Practices and Challenges of Veterinary Paraprofessionals in Regards to Antimicrobial Use and Resistance in Animals in Dar Es Salaam, Tanzania.

Practices and Challenges of Veterinary Paraprofessionals in Regards to Antimicrobial Use and Resistance in Animals in Dar Es Salaam, Tanzania.
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DOI:
10.3390/antibiotics10060733
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发表时间:
2021-06-17
期刊:
Antibiotics (Basel, Switzerland)
影响因子:
--
通讯作者:
Matee MI
Matee MI
中科院分区:
其他
文献类型:
--
作者:
Frumence G;Mboera LEG;Sindato C;Durrance-Bagale A;Jung AS;Mshana SE;Clark TG;Legido-Quigley H;Matee MI

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我们进行了一项定性研究,以探索兽医辅助专业人员(栏杆)在家畜中抗菌剂使用和耐药性方面的做法和挑战。方法:这是一项定性研究,对坦桑尼亚达累斯萨拉姆的Ilala、Ubungo、Kigamboni、Kinondoni和Temeke地区的护栏进行了半结构化访谈。结果:共有40名伞兵参与本研究。大多数人(72.5%)承认没有接受过任何关于抗菌剂使用和/或耐药性的正式培训。Paravet面临几个挑战,包括恶劣的工作条件,以及无法获得实验室服务,以便就抗菌剂的选择和选择提供建议。他们还面临着来自畜牧业农民的挑战,例如买不起推荐的药物、抗菌药物的自我处方以及记录保存不佳。不合格药品的存在和缺乏适当处理药品的指导方针也被认为影响了他们的服务。结论:应对婴幼儿进行合理使用抗菌药物的培训,并加强对感染诊断和预防知识的更新。坦桑尼亚兽医理事会和其他管理机构应协助解决动物保健服务和药品质量方面的挑战。
We conducted a qualitative study to explore the practices and challenges of veterinary paraprofessionals (paravets) on antimicrobial use and resistance in domestic animals. Methods: This was a qualitative study, which involved semi-structured interviews with paravets from the Ilala, Ubungo, Kigamboni, Kinondoni, and Temeke districts in Dar es Salaam, Tanzania. Results: A total of 40 paravets participated in this study. The majority (72.5%) admitted to having not undergone any formal training on antimicrobial use and/or resistance. Paravets face several challenges, including poor working conditions and having no access to laboratory services to advise on antimicrobial choice and selection. They also face challenges from livestock farmers such as the inability to afford the recommended medicines, the self-prescription of antimicrobials, and poor record keeping. The presence of sub-standard medicine and the lack of guidelines on the appropriate disposal of medicines were also identified as affecting their services. Conclusion: Paravets should be trained in the judicious use of antimicrobials, and the same training should be used to refresh their knowledge on the diagnosis and prevention of infections. The Veterinary Council of Tanzania and other regulatory agencies should assist in addressing the challenges facing paravets that are related to animal health services and the quality of medicines.
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