An assessment of risk posed by a Campylobacter-positive puppy living in an Australian residential aged-care facility

Introduction: In April and June 2012, two outbreaks of Campylobacter gastroenteritis were investigated in an Australian aged-care facility (ACF); a Campylobacter-positive puppy was identified as a potential source of infection. Methods: An expert panel was convened to assess transmission risk fr...

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Main Authors: Cameron Moffat, Ranil Appuhamy, Will Andrew, Sandy Wynn, Jan Roberts, Karina Kennedy
Format: Article
Language:English
Published: World Health Organization Regional Office for the Western Pacific 2014-08-01
Series:Western Pacific Surveillance and Response
Subjects:
Online Access:http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/264/399
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author Cameron Moffat
Ranil Appuhamy
Will Andrew
Sandy Wynn
Jan Roberts
Karina Kennedy
author_facet Cameron Moffat
Ranil Appuhamy
Will Andrew
Sandy Wynn
Jan Roberts
Karina Kennedy
author_sort Cameron Moffat
collection DOAJ
description Introduction: In April and June 2012, two outbreaks of Campylobacter gastroenteritis were investigated in an Australian aged-care facility (ACF); a Campylobacter-positive puppy was identified as a potential source of infection. Methods: An expert panel was convened to assess transmission risk from the puppy to elderly residents and to guide further public health action. Criteria considered as part of the panel’s assessment included the puppy’s infectivity, the bacterium’s transmissibility, puppy–resident contact, infection control and cleaning practices and animal management at the facility. A literature review was used to assist the panel, with a final risk being determined using a likelihood and consequence matrix. Results: The panel determined that the setting and low infective dose made transmission likely despite varying degrees of contact between the puppy and cases. While infection control practices were generally appropriate, the facility’s animal policy did not adequately address potential zoonotic risk. Conclusion: In summary, puppies should not be considered as companion animals in ACFs due to high rates of Campylobacter carriage and the underlying susceptibility of the elderly. Infection control and animal policies in ACFs should reflect an awareness of zoonotic disease potential.
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spelling doaj.art-cdd89411b16648e2b5d1105cbe2d62df2022-12-21T23:25:02ZengWorld Health Organization Regional Office for the Western PacificWestern Pacific Surveillance and Response2094-73212094-73132014-08-01531610.5365/wpsar.2014.5.2.009An assessment of risk posed by a Campylobacter-positive puppy living in an Australian residential aged-care facilityCameron Moffat0Ranil Appuhamy1Will Andrew2Sandy Wynn3Jan Roberts4Karina Kennedy5OzFoodNet, Communicable Disease Control Section, Health Protection Service, ACT Government Health Directorate, Canberra, Australia.Office of the Chief Health Officer, ACT Government Health Directorate, Canberra, Australia. Territory and Municipal Services Directorate, Canberra, Australia. Infection Control, Health Protection Service, ACT Government Health Directorate, Canberra, Australia. Infection Control, Community-based Services, ACT Health Directorate, Canberra, Australia.Department of Microbiology and Infectious Diseases, Canberra Hospital and Health Services, Canberra, Australia. Introduction: In April and June 2012, two outbreaks of Campylobacter gastroenteritis were investigated in an Australian aged-care facility (ACF); a Campylobacter-positive puppy was identified as a potential source of infection. Methods: An expert panel was convened to assess transmission risk from the puppy to elderly residents and to guide further public health action. Criteria considered as part of the panel’s assessment included the puppy’s infectivity, the bacterium’s transmissibility, puppy–resident contact, infection control and cleaning practices and animal management at the facility. A literature review was used to assist the panel, with a final risk being determined using a likelihood and consequence matrix. Results: The panel determined that the setting and low infective dose made transmission likely despite varying degrees of contact between the puppy and cases. While infection control practices were generally appropriate, the facility’s animal policy did not adequately address potential zoonotic risk. Conclusion: In summary, puppies should not be considered as companion animals in ACFs due to high rates of Campylobacter carriage and the underlying susceptibility of the elderly. Infection control and animal policies in ACFs should reflect an awareness of zoonotic disease potential.http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/264/399Campylobacterrisk assessmentoutbreakaged-care facilitypuppy
spellingShingle Cameron Moffat
Ranil Appuhamy
Will Andrew
Sandy Wynn
Jan Roberts
Karina Kennedy
An assessment of risk posed by a Campylobacter-positive puppy living in an Australian residential aged-care facility
Western Pacific Surveillance and Response
Campylobacter
risk assessment
outbreak
aged-care facility
puppy
title An assessment of risk posed by a Campylobacter-positive puppy living in an Australian residential aged-care facility
title_full An assessment of risk posed by a Campylobacter-positive puppy living in an Australian residential aged-care facility
title_fullStr An assessment of risk posed by a Campylobacter-positive puppy living in an Australian residential aged-care facility
title_full_unstemmed An assessment of risk posed by a Campylobacter-positive puppy living in an Australian residential aged-care facility
title_short An assessment of risk posed by a Campylobacter-positive puppy living in an Australian residential aged-care facility
title_sort assessment of risk posed by a campylobacter positive puppy living in an australian residential aged care facility
topic Campylobacter
risk assessment
outbreak
aged-care facility
puppy
url http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/264/399
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