More on vets and MRSA

There are a number of published studies regarding methicillin-resistant Staphylococcus aureus (MRSA) carriage by veterinarians, most reporting high rates compared to the general population. This is a concern because MRSA is an important cause of disease in both people and animals. Just having MRSA living in your nose doesn't mean you're going to get sick. Indeed, around 2-3% of normal, healthy people are likely carrying MRSA at this moment. However, if you are carrying MRSA, you are at increased risk of developing an infection under certain circumstances. In veterinarians MRSA carriage is also a concern because of the potential for transmission to patients (and potentially from those patients back to people).

A recent Australian study in the Australian Veterinary Journal (Jordan et al 2011) looked at MRSA carriage in different types of veterinarians. The rates were:

  • 0.9% in industry and government veterinarians (who have limited contact with animals)
  • 4.9% in small animals veterinarians
  • 11.8% in veterinarians with horses as a major component of their caseload
  • 21.5% in equine veterinarians

These results are similar to some of our earlier studies, with carriage rates in small animal veterinarians being  higher than would be expected for the general population, and carriage rates in equine veterinarians being very high.

Why do veterinarians have high rates of MRSA carriage?

There's no definitive answer but there are some likely causes. Veterinarians have contact with large numbers of pets and horses, and we know these animals can carry MRSA. Even if the percentage of dogs, cats or horses carrying MRSA is very low, when you multiply that by the number of animals a veterinarian touches every week, you can see how contact with an MRSA-carrier is pretty likely. Veterinarians also tend to have close contact with sites where MRSA can be found, such as the nose. This makes the chance of having contact with the bacterium itself more likely. An additional issue the often sub-optimal use of routine infection control and hygiene practices (especially hand hygiene), which may also increase the risk of MRSA transmission. Put all these together, and it makes sense that veterinary personnel are at increased risk.

Why do carriage rates tend to be higher in equine veterinarians?

It could be because MRSA is more common in horses than small companion animals. Another plausible explanation is the fact that the horse's nose (the most likely site for MRSA to be living) is commonly touched during examination and restraint, and horses have pretty big noses to start. Additionally, good hygiene can take more effort on some farms, as sinks and often even hand sanitizer are not as readily available as they are in a clinic.

More information about MRSA in companion animals can be found on the Worms & Germs Resources page.  More information about MRSA in horses can be found on our sister site, on the equIDblog Resources page.

(click image for source)

This Worms & Germs blog entry was originally posted on equIDblog on 19-Apr-11.

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