A survey of experiences of UK cattle and sheep farmers with anthelmintic prescribers; Are best practice principles being deployed at farm level?
A survey of experiences of UK cattle and sheep farmers with anthelmintic prescribers; Are best practice principles being deployed at farm level?
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DOI：
10.1016/j.prevetmed.2018.04.009
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发表时间：
2018-07-01
影响因子：
2.6
通讯作者：
Matthews, Jacqueline B.
中科院分区：
文献类型：
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作者：
Easton, Stephanie;Pinchbeck, Gina L.;Matthews, Jacqueline B.
蠕虫是反刍动物的常见病原体。这些都是由驱虫药控制;然而，耐药性是一个主要问题。需要采取更可持续的做法来保护驱虫药的功效。关于农民/处方者在驱虫药购买时的相互作用如何影响农场最佳实践的应用，没有发表的信息。为了确定英国反刍动物养殖户在销售点购买驱虫剂/提供最佳实践建议方面的经验，发布了一项在线调查。本研究探讨了农民从三个英国兽药处方商（兽医、适当合格人员[SQP]、兽医药剂师）购买驱虫药的经验，并调查了农民对驱虫药使用和耐药性的态度。首先，农民根据他们购买驱虫剂的人进行分组，包括从> 1个处方者类型购买的人。结果表明，农民购买驱虫药的处方者类型和购买途径（面对面、电话、在线）之间没有显著差异。从兽医那里购买的农民更有可能将处方知识视为更重要的。当被问及谁影响了购买时，有一个显着的差异;农民往往最受他们购买的处方药的影响。那些从各种类型的处方者那里购买的人最受兽医的影响。与从SQP或> 1个处方渠道购买的农民相比，从兽医那里购买的农民更有可能陈述他们的卖家讨论/推荐的粪卵计数（FEC）测试和管理策略，以减少驱虫剂的使用。当根据购买途径分组时，通过面对面互动购买的农民比通过电话或互联网购买的农民更有可能表示他们重视寄生虫/驱虫药的处方知识。在网上购买的农民不太可能考虑开处方者的建议。然后根据养殖的牲畜类型进行分析。一般来说，养羊的农民比养牛的农民更多地进行FEC测试。相对较少的农民表示他们进行了驱虫药敏感性测试，大多数养牛户根本没有进行过测试。这是尽管在所有类型的农民驱虫剂耐药性的高度关注。“只养牛”的农民认为便利因素比养羊或羊/牛的农民更重要。结果表明，从兽医那里购买驱虫药的英国农民更有可能接触到诊断主导的控制建议。在所有农民群体中，都发现了提供咨询方面的差距，特别是与功效测试有关的差距。
Helminths are common pathogens of ruminants. These are controlled by anthelmintics; however, resistance is a major issue. More sustainable practices need to be deployed to protect anthelmintic efficacy. There is no published information on how farmer/prescriber interactions at anthelmintic purchase shape application of best practice on-farm. To determine experiences of UK ruminant farmers as they relate to anthelmintic purchasing/ provision of best practice advice at the point-of-sale, an online survey was distributed. This explored farmer experiences in purchasing anthelmintics from the three UK animal medicines' prescribers (veterinarians, Suitably Qualified Persons [SQPs], veterinary pharmacists) and investigated farmer attitudes to anthelmintic use and resistance. First, farmers were grouped according to whom they purchased anthelmintics from, including those that purchased from > 1 prescriber type. The results indicated there was no significant difference between the type of prescriber from whom farmers bought anthelmintics and route (face-to-face, telephone, online) through which they purchased them. Farmers who bought from veterinarians were more likely to view prescriber knowledge as more important. When asked who influenced purchase, there was a significant difference; farmers tended to be most influenced by the prescriber they purchased from. Those who bought from various types of prescriber were most influenced by veterinarians. Farmers who purchased from veterinarians were significantly more likely to state their seller discussed/recommended faecal egg count (FEC) testing and management strategies to reduce anthelmintic use than those who purchased from SQPs or from > 1 prescribing channel. When grouped according to purchase route, farmers that bought through face-to-face interactions were significantly more likely to state they valued prescriber knowledge of parasites/anthelmintics than farmers that purchased via the telephone or internet. Farmers that purchased online were significantly less likely to consider prescriber advice. Analysis was then applied based on the type of livestock farmed. Generally, sheep farmers undertook FEC testing more than cattle farmers. Relatively few farmers stated they conducted anthelmintic sensitivity testing, with the majority of cattle farmers having not tested at all. This was despite a high level of concern for anthelmintic resistance in all types of farmers. 'Cattle only' farmers viewed convenience factors as more important than those that managed sheep or sheep/cattle. The results suggest that UK farmers that bought anthelmintics from veterinarians were more likely to be exposed to diagnostic-led control advice. Gaps in advice provision, particularly in relation to efficacy testing, were identified in all farmer groups.