Pigs as Source of Methicillin-Resistant Staphylococcus aureus CC398 Infections in Humans, Denmark
2008

Pigs as Source of MRSA Infections in Humans, Denmark

Sample size: 21 publication 10 minutes Evidence: high

Author Information

Author(s): Lewis Hannah C., Mølbak Kåre, Reese Catrin, Aarestrup Frank M., Selchau Mette, Sørum Marit, Skov Robert L.

Primary Institution: Statens Serum Institut, Copenhagen, Denmark

Hypothesis

Is methicillin-resistant Staphylococcus aureus (MRSA) CC398 transmitted from pigs to humans?

Conclusion

Pigs are a significant source of MRSA CC398 infections in humans in Denmark.

Supporting Evidence

  • Thirteen case-patients reported pig exposure.
  • Living or working on farms with animals was an independent risk factor for CC398.
  • A total of 23 of 50 pigs on 4 of 5 farms were positive for CC398.

Takeaway

People who live or work on pig farms can get sick from a type of bacteria called MRSA that comes from pigs.

Methodology

Matched case-control and case-case studies comparing MRSA CC398 case-patients with controls from the Danish Civil Registry.

Potential Biases

Potential bias from self-reported data and the exclusion of secondary case-patients.

Limitations

Recall bias may affect the accuracy of reported exposures over the past year.

Participant Demographics

Median age of case-patients was 29 years, with 62% female.

Statistical Information

P-Value

0.05

Confidence Interval

95% CI 2.7–469.8

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3201/eid1409.071576

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