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Environmental Effects
stress
physical, emotional, environmental
effects of stress on host
many pathogens grow well in moist, warm environments
IDEAL:
Temperature- comfortable, decrease stress, minimize extreme changes
Humidity- keep skin, respiratory tract moisturized - if too dry - more susceptible
Nosocomial Infections
often Multidrug Resistant (MDR) Bacteria
Risk Factors:
extremes of age
chronic disease
hospitalization while on steroids
chemotherapy (immunosuppressive)
invasive diagnostic or medical procedures
prolonged hospital stay
lengthy surgical procedures
non-discriminate antibiotic use
Levels of Cleaning
pathogen control, odor control
physical cleaning
sanitation
disinfection
sterilization
Physical Cleaning
first step
removal of gross wastes and organic materials from the environment
organic materials bind chemicals used in more advanced stages of cleaning
Sanitation
killing or removing the number of bacterial contaminants to a safe level
generally uses chemicals
general level that a lot of cleaning gets to
Disinfection
kills most of the contaminants in a given area
kills all pathogens with exception of bacterial spores
chemical- often require a certain amount of contact time to work
thermal- ex.- steam cleaning
Sterilization
killing of all life forms at all levels, including bacterial spores
surgical instruments, injectable materials
chemical (alcohol), thermal (autoclave), gase
Surgical Situation
instruments, drapes, gowns ,etc. sterilized
disposable
“surgical field”- nothing that isn’t sterilized should touch
surgical preparation of incision site
pre-surgical scrub for surgeon
mask
gloves
prevent nosocomial infections
Kennel Situation
multiple animals- may come from one source or many sources
shelter
boarding or grooming kennel
veterinary hospital
breeding kennel
research facility
Fomites
human hands
washing
use of hand sanitizers- alcohol based- denature protein
shoes
foot baths- particularly if known contagious disease
beeding
litterboxes
instruments, clippers, brushes, leashes
Surfaces
Cloth/carpeting
very difficult to clean
Metals
stainless steal or aluminum- prevent rusting
Vinyl flooring
tile squares have cracks and joints at each junction- difficult to clean
Concrete
porous- holds microorganisms
fill cracks
treatment with epoxy flooring surface
Ventilation
humidity control
recycled air vs air exchange
recommend 10 changes/hr
filtration
HEPA - expensive filters
washable filters
UV light- neutralize virus and small organic particles
Waste Management
accessibility for cleaning- ability to reach all sides
Vector Control
control of rodents
control of other animals in environment
control of insects that may carry disease
can be at environmental level or animal level
Insecticides and Parasiticides
as preventative or treatment
common preventatives
heartworm preventative
internal parasite preventative
flea prevention
tick prevention
Disease Screening
geriatric screening of older pets
OFA, PennHip-x-rays for hip dysplasia in parents before they are bred
FeLV/FIV test- before introducing cat to others
brucella testing before breeding