Download Infection Control within an Animal Shelter

INFECTION
CONTROL IN AN
ANIMAL SHELTER
Rick Hayman
TRUSTED INFECTION CONTROL
What is Infection Control?
Infection control is the discipline concerned with preventing the
spread of infectious organisms
It is an essential part of an organisations policies
Infection control addresses factors related to the spread of infections
Animal to animal
Animal to staff and from staff to animal
Surface / device to animal and / or staff
Among staff / devices / surfaces (environment)
These processes include prevention by
Cleaning and disinfection
Barrier Hygiene
(operational, procedural, treatment / intervention)
Vaccination
Surveillance / monitoring / investigation
TRUSTED INFECTION CONTROL
Definitions
STERILISATION
The process of rendering an object or environment free of all living
organisms, by heat (dry or steam), irradiation or chemicals.
DISINFECTION
The process of reducing the number of micro-organisms to a level
which is no longer harmful to health. This is generally achieved by use
of chemical disinfectants.
CLEANING
The removal of contaminants including dust, soil, micro-organisms and
the organic matter that protects them. Cleaning agents usually have a
degreasing property. Always necessary prior to disinfection or
sterilisation.
DECONTAMINATION
The process of rendering an object or environment safe by the removal
of microbial contamination. This process will include methods of
cleaning, disinfection and sterilisation.
TRUSTED INFECTION CONTROL
Pathogen Category
• Cat. 1 An organism that is most unlikely to cause disease
• Cat. 2 An organism that may cause disease and which might be a
hazard (campylobacter, Ringworm, Bordetella, etc )
• Cat. 3 An organism that may cause severe disease and present a
serious hazard. It may present a risk of spread to the community
(Parvovirus, FCV, FIV, etc.)
• Cat.4 An organism as Cat. 3 but where there is no effective
prophylaxis or treatment available
•
(Rabies virus)
TRUSTED INFECTION CONTROL
Where’s the risk?
Animals from a variety of sources
carrying / incubating infectious
Shelter may have endemic organisms
Giardia, Ringworm, etc.
Animals subject to stress entering an
organisation
Potential immune system impairment
Incubated disease
Increased susceptibility to disease
TRUSTED INFECTION CONTROL
Key micro-organisms – Cat 3
Diseases and routes of transmission: CANINE PARVOVIRUS -
OROFAECAL
• Infected faecal matter and vomit
(haemorrhagic Diarrhoea)
• Can persist in environment for weeks
• Highly resistant to most disinfectants and
household cleaners!!
FELINE INFECTIOUS ENTERITIS
OROFAECAL
• caused by infection with feline parvovirus (FPV)
• also known as feline panleukopenia virus
TRUSTED INFECTION CONTROL
Key micro-organisms – Cat 3
Diseases and routes of transmission: 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.
TRUSTED INFECTION CONTROL
Key micro-organisms – Cat 2
Diseases and routes of transmission (gastro-intestinal): SALMONELLA
-
OROFAECAL (Z)
• Gastrointestinal spills, contaminated food,
bedding and collars, etc
CAMPYLOBACTER
-
OROFAECAL (Z)
• Contaminated water / food
GIARDIA
-
OROFAECAL (Z)
• Infected faecal matter / contaminated water
Z = zoonotic
TRUSTED INFECTION CONTROL
Key micro-organisms – Cat 2
Diseases and routes of transmission: RINGWORM
-
SKIN CONTACT (Z)
BORDETELLA BRONCHISEPTICA (Kennel Cough)
TRUSTED INFECTION CONTROL
Routes of Transmission (VECTORS)
Environmental contact (Kennel / Cattery pen)
OroFaecal / Ingestion
Food, Water, Surfaces, Grooming
Inhalation
Skin Contact
Equipment / Device Contact
Beds, Litter Trays, Leads, Collars, Toys
Veterinary devices
Bedding
TRUSTED INFECTION CONTROL
Holding the Fort
PHYSICAL BARRIERS
ISOLATION pending CLEAR BILL OF HEALTH
Animal specific equipment, food and water bowls, leads, collars, etc.
