iacwc 2015 - workshop - rick hayman - infection control in the animal shelter

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TRUSTED INFECTION CONTROL

INFECTION CONTROL IN AN ANIMAL SHELTER

Rick HaymanMEDIMARK SCIENTIFIC

TRUSTED INFECTION CONTROL

What is Infection Control?

Infection control addresses factors related to the spread of infections

Animal to animal (different species – Zoonotic)Animal to staff and from staff to animalamong-staff

These processes include preventionIsolation, limiting movementCleaning and disinfectionhand hygiene/hand washing, vaccination, surveillance / monitoring / investigation

TRUSTED INFECTION CONTROL

Animals from a variety of sources endemic disease, carrying / incubating infectious

Shelter may have endemic organismsGiardia, Ringworm, etc.

Animals subject to stress entering the ShelterPotential immune system impairmentIncreased susceptibility to disease

WHERE’s THE RISK?

TRUSTED INFECTION CONTROL

PHYSICAL BARRIERSISOLATION pending CLEAR BILL OF HEALTH

Animal specific equipment, food and water bowls, leads, collars, etc.Separate exercise areas 

OPERATIONAL BARRIERSDo not relocate or allow movement into general populous for (5-7 DAYS) vigilant in identifying disease / regularly assessStaff managing High Risk cases should not handle puppies / kittens 

TREATMENT AND INTERVENTIONNew entrants to be Veterinary examinedCommence Vaccination course asap Treatments for parasitical infections

Holding the Fort!

TRUSTED INFECTION CONTROL

KNOW YOUR ENEMY!Parvovirus, FIP, FIV, etc.

Use of Appropriate disinfectantsRoutine Hygiene ProtocolUse of effective EquipmentPersonnel Cleanliness and Barrier HygieneOutbreak Procedures

DEEP CLEAN PARVORINGWORM / KENNEL COUGH

A Healthy Environment

TRUSTED INFECTION CONTROL

Diseases and routes of transmission: -PARVOVIRUS

Infected faecal matter and vomit(haemorrhagic Diarrhoea)

» Can persist in environment for weeks» Highly resistant to most disinfectants

and household cleaners!!FELINE HERPES / CALICIVIRUS

Cat-to-cat contact; touching noses, smelling rears, using soiled litter pans, sharing water and food bowls and even bedding

FIV, FIP, FeLv, etc.

KNOW THY ENEMY!!!

TRUSTED INFECTION CONTROL

Diseases and routes of transmission (gastro-intestinal): -

SALMONELLA - OROFAECAL (Z)» Gastrointestinal spills, contaminated food,

bedding and collars, etcCAMPYLOBACTER - OROFAECAL (Z)

» Contaminated water / foodGIARDIA - OROFAECAL (Z)

» Infected faecal matter / contaminated water

DISEASE THREATS

Z = zoonotic

TRUSTED INFECTION CONTROL

Diseases and routes of transmission: -RINGWORM - SKIN CONTACT (Z)

BORDETELLA BRONCHISEPTICA

DISEASE THREATS

Z = zoonotic

TRUSTED INFECTION CONTROL

Routes of Transmission

OroFaecal / ingestionFood, Water, Surfaces, Grooming

InhalationSkin ContactEquipment / Device Contact

Food Bowls, Leads, Collars, ToysVeterinary devices

Clothing / Bedding

TRUSTED INFECTION CONTROL

Appropriate Disinfectants

• The following should be paramount when choosing a disinfectant: -– A wide range of microbiological activity with

supporting test evidence (Parvovirus, FIV, FCV, Herpes, etc.)

– Activity in DIRTY CONDITIONS– Compatibility with materials (metal, rubber, plastics,

cloth, etc.)– Safe to Use– Economic - simple dilution ratios– Wide range of applications– Long shelf life in diluted format

TRUSTED INFECTION CONTROL

Non-effective Disinfection

TRUSTED INFECTION CONTROL

High Level DisinfectionHigh level Disinfectant - Effect of disinfectant on Microbial count

Log Coun

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__ __ __ __ __ Threshold

1 2 3 4 5 6

Day

Pre Disinfection count Post Disinfection count

TRUSTED INFECTION CONTROL

HOW, WHEN, WHERE, WHAT to clean??Animal Change overSpot Cleaning?Food / Water Bowls, Bedding, etc.Veterinary EnvironmentHIGH RISK / INTERMEDIATE RISK?

Puppy / Kitten Block – Intake – IsolationGeneral Population / Re-homing

OUTBREAKS?

Hygiene Protocols

TRUSTED INFECTION CONTROL

High risk of infection or where disease may be present?

PPE aprons, boiler suits, plastic and latex glovesovershoes

All staff should regularly disinfect their hands

Installation of Footbaths?NOT RECOMMENDED

Special Precautions

TRUSTED INFECTION CONTROL

Rehoming Blocks - BLUENew Intake Blocks -YELLOWBooked and Long Term Block - BLUEPuppy / Kitten Block - GREENVeterinary - RED

COLOUR CODING

TRUSTED INFECTION CONTROL

Maintaining Cleaning Equipment

Poorly maintained equipment and premises can become an infection control hot spot, if cleaning and disinfection is compromised

TRUSTED INFECTION CONTROL

Maintaining Cleaning Equipment

USE OF WRONG COLOURS CAN ALSO TRANSFER INFECTED ORGANIC MATERIAL

IN THIS EXAMPLEREHOMING TO INTAKE BLOCK?INTAKE BLOCK TO REHOMING?

TRUSTED INFECTION CONTROL

Barrier Hygiene

TRUSTED INFECTION CONTROL

TRUSTED INFECTION CONTROL

Any Questions?

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