Pilot Study on Alteration of LA-MRSA Status of Pigs during Fattening Period on Straw Bedding by Two Types of Cleaning
Abstract
:1. Introduction
2. Results
2.1. LA-MRSA Carriage among Pigs
2.2. LA-MRSA in the Environment
2.3. LA-MRSA Status of Air Samples
3. Discussion
4. Material and Methods
4.1. Organization of the Farm/Stable
4.2. Sample Collection
4.3. Phenotypic MRSA Detection and Genotyping
4.4. Statistical Analysis
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Beneke, B.; Klees, S.; Stührenberg, B.; Fetsch, A.; Kraushaar, B.; Tenhagen, B.-A. Prevalence of methicillin-resistant Staphylococcus aureus in a fresh meat pork production chain. J. Food Prot. 2011, 74, 126–129. [Google Scholar] [CrossRef]
- Hunter, P.A.; Dawson, S.; French, G.L.; Goossens, H.; Hawkey, P.M.; Kuijper, E.J.; Nathwani, D.; Taylor, D.J.; Teale, C.J.; Warren, R.E.; et al. Antimicrobial-resistant pathogens in animals and man: Prescribing, practices and policies. J. Antimicrob. Chemother. 2010, 65 (Suppl. 1), i3–i17. [Google Scholar] [CrossRef]
- Cuny, C.; Nathaus, R.; Layer, F.; Strommenger, B.; Altmann, D.; Witte, W. Nasal colonization of humans with methicillin-resistant Staphylococcus aureus (MRSA) CC398 with and without exposure to pigs. PLoS ONE 2009, 4, e6800. [Google Scholar] [CrossRef]
- Goerge, T.; Lorenz, M.B.; van Alen, S.; Hübner, N.-O.; Becker, K.; Köck, R. MRSA colonization and infection among persons with occupational livestock exposure in Europe: Prevalence, preventive options and evidence. Vet. Microbiol. 2017, 200, 6–12. [Google Scholar] [CrossRef] [PubMed]
- Köck, R.; Harlizius, J.; Bressan, N.; Laerberg, R.; Wieler, L.H.; Witte, W.; Deurenberg, R.H.; Voss, A.; Becker, K.; Friedrich, A.W. Prevalence and molecular characteristics of methicillin-resistant Staphylococcus aureus (MRSA) among pigs on German farms and import of livestock-related MRSA into hospitals. Eur. J. Clin. Microbiol. Infect. Dis. 2009, 28, 1375–1382. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Cuny, C.; Layer, F.; Werner, G.; Harmsen, D.; Daniels-Haardt, I.; Jurke, A.; Mellmann, A.; Witte, W.; Köck, R. State-wide surveillance of antibiotic resistance patterns and spa types of methicillin-resistant Staphylococcus aureus from blood cultures in North Rhine-Westphalia, 2011–2013. Clin. Microbiol. Infect. 2015, 21, 750–757. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Lozano, C.; Aspiroz, C.; Lasarte, J.J.; Gómez-Sanz, E.; Zarazaga, M.; Torres, C. Dynamic of nasal colonization by methicillin-resistant Staphylococcus aureus ST398 and ST1 after mupirocin treatment in a family in close contact with pigs. Comp. Immunol. Microbiol. Infect. Dis. 2011, 34, e1–e7. [Google Scholar] [CrossRef] [PubMed]
- Bisdorff, B.; Scholhölter, J.L.; Claußen, K.; Pulz, M.; Nowak, D.; Radon, K. MRSA-ST398 in livestock farmers and neighbouring residents in a rural area in Germany. Epidemiol. Infect. 2012, 140, 1800–1808. [Google Scholar] [CrossRef] [Green Version]
