CC BY-NC-ND 4.0 · Tierarztl Prax Ausg G Grosstiere Nutztiere 2023; 51(02): 63-69
DOI: 10.1055/a-2004-1474
Original Article

MRSA in bulk tank milk of dairy herds in Germany – changes over time

MRSA in Tankmilchproben von Milchviehbetrieben – Änderungen über die Jahre
Bernd-Alois Tenhagen
1   Abteilung Biologische Sicherheit, Bundesinstitut für Risikobewertung, Berlin, Germany
,
Katja Alt
1   Abteilung Biologische Sicherheit, Bundesinstitut für Risikobewertung, Berlin, Germany
,
Mirjam Grobbel
1   Abteilung Biologische Sicherheit, Bundesinstitut für Risikobewertung, Berlin, Germany
,
Sven Maurischat
1   Abteilung Biologische Sicherheit, Bundesinstitut für Risikobewertung, Berlin, Germany
› Author Affiliations

Abstract

Objective Methicillin-resistant Staphylococcus aureus (MRSA) have repeatedly been isolated from dairy herds. It was the purpose of this study to compare the results of 3 subsequent national scale cross-sectional investigations in dairy herds in Germany on the prevalence of MRSA in bulk tank milk and the characteristics of the isolates.

Material and Methods The investigations were carried out in 2010, 2014 and 2019, respectively. MRSA were isolated from 25 ml of bulk tank milk using a double selective enrichment protocol. Samples were distributed across the country according to the regional dairy cattle population.

Results The prevalence of MRSA in bulk tank milk samples was lower in 2010 than in 2014 and tended to decrease until 2019. Prevalence was higher in samples from conventional than from organic herds and increased with herd size. Most isolates (75/78) were assigned to the clonal complex 398 and the spa-types t011 and t034. Resistance of the isolates to other antimicrobials than beta-lactams decreased over time.

Conclusions MRSA remain present in the German dairy population and are found more frequently in larger vs. smaller herds and in conventional vs. organic herds.

Clinical relevance MRSA should be considered in biosecurity protocols and with respect to occupational health of farm staff. Presence of MRSA in raw milk supports the recommendation not to drink unpasteurized raw milk.

Zusammenfassung

Ziel Methicillin-resistente Staphylococcus aureus (MRSA) wurden wiederholt in Milchviehherden nachgewiesen. Es war das Ziel dieser Studie, die Ergebnisse dreier Querschnittsstudien in Deutschland zu MRSA in Tankmilchproben in deutschen Milchviehbetrieben zu vergleichen im Hinblick auf die Prävalenz der Erreger und Erregereigenschaften.

Material und Methoden Die Untersuchungen wurden 2010, 2014 und 2019 durchgeführt. Je 25 ml Milch aus Tankmilchproben wurden mit einer zweistufigen selektiven Anreicherung auf MRSA untersucht. Die Probenahme wurde proportional zur regionalen Milchviehdichte über das Land verteilt.

Ergebnisse Die Prävalenz von MRSA in den Tankmilchproben war 2010 niedriger als 2014, ging aber bis 2019 wieder leicht zurück. Die Prävalenz war höher in Proben von konventionellen Betrieben als in Proben von ökologisch wirtschaftenden Betrieben und stieg mit der Herdengröße. Die meisten (75/78) Isolate konnten dem klonalen Komplex 398 zugeordnet werden und den spa-Typen t011 und t034. Die Häufigkeit der Resistenz gegenüber weiteren Substanzen nahm im Laufe der Jahre leicht ab.

Schlussfolgerung MRSA werden nach wie vor in Tankmilchproben deutscher Milchviehbetriebe nachgewiesen und sind häufiger in größeren und konventionellen Betrieben als in kleineren und ökologisch wirtschaftenden Betrieben.

Klinische Relevanz Mitarbeitende in Milchviehbetrieben sollten auf das Risiko der MRSA-Besiedlung hinweisen, wenn sie als Patienten Kontakt zu Einrichtungen des Gesundheitswesens haben. Das Vorhandensein von MRSA in Rohmilch unterstreicht die Empfehlung, Rohmilch nicht ohne vorherige Erhitzung zu verzehren.



