Do we still need a canary in the coal mine for laboratory animal facilities? A systematic review of environmental health monitoring versus soiled bedding sentinels.

Introduction: Despite increasing evidence that Environmental Health Monitoring (EHM) is an effective method to perform rodent colony health surveillance, promotes the 3Rs as a Replacement, is comparable or reduces cost, and demonstrates labor benefits, many research institutions continue to use live Soiled Bedding Sentinels (SBS). Some veterinarians and others responsible for rodent colony health monitoring remain cautious of the evidence supporting this new technology. Therefore, our objective was to perform a formal systematic review to identify, summarize, and evaluate the research on the efficacy of EHM as compared to SBS. This information is essential to establishing recommendations for rodent health monitoring programs.

Methods: We systematically searched and evaluated all articles comparing EHM to SBS identified from PubMed, Web of Science, and CAB abstracts initially on November 12, 2021 with an update on Oct 15, 2023. Our inclusion criteria included publication in a peer-reviewed journal and collection of empirical data on rodent health monitoring alternatives to soiled bedding sentinels. Outcome data was extracted and analyzed via logistic regression and secondary descriptive statistics. Due to the nature of the included studies, no risk of bias assessment was performed. No specific funding was received for this review.

Results: Forty-two peer-reviewed articles passed inclusion criteria for analysis. The design of studies varied substantially but included publications investigating exhaust dust testing (n = 27), sentinel-free soiled bedding (n = 8), and direct colony sampling (n = 24). Based on both logistical regression and descriptive criteria, all types of EHM appear to be superior to soiled bedding sentinels at detecting pathogens, regardless of their taxonomic classification.

Conclusion: Based on these findings, we conclude there is a strong evidence base supporting the replacement of SBS with EHM. Looking forward, we encourage continued research on the detection of existing and emerging pathogens with these technologies and development of best practices for routine rodent health monitoring programs.