Companion Animal Parasitology & Zoonosis Flashcards

1
Q

What causes disease?

A

What causes disease?

  • Other living things (organisms)
  • The surrounding environment
  • Genetic issues
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2
Q

Diseases caused by other organisms?

A

Diseases caused by other organisms?

.	Bacteria
.	Fungi
.	Parasites
. Viruses (but see section on viruses about their being ‘alive’)
.	Protozoa

All the organisms above are extremely small. They are microscopic which means you need (usually) a microscope to see them.

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3
Q

Bacteria?

A

Bacteria?

.Bacteria live as single cells which measure no more than a few thousandths of a millimetre long. The singular of ‘bacteria’ is ‘bacterium’.

.A pinhead would be able hold many hundreds of millions of bacterial cells!

Important points about bacteria:

  • Bacteria can be helpful to other organisms for example, yoghurt bacteria.
  • Others can be extremely harmful to other organisms such as certain E. coli and Staphylococcus species.
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4
Q

Spiral shaped bacteria?

A

Spiral shaped bacteria?

Are found in water. They have a cell shape that allows movement in water & some have a “tail” to propel the cell through water.

A number of spiral bacteria (Leptospiria) are responsible for Weil’s Disease. In the UK, Weil’s disease is carried usually by wild rats. It is spread in their urine. Taking a dog for a walk along canals & some inner-city river banks can result in infection to your dog and, you.

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5
Q

Bacteria cells?

A

Bacteria cells?

Each bacterial cell can reproduce into two cells. Two cells then divide into four cells and so on. Some bacteria can reproduce very quickly and this is why hygiene must be strict when dealing with faeces, vomit and food.

Many bacteria are good and they live in the intestines (the gut bacteria) alongside pathogenic bacteria. A healthy gut contains more good bacteria than bad. A dog’s gut bacteria can be ‘topped up’ with live yoghurt and the currently popular Pre- and Pro-biotic drinks.

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6
Q

The Virus?

A

The Virus?

Many biologists and other scientists are unsure whether to call viruses living things: a virus can only function inside the cell of another organism. It cannot function in any way when out of a living cell. Whatever scientists eventually decide, there can be no doubt that a viral infection is a serious matter. The number of viral diseases is extensive.

The list below shows just a few of the more common ones that affect dogs.

. Kennel Cough
. Distemper
.Canine enteritis -
also caused by a
bacterial infection

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7
Q

What does the virus look like?

A

What does the virus look like?

Sometime in the 1930’s, the electron microscope was invented and the only way to see a virus is to use an electron microscope. Electron microscopes are either scanning ones (SEM) or transmission ones (TEM).

Only universities, research institutes and the like possess these complex and hazardous pieces of equipment as they require highly qualified people to operate them because of their complex construction and, the harmful radiation which is used to “see” the smallest of objects.

One of the first objects found with an electron microscope was a virus and this find changed the world forever in the understanding of how illness and general disease was caused.

The special property of an electron microscope is that it can ‘see’ objects which are hundreds of thousands of times smaller than the head of a pin.

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8
Q

Virus process?

A

Virus process?

The virus becomes active only when inside a living cell. A virus needs the genetic material (DNA) of a living cell to function.

It ‘borrows’ the DNA of its host to replicate that can, depending on the virus, cause severe and sometimes fatal illness for the host.

Because of their nature, antibiotics have no effect whatsoever on a virus.

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9
Q

Parasitic infections?

A

Parasitic infections?

Fungal parasites. It is probably a bit strange to think that mushrooms and a fungal disease called Ringworm are the same type of organism. Mushrooms are a type of fungus. So are toadstools.

Unfortunately, like all the examples of causes of disease there are harmful types of fungi. Such fungi are parasites. A fungus is completely different to any other living thing. A fungal organism secretes digestive substances onto other living surfaces to obtain their nutrition.

Another living surface could be wood. Yet another can be skin and this where the wrongly-named ‘Ringworm’ comes in because this nasty infection of the skin is not a worm (an animal) but a fungus.

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10
Q

Ringworm?

A

Ringworm?

.Ringworm is highly contagious which means it is easily passed on to another living thing. It is a zoonosis.

