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Isolation

Criteria for immediate admission to the Isolation Unit

  • Any ruminant with projectile diarrhea, signs of systemic illness, and oral ulceration
  • Any ruminant exhibiting signs of an infectious disease that requires isolation housing per the Farm Animal Infectious Disease Chart
  • If the Isolation stalls are full or otherwise unavailable, a patient presenting with diarrhea, can be refused admission if a pathogen is suspected. If a pathogen is not suspected, the patient’s status must be discussed with the hospital epidemiologist or chair of the Infection Control Committee before being placed in a Restricted stall.
  • Restriction status, at no time, should be used to accommodate a lack of availability of an isolation stall.

Criteria for transferring hospitalized patients to the Isolation Unit

  • A positive Salmonella culture is obtained.
  • A positive Clostridium difficile toxin test is obtained.
  • Any nosocomial pathogen is obtained.
  • A clinician should move any patient to isolation when there is a high index of suspicion of Salmonella, or an infectious disease even without the confirmation of diarrhea.
  • A patient diagnosed with a disease on the Farm Animal Infectious Disease Chart

Use of Isolation Unit

  • Once a patient is housed in isolation it may not be transferred to a stall in the main building under any circumstances.
  • The senior clinician is responsible for informing all personnel that may have contact with an animal about the nature of the infectious disease(s) to be encountered.
  • If a zoonotic pathogen is isolated from an animal, or if a zoonotic infection is highly suspected, the number of staff, clinical personnel and students having contact with the patient should be minimized.
  • If the pathogen is zoonotic, a log must be placed on the isolation unit that documents individuals who have had contact with the animal.