Risk for zoonotic Salmonella transmission from pet reptiles: A survey on knowledge, attitudes and practices of reptile-owners related to reptile husbandry

Reptiles are becoming increasingly popular as pets. Those animals are reservoirs of a wide variety of Salmonella serotypes, that may be transmitted to warm-blooded animals, including humans. Accordingly, good hygiene practices related to husbandry are important for prevention of Reptile-associated salmonellosis (RAS). A cross-sectional study was conducted among reptile owners, by administration of a detailed questionnaire. In addition, the cloacal swabs of the sampled reptiles were screened for Salmonella spp. and the husbandry management practices were evaluated in order to assess any possible link between the presence of Salmonella spp. and the hygiene practices. The response rate to the questionnaire was 66.6% (100 out of 150 contacted owners). In 26 out of 100 families, members at risk of RAS (children and elderly) were present. One hundred animals were screened for the presence of Salmonella spp. The prevalence of Salmonella spp. carriers was 57% (Confidence interval 47-66%). Co-habitation of the animals with other reptiles in the same terrarium was associated with a 2-fold increase in the risk of infection by Salmonella spp.(Odds ratio = 2.3, CI 1.2;13, p = 0.02). Animals handled by owners that did not report washing their hands after the cleaning procedures or the handling were exposed to a 3-fold increase in the risk of infection (OR = 3.1, CI 1.1;16, p = 0.019). When drinking water was not replaced regularly, the animals were 7 times more exposed to infection (OR = 6.8, CI 1.8;25, p = 0.005). When the diet was constituted by rodents, 27 out of 48 reptiles (56.3%) were fed with live animals. In the present survey the typical reptile owner was a person, aware of ethological aspects of reptile husbandry but ignorant of some ethical recommendations and poorly informed about the health risks for himself and for the other family members. Prevention of RAS must rely mainly on information and education, with the veterinarian health bodies primarily involved in this difficult task.