Animals in healthcare facilities: recommendations to minimize potential risks

The role of animals in the transmission of zoonotic pathogens and cross-transmission of human pathogens in these settings remains poorly studied. [...]more definitive information is available, priority should be placed on patient and healthcare provider safety, and the use of standard infection prev...

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Veröffentlicht in:Infection control and hospital epidemiology 2015-05, Vol.36 (5), p.495-516
Hauptverfasser: Murthy, Rekha, Bearman, Gonzalo, Brown, Sherrill, Bryant, Kristina, Chinn, Raymond, Hewlett, Angela, George, B Glenn, Goldstein, Ellie J C, Holzmann-Pazgal, Galit, Rupp, Mark E, Wiemken, Timothy, Weese, J Scott, Weber, David J
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container_end_page 516
container_issue 5
container_start_page 495
container_title Infection control and hospital epidemiology
container_volume 36
creator Murthy, Rekha
Bearman, Gonzalo
Brown, Sherrill
Bryant, Kristina
Chinn, Raymond
Hewlett, Angela
George, B Glenn
Goldstein, Ellie J C
Holzmann-Pazgal, Galit
Rupp, Mark E
Wiemken, Timothy
Weese, J Scott
Weber, David J
description The role of animals in the transmission of zoonotic pathogens and cross-transmission of human pathogens in these settings remains poorly studied. [...]more definitive information is available, priority should be placed on patient and healthcare provider safety, and the use of standard infection prevention and control measures to prevent animal-to-human transmission in healthcare settings. A national poll of pet owners revealed that in 2013–2014, 68% of US households included a pet with the number of households owning specific animals as follows: dogs 56.7 million, cats 45.3 million, freshwater fish 14.3 million, birds 6.9 million, small animals 6.9 million, reptiles 5.6 million, horses 2.8 million, and saltwater fish 1.8.1 Patients in healthcare facilities come into contact with animals for 2 main reasons: the use of animals for animal-assisted activities (animal-assisted activities encompass “pet therapy,” “animal-assisted therapy,” and pet volunteer programs) and the use of service animals such as guide dogs for the sight impaired. Infection Direct or indirect contact Flea bites, mites Fungal infection (Malassezia pachydermatis, Microsporum canis, Trichophyton mentagrophytes) Staphylococcus aureus infection Mites (Cheyletiellidae, Sarcoptidae) Fecal-oral Campylobacteriosis (Campylobacter spp.) Paratyphoid (Salmonella spp.) Giardiasis (Giardia duodenalis) Salmonellosis (Salmonella enterica subsp enterica serotypes) Droplet Chlamydophila psittaci Vector-borne Ticks (dogs passively carry ticks to humans; disease not transmitted directly from dog to human) Rocky Mountain spotted fever (Rickettsia ricksettsii) Ehrlichiosis (Ehrlichia spp.) Fleas Dipylidium caninum Bartonella henselaeTABLE 2 Studies of Pathogens and Outbreaks Associated with Animals in Healthcare (AHC) Author, Year, (Ref. [...]human strains of methicillin-resistant Staphylococcus aureus (MRSA) have increasingly been described in cats, dogs, horses, and pigs, with animals potentially acting as sources of MRSA exposure in healthcare facilities.2 MRSA is just one of many potential pathogens; a wide range of pathogens exist, including common healthcare-associated pathogens (eg, Clostridium difficile, multidrug-resistant enterococci), emerging infectious diseases (eg, extended spectrum β-lactamase (ESBL)–producing Enterobacteriaceae), common zoonotic pathogens (eg, Campylobacter, Salmonella, and dermatophytes), rare but devastating zoonotic pathogens (eg, rabies virus), and pathogens associated wit
