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Volume 17, Number 3—March 2011

Dispatch

Livestock-associated Methicillin-Resistant Staphylococcus aureus in Humans, Europe

Brigitte A.G.L. van CleefComments to Author , Dominique L. Monnet, Andreas Voss, Karina Krziwanek, Franz Allerberger, Marc Struelens, Helena Zemlickova, Robert L. Skov, Jaana Vuopio-Varkila, Christiane Cuny, Alexander W. Friedrich, Iris Spiliopoulou, Judit Pászti, Hjordis Hardardottir, Angela Rossney, Angelo Pan, Annalisa Pantosti, Michael Borg, Hajo Grundmann, Manica Mueller-Premru, Barbro Olsson-Liljequist, Andreas Widmer, Stephan Harbarth, Alexander Schweiger, Serhat Unal, and Jan A.J.W. Kluytmans
Author affiliations: Author affiliations: National Institute for Public Health and the Environment, Bilthoven, the Netherlands (B.A.G.L. van Cleef, H. Grundmann); VU University Medical Centre, Amsterdam, the Netherlands (B.A.G.L. van Cleef, J.A.J.W. Kluytmans); European Centre for Disease Prevention and Control, Stockholm, Sweden (D.L. Monnet); Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands (A. Voss); Elisabethinen Hospital, Linz, Austria (K. Krziwanek); Österreichische Agentur für Gesundheit und Ernährungssicherheit, Wien, Austria (F. Allerberger); Université Libre de Bruxelles Hôpital Erasme, Brussels, Belgium (M. Struelens); Statni Zdravotni Ustav, Praha, Czech Republic (H. Zemlickova); Statens Serum Institut, Copenhagen, Denmark (R.L. Skov); National Public Health Institute, Helsinki, Finland (J. Vuopio-Varkila); Robert Koch Institute, Wernigerode, Germany (C. Cuny); Institute of Hygiene of the University Hospital, Münster, Germany (A.W. Friedrich); University of Patras, Patras, Greece (I. Spiliopoulou); National Center for Epidemiology, Budapest, Hungary (J. Pászti); Landspitali University Hospital, Reykjavik, Iceland (H. Hardardottir); National MRSA Reference Laboratory, St. James's Hospital, Dublin, Ireland (A. Rossney); Istituti Ospitalieri di Cremona, Cremona, Italy (A. Pan); Istituto Superiore di Sanità, Rome, Italy (A. Pantosti); Mater Dei Hospital, Msida, Malta (M. Borg); Medical Faculty, Ljubljana, Slovenia (M. Mueller-Premru); Swedish Institute for Infectious Disease Control, Solna, Sweden (B. Olsson-Liljequist); University Hospital, Basel, Switzerland (A. Widmer); Hôpitaux Universitaires de Genève, Geneva, Switzerland (S. Harbarth); University Hospital Zürich, Zürich, Switzerland (A. Schweiger); Hacettepe University, Ankara, Turkey (S. Unal); Amphia Hospital, Breda, the Netherlands (J.A.J.W. Kluytmans)

Main Article

Table 1

Characteristics of laboratories that reported MRSA and livestock-associated MRSA ST398 isolates from human samples, Europe, 2007*

Laboratory no. Country Type of laboratory Source of MRSA isolates No. MRSA isolates received No. MRSA isolates typed MRSA ST398 isolates
No. (%) 95% CI
1 Austria National ref All 523 523 0 0–0.7
2 Austria National ref All 586 586 16 (2.7) 1.7–4.4
3 Belgium National ref All 329 149 7 (4.7) 2.3–9.4
4 Czech Republic National ref Blood 37 10 0 0–27.8
5 Denmark National ref All 659 659 14 (2.1) 1.3–3.5
Denmark National ref Clinical 370 370 6 (1.6) 0.7–3.5
6 Finland National ref All 1,323 1,323 1 (0.1) 0–0.4
7 Germany National ref Clinical 1,293 1,293 9 (0.7) 0.4–1.3
8 Germany Regional ref Clinical 866 866 37 (4.3) 3.1–5.8
9 Greece National ref Clinical 336 336 0 0–1.1
10 Hungary National ref All 365 63 0† NA
11 Iceland National ref Clinical 21 21 0 0–15.5
12 Italy National ref Clinical 108 108 1 (0.9) 0.2–5.1
13 Ireland National ref Clinical 832 696 0 0–0.5
14 The Netherlands National ref Clinical 478 478 57 (11.9) 9.3–15.1
15 The Netherlands Local Clinical 12 12 3 (25.0) 8.9–53.2
16 Sweden National ref All 1,127 1,127 8 (0.7) 0.4–1.4
17 Switzerland Local Clinical 587 65 0† NA
18 Switzerland Regional ref All 182 182 0 0–2.1
19 Switzerland Regional ref Clinical 64 64 0 0–5.7
20 Switzerland Local All 80 78 0 0–4.7
21 Turkey Local Clinical 198 60 0 0–6.0

*MRSA, methicillin-resistant Staphylococcus aureus; ST398, sequence type 398; CI, confidence interval; ref, reference laboratory; NA, not applicable.
Not reported because laboratory typed <25% of MRSA isolates.

Main Article

1Current affiliation: European Centre for Disease Prevention and Control, Stockholm, Sweden.

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