GSTDTAP  > 资源环境科学
DOI10.1289/EHP3453
Face Mask Use and Persistence of Livestock-associated Staphylococcus aureus Nasal Carriage among Industrial Hog Operation Workers and Household Contacts, USA
Nadimpalli, Maya L.1; Stewart, Jill K.1; Pierce, Elizabeth1; Pisanic, Nora2; Love, David C.2,3; Hall, Devon4; Larsen, Jesper5; Carroll, Karen C.6,7; Tekle, Tsigereda7; Perl, Trish M.8; Heaney, Christopher D.2,9,10
2018-12-01
发表期刊ENVIRONMENTAL HEALTH PERSPECTIVES
ISSN0091-6765
EISSN1552-9924
出版年2018
卷号126期号:12
文章类型Article
语种英语
国家USA; Denmark
英文摘要

BACKGROUND: Industrial hog operation (IHO) workers may persistently carry antibiotic-resistant, livestock-associated Staphylococcus aureus in their nasal cavities. It is unclear whether IHO work activities can alter IHO workers' and their household members' exposure to these bacteria.


OBJECTIVE: Our objective was to investigate the relationship of IHO work activities with persistence of antibiotic-resistant, livestock-associated S. aureus nasal carriage among IHO workers and their household members.


METHODS: At biweekly intervals over 4 months, IHO workers and their household members completed questionnaires and provided nasal swabs that were assessed for S. aureus, multidrug-resistant S. aureus (MDRSA), and livestock-associated markers (tetracycline resistance, scn absence, spa type). We examined the association between transient and habitual IHO work activities and S. aureus nasal carriage outcomes.


RESULT: One hundred one IHO workers and 79 household members completed 1,456 study visits. Face mask use (each 25% increase) was associated with reduced odds of nasal carriage of MDRSA (odds ratio [OR]: 0.65 [95% confidence interval (CI): 0.46, 0.92], tetracycline-resistant S. aureus [OR = 0.74 (95% CI: 0.56, 0.97)], and S. aureus clonal complex (CC) 398/CC9 [OR = 0.77 (95% CI: 0.60, 0.99)]. IHO workers who ever (vs. never) gave pigs injections had higher odds of these outcomes. Among household members, living with an IHO worker who consistently (>80% of the time) versus sometimes or never used a face mask was associated with reduced odds of carrying scn-negative S. aureus, tetracycline-resistant S. aureus, and S. aureus CC398/CC9 (OR range: 0.12-0.20, all p < 0.05), and consistent IHO worker coveralls use was associated with reduced odds of household member MDRSA carriage only. Living with an IHO worker who habitually had contact with >4,000 hogs (vs. <4000) was associated with higher odds of household member livestock-associated S. aureus carriage.


CONCLUSIONS: Consistent face mask use was associated with reduced exposure to antibiotic-resistant, livestock-associated S. aureus among IHO workers and their household members.


领域资源环境
收录类别SCI-E
WOS记录号WOS:000455204500006
WOS关键词HIGH PREVALENCE ; PIG FARMERS ; NORTH-CAROLINA ; RISK-FACTOR ; SWINE ; INFECTION ; MRSA ; VETERINARIANS ; AIR ; COLONIZATION
WOS类目Environmental Sciences ; Public, Environmental & Occupational Health ; Toxicology
WOS研究方向Environmental Sciences & Ecology ; Public, Environmental & Occupational Health ; Toxicology
引用统计
文献类型期刊论文
条目标识符http://119.78.100.173/C666/handle/2XK7JSWQ/22209
专题资源环境科学
作者单位1.Univ N Carolina, UNC Gillings Sch Global Publ Hlth, Dept Environm Sci & Engn, Chapel Hill, NC 27515 USA;
2.Johns Hopkins Bloomberg Sch Publ Hlth, Dept Environm Hlth & Engn, Baltimore, MD 21205 USA;
3.Johns Hopkins Univ, Johns Hopkins Ctr Livable Future, Baltimore, MD USA;
4.Rural Empowerment Assoc Community Help, Warsaw, NC USA;
5.Statens Serum Inst, Dept Bacteria Parasites & Fungi, Copenhagen, Denmark;
6.Johns Hopkins Univ, Sch Med, Div Med Microbiol, Baltimore, MD USA;
7.Johns Hopkins Univ Hosp, Microbiol Lab, Baltimore, MD 21287 USA;
8.Univ Texas Southwestern Med Ctr, Dept Med, Div Infect Dis, Dallas, TX USA;
9.Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA;
10.Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD 21205 USA
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GB/T 7714
Nadimpalli, Maya L.,Stewart, Jill K.,Pierce, Elizabeth,et al. Face Mask Use and Persistence of Livestock-associated Staphylococcus aureus Nasal Carriage among Industrial Hog Operation Workers and Household Contacts, USA[J]. ENVIRONMENTAL HEALTH PERSPECTIVES,2018,126(12).
APA Nadimpalli, Maya L..,Stewart, Jill K..,Pierce, Elizabeth.,Pisanic, Nora.,Love, David C..,...&Heaney, Christopher D..(2018).Face Mask Use and Persistence of Livestock-associated Staphylococcus aureus Nasal Carriage among Industrial Hog Operation Workers and Household Contacts, USA.ENVIRONMENTAL HEALTH PERSPECTIVES,126(12).
MLA Nadimpalli, Maya L.,et al."Face Mask Use and Persistence of Livestock-associated Staphylococcus aureus Nasal Carriage among Industrial Hog Operation Workers and Household Contacts, USA".ENVIRONMENTAL HEALTH PERSPECTIVES 126.12(2018).
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