Prevalence of zoonotic agents in dogs visiting hospitalized people in Ontario: implications for infection control
Prevalence of zoonotic agents in dogs visiting hospitalized people in Ontario: implications for infection control
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DOI：
10.1016/j.jhin.2005.09.025
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发表时间：
2006-04-01
影响因子：
6.9
通讯作者：
Weese, JS
中科院分区：
文献类型：
--
作者：
Lefebvre, SL;Waltner-Toews, D;Weese, JS
狗探望住院的人越来越普遍，但人们对将狗引入医疗机构的潜在健康风险知之甚少。本横断面研究评价了来自安大略不同来源的102只访视犬中人畜共患病病原体的患病率。在2004年5月至7月期间，主人接受了标准化问卷调查，白色犬接受了标准化体格检查。一份粪便标本，一份被毛标本和一份直肠标本，从每只狗收集耳、鼻、口和咽拭子，并检测18种特定病原体。所有犬均被判定为健康状况良好。从102只犬中分离出80只（80%）动物源性病原体。主要病原体为艰难梭菌，从58例（58%）粪便标本中分离出。其中71%（41/58）的分离株为致病性菌株。从1只（1%）犬中分离出产超广谱β-内酰胺酶大肠埃希菌，产超广谱头孢菌素酶E。从三只（3%）狗中分离出大肠杆菌，从三只（3%）狗中分离出沙门氏菌属的微生物。从29份（29%）口腔拭子中分离出多杀性巴氏杆菌或犬巴氏杆菌，从8份（8%）耳拭子中分离出厚皮马拉色菌。贾第虫抗原存在于7只（7%）犬的粪便中，而犬弓首线虫和犬钩虫分别在2只（2%）犬和1只（1%）犬中检出。耐甲氧西林金黄色葡萄球菌，耐万古霉素肠球菌，弯曲杆菌属，犬小孢子菌、A组链球菌、铜绿假单胞菌和隐孢子虫属。没有被检测到。在评估这些发现对感染控制的全部影响之前，需要进一步的信息。(c)2005年，医院感染协会。由爱思唯尔有限公司出版。保留所有权利。
Visitation of hospitalized people by dogs is becoming commonplace, but little is known about the potential health risks of introducing dogs to healthcare settings. This cross-sectional study evaluated the prevalence of zoonotic agents in a group of 102 visitation dogs from a variety of sources across Ontario. Between May and July 2004, owners were interviewed by a standardized questionnaire white dogs underwent a standardized physical examination. One specimen of faeces, hair-coat brushings and one rectal., aural, nasal, oral and pharyngeal swab were collected from each dog and tested for 18 specific pathogens. All dogs were judged to be in good health. Zoonotic agents were isolated from 80 out of 102 (80%) dogs. The primary pathogen was Clostridium difficile, which was isolated from 58 (58%) faecal specimens. Seventy-one percent (41/58) of these isolates were toxigenic. Extended-spectrum beta-lactamase Escherichia coli was isolated from one (1%) dog, extended-spectrum cephalosporinase E. coli was isolated from three (3%) dogs, and organisms of the genus Salmonella were isolated from three (3%) dogs. Pasteurella multocida or Pasteurella canis was isolated from 29 (29%) oral swabs, and Malassezia pachydermatis was isolated from eight (8%) aural swabs. Giardia antigen was present in the faeces of seven (7%) dogs, while Toxocara canis and Ancylostoma caninum were detected in two (2%) dogs and one (1%) dog, respectively. Methicittin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Campylobacter spp., Microsporum canis, group A streptococci, Pseudomonas aeruginosa and Cryptosporidium spp. were not detected. Further information is needed before the full implications of these findings for infection control can be assessed property. (c) 2005 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.