.When examining an animal for ringworm, always wear protective gloves. Destroy the gloves after using them.

.Wash your hands and lower arms too after handling such animals so that there is less chance of passing the spores from ringworm (their egg-like parts) to you, another person or, non-human animal. This is disease is highly contagious and a zoonosis because it is caused by a fungus and their spores are ejected into the air.

A woods lamp?
The infection fluoresces apple green under the ultraviolet light from the equipment. A wood’s lamp may not always work in identifying ringworm as not all fungal strains fluoresce and other things may fluoresce giving the wrong diagnosis.

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11
Q

Ringworm?

A

Ringworm?

Like all fungal organisms, ringworm reproduces by means of spores (a bit like seeds from plants but microscopic in size). You need a microscope to see them. Spores can cause respiratory problems and in some instances, death.

When a fungal organism is ready to spread its spores, it does so from the centre of the main growth area. Because of this, the spores are expelled into the air in a circular fashion around the central growth area. This pattern accounts for the circular appearance of infection and in this case the common name of the organism.

The spore develops and produces more spores. When the spores are ready to be spread, they are ejected (indicated by the arrows) from the location of the original spore’s growth area.

New growth occurs as a circle around the first area of growth. Ringworm will cause the hair to fall out. The reddened area will be very sore too. Signs are lesions, circular area of alopecia, scaling.

Ringworm can be prevented ONLY by following strict hygiene procedures so that it is not transmitted from one animal to another. This includes the human animal and because of this, ringworm is classed as a zoonosis.

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12
Q

Fungi parasite?

A

Fungi parasite?

There are a number of diseases caused by parasitic fungi. Ringworm is just one example and it is included because it is so easy to pass it on to other animals including humans.

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13
Q

Endoparasites?

A

Endoparasites?

A lot of parasites which make their home on or in an animal are animals themselves. All such parasites extract nutrients from their host, to feed. They also use their host as a home, a place to breed and as a way of moving large distances to get to new hosts.

.Remember, an animal who has been abandoned is more likely to be infested with parasites.
.Wear protective gloves to prevent infection to yourself.
.Throw away the gloves after using them.
.Wash your hands and lower arms too after handling such animals so that there is less chance of passing eggs and other parts of parasites to another living thing.

Remember the WHO 6-step hand-washing technique ref: Principles of infection control for animal nursing assistants.

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14
Q

The Tapeworm?

A

The Tapeworm?

Endoparasite (intestinal). A tapeworm has a tape-like appearance. They have a flattened “body” composed of segments. Each segment can break off from the main body of the parasite and form new tapeworms from eggs the segments contain.

The segments look like grains of rice. They will appear at the anus and in faeces.

The generic name of some tapeworms is Taenia.

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15
Q
A

(b) Segments of tapeworm.
The segments look like grains of rice. They will appear at the anus and in faeces. A match stick is shown for size comparison.
The generic name of some tapeworms is Taenia.

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16
Q

Roundworms?

A

Roundworms?

Are found in other animals are easily passed to humans. Some people can be greatly harmed by certain roundworm species and the host animal suffers too. Pups and kittens suffer poor growth and adult animals suffer discomfort, loss of appetite and in extreme, neglected cases, death.

Example of nematodes are Toxocara cati and Toxocara leonina.

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17
Q

Internal parasite signs?

A

Internal parasite signs?

Examples are:

.Worms and/or eggs around anus and in faeces.

.Polyphagia; a distended abdomen

.Weight loss

.Coughing and vomiting.

.Whole endoparasites can be vomited and this would indicate a severe infestation of the organism.

.Tapeworm “eggs” can be seen around the anus and in faeces and roundworms (complete ones) can be seen in faeces too.

.Some roundworms are a serious threat to humans.

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18
Q

The Flea?

A

The Flea?

.External Parasite (Ectoparasite)
The dog flea is a different species to the cat flea and the rabbit flea is different from either of these species.

Signs of flea infestation in dogs are the presence of small, red-black droppings in the coat. These droppings feel gritty.

19
Q

The mite?

A

The Mite?

Dogs, cats, birds, rabbits, horses, guinea pigs, hamsters and reptiles can suffer from mite infestation.

An Ectoparasite the mite, a tiny creature that uses another animal as a home and habitat and its effects.