- Alban, L.; Ellis-Iversen, J.; Andreasen, M.; Dahl, J.; Sönksen, U.W. Assessment of the Risk to Public Health due to Use of Antimicrobials in Pigs—An Example of Pleuromutilins in Denmark. Front. Vet. Sci. 2017, 4, 74. [Google Scholar] [CrossRef] [Green Version]
- Lassok, B.; Tenhagen, B.-A. From pig to pork: Methicillin-resistant Staphylococcus aureus in the pork production chain. J. Food Prot. 2013, 76, 1095–1108. [Google Scholar] [CrossRef]
- Elstrøm, P.; Grøntvedt, C.A.; Gabrielsen, C.; Stegger, M.; Angen, Ø.; Åmdal, S.; Enger, H.; Urdahl, A.M.; Jore, S.; Steinbakk, M.; et al. Livestock-Associated MRSA CC1 in Norway; Introduction to Pig Farms, Zoonotic Transmission, and Eradication. Front. Microbiol. 2019, 10, 139. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- van Herten, J.; Bovenkerk, B.; Verweij, M. One Health as a moral dilemma: Towards a socially responsible zoonotic disease control. Zoonoses Public Health 2019, 66, 26–34. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Gerritzen, M.A.; Hindle, V.A.; Steinkamp, K.; Reimert, H.G.M.; van der Werf, J.T.N.; Marahrens, M. The effect of reduced loading density on pig welfare during long distance transport. Animal 2013, 7, 1849–1857. [Google Scholar] [CrossRef] [PubMed]
- Honegger, J.; Lehnherr, H.; Bachofen, C.; Stephan, R.; Sidler, X. Feldversuch zur Eradikation von Methicillin-resistenten Staphylococcus aureus (MRSA) mittels Bakteriophagen in einem Schweinezuchtbetrieb. Schweiz. Arch. Tierheilkd. 2020, 162, 307–317. [Google Scholar] [CrossRef]
- Pletinckx, L.; Dewulf, J.; De Bleecker, Y.; Rasschaert, G.; Goddeeris, B.; De Man, I. Effect of a disinfection strategy on the methicillin-resistant Staphylococcus aureus CC398 prevalence of sows, their piglets and the barn environment. J. Appl. Microbiol. 2013, 114, 1634–1641. [Google Scholar] [CrossRef] [PubMed]
- Kobusch, I.; Müller, H.; Mellmann, A.; Köck, R.; Boelhauve, M. Single Blinded Study on the Feasibility of Decontaminating LA-MRSA in Pig Compartments under Routine Conditions. Antibiotics 2020, 9, 141. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Friese, A.; Schulz, J.; Hoehle, L.; Fetsch, A.; Tenhagen, B.-A.; Hartung, J.; Roesler, U. Occurrence of MRSA in air and housing environment of pig barns. Vet. Microbiol. 2012, 158, 129–135. [Google Scholar] [CrossRef] [PubMed]
- Schmithausen, R.M.; Kellner, S.R.; Schulze-Geisthoevel, S.V.; Hack, S.; Engelhart, S.; Bodenstein, I.; Al-Sabti, N.; Reif, M.; Fimmers, R.; Körber-Irrgang, B.; et al. Eradication of methicillin-resistant Staphylococcus aureus and of Enterobacteriaceae expressing extended-spectrum beta-lactamases on a model pig farm. Appl. Environ. Microbiol. 2015, 81, 7633–7643. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Cuny, C.; Friedrich, A.W.; Witte, W. Absence of Livestock-Associated Methicillin-Resistant Staphylococcus aureus Clonal Complex CC398 as a Nasal Colonizer of Pigs Raised in an Alternative System. Appl. Environ. Microbiol. 2012, 78, 1296–1297. [Google Scholar] [CrossRef] [Green Version]
