Risks associated with animal-assisted intervention programs: A literature review.

Risks associated with animal-assisted intervention programs: A literature review.
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DOI:
10.1016/j.ctcp.2020.101145
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发表时间:
2020-05
影响因子:
3
通讯作者:
Davis MF
Davis MF
中科院分区:
医学3区
文献类型:
--
作者:
Dalton KR;Waite KB;Ruble K;Carroll KC;DeLone A;Frankenfield P;Serpell JA;Thorpe RJ Jr;Morris DO;Agnew J;Rubenstein RC;Davis MF

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动物辅助干预(AAI)的好处,利用伴侣动物作为一种连续的治疗方式,是一个成熟的和新兴的研究领域。然而,很少有研究评估这些项目的潜在危害,例如治疗动物在个体和医院环境之间转移医院相关病原体的可能性。在这里,我们回顾了目前的文献对医院为基础的AAI程序,包括人畜共患病病原体传播的可能风险。我们确定了29篇文章,包括对AAI中人畜共患病原体流行的感染控制指南和流行病学研究的综述。我们观察到医院AAI项目之间感染控制实践的实质性异质性。很少有数据证实治疗动物和患者之间的病原体传播。鉴于AAI的已知益处,我们建议未来的研究利用一个健康框架来评估治疗动物,患者和医院环境中的微生物动力学。该框架可以最好地促进安全实践,以确保这些宝贵的AAI计划的可持续性。
The benefits of animal-assisted interventions (AAI), to utilize companion animals as an adjunctive treatment modality, is well-established and a burgeoning research field. However, few studies have evaluated the potential hazards of these programs, such as the potential for therapy animals to transfer hospital-associated pathogens between individuals and the hospital environment. Here we review the current literature on the possible risks of hospital-based AAI programs, including zoonotic pathogen transmission. We identified twenty-nine articles encompassing reviews of infection control guidelines and epidemiological studies on zoonotic pathogen prevalence in AAI. We observed substantial heterogeneity in infection control practices among hospital AAI programs. Few data confirmed pathogen transmission between therapy animals and patients. Given AAI’s known benefits, we recommend that future research utilize a One Health framework to evaluate microbial dynamics among therapy animals, patients, and hospital environments. This framework may best promote safe practices to ensure the sustainability of these valuable AAI programs.
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发表时间: 2006-06-01
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