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Systematic Review and Meta-Analysis of the Occurrence of ESKAPE Bacteria Group in Dogs, and the Related Zoonotic Risk in Animal-Assisted Therapy, and in Animal-Assisted Activity in the Health Context

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Departments of Veterinary Medicine and Animal Productions, Federico II University of Naples, 80134 Naples, Italy
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Department of Electrical Engineering and Information Technology, Federico II University of Naples, 80125 Naples, Italy
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(9), 3278; https://doi.org/10.3390/ijerph17093278
Received: 12 April 2020 / Revised: 4 May 2020 / Accepted: 7 May 2020 / Published: 8 May 2020
Animal-assisted interventions are widely implemented in different contexts worldwide. Particularly, animal-assisted therapies and animal-assisted activities are often implemented in hospitals, rehabilitation centers, and other health facilities. These interventions bring several benefits to patients but can also expose them to the risk of infection with potentially zoonotic agents. The dog is the main animal species involved used in these interventions. Therefore, we aimed at collecting data regarding the occurrence of the pathogens ESKAPE (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, Enterobacter spp.) in dogs, in order to draft guidelines concerning the possible monitoring of dogs involved in animal-assisted therapies and animal-assisted activities in healthcare facilities. We performed a literature search using the PRISMA guidelines to examine three databases: PubMed, Web of Science, and Scopus. Out of 2604 records found, 52 papers were identified as eligible for inclusion in the review/meta-analysis. Sixteen papers reported data on E. faecium; 16 on S. aureus; nine on K. pneumoniae; four on A. baumannii; eight on P. aeruginosa; and six on Enterobacter spp. This work will contribute to increased awareness to the potential zoonotic risks posed by the involvement of dogs in animal-assisted therapies, and animal-assisted activities in healthcare facilities. View Full-Text
Keywords: animal assisted interventions; zoonoses; dogs; one health; ESKAPE animal assisted interventions; zoonoses; dogs; one health; ESKAPE
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MDPI and ACS Style

Santaniello, A.; Sansone, M.; Fioretti, A.; Menna, L.F. Systematic Review and Meta-Analysis of the Occurrence of ESKAPE Bacteria Group in Dogs, and the Related Zoonotic Risk in Animal-Assisted Therapy, and in Animal-Assisted Activity in the Health Context. Int. J. Environ. Res. Public Health 2020, 17, 3278. https://doi.org/10.3390/ijerph17093278

AMA Style

Santaniello A, Sansone M, Fioretti A, Menna LF. Systematic Review and Meta-Analysis of the Occurrence of ESKAPE Bacteria Group in Dogs, and the Related Zoonotic Risk in Animal-Assisted Therapy, and in Animal-Assisted Activity in the Health Context. International Journal of Environmental Research and Public Health. 2020; 17(9):3278. https://doi.org/10.3390/ijerph17093278

Chicago/Turabian Style

Santaniello, Antonio, Mario Sansone, Alessandro Fioretti, and Lucia F. Menna. 2020. "Systematic Review and Meta-Analysis of the Occurrence of ESKAPE Bacteria Group in Dogs, and the Related Zoonotic Risk in Animal-Assisted Therapy, and in Animal-Assisted Activity in the Health Context" International Journal of Environmental Research and Public Health 17, no. 9: 3278. https://doi.org/10.3390/ijerph17093278

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