Antimicrobial use practices of veterinary clinicians at a veterinary teaching hospital in the United States
Antimicrobial use practices of veterinary clinicians at a veterinary teaching hospital in the United States
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DOI：
10.1016/j.vas.2018.09.002
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发表时间：
2019-06-01
影响因子：
1.5
通讯作者：
Okafor, Chika C.
中科院分区：
文献类型：
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作者：
Ekakoro, John Eddie;Okafor, Chika C.
滥用抗菌药物（AMU）是导致抗菌药物耐药性（AMR）的一个因素。本研究的目的是（1）确定影响田纳西大学兽医中心（UTVMC）兽医临床医生AMU实践的因素，（2）分析临床医生对抗菌药物的偏好选择，（3）评估他们对AMU和AMR的看法、意见和担忧。共有121名临床医生接受了调查。在62名受访者中，细菌培养和药敏试验结果以及来自客户的压力分别是其抗菌药物处方决策中最重要和最不重要的因素。与1970年至1999年获得兽医学位的临床医生相比，2000年至2009年和2010年至2016年毕业的临床医生对AMR的关注分别为3.96（P = 0.034）和5.39（P = 0.01）倍。迫切需要提高临床医生对AMU实践的认识，在目前的兽医课程中增加对AMR的重视，并在该机构实施抗菌药物管理计划（AMS）。教育活动与宣传活动和管理计划相结合，可用于改善AMU在这家医院的做法。需要对AMR进行更多的客户教育。
Indiscriminate antimicrobial use (AMU) is a factor contributing to antimicrobial resistance (AMR). The objectives of this study were to (1) identify factors influencing AMU practices of veterinary clinicians at The University of Tennessee Veterinary Medical Center (UTVMC), (2) analyze the clinicians' preferential choices of antimicrobials, and (3) evaluate their perceptions, opinions, and concerns regarding AMU and AMR. A total of 121 clinicians were surveyed. Among the 62 respondents, culture and susceptibility test results and pressure from clients were the most and least important factors in their antimicrobial prescription decision-making, respectively. Compared to clinicians who obtained their veterinary degree from 1970 to 1999, those who graduated from 2000 to 2009 and 2010-2016 were 3.96 (P = 0.034) and 5.39 (P = 0.01) times less concerned about AMR, respectively. There is a critical need to increase awareness about judicious AMU practices among clinicians, increase emphasis about AMR in the present veterinary curriculum, and implement antimicrobial stewardship program (AMS) in this institution. Educational activities in combination with awareness campaigns and the stewardship programs could be used to improve AMU practices at this hospital. More client education on AMR is needed.