Pets for pediatric transplant recipients: To have or not to have

Pets have many health, emotional and social benefits for children, but the risk of zoonotic infections cannot be underestimated, especially for immunosuppressed patients. We report the recommendations given by health professionals working with pediatric transplant recipients to their families regard...

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Main Authors: Lucía Platero, Paula Garcia-Sanchez, Talía Sainz, Cristina Calvo, Irene Iglesias, Fernando Esperon, Ricardo de la Fuente, Esteban Frauca, Antonio Perez-Martinez, Ana Mendez-Echevarria
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2022.974665/full
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author Lucía Platero
Paula Garcia-Sanchez
Paula Garcia-Sanchez
Talía Sainz
Talía Sainz
Talía Sainz
Talía Sainz
Talía Sainz
Cristina Calvo
Cristina Calvo
Cristina Calvo
Cristina Calvo
Cristina Calvo
Irene Iglesias
Fernando Esperon
Ricardo de la Fuente
Esteban Frauca
Esteban Frauca
Antonio Perez-Martinez
Antonio Perez-Martinez
Antonio Perez-Martinez
Antonio Perez-Martinez
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Ana Mendez-Echevarria
author_facet Lucía Platero
Paula Garcia-Sanchez
Paula Garcia-Sanchez
Talía Sainz
Talía Sainz
Talía Sainz
Talía Sainz
Talía Sainz
Cristina Calvo
Cristina Calvo
Cristina Calvo
Cristina Calvo
Cristina Calvo
Irene Iglesias
Fernando Esperon
Ricardo de la Fuente
Esteban Frauca
Esteban Frauca
Antonio Perez-Martinez
Antonio Perez-Martinez
Antonio Perez-Martinez
Antonio Perez-Martinez
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Ana Mendez-Echevarria
author_sort Lucía Platero
collection DOAJ
description Pets have many health, emotional and social benefits for children, but the risk of zoonotic infections cannot be underestimated, especially for immunosuppressed patients. We report the recommendations given by health professionals working with pediatric transplant recipients to their families regarding pet ownership. An online survey addressing zoonosis knowledge and recommendations provided by health care practitioners regarding pets was distributed to clinicians treating pediatric transplant recipients. The European Society of Pediatric Infectious Disease (ESPID) and the European Reference Network ERN-TransplantChild, which works to improve the quality of life of transplanted children, allowed the online distribution of the survey. A total of 151 practitioners from 28 countries participated in the survey. Up to 29% of the respondents had treated at least one case of zoonosis. Overall, 58% of the respondents considered that the current available evidence regarding zoonotic risk for transplanted children of having a pet is too scarce. In addition, up to 23% of the surveyed professionals recognized to be unaware or outdated. Still, 27% of the respondents would advise against buying a pet. Practitioners already owning a pet less frequently advised patients against pet ownership, whereas non-pet-owners were more keen to advise against pet ownership (p = 0.058). 61% of the participants stated that there were no institutional recommendations regarding pets in their centers/units. However, 43% of them reported therapeutic initiatives that involved animals in their centers. Infectious disease specialists were more likely to identify zoonotic agents among a list of pathogens compared to other specialists (p < 0.05). We have observed a huge heterogeneity among the recommendations that health care providers offer to families in terms of risk related to pet ownership for transplant recipients. The lack of evidence regarding these recommendations results in practitioners' recommendations based on personal experience.
