{"doi":"10.3201/eid2703.191775","title":"Transmission of Antimicrobial-Resistant <i>Staphylococcus aureus</i> Clonal Complex 9 between Pigs and Humans, United States","abstract":"Transmission of livestock-associated Staphylococcus aureus clonal complex 9 (LA-SA CC9) between pigs raised on industrial hog operations (IHOs) and humans in the United States is poorly understood. We analyzed whole-genome sequences from 32 international S. aureus CC9 isolates and 49 LA-SA CC9 isolates from IHO pigs and humans who work on or live near IHOs in 10 pig-producing counties in North Carolina, USA. Bioinformatic analysis of sequence data from the 81 isolates demonstrated 3 major LA-SA CC9 clades. North Carolina isolates all fell within a single clade (C3). High-resolution phylogenetic analysis of C3 revealed 2 subclades of intermingled IHO pig and human isolates differing by 0-34 single-nucleotide polymorphisms. Our findings suggest that LA-SA CC9 from pigs and humans share a common source and provide evidence of transmission of antimicrobial-resistant LA-SA CC9 between IHO pigs and humans who work on or live near IHOs in North Carolina.","journal":"Emerging infectious diseases","year":2021,"id":187620,"datarank":0.4335557636844247,"base_score":2.8903717578961645,"endowment":2.8903717578961645,"self_citation_contribution":0.4335557636844247,"citation_network_contribution":0.0,"self_endowment_contribution":0.4335557636844247,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":17,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8843,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":335015,"name":"Jesper Larsen","orcid":"0000-0003-0582-0457","position":1,"is_corresponding":false},{"id":747757,"name":"Hülya Kaya","orcid":null,"position":2,"is_corresponding":false},{"id":237958,"name":"Nora Pisanic","orcid":"0000-0002-0042-9232","position":3,"is_corresponding":false},{"id":747758,"name":"Carly Ordak","orcid":null,"position":4,"is_corresponding":false},{"id":313738,"name":"Lance B. Price","orcid":"0000-0002-8746-5307","position":5,"is_corresponding":false},{"id":660321,"name":"Maliha Aziz","orcid":"0000-0002-8347-5487","position":6,"is_corresponding":false},{"id":249536,"name":"Maya Nadimpalli","orcid":"0000-0002-6526-116X","position":7,"is_corresponding":false},{"id":747244,"name":"Sarah Rhodes","orcid":"0000-0002-7403-708X","position":8,"is_corresponding":false},{"id":238497,"name":"Jill R. Stewart","orcid":"0000-0002-3474-5233","position":9,"is_corresponding":false},{"id":539836,"name":"Dave C. Love","orcid":null,"position":10,"is_corresponding":false},{"id":469637,"name":"David W. Mohr","orcid":"0000-0002-2198-3822","position":11,"is_corresponding":false},{"id":289866,"name":"Meghan F. Davis","orcid":"0000-0002-3475-4578","position":12,"is_corresponding":false},{"id":479130,"name":"Lloyd Miller","orcid":"0000-0002-8332-2210","position":13,"is_corresponding":false},{"id":539839,"name":"Devon Hall","orcid":null,"position":14,"is_corresponding":false},{"id":251886,"name":"Karen C. Carroll","orcid":"0000-0001-8080-5391","position":15,"is_corresponding":false},{"id":529888,"name":"Trish M. Perl","orcid":"0000-0001-9539-2358","position":16,"is_corresponding":false},{"id":237969,"name":"Christopher D. Heaney","orcid":"0000-0003-3211-8495","position":17,"is_corresponding":false},{"id":237959,"name":"Pranay R. Randad","orcid":"0000-0002-7122-9238","position":0,"is_corresponding":true}],"reference_count":33,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T23:48:55.420619Z","pmid":"33622471","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}