Livestock-associated MRSA colonization of occupational exposed workers and households in Europe: a review

The worldwide escalation in antibiotic resistant microorganisms has sustained the increasing concerns regarding antibiotics extensive use in animal food industry, which can result in a selection pressure that is driving the emergence of strains such as methicillin-resistant staphylococcus aureus (MRSA). Human MRSA infections are a well-known cause of numerous hospitalizations and deaths associated with extremely high mortality rates for invasive infections. Both animals and humans can become bacterial reservoirs of Livestock Associated MRSA (LA-MRSA) in which colonization predisposes to staphylococcal acquisition in clinical settings and to transfer the infection to others including household members. Biomonitoring of occupational exposed individuals which spend several hours per day in direct contact with MRSA-positive animals and thus are irrefutably exposed to a high risk of nasal colonization is imperative in order to develop effective preventive strategies. Here we performed an extensive review regarding the prevalence of LA- MRSA colonization in both occupational exposed individuals and their house-holds in a European context.info:eu-repo/semantics/publishedVersio

Putting nature on the EU political agenda; A review of four policy dossiers

Nature and landscape goals are increasingly receiving a prominent place in the political debate within the EU. Governments all over the world are more and more aware that international agreements influence their national policy-making processes. The focus of this study was particularly on the manner that the Netherlands operates in the European arena. Four policy dossiers were selected, namely the Reform of the Common Agricultural Policy and the dairy sector, the Common Fishery Policy, Natura 2000 and the Water Framework Directive. An influence analysis was done with the aid of key informants in Great Britain, Denmark and Spain, as well as EU officials

Livestock density as risk factor for livestock-associated methicillin-resistant Staphylococcus aureus, the Netherlands

To determine whether persons living in areas of high animal density are at increased risk for carrying livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA), we used an existing dataset of persons in the Netherlands with LA-MRSA carriage and controls who carried other types of MRSA. Results of running univariate and multivariate logistic regression models indicated that living in livestock-dense areas increases the odds of nasal carriage of LA-MRSA. We found that doubling pig, cattle, and veal calf densities per municipality increased the odds of LA-MRSA carriage over carriage of other types of MRSA by 24.7% (95% CI 0.9%–54.2%), 76.9% (95% CI 11.3%–81.3%), and 24.1% (95% CI 5.5%–45.9%), respectively, after adjusting for direct animal contact, living in a rural area, and the probable source of MRSA carriage. Controlling the spread of LA-MRSA thus requires giving attention to community members in animal-dense regions who are unaffiliated with livestock farming

Prey choice, provisioning behaviour, and effects of early nutrition on nestling phenotype of titmice

[EN] It is generally assumed that blue and great tits (Cyanistes caeruleus, Parus major) compete for the same type of food (Lepidoptera larvae) during the breeding season and that the former have some advantage because they are usually earlier and can exploit small caterpillars that are often more abundant and are not consumed by great tits. However, it is not clear whether, when confronted with similar circumstances (e.g., nestling demand), blue and great tits show similar preferences for a particular caterpillar type. In this 2-y study, we compare the diet of both tit species in detail by controlling for hatching date and brood size. We also examine how the contribution of caterpillars and spiders to the diet is related to nestling development. A positive relationship was found between the percentage of spiders in the diet and nestling tarsus length in both species, reinforcing the idea that neonatal nutrition could have a strong influence on nestling phenotype (e.g., offspring size). Such a correlation may arise because spiders contain a high level of taurine, an essential nutrient in the early development of young, and/or this prey type contains more calcium than other food items, which may affect the rate of nestling bone mineralization. Blue tits fed their young double the number of tortricid larvae in comparison with great tits, whereas the latter showed a clear preference for noctuids and exploited, with a low frequency, a type of larvae not consumed by blue tits, hairy caterpillars (Lasiocampidae). Our results point to resource partitioning by these species in this forest ecosystem and contribute to a better understanding of feeding ecology of titmice, which is particularly timely in a global warming context [FR] Il est généralement admis que les mésanges bleues (Cyanistes caeruleus) et les mésanges charbonnières (Parus major) se font compétition pour le même type de nourriture (larves de lépidoptères) durant la période de reproduction. Il est également admis que les mésanges bleues possèdent un certain avantage, car elles se reproduisent plus tôt et mangent de petites chenilles souvent plus abondantes qui ne sont pas consommées par les mésanges charbonnières. Cependant, il n'est pas clair si dans les mêmes conditions (ex. de demande en nourriture des oisillons), les mésanges bleues et charbonnières préfèrent les mêmes types de chenilles. Dans cette étude de 2 ans, nous avons comparé en détail les régimes alimentaires des 2 espèces de mésanges en contrôlant pour la date de ponte et la taille de la couvée. Nous avons aussi examiné si les contributions des chenilles et des araignées au régime alimentaire étaient reliées au développement des oisillons. Chez les 2 espèces, une relation positive a été trouvée entre le pourcentage d'araignées dans le régime alimentaire et la longueur du tarse des oisillons renforçant ainsi l'idée que la nutrition néonatale peut avoir une grande influence sur le phénotype des oisillons (ex. la taille des jeunes). Une telle corrélation peut résulter du fait que les araignées ont un taux élevé de taurine, un nutriment essentiel au développement précoce des jeunes, et/ou que ce type de proie contient plus de calcium que d'autres aliments ce qui peut influencer le taux de minéralisation des os chez les oisillons. Les mésanges bleues ont nourri leurs jeunes avec deux fois plus de larves de tortricidés que les mésanges charbonnières qui elles ont montré une nette préférence pour les noctuidés. Ces dernières ont aussi consommé, quoique peu fréquemment, des livrées (Lasiocampidae), un type de larves boudé par les mésanges bleues. Nos résultats pointent vers une division des ressources entre ces espèces dans cet écosystème forestier et contribuent à une meilleure compréhension de l'écologie alimentaire des mésanges ce qui est particulièrement utile dans un contexte de réchauffement climatiqueV. García-Navas was supported by a FPI predoctoral fellowship (Spanish Ministry of Science and Innovation (MICINN)-European Social Fund). This study was financed by the MICINN (grant reference: GCL2007-61395)Peer Reviewe