Mites belong to the Arachnid Class of the Arthropods, the same as the spiders.

20
Q

Ectoparasites?

A

Ectoparasites?

Fleas, mites, lice, ticks.

There are a number of signs including Itching, pruritus, inflammation, dermatitis, lesions, alopecia, anaemia, dandruff, scale, wax and visible signs of infestation.

Then flea is an example of when a visible sign of infestation is present. You can sometimes see fleas and by combing the fur over white paper then sprinkling a little water over the paper any black gritty particles will turn red. The particles are flea faeces and they turn red because they are full of haemoglobin, the pigment in blood.

21
Q

How disease can be transmitted?

A

How disease can be transmitted?

Given their size viruses and viral particles can be readily transmitted in water vapour (termed an ‘aerosol’) such in sneezes and coughs. Aerosols are inhaled a prime example is Kennel cough. Interesting point: to prevent transmission of air-borne disease and touching of nose, mouth etc., shelters and boarding establishments have sneeze screens especially in feline care.

Because viruses are so small another organism (a vector) can carry them in their bloodstream. Examples of vectors are the mosquito and flea but in fact any blood-sucking organism is able to carry and transmit viruses. This is due to their feeding method which is to puncture a blood vessel to take a meal. In so doing they take up whatever pathogen might be in the blood being consumed and, pass on any pathogen they are carrying – straight into the bloodstream of the host. Blood-sucking vectors can carry and transmit bacterial pathogens too so fleas etc. are not just parasites!

22
Q

Vector?

A

Vector?

Transmits a disease between different hosts these is no direct contact between one infected animal and another. Rather, it is indirect contact and a method of disease transmission that requires regular parasite control methods as a way of preventing the problem in the first place.

The direct contact method is a reason why patients are separated at practice and some may be placed in isolation is the disease is highly contagious. It is also a leading reason for wearing PPE (personal protective equipment) which can be removed and disposed of after handling an infectious case.

23
Q

Transmission?

A

Transmission?

How else can viruses, bacteria and any pathogenic organism be transmitted? Well, there is the inanimate object such as a ball, then there is bedding, furniture and any other object that will provide a surface for body fluids to adhere to. These objects are termed “fomites” and a classic example in practice would be the water and food dishes used for patients. Hence the need for correct washing and disinfecting of dishes and accommodation between patients.

Another transmission route is ingestion or eating of contaminated substances e.g. foods and faeces. Very often eggs (e.g. fly eggs) are laid on food and on faeces, fly and flea eggs are laid. If the flea is carrying a disease-causing bacterium etc., the eggs can carry it too.

24
Q

Infection control?

A

Infection control?

This is where infection control comes in. Infection control is a series of processes and actions aimed at reducing the chance of a disease getting any further than where it is recognised.

The problem is though, many disease-causing agents are microscopic so they cannot be seen and that is where carelessness and ignorance leads to infection.

25
Q

The difference between direct and Indirect contact?

A

The difference between direct and Indirect contact?

Is that with direct contact there is physical contact between the infected animal and potential host whereas with indirect contact there is no physical contact between the infected animal and potential host but there is physical contact from fomites, aerosol and vectors that come into contact with the infected animal and potential host.

Not own words from vet nurse book

26
Q

Infection control actions for veterinary practices?

A

Infection control actions for veterinary practices?

. Clean the whole practice with a good disinfectant every day, including outside areas. This helps prevent the transmission of diseases by killing the pathogens with a disinfectant before they can spread.

. Clean bowls, litter trays, toys, leads and bedding every time they are used or dirty. This helps prevent the transmission of diseases by killing the pathogens with a disinfectant before they can spread.

. Clean kennels, consult room tables, surgery tables every time a patient has left. This helps prevent the transmission of diseases by killing the pathogens with a disinfectant before they can spread.

. Clean clippers, nail cutters, scissors, muzzles, thermometers, stethoscopes after every use. This helps prevent the transmission of diseases by killing the pathogens with a disinfectant before they can spread.

. Sterilise surgical equipment after every use. This helps the prevent the transmission of diseases by killing the pathogens with a disinfectant before they can spread.

