{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T07:27:42Z","timestamp":1776410862530,"version":"3.51.2"},"reference-count":40,"publisher":"European Centre for Disease Control and Prevention (ECDC)","issue":"44","license":[{"start":{"date-parts":[[2017,11,2]],"date-time":"2017-11-02T00:00:00Z","timestamp":1509580800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,11,2]]},"abstract":"<jats:p>Currently, surveillance of livestock-associated meticillin-resistant <jats:italic>Staphylococcus aureus<\/jats:italic> (LA-MRSA) in humans in Europe is not systematic but mainly event-based. In September 2014, the European Centre for Disease Prevention and Control (ECDC) initiated a questionnaire to collect data on the number of LA-MRSA from human samples (one isolate per patient) from national\/regional reference laboratories in European Union\/European Economic Area (EU\/EEA) countries in 2013. Identification of LA-MRSA as clonal complex (CC) 398 by multilocus sequence typing (MLST) was preferred, although surrogate methods such as <jats:italic>spa<\/jats:italic>-typing were also accepted. The questionnaire was returned by 28 laboratories in 27 EU\/EEA countries. Overall, LA-MRSA represented 3.9% of 13,756 typed MRSA human isolates, but it represented\u2009\u2265\u200910% in five countries (Belgium, Denmark, Spain, the Netherlands and Slovenia). Seven of the reference laboratories did not type MRSA isolates in 2013. To monitor the dispersion of LA-MRSA and facilitate targeted control measures, we advocate periodic systematic surveys or integrated multi-sectorial surveillance.<\/jats:p>","DOI":"10.2807\/1560-7917.es.2017.22.44.16-00696","type":"journal-article","created":{"date-parts":[[2017,11,2]],"date-time":"2017-11-02T15:55:17Z","timestamp":1509638117000},"update-policy":"https:\/\/doi.org\/10.2807\/1560-7917.es.crp2020","source":"Crossref","is-referenced-by-count":79,"title":["Livestock-associated meticillin-resistant Staphylococcus aureus (MRSA) among human MRSA isolates, European Union\/European Economic Area countries, 2013"],"prefix":"10.2807","volume":"22","author":[{"given":"Pete","family":"Kinross","sequence":"first","affiliation":[{"name":"European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden"}]},{"given":"Andreas","family":"Petersen","sequence":"additional","affiliation":[{"name":"European Programme for Public Health Microbiology (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden"},{"name":"Statens Serum Institut, Copenhagen, Denmark"}]},{"given":"Robert","family":"Skov","sequence":"additional","affiliation":[{"name":"Statens Serum Institut, Copenhagen, Denmark"}]},{"given":"Evelyn","family":"Van Hauwermeiren","sequence":"additional","affiliation":[{"name":"European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden"}]},{"given":"Annalisa","family":"Pantosti","sequence":"additional","affiliation":[{"name":"National Institute of Health, Rome, Italy"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Laurent","sequence":"additional","affiliation":[{"name":"International Center for Infectiology Research (CIRI), INSERM, Lyon, France"}]},{"given":"Andreas","family":"Voss","sequence":"additional","affiliation":[{"name":"Radboud University Medical Centre, Nijmegen, the Netherlands"}]},{"given":"Jan","family":"Kluytmans","sequence":"additional","affiliation":[{"name":"University Medical Centre Utrecht, Utrecht, the Netherlands"}]},{"given":"Marc J","family":"Struelens","sequence":"additional","affiliation":[{"name":"European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden"}]},{"given":"Ole","family":"Heuer","sequence":"additional","affiliation":[{"name":"European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden"}]},{"given":"Dominique L","family":"Monnet","sequence":"additional","affiliation":[{"name":"European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden"}]},{"name":"the European human LA-MRSA study group","sequence":"additional","affiliation":[]}],"member":"7995","reference":[{"issue":"2","key":"r1","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1128\/JCM.44.2.619-621.2006","article-title":"High interlaboratory reproducibility of DNA sequence-based typing of bacteria in a multicenter study.","volume":"44","author":"Aires-de-Sousa","year":"2006","journal-title":"J Clin Microbiol"},{"key":"r2"},{"issue":"1","key":"r3","doi-asserted-by":"crossref","first-page":"e1000215","DOI":"10.1371\/journal.pmed.1000215","article-title":"Geographic distribution of Staphylococcus aureus causing invasive infections in Europe: a molecular-epidemiological analysis.","volume":"7","author":"Grundmann","year":"2010","journal-title":"PLoS Med"},{"key":"r4","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/978-1-60327-999-4_15","article-title":"spa typing for epidemiological surveillance of Staphylococcus aureus.","volume":"551","author":"Hallin","year":"2009","journal-title":"Methods Mol Biol"},{"issue":"1","key":"r5","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1093\/cid\/civ234","article-title":"Swine farming is a risk factor for infection with and high prevalence of carriage of multidrug-resistant Staphylococcus aureus.","volume":"61","author":"Wardyn","year":"2015","journal-title":"Clin Infect Dis"},{"issue":"3","key":"r6","first-page":"Doc21","article-title":"Mini-review: Epidemiology and zoonotic potential of multiresistant bacteria and Clostridium difficile in livestock and food.","volume":"9","author":"Dahms","year":"2014","journal-title":"GMS Hyg Infect Control"},{"key":"r7","unstructured":"Eurostat. 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