Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.
Zoonoses Public Health. 2010 Sep;57(6):429-38. doi: 10.1111/j.1863-2378.2009.01244.x.
This study evaluated specific infection control practices in community veterinary practices in southern Ontario. Environmental disinfection, management of infectious patients and antimicrobial use in clean surgical procedures were investigated. Community companion animal veterinary practices (n=101) in Southern Ontario were recruited, and a questionnaire was administered to one veterinarian and one veterinary technician from each practice. The veterinarian questionnaire gathered data on clinic demographics, management of infectious patients, infectious diseases of concern, environmental disinfection and antimicrobial use in surgical procedures. The veterinary technician questionnaire gathered data on environmental disinfection. None of the veterinary practices had a formal infection control programme. Sixty-five per cent (n=66) of the veterinary practices did not have an isolation area and 61% (n=40) of these practices did not employ any specific infection control measures for infectious cases. The products most frequently used for environmental disinfection were hydrogen peroxide based or quaternary ammonium compounds. Bleach was the agent most commonly used for environmental disinfection of infectious body fluids; however 60% of the veterinarians and 40% of the veterinary technicians did not identify a product for environmental disinfection of infectious body fluids. Twenty-four per cent of the veterinarians reported using antimicrobials in animals undergoing elective sterilization surgeries and 60% reported using antimicrobials in other clean surgical procedures. There is a need for community veterinary practices to develop infection control programmes specific to their individual practice. In addition, veterinarians should discontinue the common use of antimicrobials for clean elective sterilization surgical procedures.
本研究评估了安大略省南部社区兽医实践中的特定感染控制实践。调查了环境消毒、传染性患者管理以及清洁手术中抗菌药物的使用情况。在安大略省南部招募了社区伴侣动物兽医实践(n=101),并向每个实践的一名兽医和一名兽医技术员发放了问卷。兽医问卷收集了有关诊所人口统计学、传染性患者管理、关注的传染病、手术中环境消毒和抗菌药物使用的数据。兽医技术员问卷收集了环境消毒数据。没有一家兽医诊所制定了正式的感染控制计划。65%(n=66)的兽医诊所没有隔离区,其中 61%(n=40)的诊所没有针对传染性病例采取任何特定的感染控制措施。最常用于环境消毒的产品是基于过氧化氢或季铵化合物的产品。含氯消毒剂是用于消毒传染性体液的最常用试剂;然而,60%的兽医和 40%的兽医技术员没有确定用于消毒传染性体液的产品。24%的兽医报告在进行择期绝育手术的动物中使用抗生素,60%的兽医报告在其他清洁手术中使用抗生素。社区兽医实践需要制定针对其个体实践的感染控制计划。此外,兽医应停止在清洁择期绝育手术中常规使用抗生素。