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Warning: count(): Parameter must be an array or an object that implements Countable in bootstrap_table() (line 238 of /var/www/html/sites/all/themes/bootstrap/templates/system/table.func.php).Comparative evaluation of transport systems for microbiological surface monitoring in veterinary clinics
Veterinary clinics represent a unique epidemiological environment where the simultaneous presence of humans and animals of different species creates conditions for active circulation of opportunistic microorganisms, including multidrug-resistant ESKAPE pathogens. Despite the recognised role of surface microbiological monitoring as an infection control tool, a standardised sampling protocol for the veterinary clinical setting is still lacking. The aim of the study was a comparative evaluation of the diagnostic performance of different transport media and moistening solutions for swab sampling from surfaces of veterinary clinics. The study was conducted in 2025 in two independent veterinary clinics with markedly different microbial burden levels (852 1690 CFU/cm² and 10–450 CFU/cm², respectively). In Clinic 1, AMIES gel transport swabs were compared with phosphate buff er-moistened swabs; in Clinic 2, swabs moistened with 2 % sodium thiosulfate (Na₂S₂O₃) were compared with phosphate buffer swabs. Samples were collected from three clinically relevant locations using a standardised 10×10 cm frame method; microorganism identifi cation was performed by MALDI-TOF MS. Opportunistic gram-negative microfl ora was detected on all surfaces: Pseudomonas spp., Enterobacter spp., Acinetobacter radioresistens, Pseudomonas putida, Enterobacter cloacae/asburiae, and Pantoea agglomerans. Overall comparison revealed no statistically significant differences between methods (p = 0,616 and p = 0,946, respectively), indicating their analytical equivalence. In Clinic 1, the phosphate buff er method achieved ideal diagnostic performance (sensitivity, specifi city, and accuracy of 1,000), while the AMIES method showed sensitivity of 0,882; Cohen’s kappa coefficient was 0,847 (almost perfect agreement). Notably, at the pharmacological table in Clinic 2, where potassium peroxymonosulfate-based disinfec tants were used, the Na₂S₂O₃ method detected significantly higher contamination levels (p = 0,026), most likely reflecting growth inhibition by residual oxidisers in samples lacking a neutralizer. The results confirm that phosphate buffer swab moistening is a cost-effective and diagnostically reliable baseline protocol for routine surface monitoring in veterinary clinics, while the inclusion of chemical neutralisers in the transport solution is essential when sampling after disinfection with oxidising agents.
Keywords: veterinary clinic, microbiological monitoring, sampling, surfaces, AMIES transport medium, phosphate buffer, sodium thiosulfate, sanitary control, opportunistic microflora, healthcare associated infections.
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