ISOLATION PROCEDURES FOR INFECTIOUS DISEASES – SMALL ANIMAL Types of Segregation Full Isolation: Conditions: Rabies – No direct human contact without protective equipment Highly contagious organisms with moderate environmental resistance transmitted by infected body secretions (aerosol or fecal-oral transmission) Housing Patients should be placed in Room 174 D – Isolation ward Contact Isolation (semi-isolation): Conditions Highly contagious diseases acquired from the environment, with limited shedding or susceptibility period AND transmitted by dermal or transcutaneous contact (e.g.; dermatophytosis) – Use gloves and protective clothing when handling animal and body fluids. Disinfect all instruments contacting animals Contagious organisms with moderate environmental resistance transmitted by fecal-oral route; risk of spread enhanced by diarrheic feces (e.g.; campylobacteriosis) – Dispose all feces in sanitary containers. Protective clothing is recommended because most are zoonoses Contagious organisms with moderate environmental resistance transmitted by urine (e.g.; leptospirosis) – Protective clothing when handling urine from animals with zoonoses Housing Patient should be kept in an area away from other animals (e.g., in an isolated or segregated cage or run); relocation should be limited. Adjacent cages or runs should not house systemically-ill animals. Limited Movement: Conditions Diseases acquired from the environment, with limited shedding or susceptibility period AND transmitted by dermal or transcutaneous contact (e.g., sporotrichosis) Low contagious organisms with moderate environmental resistance transmitted by fecal-oral route (e.g.; FIP) – Dispose all feces in sanitary containers. Protective clothing is recommended because most are zoonoses Low contagious organisms with moderate environmental resistance transmitted by saliva or genital secretions (e.g.; FeLV, brucellosis) – Protective clothing when handling genital secretions from animals with zoonoses Housing Relocation or movement between cages and runs should be avoided. Treat patient last in the ward. Standard Precautions (No need for isolation): Conditions Diseases acquired from the environment, with limited shedding or susceptibility period AND vector-transmitted, transmitted by transfusion or with soil reservoirs (e.g., ehrlichiosis, cryptococcosis) Non-zoonotic diseases caused by environmentally nonresistant organisms transmitted by bites or close-contact (e.g. Babesia gibsoni, FIV) – House animals individually Housing No special precautions needed aside from normal animal husbandry and good personal hygiene Precautions Hand washing: After touching blood, body fluids, secretions, excretions, contaminated items; before and immediately after removing gloves; between patients. Personal protective equipment o Gloves: For touching blood, body fluids, secretions, excretions, contaminated items, non-intact skin o Gown: During procedures and patient-care activities when contact of clothing/exposed skin with blood/body fluids, secretions, and excretions is anticipated o Mask, eye protection: During procedures and patient-care activities likely to generate splashes or sprays of blood, body fluids or secretions Soiled patient-care equipment: Handle in a manner that prevents transfer of microorganisms to others and to the environment; wear gloves if visibly contaminated; perform hand hygiene Needles and other sharps: Do not recap, bend, break, or hand-manipulate used needles; if recapping is required, use a one-handed scoop technique only; use safety features when available; place used sharps in puncture-resistant container Disease-Based Precautions Full Isolation Bordetella bronchiseptica Canine adenovirosis 2 (Infectious laryngotracheitis) Canine infectious tracheobronchitis (all agents) Canine influenza (H3N8) Canine parainfluenza Canine coronavirosis (respiratory) Cryptosporidiosis Distemper Feline calicivirosis Feline herpesvirosis Feline panleukopenia Feline rinotracheitis Parvovirosis Rabies Rhodococcus equi Salmonellosis Tuberculosis Tularemia May require Full Isolation Major wound infections Clostridiosis (C. perfringens, C. dificile) Clamydophilosis – Respiratory Dermatophytosis Contact Isolation (Semi-isolation) Campylobacter Clamydophilosis - Respiratory Clostridiosis (C. perfringens, C. dificile) Coronavirosis (gastrointestinal) Dermatophytosis FeLV Giardiasis Leptospirosis Major wound infections MRSA, MRSI, MRSP Multi-drug resistant organisms Shigellosis Trichuriasis Limited Movement Brucellosis Canine adenovirosis 1 (infectious canine hepatitis) Canine herpesvirosis Cheyletiella Dermatophilosis Escherichia coli diarrhea Feline thrichomoniasis FIP L-form infections Leishmaniasis Pediculosis Scabies Sporotrichosis Streptococcal disease - Group G (Streptococcus canis, S. dysgalactiae) Yersinia enterocolitis May require Limited Movement Clamydophilosis - Conjunctivitis Standard Precautions (No isolation needed) Abscess (not draining) Anaplasmosis (Anaplasma platys, A. phagocytophilum) Apergillosis Ascariasis Atypical mycobacterium infection Babesiosis Blastomycosis Botulism Candidiasis Chagas’ disease Clamydophilosis - Conjunctivitis Coccidioidomycosis Cryptococcosis Ehrlichiosis FIV Hemotropic mycoplasma Hepatozoonosis Histoplasmosis Leprosy Listeriosis Neorickettsia helminthoeca Neorickettsia risticii Neosporosis Nocardiosis Prototechosis Pseudorabies Rock mountain spotted fever Tapeworms Tetanus Toxocariasis Toxoplasmosis Agent-Based Precautions Viral diseases Type of Segregation Adenovirus Limited movement (CAV-1) (CAV-2) FULL Isolation Calicivirus FULL Isolation Canine infectious tracheobronchitis FULL Isolation Canine parvovirus FULL Isolation Coronavirus Contact isolation GI Respiratory (dogs) FULL