Factors Influencing Antibiotic Prescribing Behavior and Understanding of Antimicrobial Resistance Among Veterinarians in Assam, India.
Factors Influencing Antibiotic Prescribing Behavior and Understanding of Antimicrobial Resistance Among Veterinarians in Assam, India.
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DOI：
10.3389/fvets.2022.864813
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发表时间：
2022
影响因子：
3.2
通讯作者：
中科院分区：
文献类型：
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作者：
本研究调查了兽医抗生素处方行为的影响因素及其对抗生素耐药性(AMR)的认识。这项研究使用了对印度阿萨姆邦五个区的50名兽医进行的电话调查。调查要求提供以下信息：最流行的动物疾病、兽医对潜在预防措施的认识，包括决定开抗菌剂处方的因素；不同物种针对不同健康状况使用的抗菌剂类型，以及减少抗菌剂使用(AMU)的可能选择。大多数受访者(86%)为政府工作，98%的受访者报告没有关于使用兽医保健品的书面政策，58%的受访者没有现场诊断设施。头孢曲松、恩诺沙星和土霉素是最常用的抗生素(ABX)，分别有76%、68%和54%的兽医使用。这些ABX主要用于治疗牛的呼吸道健康问题和乳房炎，以及水牛、绵羊、山羊和猪的胃肠道感染。临床症状的严重程度、畜主的经济状况和停用ABX的时间被列为给予ABX非常重要的因素。不到三分之二(%)的人知道政府对粘菌素的禁令，只有2%的人知道AMR的国家计划。这项研究强调，鉴于大多数兽医诊所缺乏诊断设施，ABX处方大多基于初步诊断。有必要加强兽医保健，改善政策制定者和现场兽医之间的沟通，更重要的是，需要传播关于谨慎AMU的明确处方指南。
This study investigates factors influencing veterinarians' antibiotic prescribing behaviors and their understanding of antimicrobial resistance (AMR). The study used a telephone survey of 50 veterinarians conducted in five districts in Assam state, India. The survey sought information on the most prevalent animal diseases, veterinarians' awareness of potential preventive measures, including factors determining antimicrobial prescribing; the types of antimicrobials used for different health conditions in different species, and possible options to reduce antimicrobial use (AMU). The majority (86%) of respondents worked for the government, 98% reported having no written policy for the use of veterinary health products, and 58% have no on-site diagnostic facilities. Ceftriaxone, Enrofloxacin, and Oxytetracycline were the antibiotics (ABX) most frequently prescribed, by 76, 68, and 54% of veterinarians, respectively. These ABX were prescribed mainly for respiratory health problems and mastitis in cattle, and gastrointestinal infections in buffaloes, sheep, goat, and pigs. Severity of clinical symptoms, economic status of the livestock owner, and withdrawal period for ABX were ranked as very important factors for giving ABX. Less than two thirds (64%) were aware of the government ban for Colistin and only 2% were aware of a national plan for AMR. This study highlighted that ABX prescription is mostly based on tentative diagnosis given the lack of diagnostic facilities in most veterinary clinics. There is a need to enhance veterinary healthcare and to improve communication between policy makers and field veterinarians and, importantly, a need to disseminate clear prescribing guidelines on prudent AMU.
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影响因子：
5.5
作者：
Chauhan AS;George MS;Chatterjee P;Lindahl J;Grace D;Kakkar M
通讯作者：
Kakkar M
影响因子：
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作者：
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通讯作者：
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DOI：
10.20506/37.3.2885
发表时间：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.3390/molecules23040795
发表时间：
2018-03-30
期刊：
Molecules (Basel, Switzerland)
影响因子：
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作者：
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通讯作者：
Okoh A
影响因子：
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作者：
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