheu
Olivier Pomte
Melissa Julie Gonfouli
Euphrasie Tsono Kemegne
Charnelle Kemo Mouafo
Andrea Sheisley Tchouotou I Didi
Vynnie Manuella Nyatchoutou
Cedric Seugnou Nana
Ruffin Apalata
Venant Tckokonte-Nana
Cecile Ingrid Djuikoue;Dorine Ekeu Ngatcheu;Olivier Pomte;Melissa Julie Gonfouli;Euphrasie Tsono Kemegne;Charnelle Kemo Mouafo;Andrea Sheisley Tchouotou I Didi;Vynnie Manuella Nyatchoutou;Cedric Seugnou Nana;Ruffin Apalata;Venant Tckokonte-Nana(Faculty of Health Sciences, University des Montagnes, Bangangte, Cameroon;Foundation Prevention and Control, Bangangte, Cameroon;Faculty of Sciences, University of Douala, Douala, Cameroon;National Health Laboratory Services, Walter Sisulu University, Mthatha, South Africa)
