Fachbereich Veterinärmedizin



    Influx of extended-spectrum beta-lactamase-producing Enterobacteriaceae and methicillin resistant Staphylococcus aureus into an equine veterinary teaching hospital (2016)

    Gehlen, Heidrun (WE 17)
    Barton, Ann Kristin (WE 17)
    Lübke-Becker, A. (WE 7)
    Klein, K.-S.
    Walther, B. (WE 7)
    National Symposium on Zoonoses Research 2016
    Berlin, 13. – 14.10.2016
    National Symposium on Zoonoses Research 2016 : 13 – 14 October | Berlin 2016 ; Program and Abstracts — German Research Platform for Zoonoses (Hrsg.)
    — S. 59
    URL (Volltext): http://www.zoonosen.net/Desktopmodules/Bring2Mind/DMX/Download.aspx?EntryId=29016&PortalId=24
    Klinik für Pferde, allgemeine Chirurgie und Radiologie

    Oertzenweg 19 b
    14163 Berlin
    Tel.+49 30 838 62299 Fax.+49 30 838 62529

    Abstract / Zusammenfassung

    Background and objectives: The influx rate of multi-drug resistant (MDR) pathogens including methicillin resistant Stapyhlococcus aureus (MRSA), Acinetobacter baumannii and extended-spectrum beta-lactamase(ESBL)-producing Enterobactericeae via colonized equine patients in clinical settings is worth knowing, since colonized patients provide a continuing source of MDR pathogens for themselves, other patients and not least the personnel and the environment.
    Materials and methods: A total of 341 equine patients were screened for MDR pathogen-carriage. Horses suffering from either colic (n=233) or open wounds (n=108) were selected for microbiological examination of nostril swabs and fecal samples directly at hospital admission.
    Results: Altogether 9.6% (31/323) of the valid fecal specimens were positive for ESBL-producing Entrobacteriaceae (94% E. coli), while MRSA (0.6%) and A. baumannii (0.9%) were rarely detected. Results from the nostril swabs of both equine patient groups revealed an overall carriage rate of 3.5% for MRSA (12/340), ranging from 1.9% (wounds: 2/108) to 4.3% (colic: 10/232). Likewise, the ESBLproducing Enterobactericeae rate was 3.4% among colic patients and 1% in the “wounds” group, with an average rate of 2.6% (9/340) for both indications.
    Conclusion: These results demonstrated a massive entry of MDR pathogens in equine clinics via colonized equine patients, implying a constant challenge to any hygiene management system.