Humblet Marie-France, Saegerman Claude
Unit Biosafety, Biosecurity and Environmental Licenses, Department for Occupational Protection and Hygiene, University of Liège, Liège, Belgium.
Veterinary Science Epidemiology and Risk Analysis Research Unit (UREAR-ULiège), Fundamental and Applied Research for Animals and Health Center (FARAH), Department of Infectious and Parasitic Diseases, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium.
Front Vet Sci. 2023 Mar 2;10:960051. doi: 10.3389/fvets.2023.960051. eCollection 2023.
The present paper proposes a tool to follow up the compliance of staff and students with biosecurity rules, as enforced in a veterinary faculty, i.e., animal clinics, teaching laboratories, dissection rooms, and educational pig herd and farm.
Starting from a generic list of items gathered into several categories (personal dress and equipment, animal-related items, infrastructures, waste management, management of material/equipment and behavior), a checklist was created for each sector/activity mentioned above, based on the rules and procedures compiled in the Faculty biosecurity standard operating procedures. Checklists were created as Excel™ files. For each sector, several sheets were elaborated, i.e., one per specific activity: for example, the following sheets were created for the equine clinic: class 1-2 hospitalization (class 1 = non-infectious conditions; class 2 = infectious disease with a low or non-existent risk of transmission), class 3 hospitalization (class 3 = infectious disease with a moderate risk of transmission; these patients are suspected of having an infectious disease and being contagious for other patients and/or for humans) and consultation.
Class 4 area, which corresponds to the isolation unit and aims at housing patients suffering from infectious diseases with a significant risk of transmission (including notifiable conditions), was not audited at that period, as it was undergoing renovation works. The audit relied on observations performed by a unique observer to ensure standardization. Observed items were presented as yes/no and multiple-choice questions. A scale from 0 to 3 or 4 (depending on the item) allowed scoring each item, i.e., 0 corresponding to 100% compliance with the procedure and the highest score to the worst situation. A median and average global score was also estimated by category and by activity.
The methodology described in the present paper allows estimating the compliance with biosecurity standard operating procedures in a specific sector and/or for a given activity. The identification of criteria needing improvement is a key point: it helps prioritizing actions to be implemented and awareness raising among people concerned. Regular internal auditing is an essential part of a biosecurity plan, the frequency being conditioned by the risk linked to a specific activity or area (i.e., more frequent audits in risky situations).
本文提出了一种工具,用于跟踪兽医学院(即动物诊所、教学实验室、解剖室以及教育用猪群和猪场)的工作人员和学生对生物安全规则的遵守情况。
从收集到几个类别的通用项目清单出发,根据学院生物安全标准操作程序中汇编的规则和程序,为上述每个部门/活动创建了一份检查表。检查表以Excel™文件形式创建。对于每个部门,精心制作了几张工作表,即每个特定活动一张:例如,为马诊所创建了以下工作表:1-2级住院治疗(1级=非传染性疾病;2级=传播风险低或不存在的传染病)、3级住院治疗(3级=传播风险中等的传染病;这些患者疑似患有传染病且会传染给其他患者和/或人类)以及会诊。
4级区域对应隔离单元,旨在收治具有重大传播风险(包括应通报疾病)的传染病患者,由于当时正在进行翻新工程,该区域未接受审计。审计依赖于一名唯一观察者进行的观察以确保标准化。观察到的项目以是/否和多项选择题形式呈现。一个从0到3或4的量表(取决于项目)用于对每个项目进行评分,即0对应100%符合程序,最高分对应最差情况。还按类别和活动估计了中位数和平均总体得分。
本文所述方法允许估计特定部门和/或给定活动对生物安全标准操作程序的遵守情况。确定需要改进的标准是关键:它有助于确定要实施的行动的优先级以及提高相关人员的认识。定期内部审计是生物安全计划的重要组成部分,审计频率取决于与特定活动或区域相关的风险(即,在高风险情况下审计更频繁)。