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5. Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus

Author

VAN Cleef, B A G L, VAN Benthem, B H B, Verkade, E J M, VAN Rijen, M M L, Kluytmans-VAN DEN Bergh, M F Q, Graveland, H, Bosch, T, Verstappen, K M H W, Wagenaar, J.A., Heederik, D, Kluytmans, J A J W, VAN Cleef, B A G L, VAN Benthem, B H B, Verkade, E J M, VAN Rijen, M M L, Kluytmans-VAN DEN Bergh, M F Q, Graveland, H, Bosch, T, Verstappen, K M H W, Wagenaar, J.A., Heederik, D, and Kluytmans, J A J W

Abstract

There is limited knowledge about the effect of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) carriage on health-related quality of life (QoL). With this study, we explored whether LA-MRSA causes infections or affects health-related QoL in pig farmers. This prospective cohort study surveyed persons working on 49 farrowing pig farms in The Netherlands for 1 year (2010-2011). On six sampling moments, nasal swabs, environmental samples and questionnaires on activities and infections were collected. At the end of the study year, persons were asked about their QoL using the validated SF-36 and EQ-5D questionnaires. Of 120 persons, 44 (37%) were persistent MRSA carriers. MRSA carriage was not associated with infections, use of antimicrobials, healthcare contact and health-related QoL items in univariate or multivariate analysis, most likely due to the 'healthy worker effect'. Despite high carriage rates, the impact of LA-MRSA carriage in this population of relatively healthy pig farmers on health and health-related QoL appears limited; more research is needed for confirmation.

Published
2016

6. Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus

Author

LS Klinisch Onderzoek Wagenaar, LS IRAS EEPI GRA (Gezh.risico-analyse), dI&I I&I-4, VAN Cleef, B A G L, VAN Benthem, B H B, Verkade, E J M, VAN Rijen, M M L, Kluytmans-VAN DEN Bergh, M F Q, Graveland, H, Bosch, T, Verstappen, K M H W, Wagenaar, J.A., Heederik, D, Kluytmans, J A J W, LS Klinisch Onderzoek Wagenaar, LS IRAS EEPI GRA (Gezh.risico-analyse), dI&I I&I-4, VAN Cleef, B A G L, VAN Benthem, B H B, Verkade, E J M, VAN Rijen, M M L, Kluytmans-VAN DEN Bergh, M F Q, Graveland, H, Bosch, T, Verstappen, K M H W, Wagenaar, J.A., Heederik, D, and Kluytmans, J A J W

Published
2016

7. Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus

Author

VAN CLEEF, B. A G L, VAN BENTHEM, B. H B, VERKADE, E. J M, VAN RIJEN, M. M L, KLUYTMANS-VAN DEN BERGH, M. F Q, GRAVELAND, H., BOSCH, T., VERSTAPPEN, K. M H W, WAGENAAR, J. A., HEEDERIK, D., Kluijtmans, JAJW, VAN CLEEF, B. A G L, VAN BENTHEM, B. H B, VERKADE, E. J M, VAN RIJEN, M. M L, KLUYTMANS-VAN DEN BERGH, M. F Q, GRAVELAND, H., BOSCH, T., VERSTAPPEN, K. M H W, WAGENAAR, J. A., HEEDERIK, D., and Kluijtmans, JAJW

Published
2016

8. Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus

Author

Epi Infectieziekten Team 1, Infection & Immunity, VAN CLEEF, B. A G L, VAN BENTHEM, B. H B, VERKADE, E. J M, VAN RIJEN, M. M L, KLUYTMANS-VAN DEN BERGH, M. F Q, GRAVELAND, H., BOSCH, T., VERSTAPPEN, K. M H W, WAGENAAR, J. A., HEEDERIK, D., Kluijtmans, JAJW, Epi Infectieziekten Team 1, Infection & Immunity, VAN CLEEF, B. A G L, VAN BENTHEM, B. H B, VERKADE, E. J M, VAN RIJEN, M. M L, KLUYTMANS-VAN DEN BERGH, M. F Q, GRAVELAND, H., BOSCH, T., VERSTAPPEN, K. M H W, WAGENAAR, J. A., HEEDERIK, D., and Kluijtmans, JAJW

