Infection prevention and control practices of ambulatory veterinarians: A questionnaire study in Finland.
Abstract: Veterinarians face the risk of contracting zoonotic pathogens. Infection prevention and control (IPC) guidelines stress the importance of proper hand hygiene and personal protective equipment (PPE) to prevent transmission of these pathogens. We aimed to assess how ambulatory livestock and equine veterinarians follow IPC guidelines, when working on farms and in stables. We studied hygiene practices of livestock and equine ambulatory veterinarians (n = 129) in Finland. A web-based questionnaire was used to obtain demographic information and information regarding hand-hygiene facilities and practices, use and cleaning of PPE and cleaning of medical equipment. According to 66.9% of the respondents, hand-washing facilities were often adequate on livestock farms, but only 21.4% reported that this was the case in stables (p < .001). While 75.0% reported washing their hands or using hand sanitizer always before moving on to the next farm, only 42.5% reported doing this before moving on to the next stables (p < .001). Universal protective coat or coverall use was more common in livestock practice than in equine practice (91.6% vs. 27.7%, p < .001). Stethoscope cleaning was reported to happen less frequently than once a week by 30.0% of the respondents. Finnish veterinarians' self-reported IPC adherence was far from uniform. IPC was more commonly followed in ambulatory livestock practice perhaps facilitated by better hand-washing facilities on farms than in stables. The study suggests that education of veterinarians is still needed and that hand-washing facilities need to be improved even in a high-income country.
© 2021 The Authors. Veterinary Medicine and Science Published by John Wiley & Sons Ltd.
Publication Date: 2021-03-01 PubMed ID: 33645926PubMed Central: PMC8294370DOI: 10.1002/vms3.464Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research study investigated how effectively ambulatory veterinarians in Finland adhere to infection prevention and control (IPC) guidelines, specifically looking at aspects such as hand hygiene and the use of personal protective equipment.
Objective and Methodology of the Research
- The study aimed to analyze the infection prevention and control practices of ambulatory livestock and equine veterinarians while they work on farms and in stables in Finland.
- The researchers used a web-based questionnaire to gather demographic details and specific details about hygiene practices, use of personal protective equipment (PPE), cleanliness of PPE, and sanitation of medical equipment.
- The focus was primarily on hand hygiene facilities and practices, and the study involved 129 veterinarians.
Key Findings of the Research
- The results revealed that 66.9% of respondents claimed that hand-washing facilities were often sufficient on livestock farms. In contrast, only 21.4% felt the same about stables, revealing a significant disparity in hygiene facilities.
- While 75.0% of veterinarians reported always washing their hands or using hand sanitizer before moving to the next farm, only 42.5% followed this practice before moving to the next stables.
- The use of universal protective coats or coveralls was more prevalent in livestock practice (91.6%) than in equine practice (27.7%).
- Moreover, 30.0% of veterinarians claimed to clean their stethoscopes less frequently than once a week, indicating potential risks of cross-contamination.
Conclusions and Recommendations
- The research found that adherence to IPC among Finnish ambulatory veterinarians varied, with better compliance observed in livestock practice.
- This disparity might be related to the better hand-washing facilities available on farms than in stables.
- The findings suggest that even in a high-income country such as Finland, there is a clear need for additional education on hygiene and IPC practices for veterinarians.
- The study also stresses the requirement for noticeable improvement in hand-washing facilities, particularly in stables.
Cite This Article
APA
Verkola M, Järvelä T, Järvinen A, Jokelainen P, Virtala AM, Kinnunen PM, Heikinheimo A.
(2021).
Infection prevention and control practices of ambulatory veterinarians: A questionnaire study in Finland.
Vet Med Sci, 7(4), 1059-1070.
https://doi.org/10.1002/vms3.464 Publication
Researcher Affiliations
- Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.
- Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.
- Department of Infectious Diseases, Inflammation Center, Helsinki University Central Hospital and University of Helsinki, HUS, Finland.
- Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.
- Laboratory of Parasitology, Department of Bacteria, Infectious Disease Preparedness, Statens Serum Institut, Copenhagen S, Denmark.
- Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.
- Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.
- Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland.
- Finnish Food Authority, Seinäjoki, Finland.
MeSH Terms
- Animals
- Finland
- Hand Hygiene / statistics & numerical data
- Horses
- Infection Control / statistics & numerical data
- Livestock
- Personal Protective Equipment / statistics & numerical data
- Surveys and Questionnaires
- Veterinarians / statistics & numerical data
Conflict of Interest Statement
PMK is affiliated to MSD Animal Health. This study was completed before joining the company, and MSD Animal Health has not had any influence on the content of this article.
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Citations
This article has been cited 5 times.- Kinnunen PM, Matomäki A, Verkola M, Heikinheimo A, Vapalahti O, Kallio-Kokko H, Virtala AM, Jokelainen P. Veterinarians as a Risk Group for Zoonoses: Exposure, Knowledge and Protective Practices in Finland. Saf Health Work 2022 Mar;13(1):78-85.
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