A metapopulation model to assess the capacity of spread of meticillin-resistant Staphylococcus aureus ST398 in humans.

The emergence of the livestock-associated clone of meticillin-resistant Staphylococcus aureus (MRSA) ST398 is a serious public health issue throughout Europe. In The Netherlands a stringent 'search-and-destroy' policy has been adopted, keeping low the level of MRSA prevalence. However, reports have recently emerged of transmission events between humans showing no links to livestock, contradicting belief that MRSA ST398 is poorly transmissible in humans. The question regarding the transmissibility of MRSA ST398 in humans therefore remains of great interest. Here, we investigated the capacity of MRSA ST398 to spread into an entirely susceptible human population subject to the effect of a single MRSA-positive commercial pig farm. Using a stochastic, discrete-time metapopulation model, we explored the effect of varying both the probability of persistent carriage and that of acquiring MRSA due to contact with pigs on the transmission dynamics of MRSA ST398 in humans. In particular, we assessed the value and key determinants of the basic reproduction ratio (R(0)) for MRSA ST398. Simulations showed that the presence of recurrent exposures with pigs in risky populations allows MRSA ST398 to persist in the metapopulation and transmission events to occur beyond the farming community, even when the probability of persistent carriage is low. We further showed that persistent carriage should occur in less than 10% of the time for MRSA ST398 to conserve epidemiological characteristics similar to what has been previously reported. These results indicate that implementing control policy that only targets human carriers may not be sufficient to control MRSA ST398 in the community if it remains in pigs. We argue that farm-level control measures should be implemented if an eradication programme is to be considered

Adapting to climate change in The Netherlands: an inventory of climate adaptation options and ranking of alternatives

In many countries around the world impacts of climate change are assessed and adaptation options identified. We describe an approach for a qualitative and quantitative assessment of adaptation options to respond to climate change in the Netherlands. The study introduces an inventory and ranking of adaptation options based on stakeholder analysis and expert judgement, and presents some estimates of incremental costs and benefits. The qualitative assessment focuses on ranking and prioritisation of adaptation options. Options are selected and identified and discussed by stakeholders on the basis of a sectoral approach, and assessed with respect to their importance, urgency and other characteristics by experts. The preliminary quantitative assessment identifies incremental costs and benefits of adaptation options. Priority ranking based on a weighted sum of criteria reveals that in the Netherlands integrated nature and water management and risk based policies rank high, followed by policies aiming at 'climate proof' housing and infrastructure

Transmission of highly virulent community-associated MRSA ST93 and livestock-associated MRSA ST398 between humans and pigs in Australia

Pigs have been recognised as a reservoir of livestock associated methicillin-resistant Staphylococcus aureus (LA-MRSA) in Europe, Asia and North America. However, little is known about the presence and distribution of MRSA in the Australian pig population and pig industry. This study describes the presence, distribution and molecular characteristics of the human adapted Australian CA-MRSA ST93 isolated from pigs, people, and the environment within a piggery. Isolates were subjected to antibiotic susceptibility testing, DNA microarray, whole genome sequencing, multi locus sequence typing, virulence and resistance gene characterization and phylogenetic analysis. MRSA were isolated from 60% (n = 52) of farm workers where 84% of isolates returned ST93 and the rest ST398. Of the thirty-one pig isolates tested further, an equal number of ST398 and ST93 (15 each) and one as ST30-V were identified. Four of six environmental isolates were identified as ST93 and two as ST398. This study has identified for the first time in Australia the occurrence of CA-MRSA ST93 and LA-MRSA ST398 amongst farm workers, pigs, and the farm environment. Comparative genome analysis indicates that ST398 is likely to have been introduced into Australia from Europe or North America. This study also reports the first linezolid resistant MRSA isolated in Australia