Methicillin-sensitive and Methicillin-resistant Staphylococcus aureus in pigs: (co-) colonization dynamics and clonal diversity

Methicillin-susceptible Staphylococcus (S.) aureus (MSSA) and methicillin-resistant S. aureus (MRSA) are colonizers of skin and mucosa. In humans, MSSA and MRSA compete for colonization space in the anterior nares and one clone can be found rather than differing types of MSSA and MRSA. We investigated the colonization dynamics and clonality of both, MSSA and MRSA in pigs over a longer time period. Eighteen sows were nasally sampled three times every ten weeks. Additionally, environmental samples were taken. Samples were investigated for MSSA and MRSA, respectively. Spa-typing was done with up to five MRSA and MSSA isolates found per sample and time point; selected isolates were further investigated by microarray. 38.9 % of sows were infrequently MSSA/MRSA co-colonized and 16.7 % were permanent carriers of MSSA. The majority of sows showed a changing colonization status. CC398 and CC9 associated spa-types were exclusively found among MRSA and MSSA, respectively. In 44.4 % of sows at least two different types of MSSA were present at the same time and sample. Strains of the same clonal lineage showed a high genetic identity despite their origin. MSSA of different spa-types but 100 % identical microarray profiles were found in sows and their environment. Our results show that pigs may be colonized with MSSA and MRSA at the same time, i.e. that MSSA/MRSA do not exclude each other in the anterior nares of pigs. Highly identic clones are present in sows and their environment, but pigs can be colonized with different clones at the same time

Infection kinetics and host specificity of Methicillin-resistant Staphylococcus aureus (MRSA) in pigs

In this study, we investigated the colonisation kinetics and host specificity of three different clonal lines of MRSA (ST8, ST9 and ST398). MRSA prevalence on skin, nasal mucosa, conjunctiva, feacal shedding and distribution patterns of MRSA in internal organs in weaning piglets are studied

Epithelioid hemangioma of the penis: case report and review of literature

<p>Abstract</p> <p>Introduction</p> <p>Epithelioid hemangioma is a rare vascular tumor found in the penis. It is essential to avoid misdiagnosis with Peyronie's disease and penile cancer, as management differs significantly.</p> <p>Case presentation</p> <p>We present a case of epithelioid hemangioma of the penis in a 50-year-old Caucasian man. We also review the literature to evaluate the incidence of benign vascular anomalies of the penis and their management.</p> <p>Conclusions</p> <p>Epithelioid hemangioma of the penis should be considered in the differential diagnosis of patients presenting with painful penile lumps. A thorough histological and immunohistochemical examination is required to make the diagnosis. Optimal management is complete local excision and periodic physical examination for local recurrence.</p

Families at Five: Extending Land-Grant Research Findings to Families

Families at Five is a joint community outreach partnership between Colorado State University (CSU) Department of Human Development and Family Studies and CSU Cooperative Extension. The program provides research-based family life education and resources to families, Extension educators, and family life community professionals. Comprised of an adult program with accompanying programs for adolescents and children, Families at Five is designed to educate family members on ways to strengthen family relationships. Included in the article are suggestions for engaging Cooperative Extension agents and other community practitioners in the program planning and delivery of educational programs

Occurrence of Livestock-Associated Methicillin-Resistant Staphylococcus aureus in Turkey and Broiler Barns and Contamination of Air and Soil Surfaces in Their Vicinity

The emission of microorganisms, especially resistant bacteria such as methicillin-resistant Staphylococcus aureus (MRSA), from poultry farms is of public interest, and its occurrence and relevance are controversially discussed. So far, there are limited data on this issue. In this study, we investigated the occurrence of livestock-associated (LA)-MRSA inside and outside previously tested MRSA-positive poultry barns in Germany. In total, five turkey and two broiler fattening farms were investigated four and three times, respectively. In a longitudinal study during one fattening period, samples were collected from animals, the animals' environment inside the barn, including the air, and the barns' surroundings, such as ambient air and boot swabs of ground surfaces at different distances from the barn. Moreover, a cross-sectional study was carried out once inside the barns on five turkey and four broiler farms during the last third of the fatting period. In the cross- sectional study, LA-MRSA was detected in the air of most barns (7 of 9, 77.8%), as well as in many samples originating from animals, with detections levels of 50 to 54% in broiler and 62 to 77% in turkey farms. In the longitudinal study, LA-MRSA was found in the ambient air outside two turkey barns and on the ground surface on the downwind side of many (44.4%) turkey and broiler farms. The same spa types of isolates were observed inside and outside the barns. Transmission of MRSA within poultry farms, as well as emission via the airborne route, seems to be possible

Methicillin resistant S. aureus (MRSA) in the pork food chain in Germany

This paper gives an overview on studies carried out in Germany on the prevalence of MRSA on different stages of the pork food chain. Prevalence studies were carried out on herd level for breeding (201 herds) and fattening pits (290 herds), at abattoirs (n=1026 pigs), in a pork processing facility and in pig meat at retail. MRSA were characterized using spa-typing SCCmec-typing and testing for antimicrobial resistance

MRSA in herds of fattening pigs in Germany- Associated risk factors

We investigated the association of putative risk factors with the prevalence of MRSA in herds of fattening pigs. Dust samples of 282 herds in Germany were collected in 2008. lnfonnation regarding herd characteristics and management practices was collected in a standardized questionnaire. Dust samples were pooled per farm and cultured using selective enrichment and chromogenic media. Presumptive MRSA-isolates were confirmed by multiplex-PCR for the detection of 16S rDNA, nuc and mecA genes. The association of management factors with prevalence was detennined using univariate logistic regression. Multivariate models were not used on account of substantial multicollinearity between the variables

Community incidence of pathogen-specific gastroenteritis: reconstructing the surveillance pyramid for seven pathogens in seven European Union member states.

By building reconstruction models for a case of gastroenteritis in the general population moving through different steps of the surveillance pyramid we estimated that millions of illnesses occur annually in the European population, leading to thousands of hospitalizations. We used data on the healthcare system in seven European Union member states in relation to pathogen characteristics that influence healthcare seeking. Data on healthcare usage were obtained by harmonized cross-sectional surveys. The degree of under-diagnosis and underreporting varied by pathogen and country. Overall, underreporting and under-diagnosis were estimated to be lowest for Germany and Sweden, followed by Denmark, The Netherlands, UK, Italy and Poland. Across all countries, the incidence rate was highest for Campylobacter spp. and Salmonella spp. Incidence estimates resulting from the pyramid reconstruction approach are adjusted for biases due to different surveillance systems and are therefore a better basis for international comparisons than reported data

Vestibular Facilitation of Optic Flow Parsing

Simultaneous object motion and self-motion give rise to complex patterns of retinal image motion. In order to estimate object motion accurately, the brain must parse this complex retinal motion into self-motion and object motion components. Although this computational problem can be solved, in principle, through purely visual mechanisms, extra-retinal information that arises from the vestibular system during self-motion may also play an important role. Here we investigate whether combining vestibular and visual self-motion information improves the precision of object motion estimates. Subjects were asked to discriminate the direction of object motion in the presence of simultaneous self-motion, depicted either by visual cues alone (i.e. optic flow) or by combined visual/vestibular stimuli. We report a small but significant improvement in object motion discrimination thresholds with the addition of vestibular cues. This improvement was greatest for eccentric heading directions and negligible for forward movement, a finding that could reflect increased relative reliability of vestibular versus visual cues for eccentric heading directions. Overall, these results are consistent with the hypothesis that vestibular inputs can help parse retinal image motion into self-motion and object motion components