Isolation Distemper FULL Isolation Feline panleukopenia FULL Isolation Feline rinotracheitis FULL Isolation FeLV Contact isolation (other cats) FIP Limited movement FIV Standard precautions Duration Protective Gear Infective Material & Disinfection Comments Herpes virus Cats Dogs Influenza FULL Isolation Limited movement FULL Isolation H3 N8 (Dogs) Parainfluenza FULL Isolation Pseudorabies Standard precautions FULL Isolation Rabies Rickettsial diseases Type of Segregation Anaplasmosis Standard precautions Anaplasma phagocytophilum A. platys Q fever (Coxiella burnetti) Standard precautions Standard precautions Standard precautions Standard precautions FULL Isolation Rocky mountain spotted fever Standard precautions Ehrlichiosis Neorickettsia risticii Neorickettsia helminthoeca Duration Protective Gear Infective Material & Disinfection Comments Bacterial diseases Type of Segregation Abscess See Wound Infections Draining Not draining Unknown etiology Actinomyces Standard precautions Standard precautions Atypical mycobacterial infection Standard precautions Standard precautions Bordetella bronchiseptica FULL Isolation Botulism Standard precautions Limited movement Brucellosis Campylobacter Contact isolation Canine infectious tracheobronchitis FULL Isolation Chlamydophila Consider Limited Movement Conjunctivitis Respiratory Clostridium perfringens, C. difficile Contact to FULL isolation Contact to FULL isolation Duration Protective Gear Infective Material & Disinfection Comments Dermatophilosis Limited movement Escherichia coli Limited movement Diarrhea Hemotropic mycoplasma L-form infections Leprosy Leptospirosis Standard precautions Limited movement Standard precautions Contact isolation Duration of illness Masks: YES Gowns: YES, if soiling of clothes with infective material is likely Gloves: YES. Wash hands BEFORE and AFTER gloving. Infective material: Urine Disinfection: 1-Stroke Environ (1:256 dilution) Survival of the organism in environment is brief unless it remains moist Zoonosis Shoe covers: YES, if soiling with infective material is likely Listeriosis Lyme disease MRSA, MRSP, MRSI Standard precautions Standard precautions Contact isolation Until off antimicrobials and culture-negative Masks: No Gowns: Yes, if soiling of clothes with infective material is likely Gloves: Yes. Wash hands BEFORE and AFTER gloving. Shoe covers: Yes, if soiling with infective material is likely Infective material: Respiratory secretions, pus, urine, feces, depending on location of infection Cover lesions whenever possible Contain visibly soiled dressings in the appropriate leak proof Measures for contact isolation per clinician judgment; consider isolation if excessive exudate is present and containment is not possible In outbreaks, cohorting of infected and colonized patients may be indicated if isolation Multi drug-resistant organism Contact isolation Nocardiosis Rhodococcus equi Standard precautions FULL Isolation Salmonella gastroenteritis FULL Isolation Salmonellosis FULL Isolation Shigellosis Contact isolation Streptococcal disease (Group G), S. dysgalactiae, S. canis Limited movement Tetanus Standard precautions FULL Isolation Tuberculosis Tularemia (Francisella tularensis) FULL Isolation Wound infections Contact or FULL isolation Draining not covered by dressing Dressing does not contain pus Contact or FULL isolation Otherwise Standard precautions container or bag rooms are not available Disinfection: 1-Stroke Environ (1:256 dilution) Potential for zoonotic transmission Yersinia enterocolitis Limited movement Protozoal diseases Type of Segregation Babesiosis Cryptosporidiosis Standard precautions Standard precautions FULL Isolation Giardia Contact isolation Hepatozoonosis Standard precautions Limited movement Chagas' disease Leishmaniasis Neosporosis Toxoplasmosis Trichomoniasis (cats) Protective Gear Infective Material & Disinfection Comments Duration Protective Gear Infective Material & Disinfection Comments Standard precautions Standard precautions Limited movement Fungal Diseases Type of Segregation Aspergillosis Standard precautions Standard precautions Blastomycosis Duration Candidiasis Coccidioidomycosis Cryptococcosis Dermatophytosis Histoplasmosis Prototechosis Sporotrichosis Standard precautions Standard precautions Standard precautions Contact to FULL Isolation Standard precautions Standard precautions Limited movement Parasites Type of Segregation Ascariasis Standard precautions Limited movement Cheyletiella Pediculosis Limited movement Scabies Limited movement Tapeworms Standard precautions Standard precautions Contact isolation Toxocariasis Trichuriasis Duration Protective Gear Infective Material & Disinfection Comments Syndromes Type of Segregation Diarrhea Contact to FULL Isolation Acute diarrhea with a likely infectious cause Acute BLOODY diarrhea with a likely infectious cause Respiratory Diseases Dogs: Acute cough; potential for infectious tracheobronchitis Potential organisms: canine parvovirus, feline panleukopenia virus, FeLV, distemper, coronavirus, Campylobacter, Clostridium, E. coli, Salmonella, Giardia, Cryptosporidium, Trichuris, Ancylostoma, Toxocara FULL Isolation Potential agents: see above FULL Isolation Potential organisms: Bordetella, Mycoplasma, Streptococcus, canine influenza, Duration Protective Gear Infective Material & Disinfection Comments canine adenovirus -2, canine herpesvirus, distemper, parainfluenza Cats: Acute sneezing/cough/ nasal discharge, potential for feline rhinotracheitis and other associated diseases FULL Isolation Potential organisms: Herpesvirus - 1, Calicivirus, Chlamidophila, Bordetella, Mycoplasma Ocular disease FULL Isolation Cats: Conjunctivitis, corneal ulcers Potential organisms: Herpesvirus, Calicivirus, Chlamidophila, Mycoplasma