- van de Vijver, L.P.L.; Tulinski, P.; Bondt, N.; Mevius, D.; Verwer, C. Prevalence and molecular characteristics of methicillin-resistant Staphylococcus aureus (MRSA) in organic pig herds in The Netherlands. Zoonoses Public Health 2014, 61, 338–345. [Google Scholar] [CrossRef]
- Crombé, F.; Willems, G.; Dispas, M.; Hallin, M.; Denis, O.; Suetens, C.; Gordts, B.; Struelens, M.; Butaye, P. Prevalence and antimicrobial susceptibility of methicillin-resistant Staphylococcus aureus among pigs in Belgium. Microbiol. Drug Resist. 2012, 18, 125–131. [Google Scholar] [CrossRef] [Green Version]
- Pirolo, M.; Visaggio, D.; Gioffrè, A.; Artuso, I.; Gherardi, M.; Pavia, G.; Samele, P.; Ciambrone, L.; Di Natale, R.; Spatari, G.; et al. Unidirectional animal-to-human transmission of methicillin-resistant Staphylococcus aureus ST398 in pig farming; evidence from a surveillance study in southern Italy. Antimicrob. Resist. Infect. Control 2019, 8, 187. [Google Scholar] [CrossRef] [Green Version]
- Wagner, K.M.; Schulz, J.; Kemper, N. Examination of the hygienic status of selected organic enrichment materials used in pig farming with special emphasis on pathogenic bacteria. Porcine Health Manag. 2018, 4, 24. [Google Scholar] [CrossRef]
- Hancox, L.R.; Le Bon, M.; Dodd, C.E.R.; Mellits, K.H. Inclusion of detergent in a cleaning regime and effect on microbial load in livestock housing. Vet. Rec. 2013, 173, 167. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Misra, S.; van Middelaar, C.E.; Jordan, K.; Upton, J.; Quinn, A.J.; De Boer, I.J.M.; O’Driscoll, K. Effect of different cleaning procedures on water use and bacterial levels in weaner pig pens. PLoS ONE 2020, 15, e0242495. [Google Scholar] [CrossRef] [PubMed]
- Bundesgesetzblatt. Available online: https://www.bgbl.de/xaver/bgbl/start.xav?startbk=Bundesanzeiger_BGBl&jumpTo=bgbl106s2043.pdf#__bgbl__%2F%2F*%5B%40attr_id%3D%27bgbl106s2043.pdf%27%5D__1615288398869 (accessed on 9 March 2021).
- Bangerter, P.D.; Sidler, X.; Perreten, V.; Overesch, G. Longitudinal study on the colonisation and transmission of methicillin-resistant Staphylococcus aureus in pig farms. Vet. Microbiol. 2016, 183, 125–134. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Fetsch, A.; Roesler, U.; Kraushaar, B.; Friese, A. Co-colonization and clonal diversity of methicillin-sensitive and methicillin-resistant Staphylococcus aureus in sows. Vet. Microbiol. 2016, 185, 7–14. [Google Scholar] [CrossRef] [PubMed]
- Nathaus, R.; Blaha, T.; Tegeler, R.; Meemken, D. Intra-herdenprävalenz und Kolonisa-tionsdynamik von Methicillin-resistenten Staphylococcus aureus in zwei Schweine- zuchtbeständen. Berl. Munch. Tierarztl. Wochenschr. 2010, 123, 221–228. [Google Scholar]
- Weese, J.S.; Zwambag, A.; Rosendal, T.; Reid-Smith, R.; Friendship, R. Longitudinal investigation of methicillin-resistant Staphylococcus aureus in piglets. Zoonoses Public Health 2011, 58, 238–243. [Google Scholar] [CrossRef]
- Tierschutzverordnung. Available online: https://www.fedlex.admin.ch/eli/cc/2008/416/de (accessed on 15 April 2021).
