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mikejman6  
#1 Posted : 12 March 2015 08:52:39(UTC)
Rank: Forum user
mikejman6

Hello,

I would like to know if anyone knows the real risks and more importantly likeliness of contracting leptospirosis in the workplace and whether controls other than excellent hygiene and barrier nursing would be necessary?

I work in a veterinary practice.

Thanks
RayRapp  
#2 Posted : 12 March 2015 09:26:54(UTC)
Rank: Super forum user
RayRapp

Mike

I looked into this very subject a year or so ago because inter alia every damn induction includes a slide about leptospirosis. Anyway, you have more chances of being struck by lightening than contracting the disease. According to NHS figures I obtained at the time there was something like 42 reported cases in England and Wales, about 15 of these were contracted outside the UK. None of the cases resulted in a fatality.

There are two forms of the disease, the more serious is called Weil's disease. Good hygiene practice is the main control, although some trades will be more at risk than others, such as, those working in or near water and sewers, farming industry, with animals, etc.

Ray
mikejman6  
#3 Posted : 12 March 2015 09:33:28(UTC)
Rank: Forum user
mikejman6

Thanks Ray, that's what I thought. We have a generic risk assessment which covers numerous zoonotic infections, including lepto. Essentially you would have to swallow infected urine/water or clean an open wound with infected fluids to be in with a chance of contracting this. Good hygiene and a pair of rubber gloves should be sufficient then.
leadbelly  
#4 Posted : 12 March 2015 09:42:10(UTC)
Rank: Super forum user
leadbelly

Mike

I am sure I have been told that L hardjo, the species found in cattle, can be contracted through inhaling infected urine mist as can be encountered, for example, in milking parlours.

Whether that is relevant to you depends on the animals your practice deals with, I guess.

LB
mikejman6  
#5 Posted : 12 March 2015 09:46:25(UTC)
Rank: Forum user
mikejman6

Hi LB,

I should have mentioned that 99.9% of our patients are cats & dogs, very rarely we deal with rabbits.

Thanks
Tigers  
#6 Posted : 12 March 2015 09:48:01(UTC)
Rank: Forum user
Tigers

We once had an operative diagnosed as contracting Leptospirosis, as we worked in a Dairy this was not unreasonable.

After many hours, days and weeks of investigation the cause was found to be golf.

Apparently, when he took a putt, to get a grip on the club he licked his fingers. The course he used had been let out to a local sheep farmer for a period over the winter and the connection was made between the sheep faeces, the ball, club and his mouth.
mikejman6  
#7 Posted : 12 March 2015 09:53:59(UTC)
Rank: Forum user
mikejman6

Wow. I think judging by all of this the chances are very slim!
stevedm  
#8 Posted : 12 March 2015 10:24:43(UTC)
Rank: Super forum user
stevedm

https://www.gov.uk/gover.../404107/hpr0515_zoos.pdf

....this link might help you come to an informed decision.

:)
boblewis  
#9 Posted : 12 March 2015 10:45:30(UTC)
Rank: Super forum user
boblewis

Is not lepto vaccination standard for most small animal vaccinations nowadays? - certainly is for my dogs. If so then the chances of such infection in small animal practices must be near negligible. My problem is a dog who is a carrier of MRSI in her nasal cavity, NOT MRSA, and we always have to be aware of hand hygiene with her.
kevkel  
#10 Posted : 12 March 2015 11:18:38(UTC)
Rank: Super forum user
kevkel

Leptospirosis can be deposited in stagnant water by animals and then picked up and transferred by other animals such as dogs. Avoid water gathering in potholes and the like. Obviously as a vet practice you see the animals after possible exposure in this means. Good barrier devices and hygiene the best way forwared I think.
Kevin
bob youel  
#11 Posted : 13 March 2015 07:56:18(UTC)
Rank: Super forum user
bob youel

For info: Leptospirosis can be in bird droppings so potential rises if staff are spending lots of time in that environment - the 2 cases I dealt with that were confirmed by medical specialists involved grounds maintenance staff on both occasions who were taking rest breaks and working in an environment that was full of droppings [up to 6 inches in places] because the work place was not cleaned for at least 20 years as I know it as successive managers did not bother
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