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1062  Section 9  Infectious Disease

            these injuries, HAIs such as MDROs (e.g., MRSA,     hospitalization and the use of invasive devices and pro-
  VetBooks.ir  Salmonella) do occur. Educating staff and clients on   cedures  increase  the  risk  of  HAIs.  All  staff  members
                                                              should be educated on the risks and signs associated
            zoonotic disease risks and enforcing hospital infection
            control protocols to reduce these risks will be beneficial
            to the health of people and patients.             with HAIs so that cases can be detected early and man-
                                                              aged appropriately. A multifaceted approach is necessary
                                                              to address HAIs and MDROs in small animal veterinary
                                                              medicine, including prudent antimicrobial use, strength-
              Conclusion                                      ening  surveillance in companion animal species, improv-
                                                              ing infection control practices, instilling an infection
            Hospital‐associated infections are reported in veterinary   control culture amongst veterinary staff, and improving
            medicine and their frequency is likely to increase   healthcare worker and public education regarding
            with  the  rise in intensive care practices. Prolonged   antimicrobials.



              Further Reading

            Benedict KM, Morley PS, van Metre DC. Characteristics   Stolle I, Prenger‐Berninghoff E, Stamm I, et al. Emergence
              of biosecurity and infection control programs at   of OXA‐48 carbapenemase‐producing Escherichia coli
              veterinary teaching hospitals. J Am Vet Med Assoc 2008;   and Klebsiella pneumoniae in dogs. J Antimicrobial
              233: 767–73.                                      Chemother 2013; 68: 2802–8.
            Canadian Committee on Antibiotic Resistance. Infection   Weese JS, Blondeau JM, Boothe D, et al. Antimicrobial use
              Prevention and Control Best Practices for Small Animal   guidelines for treatment of urinary tract disease in dogs
              Veterinary Clinics. www.wormsandgermsblog.com/    and cats: Antimicrobial guidelines working group of the
              files/2008/04/CCAR‐Guidelines‐Final2.pdf (accessed   International Society for Companion Animal Infectious
              June 26, 2019).                                   Diseases. Vet Med Int 2011; 2011: 263768.
            Papich MG. Antibiotic treatment of resistant infections in
              small animals. Vet Clin North Am Small Anim Pract
              2013; 43: 1091–107.
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