Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus

B A G L VAN Cleef; B H B VAN Benthem; E J M Verkade; M M L VAN Rijen; M F Q Kluytmans-VAN DEN Bergh; H Graveland; T Bosch; K M H W Verstappen; J.A. Wagenaar; D Heederik; J A J W Kluytmans

doi:10.1017/S0950268815003192

Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus

B A G L VAN Cleef, B H B VAN Benthem, E J M Verkade, M M L VAN Rijen, M F Q Kluytmans-VAN DEN Bergh, H Graveland, T Bosch, K M H W Verstappen, J.A. Wagenaar, D Heederik, J A J W Kluytmans

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

There is limited knowledge about the effect of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) carriage on health-related quality of life (QoL). With this study, we explored whether LA-MRSA causes infections or affects health-related QoL in pig farmers. This prospective cohort study surveyed persons working on 49 farrowing pig farms in The Netherlands for 1 year (2010-2011). On six sampling moments, nasal swabs, environmental samples and questionnaires on activities and infections were collected. At the end of the study year, persons were asked about their QoL using the validated SF-36 and EQ-5D questionnaires. Of 120 persons, 44 (37%) were persistent MRSA carriers. MRSA carriage was not associated with infections, use of antimicrobials, healthcare contact and health-related QoL items in univariate or multivariate analysis, most likely due to the 'healthy worker effect'. Despite high carriage rates, the impact of LA-MRSA carriage in this population of relatively healthy pig farmers on health and health-related QoL appears limited; more research is needed for confirmation.

Original language	English
Pages (from-to)	1774-1783
Journal	Epidemiology and Infection
Volume	144
Issue number	8
Early online date	6 Jan 2016
DOIs	https://doi.org/10.1017/S0950268815003192
Publication status	Published - 2016

Keywords

infectious disease epidemiology
methicillin-resistant s. aureus (mrsa)
mrsa
public health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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health_and_healthrelated_quality_of_life_in_pig_farmers_carrying_livestockassociated_methicillinresistant_staphylococcus_aureusFinal published version, 207 KB

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VAN Cleef, B. A. G. L., VAN Benthem, B. H. B., Verkade, E. J. M., VAN Rijen, M. M. L., Kluytmans-VAN DEN Bergh, M. F. Q., Graveland, H., Bosch, T., Verstappen, K. M. H. W., Wagenaar, J. A., Heederik, D., & Kluytmans, J. A. J. W. (2016). Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus. Epidemiology and Infection, 144(8), 1774-1783. https://doi.org/10.1017/S0950268815003192

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abstract = "There is limited knowledge about the effect of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) carriage on health-related quality of life (QoL). With this study, we explored whether LA-MRSA causes infections or affects health-related QoL in pig farmers. This prospective cohort study surveyed persons working on 49 farrowing pig farms in The Netherlands for 1 year (2010-2011). On six sampling moments, nasal swabs, environmental samples and questionnaires on activities and infections were collected. At the end of the study year, persons were asked about their QoL using the validated SF-36 and EQ-5D questionnaires. Of 120 persons, 44 (37%) were persistent MRSA carriers. MRSA carriage was not associated with infections, use of antimicrobials, healthcare contact and health-related QoL items in univariate or multivariate analysis, most likely due to the 'healthy worker effect'. Despite high carriage rates, the impact of LA-MRSA carriage in this population of relatively healthy pig farmers on health and health-related QoL appears limited; more research is needed for confirmation.",

keywords = "infectious disease epidemiology, methicillin-resistant s. aureus (mrsa), mrsa, public health",

author = "{VAN Cleef}, {B A G L} and {VAN Benthem}, {B H B} and Verkade, {E J M} and {VAN Rijen}, {M M L} and {Kluytmans-VAN DEN Bergh}, {M F Q} and H Graveland and T Bosch and Verstappen, {K M H W} and J.A. Wagenaar and D Heederik and Kluytmans, {J A J W}",

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VAN Cleef, BAGL, VAN Benthem, BHB, Verkade, EJM, VAN Rijen, MML, Kluytmans-VAN DEN Bergh, MFQ, Graveland, H, Bosch, T, Verstappen, KMHW, Wagenaar, JA , Heederik, D & Kluytmans, JAJW 2016, 'Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus', Epidemiology and Infection, vol. 144, no. 8, pp. 1774-1783. https://doi.org/10.1017/S0950268815003192

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T1 - Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus

AU - VAN Cleef, B A G L

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AU - Verkade, E J M

AU - VAN Rijen, M M L

AU - Kluytmans-VAN DEN Bergh, M F Q

AU - Graveland, H

AU - Bosch, T

AU - Verstappen, K M H W

AU - Wagenaar, J.A.

AU - Heederik, D

AU - Kluytmans, J A J W

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N2 - There is limited knowledge about the effect of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) carriage on health-related quality of life (QoL). With this study, we explored whether LA-MRSA causes infections or affects health-related QoL in pig farmers. This prospective cohort study surveyed persons working on 49 farrowing pig farms in The Netherlands for 1 year (2010-2011). On six sampling moments, nasal swabs, environmental samples and questionnaires on activities and infections were collected. At the end of the study year, persons were asked about their QoL using the validated SF-36 and EQ-5D questionnaires. Of 120 persons, 44 (37%) were persistent MRSA carriers. MRSA carriage was not associated with infections, use of antimicrobials, healthcare contact and health-related QoL items in univariate or multivariate analysis, most likely due to the 'healthy worker effect'. Despite high carriage rates, the impact of LA-MRSA carriage in this population of relatively healthy pig farmers on health and health-related QoL appears limited; more research is needed for confirmation.

AB - There is limited knowledge about the effect of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) carriage on health-related quality of life (QoL). With this study, we explored whether LA-MRSA causes infections or affects health-related QoL in pig farmers. This prospective cohort study surveyed persons working on 49 farrowing pig farms in The Netherlands for 1 year (2010-2011). On six sampling moments, nasal swabs, environmental samples and questionnaires on activities and infections were collected. At the end of the study year, persons were asked about their QoL using the validated SF-36 and EQ-5D questionnaires. Of 120 persons, 44 (37%) were persistent MRSA carriers. MRSA carriage was not associated with infections, use of antimicrobials, healthcare contact and health-related QoL items in univariate or multivariate analysis, most likely due to the 'healthy worker effect'. Despite high carriage rates, the impact of LA-MRSA carriage in this population of relatively healthy pig farmers on health and health-related QoL appears limited; more research is needed for confirmation.

KW - infectious disease epidemiology

KW - methicillin-resistant s. aureus (mrsa)

KW - mrsa

KW - public health

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DO - 10.1017/S0950268815003192

M3 - Article

C2 - 26733049

SN - 0950-2688

VL - 144

SP - 1774

EP - 1783

JO - Epidemiology and Infection

JF - Epidemiology and Infection

IS - 8

ER -

Health and health-related quality of life in pig farmers carrying livestock-associated methicillin-resistant Staphylococcus aureus

Abstract

Keywords

UN SDGs

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