Habib Ihab, Alshehhi Zainab
Department of Veterinary Medicine, College of Food and Agriculture, United Arab of Emirates University, Al Ain P.O. Box 1555, United Arab Emirates.
School of Veterinary Medicine, The College of Science, Health, Engineering and Education, Murdoch University, Perth 6150, Australia.
Vet Sci. 2021 May 11;8(5):82. doi: 10.3390/vetsci8050082.
This study was conducted to assess zoonotic disease management and infection control practices (ICPs) among veterinarians in the United Arab Emirates (UAE). A questionnaire was developed in SurveyMonkey, an online tool, and was distributed by email during February-May 2020 to 470 veterinarians practicing across the UAE. A total of 110 individuals completed the survey, giving a response rate of 23.4% (110/470). Results indicate that reported hand hygiene, sharps management, barrier or isolation practices, and personal choices for personal protective equipment (PPE) in common practice scenarios varied among practitioners. The majority (>75%) of veterinarians in all practice types reported always washing their hands before eating, drinking, or smoking at work. The survey revealed that 19% and 10% of large and small animal veterinarians indicated they sterilized and reused disposable needles. Veterinarians among all practices indicated high rates (75% to 80%) of recapping needles before disposal. When handling an animal suspected of having a zoonotic disease, most (90%) of small animal veterinarians reported always using practices such as isolating the animal and removing outwear before contact with other animals. However, only half (55%) of the large animal respondents reported always isolating the animal or sterilizing all equipment used on the animal of concern. Fewer than half of the large animal (35%) and mixed practice (44%) veterinarians indicated they would always be limiting human contact with the animal of concern. All of the small animal respondents reported full compliance with PPE while performing surgery and necropsy. Among large animal veterinarians, 44% reported not using respiratory or eye protection when aiding with parturition or handling conception products. Failure to use appropriate PPE when handling blood samples was the second most common noncompliant practice among large animal (39%) veterinarians and mixed practice (41%) respondents. Our study indicates a need for continuous education regarding ICPs in the veterinary community in the UAE. Better awareness of the risk of zoonotic disease exposure and options for managing this risk and liability issues could drive the adoption of infection control practices.
本研究旨在评估阿拉伯联合酋长国(阿联酋)兽医的人畜共患病管理及感染控制措施(ICPs)。通过在线工具SurveyMonkey设计了一份调查问卷,并于2020年2月至5月期间通过电子邮件分发给阿联酋各地执业的470名兽医。共有110人完成了调查,回复率为23.4%(110/470)。结果表明,在常见的执业场景中,兽医报告的手部卫生、锐器管理、屏障或隔离措施以及个人防护装备(PPE)的个人选择在从业者之间存在差异。所有执业类型中,大多数(>75%)兽医报告在工作时吃饭、喝水或吸烟前总是洗手。调查显示,19%的大型动物兽医和10%的小型动物兽医表示他们对一次性针头进行消毒并重复使用。所有执业的兽医中,有很高比例(75%至80%)的人表示在丢弃针头前会回套针帽。在处理疑似患有人畜共患病的动物时,大多数(90%)小型动物兽医报告总是采取隔离动物和在接触其他动物前脱掉外衣等措施。然而,只有一半(55%)的大型动物受访者报告总是隔离动物或对用于相关动物的所有设备进行消毒。不到一半的大型动物(35%)和混合执业(44%)兽医表示他们总是会限制人与相关动物的接触。所有小型动物受访者报告在进行手术和尸检时完全遵守个人防护装备要求。在大型动物兽医中,44%的人报告在协助分娩或处理受孕产物时不使用呼吸或眼部防护。在处理血液样本时未使用适当的个人防护装备是大型动物(39%)兽医和混合执业(41%)受访者中第二常见的违规行为。我们的研究表明,阿联酋兽医界需要持续开展关于感染控制措施的教育。更好地认识人畜共患病暴露风险以及管理这种风险和责任问题的选择,可能会推动感染控制措施的采用。