Volume 25, Number 4—April 2019
Pneumonic Plague in a Dog and Widespread Potential Human Exposure in a Veterinary Hospital, United States
|Level of interaction with dog||Recommended intervention||No. (%) contacts reporting intervention|
|Exposure (<6 feet) to dog with pneumonic plague; exposure to exudates, blood, or tissue without barrier precautions; bite or scratch from infected dog or flea||Antimicrobial drug prophylaxis||68 (59)†|
|Presence in critical care ward where dog was housed; exposure or contact after 48 h of appropriate patient antimicrobial drug treatment||Fever and symptom watch||38 (33)|
|Persons who did not meet the above criteria||No action (awareness education only)||Remainder of employees, staff, and students|
*Ten (8%) of 116 listed contacts did not report chosen intervention.
†Of respondents who specified type of antimicrobial drug therapy received, 37 received doxycycline only, 2 doxycycline and gentamicin, 1 doxycycline and ciprofloxacin, 1 doxycycline and trimethoprim/sulfamethoxazole, and 1 ciprofloxacin only.
1These authors contributed equally to this article.