Schouls, Leo MVeldman, KeesBrouwer, Michael S MDierikx, CindyWitteveen, Sandravan Santen-Verheuvel, MargaHendrickx, Antoni P ALandman, FabianHengeveld, PaulWullings, BartRapallini, MichelWit, Benvan Duijkeren, Engeline2022-11-082022-11-082022-10-283631705310.1038/s43856-022-00200-whttp://hdl.handle.net/10029/626212Although the Netherlands is a country with a low endemic level of methicillin-resistant Staphylococcus aureus (MRSA), a national MRSA surveillance has been in place since 1989. In 2003 livestock emerged as a major reservoir of MRSA and currently livestock-associated MRSA (clonal complex CC398) make up 25% of all surveillance isolates. To assess possible transfer of resistant strains or resistance genes, MRSA obtained from humans and animals were characterized in detail.en© The Author(s) 2022.EpidemiologyInfectious-disease epidemiologyArticle2730-664XCommunications medicine 2022;2:135