5.12 Rabies? Flashcards

1
Q

Animal potentially exposed to rabies bites a person; what do you do?

A

10d of quarantine of animal
OR
euthanasia and testing

irrespective of vaccination status of the animal

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2
Q

Rabies; how is it shed, incubation period of rabies, and time from onset of clinical signs to death

A
  • Virus shed in high levels in saliva of infected animals * Mainly transmitted by bites
  • Incubation period can be prolonged * Typically up to 2-3 months
  • 2 weeks – 6 years reported in humans
  • Time from onset of clinical signs to death short
  • Considered potentially infectious for up to 10 days before onset of clinical signs
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3
Q

rocky mountain spotted fever bacteria and symptoms

A

Rickettsia rickettsii

  • Weakness, petechiation, pale mucous membranes, thrombocytopenia
    -anorexia, lethargy
    -death
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4
Q

Streptobacillus moniliformis what is it? transmission?

A

Rat bite fever
* Commensal of nasopharynx and inner ear in rats
> Up to 100%

  • Transmission by bites and scratches
  • Also can be associated with gerbils, ferrets, dogs found
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5
Q
  • Person potentially exposed to rabies; who do we call
A
  • Public Health
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6
Q
  • Domestic animal potentially exposed to rabies; who do we call
A
  • OMAFRA
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7
Q
  • Wildlife rabies; who do we call
A
  • Ministry of Natural Resources
  • Animal must be dead
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8
Q

What do we do if we know of a person who has been bitten/scratched by an animal?

A

you must contact yout local public health unit immediately

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9
Q

after you are bitten by an animal and contact public health, what do you do if the animal is healthy?

A

-cats, dogs, ferrets: 10 day observation period
-other animals: dependent on species/situation

if animal survives observation period:
>if required, administer rabies vaccine

if animal passes away before observation period is complete
>PHU arranges rabies testing through the OAVT RRP
>PHU receives results and takes proper next steps

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10
Q

after you are bitten by an animal and contact public health, what do you do if the animal is ill and it is inhumane to keep alive?

A

euthanize animal
>PHU arranges rabies testing through the OAVT RRP
>PHU receives results and takes proper next steps

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11
Q

Animal potentially exposed to rabies: Response to potential exposure if fully vaccinated

A

Fully vaccinated
- At least 2 doses, as per label, still within label period

Booster vaccine within 7d
- No confinement period required (45d observation)
No booster within 7d
- 3 month precautionary confinement period (PCP)

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12
Q

Animal potentially exposed to rabies: Response to potential exposure if primarily vaccinated

A

Primarily vaccinated
- First dose, not yet due for booster

Booster vaccine within 7d
- No confinement period required (45d observation)
No booster within 7d
- 3 month PCP

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13
Q

Animal potentially exposed to rabies: Response to potential exposure if vaccinated but not up to date

A

Case by case considering time since last vaccine, total number of vaccines, delay between exposure and re- vaccination, health status
- Generally, vaccinate within 7d and 3 month PCP
- If no booster within 7d, 6 month PCP

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14
Q

Animal potentially exposed to rabies: Response to potential exposure if never vaccinated

A

Vaccine within 7d
- 3 month PCP
No vaccine within 7 d
- 6 month PCP

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15
Q

observation period

A

-minimize animals contacts outside of the household
-dogs are allowed off the property with a responsible age-appropriate handler but must be kept on a leash at all times
-cats must remain indoors at all times

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16
Q

precautionary confinement period

A

-animal must remain on owners property at all times unless medical attention is required
-contact with the animal is limited to one age-appropriate caretaker
-no contact with other people or animals
-dogs can only go outside on a leash and in a fenced area (ie. double barrier)
-when indoors, the animal must be kept in a secluded area with double-door entry thaat allows the caretaker to observe the animal before direct contact, and prevents accidnetal escape

17
Q

What animals have to be vaccinated against rabies in Ontario (and at what age)?

A

-cat, dog, ferret over 3m
-horse, cow, bull, steer, calf, sheep must be immunized (with exceptions)

18
Q

A person has been bitten by a dog. Which of the following is true? (1 mark)
a. It must be reported to the Public Health Agency of Canada if the dog was not vaccinated
against rabies
b. It must be reported to the Public Health Agency of Canada regardless of the
circumstances
c. It must be reported to local Public Health if the veterinarian witnessed the bite
d. It must be reported to local Public Health regardless of the circumstances
e. It must be reported to OMAFRA is the dog was not vaccinated against rabies

A

d. It must be reported to local Public Health regardless of the circumstances

19
Q
  1. When a person is bitten by a dog, which of the approaches is correct? (1 mark)
    a. The dog should be quarantined for 45 days,
    b. If the dog was up-to-date on rabies vaccine and receives a rabies booster vaccine within
    7 days, it does not require a quarantine
    c. The dog should be tested for rabies
    d. The dog should be quarantined for 10 days
A

d. The dog should be quarantined for 10 days

20
Q
  1. Which of the following statements is incorrect? (1 mark)
    a. Canine rabies variant is not present in North America
    b. OMAFRA handles rabies concerns for all domestic animals
    c. Dogs that do not have proof of rabies vaccination will not be allowed into Canada
    d. Rabies vaccination of dogs and cats older 3 months of age or older is legally required in Ontario
A

c. Dogs that do not have proof of rabies vaccination will not be allowed into Canada

21
Q
  1. Which of the following is classified by the World Health Organization as a ‘Highest Priority
    Critically Important’ antibiotic drug class? (2 marks)
    a. Penicillins
    b. Fluoroquinolones
    c. Aminoglycosides
    d. Tetracyclines
    e. Cephalexin
A

b. Fluoroquinolones

22
Q
  1. Which is the most common route of administration of antimicrobials to animals in Canada?
    (1 mark)
    a. Feed
    b. Water
    c. Injection
    d. Oral (excluding feed)
    e. Intramammary
A

a. Feed

23
Q
  1. Which of the following best describes antimicrobial de-escalation? (1 mark)
    a. Choosing as narrow spectrum drug as possible
    b. Re-assessing and reducing antimicrobial combination or spectrum of activity
    c. Rotating antibiotic classes to reduce the risk of resistance emergence
    d. Shortening the duration of treatment
A

b. Re-assessing and reducing antimicrobial combination or spectrum of activity

24
Q

a physician, nurse, vet, who knows of a person who has been bitten by a mammal or has had contact with a mammal the is condicuve to the potential transmission of rabies must

A

notify public health w/ name of exposed

25
Q

type of contact with confirmed rabid animal or animal unavailable for testing: minor exposure to rabies; nibbling uncovered skin, minor scratches or abrasions without bleeding

A

administer vaccine immediately: if exposure was from an apparently healthy pet or in low risk area, observation and delaying treatment may be warranted

26
Q

type of contact with confirmed rabid animal or animal unavailable for testing: sever exposure to rabies; transdermal bites etc

A

administer rig and vaccine immediately

stop treatment if animal remains healthy through a 10 day observation period or if rabies test from a reliable lab using appropriate techniques is negative

27
Q

how long after a rabies vaccine are animals considered protected

A

28 days

28
Q

incubation period for rabies

A
  • Typically up to 2-3 months
  • 2 weeks – 6 years reported in humans
29
Q

time from onset of clinical signs to death for rabies

A

short

30
Q

Considered potentially infectious for how much time before clinical signs with rabies

A

Considered potentially infectious for up to 10 days before onset of clinical signs