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[...]more definitive information is available, priority should be placed on patient and healthcare provider safety, and the use of standard infection prevention and control measures to prevent animal-to-human transmission in healthcare settings. A national poll of pet owners revealed that in 2013–2014, 68% of US households included a pet with the number of households owning specific animals as follows: dogs 56.7 million, cats 45.3 million, freshwater fish 14.3 million, birds 6.9 million, small animals 6.9 million, reptiles 5.6 million, horses 2.8 million, and saltwater fish 1.8.1 Patients in healthcare facilities come into contact with animals for 2 main reasons: the use of animals for animal-assisted activities (animal-assisted activities encompass “pet therapy,” “animal-assisted therapy,” and pet volunteer programs) and the use of service animals such as guide dogs for the sight impaired. Infection Direct or indirect contact Flea bites, mites Fungal infection (Malassezia pachydermatis, Microsporum canis, Trichophyton mentagrophytes) Staphylococcus aureus infection Mites (Cheyletiellidae, Sarcoptidae) Fecal-oral Campylobacteriosis (Campylobacter spp.) Paratyphoid (Salmonella spp.) Giardiasis (Giardia duodenalis) Salmonellosis (Salmonella enterica subsp enterica serotypes) Droplet Chlamydophila psittaci Vector-borne Ticks (dogs passively carry ticks to humans; disease not transmitted directly from dog to human) Rocky Mountain spotted fever (Rickettsia ricksettsii) Ehrlichiosis (Ehrlichia spp.) Fleas Dipylidium caninum Bartonella henselaeTABLE 2 Studies of Pathogens and Outbreaks Associated with Animals in Healthcare (AHC) Author, Year, (Ref. [...]human strains of methicillin-resistant Staphylococcus aureus (MRSA) have increasingly been described in cats, dogs, horses, and pigs, with animals potentially acting as sources of MRSA exposure in healthcare facilities.2 MRSA is just one of many potential pathogens; a wide range of pathogens exist, including common healthcare-associated pathogens (eg, Clostridium difficile, multidrug-resistant enterococci), emerging infectious diseases (eg, extended spectrum β-lactamase (ESBL)–producing Enterobacteriaceae), common zoonotic pathogens (eg, Campylobacter, Salmonella, and dermatophytes), rare but devastating zoonotic pathogens (eg, rabies virus), and pathogens associated with bites and scratches (eg, Pasteurella spp., Capnocytophaga canimorsus, and Bartonella spp.).2–7 This white paper represents an effort to analyze the available data and provide rational guidance for the management of animals in acute care and ambulatory medical facilities, including animal-assisted activities, service animals, research animals, and personal pet visitation.</description><identifier>ISSN: 0899-823X</identifier><identifier>EISSN: 1559-6834</identifier><identifier>DOI: 10.1017/ice.2015.15</identifier><identifier>PMID: 25998315</identifier><language>eng</language><publisher>United States: Cambridge University Press</publisher><subject>Americans with Disabilities Act 1990-US ; Animal assisted therapy ; Animal Assisted Therapy - standards ; Animal bites ; Animals ; Campylobacter ; Cats ; Cross Infection - etiology ; Cross Infection - prevention &amp; control ; Disease control ; Disease prevention ; Disease transmission ; Dogs ; Epidemics ; Freshwater fish ; Health care ; Health facilities ; Health Facilities - standards ; Horses ; Hospitals ; Households ; Humans ; Infectious diseases ; Insect bites ; Intensive care ; Laboratory animals ; Nursing ; Organizational Policy ; Pathogens ; Pets ; Public health ; Rabies ; Reptiles ; Saline water ; Salmonella ; Staphylococcus infections ; Tropical diseases ; Zoonoses ; Zoonoses - etiology ; Zoonoses - prevention &amp; control</subject><ispartof>Infection control and hospital epidemiology, 2015-05, Vol.36 (5), p.495-516</ispartof><rights>2015 by The Society for Healthcare Epidemiology of America. 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[...]more definitive information is available, priority should be placed on patient and healthcare provider safety, and the use of standard infection prevention and control measures to prevent animal-to-human transmission in healthcare settings. A national poll of pet owners revealed that in 2013–2014, 68% of US households included a pet with the number of households owning specific animals as follows: dogs 56.7 million, cats 45.3 million, freshwater fish 14.3 million, birds 6.9 million, small animals 6.9 million, reptiles 5.6 million, horses 2.8 million, and saltwater fish 1.8.1 Patients in healthcare facilities come into contact with animals for 2 main reasons: the use of animals for animal-assisted activities (animal-assisted activities encompass “pet therapy,” “animal-assisted therapy,” and pet volunteer programs) and the use of service animals such as guide dogs for the sight impaired. Infection Direct or indirect contact Flea bites, mites