The European Veterinary Profession and the Challenges of Reducing Antimicrobial Use in Livestock Farming. Lessons from a Mixed-Methods Study La profession vétérinaire européenne et les enjeux de la réduction de l'utilisation des antimicrobiens dans l'élevage. Leçons d'une étude à méthodes mixtes Die europäische Tierärzteschaft und die Herausforderungen bei der Verringerung des AMU in der Tierhaltung. Lehren aus einer Studie mit gemischten Methoden

Abstract

The reduction of antimicrobial use (AMU) in veterinary medicine is nowadays largely associated with the development of preventive approaches in animal health. This article aims to understand the transformation of veterinarians’ practices, knowledge and working conditions in relation to the promotion of the prudent use of antimicrobials. It analyses the organisational and structural factors that currently favour the development of preventive approaches. The research draws from both a qualitative study and a quantitative survey. The qualitative study sought to understand the views and experiences of veterinarians in different countries. It highlights the difficulties encountered by veterinarians in implementing preventive approaches and promoting prudent AMU. The quantitative survey aimed to understand the variability of veterinarians' attitudes towards AMU and antimicrobial resistance (AMR). It identifies several clusters within the profession, which are distributed differently according to countries, sectors and working conditions, and within which each veterinarian develops different ways of thinking and acting in relation to AMR. We conclude by emphasising the major structural factors that we believe need to be supported to maintain the ongoing transition towards prudent AMU and preventive approaches in animal health. We also suggest different ways of engaging the profession according to the different contexts identified.