Publication History

Received: 31 October 2022

Accepted: 04 December 2022

Article published online:
25 May 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Vossenkuhl B, Brandt J, Fetsch A. et al. Comparison of spa Types, SCCmec Types and Antimicrobial Resistance Profiles of MRSA Isolated from Turkeys at Farm, Slaughter and from Retail Meat Indicates Transmission along the Production Chain. PLoS One 2014; 9: e96308 doi:ARTN e96308 DOI: 10.1371/journal.pone.0096308.
  • 2 Graveland H, Wagenaar JA, Heesterbeek H. et al. Methicillin resistant Staphylococcus aureus ST398 in veal calf farming: human MRSA carriage related with animal antimicrobial usage and farm hygiene. PLoSOne 2010; 5: e10990
  • 3 Broens EM, Graat EAM, van der Wolf PJ. et al. MRSA CC398 in the pig production chain. Prev Vet Med 2011; 98: 182-189
  • 4 Voss A, Loeffen F, Bakker J. et al. Methicillin-resistant Staphylococcus aureus in pig farming. Emerg Infect Dis 2005; 11: 1965-1966 DOI: 10.3201/eid1112.050428.
  • 5 Schnitt A, Tenhagen BA. Risk Factors for the Occurrence of Methicillin-Resistant Staphylococcus aureus in Dairy Herds: An Update. Foodborne Pathog Dis 2020; 17: 585-596 DOI: 10.1089/fpd.2019.2638.
  • 6 Tenhagen BA, Vossenkuhl B, Kasbohrer A. et al. Methicillin-resistant Staphylococcus aureus in cattle food chains – prevalence, diversity, and antimicrobial resistance in Germany. J Anim Sci 2014; 92: 2741-2751 DOI: 10.2527/jas.2014-7665.
  • 7 Vanderhaeghen W, Cerpentier T, Adriaensen C. et al. Methicillin-resistant Staphylococcus aureus (MRSA) ST398 associated with clinical and subclinical mastitis in Belgian cows. Vet Microbiol 2010; 144: 166-171 DOI: 10.1016/j.vetmic.2009.12.044.
  • 8 Tenhagen BA, Alt K, Pfefferkorn B. et al. Short communication: Methicillin-resistant Staphylococcus aureus in conventional and organic dairy herds in Germany. J Dairy Sci 2018; 101: 3380-3386 DOI: 10.3168/jds.2017-12939.
  • 9 BVL Berichte zur Lebensmittelsicherheit – Zoonosen-Monitoring 2019. Berlin: Bundesamt für Verbraucherschutz und Lebensmittelsicherheit; 2020
  • 10 Kilic A, Muldrew KL, Tang YW. et al. Triplex real-time polymerase chain reaction assay for simultaneous detection of Staphylococcus aureus and coagulase-negative staphylococci and determination of methicillin resistance directly from positive blood culture bottles. Diagn Microbiol Infect Dis 2010; 66: 349-355 DOI: 10.1016/j.diagmicrobio.2009.11.010.
  • 11 Shopsin B, Gomez M, Montgomery SO. et al. Evaluation of protein A gene polymorphic region DNA sequencing for typing of Staphylococcus aureus strains. J Clin Microbiol 1999; 37: 3556-3563 DOI: 10.1128/JCM.37.11.3556-3563.1999.
  • 12 Enright MC, Day NP, Davies CE. et al. Multilocus sequence typing for characterization of methicillin-resistant and methicillin-susceptible clones of Staphylococcus aureus. J Clin Microbiol 2000; 38: 1008-1015 DOI: 10.1128/JCM.38.3.1008-1015.2000.
  • 13 Clinical and Laboratory Standards Institute. M07 – Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow Aerobically, 11th Edition. 11. Aufl. Wayne, Pennsylvania: Clinical and Laboratory Standards Institute; 2018
  • 14 EFSA Technical specifications on the harmonised monitoring and reporting of antimicrobial resistance in methicillin-resistant Staphylococcus aureus in food-producing animals and food. EFSA J 2012; 2012: 2897 DOI: 10.2903/j.EFSA.2012.2897.
  • 15 European Commission Commission Implementing Decision of 12 November 2013 on the monitoring and reporting of antimicrobial resistance in zoonotic and commensal bacteria, 2013/652/EU. In, O J. 2013: 26-39
  • 16 Rainard P, Foucras G, Fitzgerald JR. et al. Knowledge gaps and research priorities in Staphylococcus aureus mastitis control. Transbound Emerg Dis 2018; 65: 149-165 DOI: 10.1111/tbed.12698.