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spelling doaj.art-fe1119a9ffeb4b7b82efb5f916c28fad2022-12-22T03:12:16ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692022-09-01910.3389/fvets.2022.974665974665Pets for pediatric transplant recipients: To have or not to haveLucía Platero0Paula Garcia-Sanchez1Paula Garcia-Sanchez2Talía Sainz3Talía Sainz4Talía Sainz5Talía Sainz6Talía Sainz7Cristina Calvo8Cristina Calvo9Cristina Calvo10Cristina Calvo11Cristina Calvo12Irene Iglesias13Fernando Esperon14Ricardo de la Fuente15Esteban Frauca16Esteban Frauca17Antonio Perez-Martinez18Antonio Perez-Martinez19Antonio Perez-Martinez20Antonio Perez-Martinez21Ana Mendez-Echevarria22Ana Mendez-Echevarria23Ana Mendez-Echevarria24Ana Mendez-Echevarria25Ana Mendez-Echevarria26Faculty of Medicine, Autonomous University of Madrid, Madrid, SpainPediatric Emergency Department, La Paz University Hospital, Madrid, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainFaculty of Medicine, Autonomous University of Madrid, Madrid, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainCentro de Investigación en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, SpainPediatric Infectious Disease Department, La Paz University Hospital, Madrid, SpainERN Transplant Child, Madrid, SpainFaculty of Medicine, Autonomous University of Madrid, Madrid, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainCentro de Investigación en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, SpainPediatric Infectious Disease Department, La Paz University Hospital, Madrid, SpainERN Transplant Child, Madrid, SpainCenter for Animal Health Research (CISA), Madrid, SpainVeterinary Faculty, European University of Madrid, Madrid, SpainDepartment of Animal Health, Veterinary Faculty, Complutense University, Madrid, SpainERN Transplant Child, Madrid, Spain0Pediatric Hepatology Department, La Paz University Hospital, Madrid, SpainFaculty of Medicine, Autonomous University of Madrid, Madrid, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainERN Transplant Child, Madrid, Spain1Pediatric Hemato-Oncology Department, La Paz University Hospital, Madrid, SpainFaculty of Medicine, Autonomous University of Madrid, Madrid, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainCentro de Investigación en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, SpainPediatric Infectious Disease Department, La Paz University Hospital, Madrid, SpainERN Transplant Child, Madrid, SpainPets have many health, emotional and social benefits for children, but the risk of zoonotic infections cannot be underestimated, especially for immunosuppressed patients. We report the recommendations given by health professionals working with pediatric transplant recipients to their families regarding pet ownership. An online survey addressing zoonosis knowledge and recommendations provided by health care practitioners regarding pets was distributed to clinicians treating pediatric transplant recipients. The European Society of Pediatric Infectious Disease (ESPID) and the European Reference Network ERN-TransplantChild, which works to improve the quality of life of transplanted children, allowed the online distribution of the survey. A total of 151 practitioners from 28 countries participated in the survey. Up to 29% of the respondents had treated at least one case of zoonosis. Overall, 58% of the respondents considered that the current available evidence regarding zoonotic risk for transplanted children of having a pet is too scarce. In addition, up to 23% of the surveyed professionals recognized to be unaware or outdated. Still, 27% of the respondents would advise against buying a pet. Practitioners already owning a pet less frequently advised patients against pet ownership, whereas non-pet-owners were more keen to advise against pet ownership (p = 0.058). 61% of the participants stated that there were no institutional recommendations regarding pets in their centers/units. However, 43% of them reported therapeutic initiatives that involved animals in their centers. Infectious disease specialists were more likely to identify zoonotic agents among a list of pathogens compared to other specialists (p < 0.05). We have observed a huge heterogeneity among the recommendations that health care providers offer to families in terms of risk related to pet ownership for transplant recipients. The lack of evidence regarding these recommendations results in practitioners' recommendations based on personal experience.https://www.frontiersin.org/articles/10.3389/fvets.2022.974665/fullpetstransplantzoonosischildrensurvey
spellingShingle Lucía Platero
Paula Garcia-Sanchez
Paula Garcia-Sanchez
Talía Sainz
Talía Sainz
Talía Sainz
Talía Sainz
Talía Sainz
Cristina Calvo
Cristina Calvo
Cristina Calvo
Cristina Calvo
Cristina Calvo
Irene Iglesias
Fernando Esperon
Ricardo de la Fuente
Esteban Frauca
Esteban Frauca
Antonio Perez-Martinez
Antonio Perez-Martinez
Antonio Perez-Martinez
Antonio Perez-Martinez
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Ana Mendez-Echevarria
Pets for pediatric transplant recipients: To have or not to have
Frontiers in Veterinary Science
pets
transplant
zoonosis
children
survey
title Pets for pediatric transplant recipients: To have or not to have
title_full Pets for pediatric transplant recipients: To have or not to have
title_fullStr Pets for pediatric transplant recipients: To have or not to have
title_full_unstemmed Pets for pediatric transplant recipients: To have or not to have
title_short Pets for pediatric transplant recipients: To have or not to have
title_sort pets for pediatric transplant recipients to have or not to have
topic pets
transplant
zoonosis
children
survey
url https://www.frontiersin.org/articles/10.3389/fvets.2022.974665/full
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