. Wash PPE after every use unless disposable then throw away. This helps prevent the transmission of diseases by killing pathogens in a high temperature wash before they can spread or throwing it away.

. Wash hands regularly, after touching a patient and wear disposable gloves when handling faeces, urine ect. This helps prevent the transmission of diseases by washing hands with soap to kill the pathogens and throwing gloves away before they can spread.

. Clean up faeces, urine or vomit ect as soon as possible. This helps prevent the transmission of diseases by disposing of the bodily fluids before the pathogens can spread and cleaning the area where it was with disinfectant to kill the pathogens to stop them from spreading.

. Keep infectious animals in an isolation area. This helps prevent the transmission of diseases by keeping the infected patients separate from the healthy patients so they will not spread the disease to others.

. Have separate equipment for patients in isolation and wear appropriate PPE when dealing with them. This helps prevent the transmission of diseases by keeping the equipment used on infected patients separate from healthy patients so the disease will not spread through fomites and to wear protective clothing to prevent the chance of infecting yourself or other patients.

27
Q

How to prevent the transmission of infectious diseases in a vets?

A

How to prevent the transmission of infectious diseases in a vets.

.Have strict hygiene procedures and wear PPE when handling animals with an infectious disease. First protect yourself by wearing the right equipment so disposable gloves, hats, shoe covers, gowns, face masks and after dispose of these and wash yourself and the clothes that were worn underneath in a high temperature. The use of PPE and strict hygiene procedures will also protect people and animals you come into contact with after handle the Infected animal. Have an isolation area for animals with infectious diseases and make sure everyone coming into this area has the correct PPE on and their shoes are put into disinfectant if necessary, before entering and leaving and they wash their hands.

.Have a good disinfectant for different parts of the practice so areas with less or no animal contact like reception, pharmacy only need a low-level disinfectant. When in a practice, you will find out the procedure for different areas because for ease of work one disinfectant is usually used across the whole practice. Areas with animal contact need a medium to high disinfectant and areas like isolation need a high disinfectant to kill infectious diseases. Have different coloured cleaning equipment for each area so staff do not get confused. You can get detergent and disinfectant in one like bacteriocidal and hydrogen peroxide. The contact time is the time you need to leave the disinfectant to work, it is usually between 5 to 10 minutes contact time for disinfectants but will say on the packaging. The dilution is the amount of disinfectant you will put in with the amount of water required for that amount of disinfectant for example 1:100 dilution so 100ml of disinfectant to 900ml of water makes 1 litre of disinfectant, this is important so the disinfectant will work properly.

.Clean the areas the animal has been in thoroughly with a medium to high level disinfectant and wash all bedding in high temperatures. Make sure the disposable equipment the animal has touched are double bagged and put into separate clinical waste bags disposal of contaminated/used PPE to other rubbish and labelled with the disease they have on it. I am not aware that this happens – the bags (yellow usually) are just ‘clinical waste’. Try to keep the least amount of people coming Into contact with the animal as possible and making sure these people know the strict hygiene rules.

.Try to prevent these situations from happening by promoting vaccinations, preventative measure and reminding owners when their pets need their booster vaccinations.

Promote preventative treatments like wormers and flea treatments to avoid vectors.

28
Q

How disease is transmitted?

A

How disease is transmitted?

Indirect contact - Handling faeces, urine and vomit. because pathogens may be on or in these body substances. These substances carry the pathogen hence this is an indirect method. Handling the Animal’s bedding, toys, leads and bowls (fomites). Through an insect or parasite bite (vectors). Animal sneeze or cough aerosols are spread through indirect contact as you don’t have to come into direct contact with someone because the aerosol droplets from someone sneezing or coughing can enter your nose or mouth from the environment that the person or animal has coughed or sneezed in.

Direct contact - animal bites and scratches because pathogens in the first animal’s mouth or on claws can enter the blood of another this way.

29
Q

Handling the Animal?

A

Handling the Animal?

This is one of the easiest ways to transmit a disease because the disease does not have far to travel when you’re in direct contact with the Animal.

An example is ringworm, this is a zoonotic disease because it can pass from animal to animal or human. It is a fungus that lives on the skin and is easily transmitted when there is direct contact with the Animal. This fungus will cause the pet’s hair to fall out and the area to be sore. It can also be spread by indirect contact as It can live up to 24 months in the environment so is contagious to pets and humans.

