奶农对 "统一健康 "和抗菌药耐药性的参与和理解--新西兰奥特亚罗瓦北岛试点调查。

IF 3.8 Q2 INFECTIOUS DISEASES
Kurt Arden, Sarah M Rosanowski, Richard A Laven, Kristina R Mueller
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引用次数: 0

摘要

背景:减少抗菌药耐药性(AMR)需要多学科的 "统一健康 "方法,这就需要所有利益相关者的支持。在新西兰奥特亚罗瓦,乳业是使用抗菌素最多的行业之一,该地区一直在努力优化抗菌素的使用(AMU),以最大限度地减少抗菌素耐药性的产生。这些措施包括兽医授权牧场主使用抗生素而无需特定处方的规定("RVM 程序"),以及新西兰兽医协会的抗生素 "交通灯系统 "等计划。本次试点调查的目的是编制和试用一份调查问卷,以确定奥特亚罗瓦奶牛场主对 "统一健康"、AMR、RVM 流程的了解程度,以及他们在 AMU 方面的行为对更广泛环境的影响:方法:2021 年 9 月至 11 月期间,在新西兰奥特亚罗瓦下北岛的 15 个奶牛场通过面对面的半结构化访谈试用了 55 个问题的半结构化问卷:受访牧场主均无法定义 "一体健康 "一词。不过,大多数人认为 "RVM "流程对他们的农场有用,尽管他们承认,他们普遍对 AMR 感到沮丧,将其视为生产力的障碍,并且不了解他们的行为与 AMR 的发展有何关联。在受访的农民中,超过一半的人没有听说过交通灯系统,而在听说过的人中,有一人承认他们拒绝遵守该系统:这项调查的新发现突出表明,奶牛场主对AMU、AMR和 "统一健康 "的理解存在明显差距,同时也强调兽医可以做得更多,让他们的客户了解兽医在 "统一健康 "中的重要作用。在兽医、奶牛场主和行业代表共同努力拥抱 "一体健康 "方面,还有很多工作要做。简单的解决方案是鼓励养殖户将未使用的药物交还给兽医进行正确处理,并积极让养殖户进一步了解 AMU 和 AMR,使这些终端产品用户不会感到与这一过程脱节。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dairy farmer, engagement and understanding of One Health and antimicrobial resistance - a pilot survey from the lower north island of Aotearoa New Zealand.

Background: Reducing antimicrobial resistance (AMR) requires a multidisciplinary One Health approach, which necessitates buy-in from all stakeholders. In Aotearoa New Zealand, where the dairy industry is one of the largest users of antimicrobials, there are ongoing efforts to optimise antimicrobial usage (AMU) to minimise the development of AMR. These include regulations around the veterinary authorisation of the use of antibiotics by farmers without the need for a specific prescription ("the RVM process") and programmes such as the New Zealand Veterinary Association's antibiotic 'Traffic Light System'. The goal of this pilot survey was to develop and trial a questionnaire to determine how much Aotearoa dairy farmers understand about One Health, AMR, the RVM process and how their actions regarding AMU affect the wider environment.

Methods: A 55-question semi-structured questionnaire was piloted on 15 dairy farms in the Lower North Island of Aotearoa New Zealand via an in-person semi-structured interview between September and November 2021.

Results: None of the interviewed farmers could define the term One Health. However, the majority found the RVM process to be of use on their farm, although admitted they generally felt frustration regarding AMR, seeing it as a blockage to productivity, and lacked awareness regarding how their actions were related to its development. Of the farmers interviewed over half had not heard of the traffic light system, and of those who had, one admitted they refused to adhere to it.

Conclusions: This survey's novel findings have highlighted that there are notable gaps within dairy farmer understanding of AMU, AMR and One Health as well as highlighting that veterinarians could do more to keep their clients informed of their important role within One Health. There is still a lot more work to do with regards to vets, farmers and industry representatives working together to embrace One Health. Simple solutions would be to encourage farmers returning unused drugs to their veterinarians for correct disposal and to actively engage farmers further regarding AMU and AMR, so that these end-product users do not feel disconnected from the process.

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