Acquisition and carriage of multidrug-resistant organisms in dogs and cats presented to small animal practices and clinics in Switzerland.


Journal

Journal of veterinary internal medicine
ISSN: 1939-1676
Titre abrégé: J Vet Intern Med
Pays: United States
ID NLM: 8708660

Informations de publication

Date de publication:
Mar 2021
Historique:
revised: 28 12 2020
received: 12 09 2020
accepted: 15 01 2021
pubmed: 3 2 2021
medline: 29 6 2021
entrez: 2 2 2021
Statut: ppublish

Résumé

The emergence and spread of multidrug-resistant organisms (MDRO) present a threat to human and animal health. To assess acquisition, prevalence of and risk factors for MDRO carriage in dogs and cats presented to veterinary clinics or practices in Switzerland. Privately owned dogs (n = 183) and cats (n = 88) presented to 4 veterinary hospitals and 1 practice. Prospective, longitudinal, observational study. Oronasal and rectal swabs were collected at presentation and 69% of animals were sampled again at discharge. Methicillin-resistant (MR) staphylococci and macrococci, cephalosporinase-, and carbapenemase-producing (CP) Enterobacterales were isolated. Genetic relatedness of isolates was assessed by repetitive sequence-based polymerase chain reaction and multilocus sequence typing. Risk factors for MDRO acquisition and carriage were analyzed based on questionnaire-derived and hospitalization data. Admission prevalence of MDRO carriage in pets was 15.5% (95% confidence interval [CI], 11.4-20.4). The discharge prevalence and acquisition rates were 32.1% (95% CI, 25.5-39.3) and 28.3% (95% CI, 22-35.4), respectively. Predominant hospital-acquired isolates were extended spectrum β-lactamase-producing Escherichia coli (ESBL-E coli; 17.3%) and β-lactamase-producing Klebsiella pneumoniae (13.7%). At 1 institution, a cluster of 24 highly genetically related CP (bla Veterinary hospitals play an important role in the selection and transmission of MDRO among veterinary patients.

Sections du résumé

BACKGROUND BACKGROUND
The emergence and spread of multidrug-resistant organisms (MDRO) present a threat to human and animal health.
OBJECTIVES OBJECTIVE
To assess acquisition, prevalence of and risk factors for MDRO carriage in dogs and cats presented to veterinary clinics or practices in Switzerland.
ANIMALS METHODS
Privately owned dogs (n = 183) and cats (n = 88) presented to 4 veterinary hospitals and 1 practice.
METHODS METHODS
Prospective, longitudinal, observational study. Oronasal and rectal swabs were collected at presentation and 69% of animals were sampled again at discharge. Methicillin-resistant (MR) staphylococci and macrococci, cephalosporinase-, and carbapenemase-producing (CP) Enterobacterales were isolated. Genetic relatedness of isolates was assessed by repetitive sequence-based polymerase chain reaction and multilocus sequence typing. Risk factors for MDRO acquisition and carriage were analyzed based on questionnaire-derived and hospitalization data.
RESULTS RESULTS
Admission prevalence of MDRO carriage in pets was 15.5% (95% confidence interval [CI], 11.4-20.4). The discharge prevalence and acquisition rates were 32.1% (95% CI, 25.5-39.3) and 28.3% (95% CI, 22-35.4), respectively. Predominant hospital-acquired isolates were extended spectrum β-lactamase-producing Escherichia coli (ESBL-E coli; 17.3%) and β-lactamase-producing Klebsiella pneumoniae (13.7%). At 1 institution, a cluster of 24 highly genetically related CP (bla
CONCLUSIONS CONCLUSIONS
Veterinary hospitals play an important role in the selection and transmission of MDRO among veterinary patients.

Identifiants

pubmed: 33527554
doi: 10.1111/jvim.16038
pmc: PMC7995377
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Journal Article Observational Study, Veterinary

Langues

eng

Sous-ensembles de citation

IM

Pagination

970-979

Subventions

Organisme : National Research Programme, Antimicrobial Resistance of Swiss National Science Foundation
ID : 177378
Organisme : Swiss Federal Food Safety and Veterinary Office (FSVO)
ID : 1.18.10

Informations de copyright

© 2021 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC. on behalf of the American College of Veterinary Internal Medicine.

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Auteurs

Valentina Dazio (V)

Department of Clinical Veterinary Medicine, University of Bern, Bern, Switzerland.

Aurélien Nigg (A)

Institute of Veterinary Bacteriology, University of Bern, Bern, Switzerland.

Janne S Schmidt (JS)

Clinic for Small Animal Internal Medicine, University of Zurich, Zürich, Switzerland.

Michael Brilhante (M)

Institute of Veterinary Bacteriology, University of Bern, Bern, Switzerland.
Graduate School of Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland.

Nico Mauri (N)

Tierklinik Aarau West AG, Oberentfelden, Switzerland.

Stephan P Kuster (SP)

Better Together Healthcare Consulting, Steinackerstrasse 44, Wiesendangen, Zurich, Switzerland.

Stefanie Gobeli Brawand (SG)

Institute of Veterinary Bacteriology, University of Bern, Bern, Switzerland.

Gertraud Schüpbach-Regula (G)

Department of Clinical Research and Public Health, University of Bern, Bern, Switzerland.

Barbara Willi (B)

Clinic for Small Animal Internal Medicine, University of Zurich, Zürich, Switzerland.

Andrea Endimiani (A)

Institute for Infectious Diseases, University of Bern, Faculty of Medicine, Bern, Switzerland.

Vincent Perreten (V)

Institute of Veterinary Bacteriology, University of Bern, Bern, Switzerland.

Simone Schuller (S)

Department of Clinical Veterinary Medicine, University of Bern, Bern, Switzerland.

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