Separate exercise areas
OPERATIONAL BARRIERS
Do not relocate or allow movement into general populous for (X DAYS)
vigilant in identifying disease / regularly assess
Staff managing High Risk cases should not handle puppies / kittens
TREATMENT AND INTERVENTION
New entrants to be Veterinary examined
Commence Vaccination course asap
Treatments for parasitical infections?
TRUSTED INFECTION CONTROL
SOP’s (Standard Operating Procedures)
HOW, WHEN, WHERE, WHAT to clean??
Animal Change over?
Spot Cleaning?
Food / Water Bowls, Bedding, etc.
Veterinary Environment
HIGH RISK / INTERMEDIATE RISK?
Puppy / Kitten Block – Intake – Isolation
General Population / Re-homing
OUTBREAKS???
TRUSTED INFECTION CONTROL
Some useful recommendations
Solid material should be picked up first
DO NOT HOSE OUT PRIOR TO DISINFECTION
All concrete runs should be disinfected daily
Spot cleaning?
ONLY where an animal has been resident for 7 days or more
Food and water bowls
Bedding
Foot baths or Overshoes?
Veterinary tables and worktops
Deep Clean or Maintenance Clean?
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
Isolation to Rehoming
Intake to puppy / kitten??
TRUSTED INFECTION CONTROL
Infection Control is often just being practical
Empty buckets, rinse and leave to air dry
Make a fresh solution of ANIGENE at 1:50 at the end of each block
to keep brush heads disinfected
At end of day remove, rinse and leave to air dry
Regularly wipe Squeegee and soak in disinfectant trough of
ANIGENE diluted at 1:50
At day end rinse, wipe blade and leave to air dry
Replace Mop head and wash in machine
TRUSTED INFECTION CONTROL
What to look for in your chosen product?
The following should be paramount when choosing a
disinfectant: A wide range of microbiological activity with supporting test
evidence
Activity in the presence of organic matter
Compatibility with varied materials (metal, rubber, plastics, etc.)
Non-senstitising, non-fuming and safe to use
Cost economy with simple dilution ratios
Wide range of applications
Long shelf life in diluted format
TRUSTED INFECTION CONTROL
Surface Disinfection Range
TRUSTED INFECTION CONTROL
ANIGENE HLD4V
Replaces Trigene Advance
Available in:
1000 litre, 200 litre, 20 litre
5 litre and 1 litre Self-Dosing
500ml Trigger Sprays
Fragranced or Non-Fragranced
Dill, Apple
Lemon, Lavender
TRUSTED INFECTION CONTROL
PROTOZOA / DEEP CLEAN
Effervescent Chlorine Tablets
DEFRA APPROVED (GO 1 tablet / 1.7 Ltr water)
Bactericidal, Fungicidal,
Virucidal, Sporicidal
Effective against Protozoa
Giardia Lamblia in 10 mins (8mg / Litre)
TRUSTED INFECTION CONTROL
ANIGENE HLD4V
Available in:
Large wipe – 200 wipes
Alcohol Free
Suitable for the cleansing of surfaces,
all objects, wounds and wiping of
endoscopes prior to disinfection
ANIGENE Wipes are:
Bactericidal, Fungicidal, Virucidal
Mycobactericidal, Sporicidal
Non-irritant with a 2yr shelf life
TRUSTED INFECTION CONTROL
AIRGENE FOGGING CANNISTER
An aerosol-based disinfectant
independently tested to be:
Bactericidal
Fungicidal
Virucidal
Unique method of delivery
Additional process in infection
control program for practice’s
Two sizes:
50ml – Up to 40c/m rooms
300ml – up to 150c/m rooms
TRUSTED INFECTION CONTROL
VETGEL
Alcohol Surgical Hand Rub
30 second hygiene prep
1 minute surgical prep
Faster action than soap scrubs
Available in 500ml and 1 litre
cartridge
Waterless
TRUSTED INFECTION CONTROL
CHEMGENE Alcogel
For long lasting skin disinfection
containing 70% Ethanol
extremely effective on previously cleaned
hands
The gel gently dries, inhibiting alcohol
evaporation to maintain a long contact
time for better disinfection results
Easy to use and ideal for "on the move"
applications where soap and water are
not readily available
Available in easy to use 50ml belt
attached bottle
Swift hand disinfection between patients
TRUSTED INFECTION CONTROL
Any questions?
TRUSTED INFECTION CONTROL