Owner expectations regarding antimicrobial prescription for canine acute diarrhea: A prospective observational study from the capital of Denmark

IF 2.3 2区 农林科学 Q1 VETERINARY SCIENCES
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Abstract

Acute diarrhea is a common condition in dogs. Most cases are mild and self-limiting and according to guidelines, antimicrobial treatment is only indicated in dogs with severe systemic disease. However, antimicrobials are still prescribed in 50–65 % of mild cases. Multiple factors have been shown to influence the antimicrobial prescription decision, including perceived pressure from pet owners. This study aimed to investigate dog owners’ expectations regarding antimicrobial prescription for dogs with acute diarrhea and the attending veterinarians’ perceived owner expectation. To investigate this, a structured telephone interview with owners and a post-consultation questionnaire for the attending veterinarians were conducted. Ninety-nine unique dog-consultations were included with a 91 % owner response rate (n = 90), in these cases 63 % of veterinarians responded (n = 57). Only 6/90 (7 %) owners expressed an expectation of antimicrobial prescription. Of these, two expressed dissatisfaction that antimicrobials were withheld. In 5/57 cases, the attending veterinarian perceived an expectation to prescribe antimicrobials. Three cases aligned with an actual owner expectation, the latter two were pure perception. Eighty percent of owners expressed satisfaction with the consultation in general (n = 72/90), while 16 % (14/90) and 4 % (4/90) expressed minor or major dissatisfaction with non-treatment related issues, respectively. In this study, very few dog owners expressed an expectation of antimicrobials for treatment of acute diarrhea. Likewise, the veterinarians perceived an expectation in only a minority of cases, however, the actual and perceived expectation did not always align. In conclusion, this study suggests that an overall high owner satisfaction is feasible despite a non-antimicrobial approach.

犬主对犬急性腹泻抗菌药处方的期望:丹麦首都的前瞻性观察研究
急性腹泻是狗的常见病。大多数病例都是轻微和自限性的,根据指南,只有患有严重全身性疾病的狗才需要接受抗菌治疗。但是,仍有 50-65% 的轻微病例需要使用抗菌药物。研究表明,多种因素会影响抗菌药处方的决定,其中包括宠物主人所感受到的压力。本研究旨在调查狗主人对急性腹泻狗抗菌处方的期望以及主治兽医对狗主人期望的感知。为此,研究人员对狗主人进行了结构化电话访谈,并对主治兽医进行了诊后问卷调查。在这些案例中,有 63% 的兽医做出了回应(n = 57)。只有 6/90 (7 %) 的狗主对抗菌药处方表示期望。其中,有 2 人对拒用抗菌药物表示不满。在 5/57 例病例中,主治兽医认为期望开具抗菌药物。其中三例与动物主人的实际期望一致,后两例则纯属感知。80%的狗主人对会诊总体表示满意(n = 72/90),16%(14/90)和4%(4/90)的狗主人分别对与治疗无关的问题表示轻微或严重不满。在这项研究中,很少有狗主人表示希望使用抗菌药物治疗急性腹泻。同样,兽医也仅在少数病例中认为狗主期望使用抗菌药,但实际期望与兽医认为的期望并不总是一致。总之,本研究表明,尽管采用非抗菌药物治疗方法,但狗主人的总体满意度还是很高的。
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来源期刊
Veterinary journal
Veterinary journal 农林科学-兽医学
CiteScore
4.10
自引率
4.50%
发文量
79
审稿时长
40 days
期刊介绍: The Veterinary Journal (established 1875) publishes worldwide contributions on all aspects of veterinary science and its related subjects. It provides regular book reviews and a short communications section. The journal regularly commissions topical reviews and commentaries on features of major importance. Research areas include infectious diseases, applied biochemistry, parasitology, endocrinology, microbiology, immunology, pathology, pharmacology, physiology, molecular biology, immunogenetics, surgery, ophthalmology, dermatology and oncology.
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