Diagnostics and the challenge of antimicrobial resistance: a survey of UK livestock veterinarians' perceptions and practices
Diagnostics and the challenge of antimicrobial resistance: a survey of UK livestock veterinarians' perceptions and practices
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DOI：
10.1136/vr.105822
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发表时间：
2020-12-01
影响因子：
2.2
通讯作者：
Buller, Henry
中科院分区：
文献类型：
--
作者：
Chan, Kin Wing;Bard, Alison M.;Buller, Henry
背景本文探讨了目前诊断试验在农场动物疾病治疗中的作用和地位。随着在动物和人类患者护理中越来越重视减少对抗生素药物的依赖，人们越来越关注诊断测试的实践、技术和功能，以及这些测试如何支持负责任的抗菌药使用。新兴的诊断技术提供了对细菌疾病进行更快速检测的可能性，方法本文报道了最近对英国农场动物兽医(n=153)进行的一项大规模在线调查的结果，该调查特别关注诊断测试的使用与抗生素治疗之间的关系。结果揭示了一系列影响兽医诊断实践的因素，并证明了临床观察和动物/畜群知识在选择抗生素治疗方面的持续重要性。结论这些结果表明，农场动物兽医对快速和定点的当前和未来的使用存在相当大的矛盾心理-护理诊断测试，作为改善临床诊断和解决抗生素药物不当使用的一种手段。
Background This paper explores the current role and place of diagnostic tests in the treatment of farm animal disease. With the growing focus on reduced reliance on antibiotic medicines in both animal and human patient care, attention is increasingly being focused on the practice, the technology and the function of diagnostic tests and how these can support responsible antimicrobial use. Emerging diagnostic technologies offer the possibility of more rapid testing for bacterial disease, while food chain actors and others are increasingly seeking to make diagnostic tests mandatory before the use of critically important antibiotics.Method This paper reports the findings of a recent large-scale online survey of UK farm animal veterinarians (n=153) which investigated current veterinary diagnostic practice with particular attention to the relationship between diagnostic test use and antibiotic treatment.Results Results revealed a range of factors that influence veterinary diagnostic practice and demonstrate the continuing importance of clinical observation and animal/herd knowledge in the selection of antibiotic treatment.Conclusion The findings identify a considerable ambivalence on the part of farm animal veterinarians regarding the current and future uses of rapid and point-of-care diagnostic tests as a means of improving clinical diagnosis and addressing inappropriate antibiotic medicine use.