Published
2016

9. Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistantStaphylococcus aureus

Author

VAN CLEEF, B. A. G. L, primary, VAN BENTHEM, B. H. B., additional, VERKADE, E. J. M., additional, VAN RIJEN, M. M. L., additional, KLUYTMANS-VAN DEN BERGH, M. F. Q., additional, GRAVELAND, H., additional, BOSCH, T., additional, VERSTAPPEN, K. M. H. W., additional, WAGENAAR, J. A., additional, HEEDERIK, D., additional, and KLUYTMANS, J. A. J. W., additional

Published
2016
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10. Dynamics of methicillin-resistant Staphylococcus aureus and methicillin-susceptible Staphylococcus aureus carriage in pig farmers: a prospective cohort study

Author

van Cleef, B A G L, van Benthem, B H B, Verkade, E J M, van Rijen, M, Kluytmans-van den Bergh, M F Q, Schouls, L M, Duim, B, Wagenaar, Jaap, Graveland, H, Bos, M E H, Heederik, D, Kluytmans, J A J W, van Cleef, B A G L, van Benthem, B H B, Verkade, E J M, van Rijen, M, Kluytmans-van den Bergh, M F Q, Schouls, L M, Duim, B, Wagenaar, Jaap, Graveland, H, Bos, M E H, Heederik, D, and Kluytmans, J A J W

Abstract

Our purpose was to determine the dynamics of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) carriage and its determinants in persons working at pig farms, in order to identify targets for interventions. This prospective cohort study surveyed 49 pig farms in the Netherlands on six sampling dates in 1 year (2010-11). Nasal and oropharyngeal swabs were collected, as well as environmental surface samples from stables and house. Of 110 pig farmers, 38% were persistent MRSA nasal carriers. The average cross-sectional MRSA prevalence was 63%. Methicillin-susceptible S. aureus (MSSA) nasal carriage was associated with fewer MRSA acquisitions (prevalence rate (PR) = 0.47, p 0.02). In multivariate analysis, an age of 40-49 years (PR = 2.13, p 0.01), a working week of ≥40 h (PR=1.89, p 0.01), giving birth assistance to sows (PR=2.26, p 0.03), removing manure of finisher pigs (PR=0.48, p 0.02), and wearing a facemask (PR = 0.13, p 0.02) were significantly related with persistent MRSA nasal carriage. A higher MRSA exposure in stables was associated with MRSA in pig farmers (p <0.0001). This study describes a very high prevalence of LA-MRSA carriage in pig farmers, reflecting extensive exposure during work. We identified the possible protective effects of MSSA carriage and of continuously wearing a facemask during work.

Published
2014

11. Dynamics of methicillin-resistant Staphylococcus aureus and methicillin-susceptible Staphylococcus aureus carriage in pig farmers: a prospective cohort study

Author

I&I RATIA-SIB, Risk Assessment of Toxic and Immunomodulatory Agents, IRAS RATIA-SIB, LS Klinisch Onderzoek Wagenaar, LS IRAS EEPI GRA (Gezh.risico-analyse), van Cleef, B A G L, van Benthem, B H B, Verkade, E J M, van Rijen, M, Kluytmans-van den Bergh, M F Q, Schouls, L M, Duim, B, Wagenaar, Jaap, Graveland, H, Bos, M E H, Heederik, D, Kluytmans, J A J W, I&I RATIA-SIB, Risk Assessment of Toxic and Immunomodulatory Agents, IRAS RATIA-SIB, LS Klinisch Onderzoek Wagenaar, LS IRAS EEPI GRA (Gezh.risico-analyse), van Cleef, B A G L, van Benthem, B H B, Verkade, E J M, van Rijen, M, Kluytmans-van den Bergh, M F Q, Schouls, L M, Duim, B, Wagenaar, Jaap, Graveland, H, Bos, M E H, Heederik, D, and Kluytmans, J A J W

Published
2014

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