Lipton Beth A, Hopkins Sharon G, Koehler Jane E, DiGiacomo Ronald F
Environmental Health Services Division, Public Health-Seattle & King County, 401 5th Ave, Ste 1100, Seattle, WA 98104, USA.
J Am Vet Med Assoc. 2008 Oct 15;233(8):1242-9. doi: 10.2460/javma.233.8.1242.
To determine the extent to which practicing veterinarians in King County, Washington, engaged in commonly recommended practices for the prevention of zoonotic diseases.
Cross-sectional survey. Sample Population-Licensed veterinarians practicing clinical medicine in King County, Washington.
A survey was sent between September and November 2006 to 454 licensed veterinarians practicing clinical medicine in King County.
370 valid responses were received. A high proportion (280/362 [77%]) of respondents agreed that it was very important for veterinarians to educate clients on zoonotic disease prevention, but only 43% (158/367) reported that they had initiated discussions about zoonotic diseases with clients on a daily basis, and only 57% (203/356) indicated that they had client educational materials on zoonotic diseases available in their practices. Thirty-one percent (112/360) of respondents indicated that there were no written infection-control guidelines for staff members in the practice, and 28% (105/371) reported having been infected with a zoonotic disease in practice.
Results illustrated that veterinarians recognize their important role in zoonotic disease prevention and suggested that veterinarians would welcome stronger partnerships with public health agencies and other health professionals in this endeavor. Methods to increase veterinarians' involvement in zoonotic disease prevention include discussing zoonotic diseases more frequently with clients, physicians, and public health agencies; encouraging higher risk individuals to discuss zoonotic diseases; having educational materials on zoonotic diseases available for clients; improving infection-control practices; and ensuring that continuing education courses on zoonotic diseases are regularly available.
确定华盛顿州金县的执业兽医在多大程度上采用了预防人畜共患病的常见推荐做法。
横断面调查。样本群体——华盛顿州金县从事临床医学的持牌兽医。
2006年9月至11月间,向华盛顿州金县454名从事临床医学的持牌兽医发送了一份调查问卷。
共收到370份有效回复。很大比例(280/362 [77%])的受访者认为兽医对客户进行人畜共患病预防教育非常重要,但只有43%(158/367)的受访者表示他们每天都与客户展开关于人畜共患病的讨论,只有57%(203/356)的受访者表示他们的诊所备有关于人畜共患病的客户教育材料。31%(112/360)的受访者表示诊所没有针对工作人员的书面感染控制指南,28%(105/371)的受访者报告在执业过程中感染过人畜共患病。
结果表明兽医认识到他们在人畜共患病预防中的重要作用,并表明兽医欢迎在这一工作中与公共卫生机构和其他卫生专业人员建立更紧密的伙伴关系。增加兽医参与人畜共患病预防的方法包括更频繁地与客户、医生和公共卫生机构讨论人畜共患病;鼓励高风险个体讨论人畜共患病;为客户提供关于人畜共患病的教育材料;改善感染控制措施;并确保定期提供关于人畜共患病的继续教育课程。