- Alt, K.; Fetsch, A.; Schroeter, A.; Guerra, B.; Hammerl, J.A.; Hertwig, S.; Senkov, N.; Geinets, A.; Mueller-Graf, C.; Braeunig, J.; et al. Factors associated with the occurrence of MRSA CC398 in herds of fattening pigs in Germany. BMC Vet. Res. 2011, 7, 69. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Broens, E.; Graat, E.; Van Der Wolf, P.; Van De Giessen, A.; De Jong, M. Prevalence and risk factor analysis of livestock associated MRSA-positive pig herds in The Netherlands. Prev. Vet. Med. 2011, 102, 41–49. [Google Scholar] [CrossRef] [PubMed]
- Broens, E.M.; Espinosa-Gongora, C.; Graat, E.A.M.; Vendrig, N.; van der Wolf, P.J.; Guardabassi, L.; Butaye, P.; Nielsen, J.P.; De Jong, M.C.M.; van de Giessen, A.W. Longitudinal study on transmission of MRSA CC398 within pig herds. BMC Vet. Res. 2012, 8, 58. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Sørensen, A.I.V.; Jensen, V.F.; Boklund, A.; Halasa, T.; Christensen, H.; Toft, N. Risk factors for the occurrence of livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) in Danish pig herds. Prev. Vet. Med. 2018, 159, 22–29. [Google Scholar] [CrossRef] [PubMed]
- Rantala, M.; Nurmi, E. Prevention of the growth of Salmonella infantis in chicks by the flora of the alimentary tract of chickens. Br. Poult. Sci. 1973, 14, 627–630. [Google Scholar] [CrossRef]
- Caly, D.L.; D’Inca, R.; Auclair, E.; Drider, D. Alternatives to Antibiotics to Prevent Necrotic Enteritis in Broiler Chickens: A Microbiologist’s Perspective. Front. Microbiol. 2015, 6, 1336. [Google Scholar] [CrossRef] [Green Version]
- Agnolucci, M.; Palla, M.; Cristani, C.; Cavallo, N.; Giovannetti, M.; De Angelis, M.; Gobbetti, M.; Minervini, F. Beneficial Plant Microorganisms Affect the Endophytic Bacterial Communities of Durum Wheat Roots as Detected by Different Molecular Approaches. Front. Microbiol. 2019, 10, 2500. [Google Scholar] [CrossRef] [Green Version]
- Allaart, J.G.; van Asten, A.J.A.M.; Vernooij, J.C.M.; Gröne, A. Effect of Lactobacillus fermentum on beta2 toxin production by Clostridium perfringens. Appl. Environ. Microbiol. 2011, 77, 4406–4411. [Google Scholar] [CrossRef] [Green Version]
- Dec, M.; Puchalski, A.; Urban-Chmiel, R.; Wernicki, A. Screening of Lactobacillus strains of domestic goose origin against bacterial poultry pathogens for use as probiotics. Poult. Sci. 2014, 93, 2464–2472. [Google Scholar] [CrossRef]
- Sikorska, H.; Smoragiewicz, W. Role of probiotics in the prevention and treatment of meticillin-resistant Staphylococcus aureus infections. Int. J. Antimicrob. Agents 2013, 42, 475–481. [Google Scholar] [CrossRef]
- Mellmann, A.; Friedrich, A.W.; Rosenkötter, N.; Rothgänger, J.; Karch, H.; Reintjes, R.; Harmsen, D. Automated DNA sequence-based early warning system for the detection of methicillin-resistant Staphylococcus aureus outbreaks. PLoS Med. 2006, 3, e33. [Google Scholar] [CrossRef]
Animals in Type C&D | Animals in Type SC | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Animal ID | Arrival | Week | Animal ID | Arrival | Week | ||||||
1 | 5 | 10 | 16 | 1 | 5 | 10 | 16 | ||||
603 | pos | pos | pos | pos | pos | 328 | pos | pos | pos | pos | neg |
607 | pos | pos | pos | pos | pos | 346 | pos | pos | pos | pos | neg |
615 | pos | pos | pos | pos | pos | 347 | pos | pos | pos | pos | neg |
627 | pos | pos | pos | pos | pos | 381 | pos | pos | pos | pos | neg |
653 | pos | pos | pos | pos | pos | 387 | pos | pos | pos | pos | neg |
693 | pos | pos | pos | pos | pos | 397 | pos | pos | pos | pos | neg |
697 | pos | pos | pos | pos | pos | 303 | pos | pos | neg | pos | neg |
606 | pos | pos | pos | neg | pos | 309 | pos | pos | neg | pos | neg |
635 | pos | pos | pos | neg | pos | 335 | pos | pos | neg | pos | neg |
