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Letters

Animal visitation in acute care medical facilities

Nevio Cimolai
CMAJ November 03, 2015 187 (16) 1236; DOI: https://doi.org/10.1503/cmaj.1150070
Nevio Cimolai
Department of Pathology and Laboratory Medicine, The University of British Columbia, Vancouver, BC
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Stull and colleagues detail approaches for reducing pet-associated zoonotic infections.1 They and others have provided similar commentary in regard to preventing infections when pets or other animals are brought into health care facilities.2,3 Given variations in both pets and health care facilities, the acute care setting warrants the most vigilance.

Although there may be limited data to provide evidence-based recommendations in many contexts, the potential for methicillin-resistant Staphylococcus aureus (MRSA) epidemiology to be complicated by pet visitations is enough to suggest that most proposed animal visits to acute care settings are not advised. Canines can acquire MRSA in hospitals.4 Cross-transmission of MRSA between humans and pets is well known in the home.5–8

Even though there may be some arguments for enhancing quality of life with animal visits for individual patients, and some exceptions can be made (e.g., for service animals), the visitation of animals to acute care facilities is fraught with some risk and creates more activity for infection control teams. Reducing standards and creating frequent exceptions are only likely to lead to further demand for the same.

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References

  1. ↵
    1. Stull JW,
    2. Brophy J,
    3. Weese JS
    . Reducing the risk of pet-associated zoonotic infections. CMAJ 2015;187:736–43.
    OpenUrlFREE Full Text
  2. ↵
    1. Lefebvre SL,
    2. Golab GC,
    3. Christensen E,
    4. et al
    . Guidelines for animal-assisted interventions in health care facilities. Am J Infect Control 2008;36:78–85.
    OpenUrlCrossRefPubMed
  3. ↵
    1. Murthy R,
    2. Bearman G,
    3. Brown S,
    4. et al
    . Animals in healthcare facilities: recommendations to minimize potential risks. Infect Control Hosp Epidemiol 2015;36:495–516.
    OpenUrlCrossRefPubMed
  4. ↵
    1. Lefebvre SL,
    2. Reid-Smith RJ,
    3. Waltner-Toews D,
    4. et al
    . Incidence of acquisition of methicillin-resistant Staphylococcus aureus, Clostridium difficile, and other health-care-associated pathogens by dogs that participate in animal-assisted interventions. J Am Vet Med Assoc 2009;234:1404–17.
    OpenUrlCrossRefPubMed
  5. ↵
    1. Faires MC,
    2. Tater KC,
    3. Weese JC
    . An investigation of methicillin- resistant Staphylococcus aureus colonization in people and pets in the same household with an infected person or infected pet. J Am Vet Med Assoc 2009;235:540–3.
    OpenUrlCrossRefPubMed
    1. Morris DO,
    2. Lautenbach E,
    3. Zaoutis T,
    4. et al
    . Potential for pet animals to harbour methicillin-resistant Staphylococcus aureus when residing with human MRSA patients. Zoonoses Public Health 2012;59:286–93.
    OpenUrlCrossRefPubMed
    1. Ferreira JP,
    2. Anderson KL,
    3. Correa MT,
    4. et al
    . Transmission of MRSA between companion animals and infected human patients presenting to outpatient medical care facilities. PLoS One 2011;6:e26978.
    OpenUrlCrossRefPubMed
  6. ↵
    1. Vincze S,
    2. Stamm I,
    3. Kopp PA,
    4. et al
    . Alarming proportions of methicillin-resistant Staphylococcus aureus (MRSA) in wound samples from companion animals, Germany 2010–2012. PLoS One 2014;9:e85656.
    OpenUrlCrossRefPubMed
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Canadian Medical Association Journal: 187 (16)
CMAJ
Vol. 187, Issue 16
3 Nov 2015
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Animal visitation in acute care medical facilities
Nevio Cimolai
CMAJ Nov 2015, 187 (16) 1236; DOI: 10.1503/cmaj.1150070

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Animal visitation in acute care medical facilities
Nevio Cimolai
CMAJ Nov 2015, 187 (16) 1236; DOI: 10.1503/cmaj.1150070
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