Survey of antimicrobial prescribing practices across western Canadian beef cow-calf veterinarians.

IF 0.9 4区 农林科学 Q3 VETERINARY SCIENCES
Barbara Wilhelm, Jayce Fossen, Colleen Pollock, Cheryl Waldner
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引用次数: 0

Abstract

Objective: This study was to determine if the prescribing practices of western Canadian beef cow-calf veterinarians changed after Canada revised federal regulations in 2018 to require veterinary prescriptions for all medically important veterinary antimicrobials.

Animals: Beef cattle, cow-calf.

Procedure: An electronic survey was used to capture onboarding of new clients and to record herd health information, dispensing of antimicrobials after hours, reported client concerns with the regulation changes, and basic veterinary practitioner demographics such as province of licensure and number of years in practice. Seventy-two western Canadian veterinarians completed the survey in the winter of 2024.

Results: After 2018, the frequency of onboarding of new clients increased, as did herd health data capture. Most participants (80%) reported spending more time supporting client needs for antimicrobial prescriptions after 2018, with 63% reporting more beef cow-calf clients needing this service and 39% reporting the acquisition of new beef cow-calf clients. Billing for onboarding as professional time increased after 2018 but the relative frequencies of methods for dispensing antimicrobials after hours did not change. Changes in prescribing veterinary antimicrobials after 2018 included a decrease in sulfonamides and increases in tetracyclines and phenicols. Reported changes in client antimicrobial use included decreases in penicillin and sulfonamides and increases in phenicols and macrolides.

Conclusion and clinical relevance: Although veterinarians reported challenges in meeting client needs and complying with the regulatory change, their comments were largely neutral to positive regarding the effect of the changes. Suggestions from veterinarians included the development of tools to support prescribing and to track client antimicrobial inventory, client antimicrobial use, and disease incidence.

对加拿大西部肉牛兽医抗菌处方做法的调查。
目的:本研究旨在确定加拿大于2018年修订联邦法规后,加拿大西部肉牛和小牛兽医的处方做法是否发生了变化,该法规要求所有医学上重要的兽医抗菌剂都需要兽医处方。动物:肉牛,小母牛。程序:使用电子调查来记录新客户的入职情况,并记录畜群健康信息、下班后抗菌剂的分配、报告的客户对法规变化的关注,以及兽医从业人员的基本人口统计数据,如许可省份和执业年数。72名加拿大西部兽医在2024年冬天完成了这项调查。结果:2018年之后,新客户入职的频率增加了,群体健康数据采集也增加了。大多数参与者(80%)报告说,在2018年之后,他们花了更多的时间来支持客户对抗菌药物处方的需求,63%的人报告说,需要这项服务的肉牛客户增加了,39%的人报告说,获得了新的肉牛客户。2018年之后,随着专业时间的增加,入职费用有所增加,但下班后分配抗菌素的方法的相对频率没有变化。2018年之后兽医抗菌剂处方的变化包括磺胺类药物的减少和四环素类和酚类药物的增加。报告的病人抗菌药物使用的变化包括青霉素和磺胺类药物的减少和酚类和大环内酯类药物的增加。结论和临床意义:尽管兽医报告了在满足客户需求和遵守监管变化方面的挑战,但他们对这些变化的影响的评论基本上是中立的。兽医的建议包括开发工具以支持处方和跟踪客户抗菌药物库存、客户抗菌药物使用和疾病发病率。
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来源期刊
CiteScore
1.20
自引率
10.00%
发文量
177
审稿时长
12-24 weeks
期刊介绍: The Canadian Veterinary Journal (CVJ) provides a forum for the discussion of all matters relevant to the veterinary profession. The mission of the Journal is to educate by informing readers of progress in clinical veterinary medicine, clinical veterinary research, and related fields of endeavor. The key objective of The CVJ is to promote the art and science of veterinary medicine and the betterment of animal health. A report suggesting that animals have been unnecessarily subjected to adverse, stressful, or harsh conditions or treatments will not be processed for publication. Experimental studies using animals will only be considered for publication if the studies have been approved by an institutional animal care committee, or equivalent, and the guidelines of the Canadian Council on Animal Care, or equivalent, have been followed by the author(s).
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