639 | pos | pos | pos | neg | pos | 352 | pos | pos | neg | pos | neg |
646 | pos | pos | pos | neg | pos | 368 | pos | pos | neg | pos | neg |
647 | pos | pos | pos | neg | pos | 302 | pos | pos | pos | neg | neg |
659 | pos | pos | pos | neg | pos | 304 | pos | pos | pos | neg | neg |
677 | pos | pos | pos | neg | pos | 306 | pos | pos | pos | neg | neg |
682 | pos | pos | pos | neg | pos | 307 | pos | pos | pos | neg | neg |
683 | pos | pos | pos | neg | pos | 310 | pos | pos | pos | neg | neg |
691 | pos | pos | pos | neg | pos | 319 | pos | pos | pos | neg | neg |
628 | pos | pos | pos | 322 | pos | pos | pos | neg | neg | ||
644 | pos | pos | 324 | pos | pos | pos | neg | neg | |||
604 | pos | pos | pos | pos | neg | 327 | pos | pos | pos | neg | neg |
612 | pos | pos | pos | pos | neg | 330 | pos | pos | pos | neg | neg |
616 | pos | pos | pos | pos | neg | 333 | pos | pos | pos | neg | neg |
620 | pos | pos | pos | pos | neg | 336 | pos | pos | pos | neg | neg |
621 | pos | pos | pos | pos | neg | 340 | pos | pos | pos | neg | neg |
622 | pos | pos | pos | pos | neg | 343 | pos | pos | pos | neg | neg |
625 | pos | pos | pos | pos | neg | 345 | pos | pos | pos | neg | neg |
642 | pos | pos | pos | pos | neg | 348 | pos | pos | pos | neg | neg |
645 | pos | pos | pos | pos | neg | 349 | pos | pos | pos | neg | neg |
655 | pos | pos | pos | pos | neg | 353 | pos | pos | pos | neg | neg |
657 | pos | pos | pos | pos | neg | 355 | pos | pos | pos | neg | neg |
663 | pos | pos | pos | pos | neg | 359 | pos | pos | pos | neg | neg |
664 | pos | pos | pos | pos | neg | 360 | pos | pos | pos | neg | neg |
665 | pos | pos | pos | pos | neg | 361 | pos | pos | pos | neg | neg |
674 | pos | pos | pos | pos | neg | 362 | pos | pos | pos | neg | neg |
679 | pos | pos | pos | pos | neg | 369 | pos | pos | pos | neg | neg |
680 | pos | pos | pos | pos | neg | 371 | pos | pos | pos | neg | neg |
696 | pos | pos | pos | neg | 375 | pos | pos | pos | neg | neg | |
698 | pos | pos | pos | pos | neg | 380 | pos | pos | pos | neg | neg |
602 | pos | pos | pos | neg | neg | 382 | pos | pos | pos | neg | neg |
605 | pos | pos | pos | neg | neg | 384 | pos | pos | pos | neg | neg |
613 | pos | pos | pos | neg | neg | 385 | pos | pos | pos | neg | neg |
614 | pos | pos | pos | neg | neg | 395 | pos | pos | pos | neg | neg |
618 | pos | pos | pos | neg | neg | 396 | pos | pos | pos | neg | neg |
619 | pos | pos | pos | neg | neg | 400 | pos | pos | pos | neg | neg |
638 | pos | pos | pos | neg | neg | 331 | pos | pos | neg | neg | |
640 | pos | pos | pos | neg | neg | 388 | pos | pos | pos | neg | |
643 | pos | pos | pos | neg | neg | 393 | pos | pos | pos | neg | |
648 | pos | pos | pos | neg | neg | 311 | pos | pos | neg | neg | neg |
649 | pos | pos | pos | neg | neg | 314 | pos | pos | neg | neg | neg |
651 | pos | pos | pos | neg | neg | 318 | pos | pos | neg | neg | neg |
658 | pos | pos | pos | neg | neg | 344 | pos | pos | neg | neg | neg |
672 | pos | pos | pos | neg | neg | 351 | pos | pos | neg | neg | neg |
673 | pos | pos | pos | neg | neg | 366 | pos | pos | neg | neg | neg |
675 | pos | pos | pos | neg | neg | 367 | pos | pos | neg | neg | neg |
676 | pos | pos | pos | neg | neg | 376 | pos | pos | neg | neg | neg |
678 | pos | pos | pos | neg | neg | 377 | pos | pos | neg | neg | neg |
681 | pos | pos | pos | neg | neg | 378 | pos | pos | neg | neg | neg |
685 | pos | pos | pos | neg | neg | 390 | pos | pos | neg | neg | neg |
687 | pos | pos | pos | neg | neg | 399 | pos | pos | neg | neg | neg |
689 | pos | pos | pos | neg | neg | ||||||
690 | pos | pos | pos | neg | neg | ||||||
694 | pos | pos | pos | neg | neg | ||||||
