Platero Lucía, Garcia-Sanchez Paula, Sainz Talía, Calvo Cristina, Iglesias Irene, Esperon Fernando, de la Fuente Ricardo, Frauca Esteban, Perez-Martinez Antonio, Mendez-Echevarria Ana
Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain.
Pediatric Emergency Department, La Paz University Hospital, Madrid, Spain.
Front Vet Sci. 2022 Sep 8;9:974665. doi: 10.3389/fvets.2022.974665. eCollection 2022.
Pets have many health, emotional and social benefits for children, but the risk of zoonotic infections cannot be underestimated, especially for immunosuppressed patients. We report the recommendations given by health professionals working with pediatric transplant recipients to their families regarding pet ownership. An online survey addressing zoonosis knowledge and recommendations provided by health care practitioners regarding pets was distributed to clinicians treating pediatric transplant recipients. The European Society of Pediatric Infectious Disease (ESPID) and the European Reference Network ERN-TransplantChild, which works to improve the quality of life of transplanted children, allowed the online distribution of the survey. A total of 151 practitioners from 28 countries participated in the survey. Up to 29% of the respondents had treated at least one case of zoonosis. Overall, 58% of the respondents considered that the current available evidence regarding zoonotic risk for transplanted children of having a pet is too scarce. In addition, up to 23% of the surveyed professionals recognized to be unaware or outdated. Still, 27% of the respondents would advise against buying a pet. Practitioners already owning a pet less frequently advised patients against pet ownership, whereas non-pet-owners were more keen to advise against pet ownership ( = 0.058). 61% of the participants stated that there were no institutional recommendations regarding pets in their centers/units. However, 43% of them reported therapeutic initiatives that involved animals in their centers. Infectious disease specialists were more likely to identify zoonotic agents among a list of pathogens compared to other specialists ( < 0.05). We have observed a huge heterogeneity among the recommendations that health care providers offer to families in terms of risk related to pet ownership for transplant recipients. The lack of evidence regarding these recommendations results in practitioners' recommendations based on personal experience.
宠物对孩子有诸多健康、情感和社交方面的益处，但人畜共患感染的风险不容小觑，尤其是对免疫功能低下的患者。我们报告了与儿科移植受者合作的健康专业人员向其家庭提供的有关养宠物的建议。一项关于人畜共患病知识以及医疗保健从业者提供的有关宠物的建议的在线调查已分发给治疗儿科移植受者的临床医生。欧洲儿科传染病学会（ESPID）和致力于改善移植儿童生活质量的欧洲参考网络ERN - TransplantChild允许在线分发该调查。来自28个国家的151名从业者参与了此次调查。高达29%的受访者至少治疗过一例人畜共患病病例。总体而言，58%的受访者认为目前关于移植儿童养宠物的人畜共患病风险的现有证据过于稀少。此外，高达23%的受访专业人员承认自己不了解或信息过时。尽管如此，27%的受访者会建议不要购买宠物。已经养宠物的从业者较少建议患者不要养宠物，而没有养宠物的人则更倾向于建议不要养宠物（P = 0.058）。61%的参与者表示他们所在的中心/科室没有关于宠物的机构建议。然而，其中43%的人报告了他们所在中心涉及动物的治疗举措。与其他专科医生相比，传染病专科医生在一系列病原体中更有可能识别出人畜共患病病原体（P < 0.05）。我们观察到，在医疗保健提供者就移植受者养宠物相关风险向家庭提供的建议方面存在巨大差异。这些建议缺乏证据导致从业者基于个人经验给出建议。
