Exploring the behavioural drivers of veterinary surgeon antibiotic prescribing: a qualitative study of companion animal veterinary surgeons in the UK

Background: Multi-drug resistant bacteria are an increasing concern in both human and veterinary medicine. Inappropriate prescribing and use of antibiotics within veterinary medicine may be a contributory factor to antimicrobial resistance (AMR). The ‘One Health’ Initiative aims to work across species and environments to reduce AMR, however; little is currently known about the factors which influence antibiotic prescribing among veterinary surgeons in companion animal practice. This paper reports on qualitative data analysis of interviews with veterinary surgeons whose practice partially or wholly focuses on companion animals (N = 16). The objective of the research was to explore the drivers of companion animal veterinary surgeons’ antibiotic prescribing behaviours. The veterinary surgeons interviewed were all practising within the UK (England (n = 4), Scotland (n = 11), Northern Ireland (n = 1)). A behavioural thematic analysis of the data was undertaken, which identified barriers and facilitators to specific prescribing-related behaviours. Results: Five components of prescribing behaviours were identified: 1) confirming clinical need for antibiotics; 2) responding to clients; 3) confirming diagnosis; 4) determining dose, duration and type of antibiotic; and 5) preventing infection around surgery (with attendant appropriate and inappropriate antibiotic prescribing behaviours). Barriers to appropriate prescribing identified include: business, diagnostic, fear, habitual practice and pharmaceutical factors. Facilitators include: AMR awareness, infection prevention, professional learning and regulation and government factors. Conclusion: This paper uses a behavioural lens to examine drivers which are an influence on veterinary surgeons’ prescribing behaviours. The paper contributes new understandings about factors which influence antibiotic prescribing behaviours among companion animal veterinary surgeons. This analysis provides evidence to inform future interventions, which are focused on changing prescribing behaviours, in order to address the pressing public health concern of AMR

Characterization of Staphylococcus pseudintermedius isolated from diseased dogs in Lithuania

The aim of this study was to characterize Staphylococcus pseudintermedius for its antimicrobial resistance and virulence factors with a special focus on methicillin-resistant (MRSP) strains isolated from sick dogs in Lithuania. Clinically sick adult dogs suffering from infections (n=214) and bitches with reproductive disorders (n=36) from kennels were selected for the study. Samples (n=192) from the 250 tested (76.8%) dogs were positive for Staphylococcus spp. Molecular profiling using the species-specific nuc gene identified 51 isolates as S. pseudintermedius (26.6% from a total number of isolated staphylococci) of which 15 isolates were identified as MRSP. Ten MRSP isolates were isolated from bitches with reproductive disorders from two large breeding kennels. Data on susceptibility of S. pseudintermedius to different antimicrobials revealed that all isolates were susceptible to vancomycin, daptomycin and linezolid. Two isolates (3.9%) were resistant to rifampicin. A high resistance was seen towards penicillin G (94.1%), tetracycline (64.7%) and macrolides (68.7%). Resistance to fluoroquinolones ranged from 25.5% (gatifloxacin) to 31.4% (ciprofloxacin). The most prevalent genes encoding resistance included blaZ, aac(6′)-Ie-aph(2″)-Ia, mecA, and tet(M). The Luk-I gene encoding a leukotoxin was detected in 29% of the isolates, whereas the siet gene encoding exfoliative toxin was detected in 69% of the S. pseudintermedius isolates. This report of MRSP in companion animals represents a major challenge for veterinarians in terms of antibiotic therapy and is a concern for both animal and public health

Evaluation of biosecurity measures for predicting Salmonella herd status

Biosecurity refers to the set of practices that limits the entry, persistence and spread of pathogenic agents. Biosecurity practices arc believed to be associated with disease occurrence in a herd. The aim of this study was to develop and validate a factor analysis model to classify industrial farrow-to-finish pig herds according to biosecurity measures and evaluate itsu usefulness as a cost-effective indicator of Salmonella risk

Introducing global peat-specific temperature and pH calibrations based on brGDGT bacterial lipids