699 | pos | pos | pos | neg | neg |
Environmental Samples in Type C&D | Environmental Samples in Type SC | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Sampling Location | Before Housing in | Week | Sampling Location | Before Housing in | Week | ||||||
1 | 5 | 10 | 16 | 1 | 5 | 10 | 16 | ||||
wall of the bay (control corridor, right) | neg | pos | neg | pos | pos | wall of the bay (control corridor, center) | neg | pos | neg | neg | neg |
wall of the bay (control corridor, left) | neg | pos | pos | neg | pos | wall of the bay (right) | neg | pos | neg | neg | neg |
wall of the bay (right) | neg | pos | pos | pos | neg | wall of the bay (left) | neg | pos | neg | neg | neg |
wall of the bay (left) | neg | pos | pos | neg | neg | wall of the bay (outside door) | neg | pos | pos | neg | neg |
wall of the bay (outside door) | neg | pos | pos | neg | neg | floor of the bay (control corridor) | neg | pos | neg | neg | pos |
floor of the bay (control corridor) | neg | neg | pos | neg | neg | floor of the bay (center) | neg | pos | pos | neg | neg |
floor of the bay (center) | neg | pos | neg | neg | neg | pipe above the wall of the bay (right) | neg | pos | pos | neg | neg |
pipe above the wall of the bay (centered) | neg | pos | neg | pos | neg | pipe above the wall of the bay (left) | neg | pos | pos | neg | neg |
wall of the feeder | neg | pos | pos | pos | pos | wall of the feeder | neg | pos | neg | pos | neg |
straw (center) | neg | pos | pos | neg | neg | straw (center) | neg | pos | pos | neg | neg |
air a (front) | neg | pos | pos | neg | pos | air c (front) | neg | pos | pos | neg | neg |
air b (back) | neg | pos | neg | neg | neg | air d (back) | neg | pos | pos | neg | neg |
Environmental Samples in the Bay of Type C&D | Environmental Samples in the Bay of Type SC |
---|---|
wall of the bay (control corridor, right) | wall of the bay (control corridor, center) |
wall of the bay (control corridor, left) | wall of the bay (right) |
wall of the bay (right) | wall of the bay (left) |
wall of the bay (left) | wall of the bay (outside door) |
wall of the bay (outside door) | floor of the bay (control corridor) |
floor of the bay (control corridor) | floor of the bay (center) |
floor of the bay (center) | pipe above the wall of the bay (right) |
pipe above the wall of the bay (centered) | pipe above the wall of the bay (left) |
wall of the feeder | wall of the feeder |
straw (center) | straw (center) |
air (front) | air (front) |
air (back) | air (back) |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Schollenbruch, H.; Kobusch, I.; Schröter, I.; Mellmann, A.; Köck, R.; Boelhauve, M. Pilot Study on Alteration of LA-MRSA Status of Pigs during Fattening Period on Straw Bedding by Two Types of Cleaning. Antibiotics 2021, 10, 521. https://doi.org/10.3390/antibiotics10050521
Schollenbruch H, Kobusch I, Schröter I, Mellmann A, Köck R, Boelhauve M. Pilot Study on Alteration of LA-MRSA Status of Pigs during Fattening Period on Straw Bedding by Two Types of Cleaning. Antibiotics. 2021; 10(5):521. https://doi.org/10.3390/antibiotics10050521
Chicago/Turabian StyleSchollenbruch, Hannah, Iris Kobusch, Iris Schröter, Alexander Mellmann, Robin Köck, and Marc Boelhauve. 2021. "Pilot Study on Alteration of LA-MRSA Status of Pigs during Fattening Period on Straw Bedding by Two Types of Cleaning" Antibiotics 10, no. 5: 521. https://doi.org/10.3390/antibiotics10050521
APA StyleSchollenbruch, H., Kobusch, I., Schröter, I., Mellmann, A., Köck, R., & Boelhauve, M. (2021). Pilot Study on Alteration of LA-MRSA Status of Pigs during Fattening Period on Straw Bedding by Two Types of Cleaning. Antibiotics, 10(5), 521. https://doi.org/10.3390/antibiotics10050521