Office background task handler8/30/2023 ![]() 1330, 1331 The concept for AAT arose from the observation that some patients with pets at home recover from surgical and medical procedures more rapidly than patients without pets. The decision to allow this access to patients’ rooms should be made on a case-by-case basis, with the consultation and consent of the attending physician and nursing staff.Īnimal-Assisted Therapy (AAT) is a goal-directed intervention that incorporates an animal into the treatment process provided by a credentialed therapist. 1349–1351 Alternatively, allowing the animals access to individual rooms provides the same opportunity to non-ambulatory patients and patients for whom privacy or dignity issues are a consideration. A group session with the animals enhances opportunities for ambulatory patients and facility residents to interact with caregivers, family members, and volunteers. These programs allow patients to visit animals in either a common, central location in the facility or in individual patient rooms. the immunocompetency of the patients involved in the encounters.įormal scientific studies to evaluate potential risks of transmission of zoonoses in health-care settings outside of the laboratory are lacking.Īnimal-Assisted Activities (AAA) are those programs that enhance the patients’ quality of life.the relatively limited presence of the animals in health-care facilities and. ![]() However, the low frequency of outbreaks may result from Nonetheless, limited data indicate that outbreaks of infectious disease have occurred as a result of contact with animals in areas housing immunocompetent patients. 1348 In the latter outbreak, whether the dogs were the sole source of the organism and whether other environmental reservoirs contributed to the outbreak are unknown. 1346 In addition, an outbreak of ringworm in a NICU caused by Microsporum canis was associated with a nurse and her cat, 1347 and an outbreak of Rhodococcus (Gordona) bronchialis sternal SSIs after coronary-artery bypass surgery was traced to a colonized nurse whose dogs were culture-positive for the organism. ![]() An outbreak of infections caused by a yeast ( Malassezia pachydermatis) among newborns was traced to transfer of the yeast from the hands of health-care workers with pet dogs at home. 1331, 1332, 1343–1345 Colonization and hand transferral of pathogens acquired from pets in health-care workers’ homes represent potential sources and modes of transmission of zoonotic pathogens in health-care settings. Zoonoses can be transmitted from animals to humans either directly or indirectly via bites, scratches, aerosols, ectoparasites, accidental ingestion, or contact with contaminated soil, food, water, or unpasteurized milk. VRE have been isolated from both farm animals and pets, 1341 and a cat in a geriatric care center was found to be colonized with MRSA. 1327–1340 Animals potentially can serve as reservoirs for antibiotic-resistant microorganisms, which can be introduced to the health-care setting while the animal is present. These animals can serve as sources of zoonotic pathogens that could potentially infect patients and health-care workers (Table 26). Although dogs and cats may be commonly encountered in health-care settings, other animals (e.g., fish, birds, non-human primates, rabbits, rodents, and reptiles) also can be present as research, resident, or service animals. However, their presence in patient-care areas is now more frequent, both in acute-care and long-term care settings, prompting consideration for the potential transmission of zoonotic pathogens from animals to humans in these settings. ![]() Animals in health-care facilities traditionally have been limited to laboratories and research areas. ![]()
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