30
Q

Animal faeces, urine and vomit?

A

Animal faeces, urine and vomit?

Certain diseases can be transmitted through indirect contact by faeces, urine and vomit. When either of these end up on your hands and then your mouth when you touch your face or food and through any broken skin you may have.

An example is the bacteria leptospirosis, it is also a zoonotic disease. It is transmitted by indirect contact when the infected animal urinates (usually rats). The water then becomes contaminated and transmits the disease when another animal or human drinks or swims in the water.

31
Q

Parasite or Insect bites?

A

Parasite or Insect bites?

Diseases can be transmitted through parasites or insects that are a carrier of the disease, these are called vectors. Vectors carry the disease but are not affected infected themselves.

An example are the parasite ticks that carry lyme Lyme’s disease which is also a zoonotic disease. When the tick bites into you, they transmit the disease but do not have the disease themselves. The tick would have become a vector when they were feeding on an animal that had the disease. They will transmit the disease by feeding on the next animal or person.

32
Q

Direct contact?

A

Direct contact?

Is physically touching the Animal or Animals touching each other.

Examples are animals playing, fighting or sleeping together, a cat/dog biting or scratching you or each other, pets licking each other.

33
Q

Indirect contact?

A

Indirect contact?

Is through coming into contact with things the infected animal has produced or touched? for example urine, faeces, bedding, toys, food bowls ect.

Or through the air if an Animal sneezes or coughs near you and through vectors.

34
Q

Difference between direct and indirect contact?

A

Difference between direct and indirect contact?

Although diseases can be spread by direct and indirect contact, they are different because with direct contact there has to be physical contact between both Animal and Animal or Human.

However, with indirect contact there is no physical contact but the disease is still transmitted through things the animal has come into contact with.

These things can be bodily fluids such as urine, faeces, vomit and blood. Vectors such as parasites or mosquitos and fomites such a bowls, collars, bedding, housing ect.

35
Q

Zoonotic diseases?

A

Zoonotic diseases?

Are those that can be transmitted between the human and non-human animal. Many serious and deadly diseases to humans are zoonotic although the animal carrier is not affected by the disease. In veterinary practice, there will at some time be a situation when you are exposed to a zoonotic disease whether it be from a skin parasite such a ringworm or an enteric disease such as Salmonella.

Ignoring for now what can be done beyond the practice in terms of prevention of transmitting zoonotic disease, the most important measure is personal hygiene. This involves correct hand washing (following the WHO 6-step method) that should use a bar of soap rather than a soap dispenser. The latter has a large surface area over which bacterial, viral and other microscopic organisms can survive. None can survive on a bar of soap.

36
Q

Personal hygiene?

A

Personal hygiene?

Is not just about hand washing. It includes having the sense to cover a uniform with a protective apron; cover hands with protective gloves; perhaps wear a mask when pathogens are transmitted via air (in aerosols); wear rubber boots; eye protection.

After hand washing, alcohol gels will assist in stopping pathogens from occupying your hands; having a disinfectant foot bath* to walk through when an animal is admitted with a transmittable disease.

Referring to the latter situation, such a patient would be placed in isolation which is accommodation away from all other patients. An isolation unit will have its own cleaning equipment (often colour-coded and labelled); a floor that can be disinfected effectively; barrier doors and perhaps a *foot bath.

37
Q

Lyme’s disease?

A

Lyme’s disease?

(Lyme borreliosis) -
a Bacterium In the blood of ticks that live on other animals e.g. deer.

Ticks leave their host and stay on tall grasses until another animal brushes against the grass. A vector (the tick)
Spread via the tick bite.

L. borreliosis is transferred from the tick’s blood via saliva and into the next host’s bloodstream. Avoid areas where deer are living; wear long trousers; cover all bare skin; check the body after going into a known Lyme disease area and remove ticks immediately.

38
Q

Toxoplasmosis?

A

Toxoplasmosis?

(Toxoplasma gondii) -
A Parasite In cat faeces and meat.

Indirect contact through ingestion of cat faeces, water contaminated with faeces and through eating undercooked meat.

