g Colonization of livestock with bacteria resistant to antibiotics is considered a risk for the entry of drug-resistant pathogens into the food chain. For this reason, there is a need for novel concepts to address the eradication of drug-resistant commensals on farms. In the present report, we evaluated the decontamination measures taken on a farm contaminated with methicillin-resistant Staphylococcus aureus (MRSA) and Enterobacteriaceae expressing extended-spectrum -lactamases (ESBL-E). The decontamination process preceded the conversion from piglet breeding to gilt production. Microbiological surveillance showed that the decontamination measures eliminated the MRSA and ESBL-E strains that were detected on the farm before the complete removal of pigs, cleaning and disinfection of the stable, and construction of an additional stable meeting high-quality standards. After pig production was restarted, ESBL-E remained undetectable over 12 months, but MRSA was recovered from pigs and the environment within the first 2 days. However, spa (Staphylococcus aureus protein A gene) typing revealed acquisition of an MRSA strain (type t034) that had not been detected before decontamination. Interestingly, we observed that a farmworker who had been colonized with the prior MRSA strain (t2011) acquired the new strain (t034) after 2 months. In summary, this report demonstrates that decontamination protocols similar to those used here can lead to successful elimination of contaminating MRSA and ESBL-E in pigs and the stable environment. Nevertheless, decontamination protocols do not prevent the acquisition of new MRSA strains. N umerous studies have highlighted the emergence of methicillin-resistant Staphylococcus aureus (MRSA) (1-4) and Enterobacteriaceae expressing extended-spectrum -lactamases (ESBL-E) (5-7) in livestock production, particularly in pigs. Hence, there is an ongoing debate whether the use of antibiotics in food animal production represents an important source of continuous spread of MRSA and ESBL-E to humans (8-10). Farmers are confronted with two different consequences of this problem: the potential danger of animal colonization with drug-resistant bacteria for (i) humans living on or in the vicinity of farms (11-13) and for (ii) consumers of animal products (14-18). Indeed, livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) have been found in humans living and working in close contact with pigs and also in hospitals in rural areas (11,(19)(20)(21)(22)(23)(24)(25). In contrast, ESBL-E could possibly be transferred from animals to humans via meat products (16,(26)(27)(28). As a consequence, control points to limit transmission of resistant pathogens "from stable to table" have been demanded (29).Notably, bacteria not only persist on/in the living animal but also on surfaces that are in contact with the animals, such as barn walls and equipment (30, 31). LA-MRSA isolates were detected in dust samples from the investigated breeding farms in Germany as part of the EFSA (European Food Safe...