Assessing Illinois companion animal veterinarians' antimicrobial prescription practices and the factors that influence their decisions when treating bacterial infections in dogs and cats

IF 2.4 2区农林科学 Q3 INFECTIOUS DISEASES

Zoonoses and Public Health Pub Date : 2024-07-23 DOI:10.1111/zph.13172

Setyo Yudhanto, Jennifer M. Reinhart, Clarissa Pimentel de Souza, Alexandria Gochenauer, William E. Sander, Chien-Che Hung, Carol W. Maddox, Csaba Varga

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Abstract

Aims

Judicious antimicrobial use in companion animal practice is critical for maintaining the effectiveness of antimicrobial agents against bacterial infections and reducing the selection of antimicrobial-resistant bacteria. This study aimed to provide insights into companion animal veterinarians' antimicrobial treatment recommendations for common bacterial infections in dogs and cats and describe the factors influencing their prescription choices.

Methods and Results

An online survey using QualtricsXM® software was administered between September and November 2022 to companion animal veterinarians who were Illinois State Veterinary Medical Association members. Descriptive and text analyses were conducted to assess the participants' responses. A total of 78 surveys were included in the analysis. Skin infections were ranked as the most common bacterial infections for which veterinarians prescribed antimicrobial agents, followed by ear, urinary tract, respiratory, and enteric infections. The severity of clinical symptoms and the results of bacterial culture and susceptibility tests were the most influential factors for veterinarians when making antimicrobial prescription choices. Veterinarians were aware of the current antimicrobial prescription guideline recommendations when prescribing antimicrobials empirically to nine hypothetical scenarios of bacterial infections. According to the results of the text analysis that assessed veterinarians' responses to an open-ended question, regarding their challenges when prescribing antimicrobial agents, the pairwise correlation of word frequencies within each response showed the highest correlations between the words ‘owner’ and ‘compliance’, ‘administration’ and ‘route’, ‘cost’ and ‘culture’, and ‘patients’ and ‘acceptance’.

Conclusions

The study results can support animal health stakeholders in the development of antimicrobial stewardship programmes to promote appropriate antimicrobial use and limit the emergence of antimicrobial resistance.

Abstract Image

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评估伊利诺伊州伴侣动物兽医在治疗猫狗细菌感染时的抗菌处方做法以及影响其决定的因素。

目的：在伴侣动物诊疗过程中，明智地使用抗菌药物对于保持抗菌药物对细菌感染的疗效和减少耐抗菌细菌的产生至关重要。本研究旨在深入了解伴侣动物兽医对猫狗常见细菌感染的抗菌治疗建议，并描述影响其处方选择的因素：2022 年 9 月至 11 月期间，使用 QualtricsXM® 软件对伊利诺伊州兽医协会会员中的伴侣动物兽医进行了在线调查。对参与者的回答进行了描述性分析和文本分析。共有 78 份调查被纳入分析。皮肤感染是兽医开具抗菌药处方最常见的细菌感染，其次是耳部感染、泌尿道感染、呼吸道感染和肠道感染。临床症状的严重程度以及细菌培养和药敏试验的结果是兽医在选择抗菌药处方时最有影响力的因素。兽医在根据九种假设的细菌感染情况经验性地开具抗菌药处方时，都了解当前的抗菌药处方指南建议。文本分析评估了兽医对开放式问题的回答，根据分析结果，兽医在开具抗菌药处方时面临的挑战是：每个回答中的词频配对相关性显示，"所有者 "与 "依从性"、"给药 "与 "途径"、"成本 "与 "文化 "以及 "患者 "与 "接受度 "之间的相关性最高：研究结果可为动物健康利益相关者制定抗菌药物管理计划提供支持，从而促进抗菌药物的合理使用并限制抗菌药物耐药性的出现。

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来源期刊

Zoonoses and Public Health 医学-传染病学

CiteScore

5.30

自引率

4.20%

发文量

115

审稿时长

6-12 weeks

期刊介绍： Zoonoses and Public Health brings together veterinary and human health researchers and policy-makers by providing a venue for publishing integrated and global approaches to zoonoses and public health. The Editors will consider papers that focus on timely collaborative and multi-disciplinary research in zoonoses and public health. This journal provides rapid publication of original papers, reviews, and potential discussion papers embracing this collaborative spirit. Papers should advance the scientific knowledge of the sources, transmission, prevention and control of zoonoses and be authored by scientists with expertise in areas such as microbiology, virology, parasitology and epidemiology. Articles that incorporate recent data into new methods, applications, or approaches (e.g. statistical modeling) which enhance public health are strongly encouraged.