Prescription rebellion: reduction of antibiotic use by small animal veterinarians
Prescription rebellion: reduction of antibiotic use by small animal veterinarians
复制标题
DOI：
10.1111/jsap.13098
复制
发表时间：
2020-01-14
影响因子：
1.6
通讯作者：
Jeffery, N.
中科院分区：
文献类型：
--
作者：
Allerton, F.;Jeffery, N.
合理，或者更具体地说，减少抗生素的使用是兽医学（包括小动物实践）的一个长期主题。这些措施包括为不同的农业部门设定严格的抗生素使用目标，加强监测和基准，全面禁止在动物中使用任何新的抗菌药物，并限制在食用动物中使用最高优先级的至关重要的抗生素;抗生素的销售量下降了50%以上，动物中MDR细菌的发生率降低（Mevius & Heederik [34]）。在考虑败血症的方法时，抗生素管理面临着患者护理的正面;管理压倒性的感染或优化抗生素的使用似乎需要矛盾的方法。许多其他抗生素都存在严重的不良反应，可能会对特定物种或品种产生更严重的影响;考虑不良反应特征是抗生素选择的重要步骤，并因患者而异。[摘自文章]
Rational, or more specifically, reduction in, antibiotic use is a long-standing theme in veterinary medicine, including small animal practice. These have included setting stringent antibiotic-usage targets for different agricultural sectors, increased monitoring and benchmarking, a full ban on the use of any new antibacterial drug in animals and a restriction of the use of highest priority critically important antibiotics in food animals; sales of antibiotics decreased by > 50% and the occurrence of MDR bacteria in animals reduced (Mevius & Heederik [34]). Antibiotic stewardship confronts patient care head-on when considering the approach to sepsis; managing an overwhelming infection or optimising antibiotic use seemingly warrant contradictory approaches. Serious adverse effects are recognised with many other antibiotics and can affect specific species or breeds more severely; consideration of the adverse effect profile is an important step in antibiotic selection and will vary by patient.[Extracted from the article]