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record.Glycerol dialkyl glycerol tetraethers (GDGTs) are membrane-spanning lipids from Bacteria and Archaea that are ubiquitous in a range of natural archives and especially abundant in peat. Previous work demonstrated that the distribution of bacterial branched GDGTs (brGDGTs) in mineral soils is correlated to environmental factors such as mean annual air temperature (MAAT) and soil pH. However, the influence of these parameters on brGDGT distributions in peat is largely unknown. Here we investigate the distribution of brGDGTs in 470 samples from 96 peatlands around the world with a broad mean annual air temperature (−8 to 27 °C) and pH (3–8) range and present the first peat-specific brGDGT-based temperature and pH calibrations. Our results demonstrate that the degree of cyclisation of brGDGTs in peat is positively correlated with pH, pH = 2.49 x CBTpeat + 8.07 (n = 51, R2 65 = 0.58, RMSE = 0.8) and the degree of methylation of brGDGTs is positively correlated with MAAT, MAATpeat (°C) = 52.18 x MBT5me’ – 23.05 (n = 96, R2 67 = 0.76, RMSE = 4.7 °C). 3 These peat-specific calibrations are distinct from the available mineral soil calibrations. In light of the error in the temperature calibration (~ 4.7 °C), we urge caution in any application to reconstruct late Holocene climate variability, where the climatic signals are relatively small, and the duration of excursions could be brief. Instead, these proxies are well-suited to reconstruct large amplitude, longer-term shifts in climate such as deglacial transitions. Indeed, when applied to a peat deposit spanning the late glacial period (~15.2 kyr), we demonstrate that MAATpeat yields absolute temperatures and relative temperature changes that are consistent with those from other proxies. In addition, the application of MAATpeat to fossil peat (i.e. lignites) has the potential to reconstruct terrestrial climate during the Cenozoic. We conclude that there is clear potential to use brGDGTs in peats and lignites to reconstruct past terrestrial climateThis research was funded through the advanced ERC grant “the greenhouse earth system” (T-GRES, project reference 340923), awarded to RDP. All authors are part of the “T-GRES Peat Database collaborators” collective. RDP also acknowledges the Royal Society Wolfson Research Merit Award. We thank D. Atkinson for help with the sample preparation. We acknowledge support from Labex VOLTAIRE (ANR-10- 22 LABX-100-01). Peat from Patagonia and Tierra del Fuego were collected thanks to a Young Researcher Grant of the Agence National de la Recherche (ANR) to FDV, project ANR-2011-JS56-006-01 “PARAD” and with the help of Ramiro Lopez, Andrea Coronato and Veronica Pancotto (CADIC-CONICET, Ushuaia). Peat from Brazil was collected with the context of CNPq project 482815/2011-6. Samples from France (Frasne and La Guette) were collected thanks to the French Observatory of Peatlands. The Canadian peat was collected in the context of the NSERC-Discovery grant of L. Rochefort. Peats from China were obtained under a National Natural Science Foundation of China grant (No. 41372033), awarded to Y. Zheng

Identification of LukPQ, a novel, equid-adapted leukocidin of Staphylococcus aureus.

Bicomponent pore-forming leukocidins are a family of potent toxins secreted by Staphylococcus aureus, which target white blood cells preferentially and consist of an S- and an F-component. The S-component recognizes a receptor on the host cell, enabling high-affinity binding to the cell surface, after which the toxins form a pore that penetrates the cell lipid bilayer. Until now, six different leukocidins have been described, some of which are host and cell specific. Here, we identify and characterise a novel S. aureus leukocidin; LukPQ. LukPQ is encoded on a 45 kb prophage (ΦSaeq1) found in six different clonal lineages, almost exclusively in strains cultured from equids. We show that LukPQ is a potent and specific killer of equine neutrophils and identify equine-CXCRA and CXCR2 as its target receptors. Although the S-component (LukP) is highly similar to the S-component of LukED, the species specificity of LukPQ and LukED differs. By forming non-canonical toxin pairs, we identify that the F-component contributes to the observed host tropism of LukPQ, thereby challenging the current paradigm that leukocidin specificity is driven solely by the S-component

First report of swine-associated methicillin-resistant Staphylococcus aureus ST398 in Lithuania

During 2011, 160 nasal samples were taken from pigs on 8 different farms in Lithuania. Four methicillin-resistant Staphylococcus aureus (MRSA) isolates were obtained. The isolates were ST398, spa type t011 and SCCmec V and none carried the lukF/lukS genes. Strains were resistant to tetracycline, attributed to tetK and tetM genes, and to erythromycin owing to the ermB gene. One MRSA strain was resistant to trimethoprim/sulfamethoxazole and carried the dfrK gene. This is the first report on the presence and characteristics of livestock-associated MRSA isolated from pigs in Lithuania

A new multilocus sequence typing scheme for the genotypic characterization of Streptococcus canis isolated from human and animal sources.

Our aim was to develop a new multilocus sequence typing (MLST) scheme for Streptococcus canis. We also wanted to compare isolates recovered from different hosts, mainly house pets and humans, in order to define the clonal structure of the S. canis population and explore the zoonotic potential of distinct S. canis genetic lineages. Eighty-five S. canis isolates recovered from infections in animals (n = 78, recovered from 2000 to 2010 in three European countries, mainly from house pets) and humans (n = 7, recovered from 2006 to 2010 in Portugal) were studied. Isolates were identified by API 20 Strep, 23S rRNA gene targeted PCR and 16S rRNA gene sequencing, and characterized by MLST, pulsed-field gel electrophoresis (PFGE) and emm typing. All isolates were successfully typed with the proposed MLST scheme, indicating its applicability to S. canis from distinct sources. The MLST analysis showed a polyclonal structure of the S. canis population, where the same genetic lineages are found infecting house pets and humans and are disseminated in distinct geographic locations. PFGE confirmed the MLST findings, as it identified the same prevailing lineages and further strengthened the similarity between animal and human isolates. Phylogenetic analysis conducted with the 16S rRNA and MLST loci sequence data indicated that S. canis was a divergent taxon of the sister species Streptococcus pyogenes and Streptococcus dysgalactiae subsp. equisimilis, and found evidence of acquisition of genetic material by S. canis from the latter species. The presence of emm-like genes was restricted to a few isolates and correlated with MLST defined genetic lineages. Our data shows that S. canis isolated from house pets and humans are a single population and demonstrates that isolates belonging to the main genetic lineages identified are able to infect the human host, providing strong evidence for the zoonotic nature of S. canis infection in humans. A MLST database for S. canis was established at http://pubmlst.org/scanis/ (hosted by the Department of Zoology, University of Oxford, United Kingdom), constituting a valuable tool for future studies on the molecular epidemiology of this pathogen