  • 17 Locatelli C, Cremonesi P, Bertocchi L. et al. Short communication: Methicillin-resistant Staphylococcus aureus in bulk tank milk of dairy cows and effect of swine population density. J Dairy Sci 2016; 99: 2151-2156 DOI: 10.3168/jds.2015-9940.
  • 18 Kreausukon K. Usage of antimicrobials on 60 dairy farms in Northern Germany and characterization of methicillin resistant staphylococcus aureus MRSA and extended spectrum beta lactamases producing Escherichia coli ESBLs producing E. coli isolated from bulk tank milk samples [Dr. med. vet.]. Berlin: Freie Universität Berlin, Fachbereich Veterinärmedizin; 2011. 170.
  • 19 Cortimiglia C, Luini M, Bianchini V. et al. Prevalence of Staphylococcus aureus and of methicillin-resistant S. aureus clonal complexes in bulk tank milk from dairy cattle herds in Lombardy Region (Northern Italy). Epidemiol Infect 2016; 144: 3046-3051 DOI: 10.1017/s0950268816001576.
  • 20 European Parliament, European Council Regulation (EU) 2018/848 of the European Parliament and of the Council of 30 May 2018 on organic production and labelling of organic products and repealing Council Regulation (EC) No 834/2007. In, O J. 2018: 1-92
  • 21 Fromm S, Beisswanger E, Kasbohrer A. et al. Risk factors for MRSA in fattening pig herds – a meta-analysis using pooled data. Prev Vet Med 2014; 117: 180-188 DOI: 10.1016/j.prevetmed.2014.08.014.
  • 22 Espinosa-Gongora C, Broens EM, Moodley A. et al. Transmission of MRSA CC398 strains between pig farms related by trade of animals. Vet Rec 2012; 170
  • 23 Lienen T, Schnitt A, Hammerl JA. et al. Genomic Distinctions of LA-MRSA ST398 on Dairy Farms From Different German Federal States With a Low Risk of Severe Human Infections. Front Microbiol 2020; 11: 575321 DOI: 10.3389/fmicb.2020.575321.
  • 24 Lienen T, Schnitt A, Cuny C. et al. Phylogenetic Tracking of LA-MRSA ST398 Intra-Farm Transmission among Animals, Humans and the Environment on German Dairy Farms. Microorganisms 2021; 9 DOI: 10.3390/microorganisms9061119.
  • 25 Hommerich K, Ruddat I, Hartmann M. et al. Monitoring Antibiotic Usage in German Dairy and Beef Cattle Farms-A Longitudinal Analysis. Front Vet Sci 2019; 6: 244-244 DOI: 10.3389/fvets.2019.00244.
  • 26 Fessler AT, Olde Riekerink RG, Rothkamp A. et al. Characterization of methicillin-resistant Staphylococcus aureus CC398 obtained from humans and animals on dairy farms. Vet Microbiol 2012; 160: 77-84
  • 27 Schnitt A, Lienen T, Wichmann-Schauer H. et al. The occurrence and distribution of livestock-associated methicillin-resistant Staphylococcus aureus ST398 on German dairy farms. J Dairy Sci 2020; 103: 11806-11819 DOI: 10.3168/jds.2020-18958.
  • 28 Krukowski H, Bakuła Z, Iskra M. et al. The first outbreak of methicillin-resistant Staphylococcus aureus in dairy cattle in Poland with evidence of on-farm and intrahousehold transmission. J Dairy Sci 2020; 103: 10577-10584 DOI: 10.3168/jds.2020-18291.
  • 29 EFSA. Scientific Opinion of the panel on Biological Hazards on a request from the European Commission on Assessment of the public health significance of meticillin resistant Staphylococcus aureus (MRSA) in animals and foods. EFSA-Journal 2009; 7: 73 DOI: 10.2903/j.efsa.2009.993.
  • 30 Pauly N, Wichmann-Schauer H, Ballhausen B. et al. Detection and quantification of methicillin-resistant Staphylococcus aureus in fresh broiler meat at retail in Germany. Int J Food Microbiol 2019; 292: 8-12 DOI: 10.1016/j.ijfoodmicro.2018.11.025.
  • 31 Spohr M, Rau J, Friedrich A. et al. Methicillin-Resistant Staphylococcus aureus (MRSA) in three dairy herds in Southwest Germany. Zoonoses Public Health 2011; 58: 252-261