Fungal infection (Malassezia pachydermatis, Microsporum canis, Trichophyton mentagrophytes) Staphylococcus aureus infection Mites (Cheyletiellidae, Sarcoptidae) Fecal-oral Campylobacteriosis (Campylobacter spp.) Paratyphoid (Salmonella spp.) Giardiasis (Giardia duodenalis) Salmonellosis (Salmonella enterica subsp enterica serotypes) Droplet Chlamydophila psittaci Vector-borne Ticks (dogs passively carry ticks to humans; disease not transmitted directly from dog to human) Rocky Mountain spotted fever (Rickettsia ricksettsii) Ehrlichiosis (Ehrlichia spp.) Fleas Dipylidium caninum Bartonella henselaeTABLE 2 Studies of Pathogens and Outbreaks Associated with Animals in Healthcare (AHC) Author, Year, (Ref. [...]human strains of methicillin-resistant Staphylococcus aureus (MRSA) have increasingly been described in cats, dogs, horses, and pigs, with animals potentially acting as sources of MRSA exposure in healthcare facilities.2 MRSA is just one of many potential pathogens; a wide range of pathogens exist, including common healthcare-associated pathogens (eg, Clostridium difficile, multidrug-resistant enterococci), emerging infectious diseases (eg, extended spectrum β-lactamase (ESBL)–producing Enterobacteriaceae), common zoonotic pathogens (eg, Campylobacter, Salmonella, and dermatophytes), rare but devastating zoonotic pathogens (eg, rabies virus), and pathogens associated with bites and scratches (eg, Pasteurella spp., Capnocytophaga canimorsus, and Bartonella spp.).2–7 This white paper represents an effort to analyze the available data and provide rational guidance for the management of animals in acute care and ambulatory medical facilities, including animal-assisted activities, service animals, research animals, and personal pet visitation.</description><subject>Americans with Disabilities Act 1990-US</subject><subject>Animal assisted therapy</subject><subject>Animal Assisted Therapy - standards</subject><subject>Animal bites</subject><subject>Animals</subject><subject>Campylobacter</subject><subject>Cats</subject><subject>Cross Infection - etiology</subject><subject>Cross Infection - prevention &amp; 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[...]human strains of methicillin-resistant Staphylococcus aureus (MRSA) have increasingly been described in cats, dogs, horses, and pigs, with animals potentially acting as sources of MRSA exposure in healthcare facilities.2 MRSA is just one of many potential pathogens; a wide range of pathogens exist, including common healthcare-associated pathogens (eg, Clostridium difficile, multidrug-resistant enterococci), emerging infectious diseases (eg, extended spectrum β-lactamase (ESBL)–producing Enterobacteriaceae), common zoonotic pathogens (eg, Campylobacter, Salmonella, and dermatophytes), rare but devastating zoonotic pathogens (eg, rabies virus), and pathogens associated with bites and scratches (eg, Pasteurella spp., Capnocytophaga canimorsus, and Bartonella spp.).2–7 This white paper represents an effort to analyze the available data and provide rational guidance for the management of animals in acute care and ambulatory medical facilities, including animal-assisted activities, service animals, research animals, and personal pet visitation.</abstract><cop>United States</cop><pub>Cambridge University Press</pub><pmid>25998315</pmid><doi>10.1017/ice.2015.15</doi><tpages>22</tpages><oa>free_for_read</oa></addata></record>
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1559-6834
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subjects Americans with Disabilities Act 1990-US
Animal assisted therapy
Animal Assisted Therapy - standards
Animal bites
Animals
Campylobacter
Cats
Cross Infection - etiology
Cross Infection - prevention & control
Disease control
Disease prevention
Disease transmission
Dogs
Epidemics
Freshwater fish
Health care
Health facilities
Health Facilities - standards
Horses
Hospitals
Households
Humans
Infectious diseases
Insect bites
Intensive care
Laboratory animals
Nursing
Organizational Policy
Pathogens
Pets
Public health
Rabies
Reptiles
Saline water
Salmonella
Staphylococcus infections
Tropical diseases
Zoonoses
Zoonoses - etiology
Zoonoses - prevention & control
title Animals in healthcare facilities: recommendations to minimize potential risks
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