Animals in Healthcare Facilities: Recommendations to Minimize Potential Risks

@article{Murthy2015AnimalsIH,
  title={Animals in Healthcare Facilities: Recommendations to Minimize Potential Risks},
  author={Rekha K. Murthy and Gonzalo Bearman and Sherrill Brown and Kristina K Bryant and Raymond Chinn and Angela Hewlett and B Glenn George and Ellie J. C. Goldstein and Galit Holzmann-Pazgal and Mark E. Rupp and Timothy L. Wiemken and Jeffrey Scott Weese and David J. Weber},
  journal={Infection Control \&\#x0026; Hospital Epidemiology},
  year={2015},
  volume={36},
  pages={495 - 516}
}
Animals may be present in healthcare facilities for multiple reasons. Although specific laws regarding the use of service animals in public facilities were established in the United States in 1990, the widespread presence of animals in hospitals, including service animals to assist in patient therapy and research, has resulted in the increased presence of animals in acute care hospitals and ambulatory medical settings. The role of animals in the transmission of zoonotic pathogens and cross… Expand
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      References

      SHOWING 1-10 OF 117 REFERENCES
      Guidelines for animal-assisted interventions in health care facilities.
      TLDR
      This report provides standard guidelines for animal-assisted interventions in health care facilities, taking into account the available evidence. Expand
      Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC).
      • L. Sehulster, R. Chinn
      • Medicine
      • MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports
      • 2003
      TLDR
      This report reviews previous guidelines and strategies for preventing environment-associated infections in health-care facilities and offers recommendations, including evidence-based recommendations supported by studies and experienced opinions based upon infection-control and engineering practices. Expand
      Compendium of measures to prevent disease associated with animals in public settings, 2011: National Association of State Public Health Veterinarians, Inc.
      TLDR
      The recommendation to wash hands is the most important for reducing the risk for disease transmission associated with animals in public settings, and other important recommendations are that venues prohibit food in animal areas and include transition areas betweenAnimal areas and nonanimal areas, and animals be properly cared for and managed. Expand
      Incidence of acquisition of methicillin-resistant Staphylococcus aureus, Clostridium difficile, and other health-care-associated pathogens by dogs that participate in animal-assisted interventions.
      TLDR
      Among dogs that visited human health-care facilities, those that licked patients or accepted treats during visits were more likely to be positive for MRSA and C difficile than were dogs that did not lick patients or accept treats. Expand
      Rates of Hospital-Associated Respiratory Infections and Associated Pathogens in a Regional Burn Center, 2008–2012
      TLDR
      A retrospective cohort analysis of patients admitted to a large regional BICU to examine rates of hospital-associated respiratory infections and associated pathogens and compared the incidence of respiratory infection and frequency of multidrug-resistant pathogens in the BICu to those of other ICUs in the hospital. Expand
      Prevalence of zoonotic agents in dogs visiting hospitalized people in Ontario: implications for infection control.
      TLDR
      The prevalence of zoonotic agents in a group of 102 visitation dogs from a variety of sources across Ontario and the primary pathogen was Clostridium difficile was determined to be toxigenic. Expand
      Reports of zoonotic disease outbreaks associated with animal exhibits and availability of recommendations for preventing zoonotic disease transmission from animals to people in such settings.
      TLDR
      Only a handful of states have written guidelines for preventing zoonotic disease transmission in animal exhibition venues, and published recommendations currently available focus on preventing enteric diseases and largely do not address other zoonosis diseases or prevention of bite wounds. Expand
      Healthcare-Associated Myiasis: Prevention and Intervention
      TLDR
      Following the guidelines presented in this document, healthcare facilities should be able to reduce the likelihood of healthcare-associated myiasis and effectively intervene when such events occur. Expand
      Viral infections in workers in hospital and research laboratory settings: a comparative review of infection modes and respective biosafety aspects
      TLDR
      Current standard precaution practices are insufficient to prevent most of the unconventional infections in hospitals analyzed in this study; it is recommended that special attention be given to flaviviruses in these settings. Expand
      Exposure to nontraditional pets at home and to animals in public settings: risks to children.
      TLDR
      Pediatricians, veterinarians, and other health care professionals can provide advice on selection of appropriate pets as well as prevention of disease transmission from nontraditional pets and when children contact animals in public settings. Expand
      ...
      1
      2
      3
      4
      5
      ...