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Livestock-associated meticillin-resistant Staphylococcus aureus (MRSA) among human MRSA isolates, European Union/European Economic Area countries, 2013
- Pete Kinross1 , Andreas Petersen2,6 , Robert Skov2 , Evelyn Van Hauwermeiren1 , Annalisa Pantosti7 , Frédéric Laurent3 , Andreas Voss4 , Jan Kluytmans5 , Marc J Struelens1 , Ole Heuer1 , Dominique L Monnet1 , the European human LA-MRSA study group8
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View Affiliations Hide AffiliationsAffiliations: 1 European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden 2 Statens Serum Institut, Copenhagen, Denmark 3 International Center for Infectiology Research (CIRI), INSERM, Lyon, France 4 Radboud University Medical Centre, Nijmegen, the Netherlands 5 University Medical Centre Utrecht, Utrecht, the Netherlands 6 European Programme for Public Health Microbiology (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden 7 National Institute of Health, Rome, Italy 8 The members of the group are listed at the end of the articlePete Thomas Ndaula Kinrosspete.kinross ecdc.europa.eu
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Citation style for this article: Kinross Pete, Petersen Andreas, Skov Robert, Van Hauwermeiren Evelyn, Pantosti Annalisa, Laurent Frédéric, Voss Andreas, Kluytmans Jan, Struelens Marc J, Heuer Ole, Monnet Dominique L, the European human LA-MRSA study group. Livestock-associated meticillin-resistant Staphylococcus aureus (MRSA) among human MRSA isolates, European Union/European Economic Area countries, 2013. Euro Surveill. 2017;22(44):pii=16-00696. https://doi.org/10.2807/1560-7917.ES.2017.22.44.16-00696 Received: 19 Oct 2016; Accepted: 09 Mar 2017
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Abstract
Currently, surveillance of livestock-associated meticillin-resistant Staphylococcus aureus (LA-MRSA) in humans in Europe is not systematic but mainly event-based. In September 2014, the European Centre for Disease Prevention and Control (ECDC) initiated a questionnaire to collect data on the number of LA-MRSA from human samples (one isolate per patient) from national/regional reference laboratories in European Union/European Economic Area (EU/EEA) countries in 2013. Identification of LA-MRSA as clonal complex (CC) 398 by multilocus sequence typing (MLST) was preferred, although surrogate methods such as spa-typing were also accepted. The questionnaire was returned by 28 laboratories in 27 EU/EEA countries. Overall, LA-MRSA represented 3.9% of 13,756 typed MRSA human isolates, but it represented ≥ 10% in five countries (Belgium, Denmark, Spain, the Netherlands and Slovenia). Seven of the reference laboratories did not type MRSA isolates in 2013. To monitor the dispersion of LA-MRSA and facilitate targeted control measures, we advocate periodic systematic surveys or integrated multi-sectorial surveillance.
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