Make sure cat litter trays are away from eating and drinking areas and are cleaned properly. Also make sure meat is always cooked properly.

39
Q

Campylobacter?

A

Campylobacter?

Campylobacter -
A Bacterium In the digestive systems of poultry and farm animals.

Through direct contact with the animal infected and through indirect contract through eating raw meat and unpasteurised milk.

Keep raw meat separate from other food and when handling make sure all surfaces it has touched are cleaned and so are your hands.

Make sure meat is cooked properly and that you purchase milk you know is pasteurised.

40
Q

Giardiasis ?

A

Giardiasis ?

Giardia -
A Parasite In the intestines and faeces of infection animals.

Through indirect contact when handling faeces and drinking Contaminated water.

Do not handle animal faeces without gloves on and wash your hands after.

Do not drink from rivers, lakes ect that you do not know what’s in the water.

41
Q

Leptospirosis?

A

Leptospirosis?

Leptospira interrogan -
A Bacterium In the kidney’s and urine of infected animals.

In Contaminated lakes, rivers, canals, soil ect. Through direct contact with the infected anima’s flesh or indirect through handling urine, dinking or touching Contaminated water and soil.

Do not handle animal urine without gloves on and wash hands afterwards. Shower after swimming in rivers, lakes ect and do not drink from them. If possible, avoid touching water and soil as this could get into any cuts you may have.

Wash hands after handling pets and if you have a dog keep up to date with their leptospirosis vaccination.

42
Q

Toxocariasis?

A

Toxocariasis?

Ascaris lumbricoides -
A protozoan In the faeces of infected animals. Anything Contaminated with their faeces so, soil, sand ect.

Through indirect contact with handling animal faeces and fomites. Always wear gloves when handling faeces.

Do not drink/ eat anything that may be Contaminated by pets or wildlife and avoid touching soil or wash hands afterwards.

Keep up to date with worming pets.

43
Q

Why infection control is important to Animal health and welfare?

A

Why infection control is important to Animal health and welfare?

Infection control is so important because it helps prevent diseases being transmitted from one animal to another animal or human. By using strict hygiene practices many animals and humans can be saved from diseases. This is done by thoroughly cleaning with a disinfectant like bactericidal, hydrogen peroxide on the area where animals have been and leave it on the surface for 5 to 10 minutes. After a patient has gone home you would clean the kennel or area they have been in with disinfectant and wash thoroughly the bedding and bowls they have used while at the practice. Infection control measures The practice would need to be cleaned with a disinfectant cleaner at least once a day or more depending on what has gone on that day. Consult room tables and scales the patient has been on needs cleaning straight after they have left ready for the next patient.

Staff should wear gloves when handling animals, dirty bedding ect and wash hands afterwards. There should be separate bins for clinical waste and general waste, infection control and different cleaning equipment for different rooms. Staff should always wash their hands after handling animals, using the toilet ect and there should be a separate room for staff eating, cooking and utensils. A good way to help keep staff and patients from transmitting certain diseases is to promote pet vaccinations to clients and remind them when their pets needs their booster vaccinations. Ensure staff are vaccinated against certain zoonotic diseases that are required for their job role like tetanus and tuberculosis.

If there is an animal that needs to be kept in isolation the practice must try to prevent the disease from spreading by using personal protective equipment for the staff like disposable gloves, hats, masks, aprons and shoe covers. These are to be thrown away after use in a clinical waste bag for that animal with the disease written on the bag and should be double bagged. They should make sure anyone entering the room has PPE on, cleans their shoes, hands in disinfectant before entering and leaving the room and for only trained staff to enter the room with the isolated animal in to treat the animal or to clean the area thoroughly.

The difference between isolation and quarantine is that isolation is a separate area in a veterinary practice for only infected or possibly infected animals to keep them away from the healthy animals to avoid infecting them or staff. However, quarantine is used for animals coming from abroad that may be infected with a disease not common or found in this country like rabies to avoid them infecting animals or humans while they test them for diseases.

All the things I have mentioned are important to infection control because they limit the chance of diseases being transmitted to the staff, animals and the public. These practices are important to animal welfare because they stop pain, suffering and possibly death from happened and this keeps an animal healthy and happy when it’s free from disease.