Longitudinal Epidemiology of Coagulase-Positive Staphylococcal Species Recovered from Humans, Pets, and Household Environments.

Background: Veterinary staphylococcal species, including the Staphylococcus intermedius group (SIG) and Staphylococcus schleiferi, colonize and infect companion animals (pets) and humans. This study investigated the longitudinal colonization prevalence of veterinary staphylococci among pets, their humans, and household environments to identify factors associated with carriage and to characterize antibiotic susceptibility trends. Methods: Children with community-onset Staphylococcus aureus skin and soft tissue infection (SSTI), their household contacts, and pets were enrolled in the "Staph Hygiene Intervention for Eradication (SHINE)" trial. At five study visits over 9 months, humans, pets, and household surfaces were swabbed for staphylococcal species detection and health information was collected. Results: The 104 households containing pets comprised 459 humans and 178 pets (136 dogs and 42 cats). Veterinary staphylococci were recovered from 110 pets (62%), 39 (9%) humans, and environmental surfaces in 55 (53%) households. SIG was the most commonly recovered veterinary staphylococci. Ninety percent of colonized humans were colonized with the same staphylococcal species as their pet. In multivariable analyses, dogs were more likely to be colonized than cats and a higher burden of environmental surface contamination was associated with pet and human colonization. The prevalence of methicillin-resistant veterinary staphylococci was low, but resistance to multiple other antibiotics was common among these methicillin-resistant isolates. Conclusions: Carriage of the same staphylococcal species and temporal colonization patterns between companion animals and their owners may suggest cross-species sharing, with the environment serving as a reservoir.