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However, multiresistant,<jats:italic>mecA<\/jats:italic>\u2010positive<jats:italic>S. intermedius<\/jats:italic>isolated from dogs and cats is now emerging in Europe. Twelve<jats:italic>S. intermedius<\/jats:italic>isolates, highly resistant to at least five antimicrobial classes, were isolated from skin and ear infections in 11 dogs and a cat. The 12 isolates represented 23% of all<jats:italic>S. intermedius<\/jats:italic>submissions from one veterinary dermatology referral clinic in northern Germany to veterinary diagnostic laboratories during an 18\u2010month period and resistance included cefalexin, methicillin and enrofloxacin. The animals had been referred to the clinic with recurrent superficial pyoderma, deep pyoderma, pododermatitis or chronic otitis, all unresponsive to systemic \u03b2\u2010lactam\u2010antibiotics or fluoroquinolones. Infection resolved in 10 dogs and the cat on a combination of antimicrobial treatment and correction of underlying causes. Four dogs and a cat required systemic and topical therapy; in six dogs topical antimicrobial therapy alone was successful. Phenotypic and genotypic characteristics of the<jats:italic>S. intermedius<\/jats:italic>isolates were determined; species identification was confirmed by polymerase chain detection of thermonuclease genes (<jats:italic>nuc<\/jats:italic>) and the presence and expression of the gene conferring resistance to all \u03b2\u2010lactam antibiotics (<jats:italic>mecA<\/jats:italic>) were demonstrated in all; based on pulsed\u2010field gel electrophoresis, six were indistinguishable, the others closely or possibly related. The emergence of multiresistant,<jats:italic>mecA<\/jats:italic>\u2010positive<jats:italic>S. intermedius<\/jats:italic>in Europe is alarming. Zoonotic implications, awareness among veterinary laboratories and strategies for the use of antimicrobials in small animal practice need to be considered.<\/jats:p>","DOI":"10.1111\/j.1365-3164.2007.00635.x","type":"journal-article","created":{"date-parts":[[2007,10,19]],"date-time":"2007-10-19T11:18:12Z","timestamp":1192792692000},"page":"412-421","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":147,"title":["First report of multiresistant,<i>mecA<\/i>\u2010positive<i>Staphylococcus intermedius<\/i>in Europe: 12 cases from a veterinary dermatology referral clinic in Germany"],"prefix":"10.1111","volume":"18","author":[{"given":"Anette","family":"Loeffler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Linek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arshnee","family":"Moodley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Guardabassi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia M. 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