27/09/2023
There's been a lot of talk about Brucellosis canis recently - including misinformation on our policies. To prevent this, I thought I'd clarify things on here to start with.
There has been a couple of cases of human Brucellosis in the the press, and the RCVS has highlighted this to all vets, with the BVA and RCVS putting out statements about this.
In my opinion, whilst this is potentially a serious issue, it has been blown out of all proportion by some entities. Whilst there is a risk of infection from positive patients, and it is incurable, the risk is very low and mitigated by PPE when in an at risk situation (dealing with body fluids, particularly whelping etc)
That said, I have a duty of care to my staff, clients and patients. We would be completely remiss not to mention and take this seriously.
We will NOT refuse to see/treat any dog, tested or not. The chance of a true positive test, according to the HAIRS report is less than 1.7% in high risk patients - and there are very high rates of false positive results.
As such, we are not insisting on tests for any patient - however if we don't have a negative test, we have to now treat as potentially positive and then use PPE to deal with body fluids from these patients. Yes, it's probably over reaction - but we can't risk it, particularly when it's been flagged by our governing bodies. It is unlikely to get a true positive. Once we have a negative test, we can treat totally as normal.
If we do get a positive test, many will be false positives as the test reacts with several other antibodies. We then advise retesting after 4weeks with a double test to clarify. If negative - great!
If another positive test occurs, we will still treat, but using PPE if dealing with body fluids. Gloves and masks. The powers that be advocate euthanasia, as do some colleagues. This will depend on our clients and their circumstances and we will talk through individual options, but as usual, take each patient individually.
We much prefer testing as we really don't expect to have any issues with long term patients and this way, we can be responsible and move on without worrying. It is optional however, not mandatory.
If anyone thinks of another way that I can protect my staff, my clients and my patients, whilst staying within RCVS guidelines, please let me know!