Prevalence of methicillin-resistant Staphylococcus aureus in dairy farms: A systematic review and meta-analysis

Abstract

Methicillin-resistantStaphylococcus aureus(MRSA) is an opportunistic bacterium that causes many human and animal infections worldwide. MRSA infections are classified as priority infections owing to their high morbidity and mortality, with a significant risk of zoonotic transmission. This study aimed to determine the pooled prevalence of MRSA in dairy cattle farms and its heterogeneity. Relevant studies were retrieved from three databases: PubMed, Web of Science, and Scopus. The pooled prevalence of MRSA in dairy farms was estimated using a random-effects model. Subgroup and meta-regression analyses were used to assess the probable sources of heterogeneity. Sensitivity and publication bias analyses were also performed. A total of 94 articles were eligible for inclusion in this meta-analysis. The pooled prevalence of MRSA was estimated to be 3.81% [95% confidence interval (95% CI) = 2.61–5.20] with significantly high heterogeneity (I2= 96.6%,p= 0.00). For the subgroup analysis among continents, the prevalence was highest in Asia (4.89%; 95% CI = 2.88–7.35) and lowest in South America (1.33%, 95% CI = 0.00–5.49). As for the year of publication, MRSA prevalence was highest in reports published from 2015 to 2018 (4.36%, 95% CI = 2.41–6.80) and lowest in reports published before 2015 (2.65%, 95% CI = 0.75–5.52). As for sample type, the prevalence of MRSA in cattle milk (3.91%, 95% CI = 2.64–5.39) was higher than that in other sample types (1.19%, 95% CI = 0.05–3.24). These three factors were not significantly associated with the pooled prevalence of MRSA (p> 0.05). Therefore, the findings of this study indicate that the prevalence of MRSA has been minimal and consistent in dairy cattle farms over time.