Survey of veterinary antimicrobial prescribing practices, Washington State 2015
Survey of veterinary antimicrobial prescribing practices, Washington State 2015
复制标题
DOI：
10.1136/vr.103916
复制
发表时间：
2016-12-01
影响因子：
2.2
通讯作者：
Rabinowitz, P. M.
中科院分区：
文献类型：
--
作者：
Fowler, H.;Davis, M. A.;Rabinowitz, P. M.
抗生素耐药性是一个日益严重的全球健康问题。这也是兽医学中公认的问题。2015年9月至12月，作者对华盛顿州的执业兽医进行了一项横断面调查，以评估影响华盛顿州兽医抗菌药物处方实践的因素。203名兽医完成了调查。大多数受访者（166人，82%）从事小动物或外来动物实践。24%的受访者报告说，在实践中没有进行文化和敏感性（C/S）测试。在76%报告订购C/S测试的兽医中，36%报告在治疗推定细菌感染时“经常”或“总是”订购此类测试。大多数受访者（65%）提到成本是订购C/S测试的最常见障碍。只有16名（10%）受访者报告说，他们可以获得或使用诊所专用的病历。这项调查表明，虽然抗菌药物在兽医实践中常用，兽医担心抗菌药物耐药性，但成本是获得C/S试验以指导抗菌治疗的障碍。执业兽医很少获得抗菌素耐药模式的总结。以“同一健康”的方式促进抗菌药物管理的努力应解决兽医实践环境中明智使用抗菌药物的障碍。
Antimicrobial resistance is a growing global health issue. It is also a recognised problem in veterinary medicine. Between September and December 2015 the authors administered a cross-sectional survey to licensed veterinarians in Washington State to assess factors affecting antimicrobial prescribing practices among veterinarians in Washington State. Two hundred and three veterinarians completed the survey. The majority of respondents (166, 82 per cent) were engaged in small animal or exotic animal practice. 24 per cent of respondents reported not ordering culture and sensitivity (C/S) testing in practice. Of the 76 per cent of veterinarians who reported ordering C/S tests, 36 per cent reported ordering such testing 'often' or 'always' when treating presumptive bacterial infections. Most respondents (65 per cent) mentioned cost as the most common barrier to ordering a C/S test. Only 16 (10 per cent) respondents reported having access to or utilising a clinic-specific antibiogram. This survey demonstrated that while antimicrobials are commonly used in veterinary practice, and veterinarians are concerned about antimicrobial resistance, cost is a barrier to obtaining C/S tests to guide antimicrobial therapy. Summaries of antimicrobial resistance patterns are rarely available to the practising veterinarian. Efforts to promote antimicrobial stewardship in a 'One Health' manner should address barriers to the judicious use of antimicrobials in the veterinary practice setting.