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动物辅助干预:对医院、老年护理机构和治疗动物组织的健康与安全政策的全国性调查。

Animal-assisted interventions: A national survey of health and safety policies in hospitals, eldercare facilities, and therapy animal organizations.

作者信息

Linder Deborah E, Siebens Hannah C, Mueller Megan K, Gibbs Debra M, Freeman Lisa M

机构信息

Tufts Institute for Human-Animal Interaction and Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA.

Tufts Institute for Human-Animal Interaction and Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA.

出版信息

Am J Infect Control. 2017 Aug 1;45(8):883-887. doi: 10.1016/j.ajic.2017.04.287. Epub 2017 Jun 30.

DOI:10.1016/j.ajic.2017.04.287
PMID:28673680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5542869/
Abstract

BACKGROUND

Animal-assisted intervention (AAI) programs are increasing in popularity, but it is unknown to what extent therapy animal organizations that provide AAI and the hospitals and eldercare facilities they work with implement effective animal health and safety policies to ensure safety of both animals and humans. Our study objective was to survey hospitals, eldercare facilities, and therapy animal organizations on their AAI policies and procedures.

METHODS

A survey of United States hospitals, eldercare facilities, and therapy animal organizations was administered to assess existing health and safety policies related to AAI programs.

RESULTS

Forty-five eldercare facilities, 45 hospitals, and 27 therapy animal organizations were surveyed. Health and safety policies varied widely and potentially compromised human and animal safety. For example, 70% of therapy animal organizations potentially put patients at risk by allowing therapy animals eating raw meat diets to visit facilities. In general, hospitals had stricter requirements than eldercare facilities.

DISCUSSION

This information suggests that there are gaps between the policies of facilities and therapy animal organizations compared with recent guidelines for animal visitation in hospitals.

CONCLUSIONS

Facilities with AAI programs need to review their policies to address recent AAI guidelines to ensure the safety of animals and humans involved.

摘要

背景

动物辅助干预(AAI)项目越来越受欢迎,但提供AAI的治疗动物组织以及与之合作的医院和老年护理机构在何种程度上实施有效的动物健康和安全政策以确保动物和人类的安全尚不清楚。我们的研究目的是就其AAI政策和程序对医院、老年护理机构和治疗动物组织进行调查。

方法

对美国的医院、老年护理机构和治疗动物组织进行了一项调查,以评估与AAI项目相关的现有健康和安全政策。

结果

共调查了45家老年护理机构、45家医院和27个治疗动物组织。健康和安全政策差异很大,可能会危及人类和动物的安全。例如,70%的治疗动物组织允许食用生肉饮食的治疗动物前往机构,这可能会使患者面临风险。总体而言,医院的要求比老年护理机构更严格。

讨论

这些信息表明,与医院动物探访的最新指南相比,机构和治疗动物组织的政策之间存在差距。

结论

开展AAI项目的机构需要审查其政策,以符合最新的AAI指南,确保所涉及的动物和人类的安全。

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本文引用的文献

1
The Role of Veterinary Education in Safety Policies for Animal-Assisted Therapy and Activities in Hospitals and Nursing Homes.兽医教育在医院和养老院动物辅助治疗及活动安全政策中的作用
J Vet Med Educ. 2017 Summer;44(2):229-233. doi: 10.3138/jvme.0116-021. Epub 2016 Jul 14.
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Animals in healthcare facilities: recommendations to minimize potential risks.医疗机构中的动物:降低潜在风险的建议。
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Current knowledge about the risks and benefits of raw meat-based diets for dogs and cats.目前关于以生肉为主的饮食对犬猫的风险和益处的认知。
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Animal-assisted therapy and agitation and depression in nursing home residents with dementia: a matched case-control trial.动物辅助疗法对养老院痴呆症患者激越和抑郁的影响:一项匹配病例对照试验。
Am J Geriatr Psychiatry. 2013 Nov;21(11):1052-9. doi: 10.1016/j.jagp.2013.03.004. Epub 2013 Jul 3.
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Incidence of acquisition of methicillin-resistant Staphylococcus aureus, Clostridium difficile, and other health-care-associated pathogens by dogs that participate in animal-assisted interventions.参与动物辅助干预的犬类获得耐甲氧西林金黄色葡萄球菌、艰难梭菌及其他医疗保健相关病原体的发生率。
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Evaluation of the risks of shedding Salmonellae and other potential pathogens by therapy dogs fed raw diets in Ontario and Alberta.安大略省和艾伯塔省生食喂养的治疗犬排出沙门氏菌及其他潜在病原体的风险评估。
Zoonoses Public Health. 2008 Oct;55(8-10):470-80. doi: 10.1111/j.1863-2378.2008.01145.x.
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Guidelines for animal-assisted interventions in health care facilities.医疗机构动物辅助干预指南。
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The risk of salmonellae shedding by dogs fed Salmonella-contaminated commercial raw food diets.喂食受沙门氏菌污染的商业生食饮食的犬只排出沙门氏菌的风险。
Can Vet J. 2007 Jan;48(1):69-75.
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Who let the dogs out? Infection control did: utility of dogs in health care settings and infection control aspects.谁把狗放出来了?是感染控制部门:狗在医疗保健环境中的作用以及感染控制方面。
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Prevalence of zoonotic agents in dogs visiting hospitalized people in Ontario: implications for infection control.安大略省探访住院患者的犬类动物中人畜共患病原体的流行情况:对感染控制的影响。
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