Overview and Evaluation of Existing Guidelines for Rational Antimicrobial Use in Small-Animal Veterinary Practice in Europe.

Overview and Evaluation of Existing Guidelines for Rational Antimicrobial Use in Small-Animal Veterinary Practice in Europe.
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概述和评估欧洲小动物兽医实践中合理抗菌剂使用的现有指南。

DOI:
10.3390/antibiotics10040409
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发表时间:
2021-04-09
期刊:
Antibiotics (Basel, Switzerland)
影响因子:
--
通讯作者:
Jessen LR
Jessen LR
中科院分区:
其他
文献类型:
--
作者:
Allerton F;Prior C;Bagcigil AF;Broens E;Callens B;Damborg P;Dewulf J;Filippitzi ME;Carmo LP;Gómez-Raja J;Harpaz E;Mateus A;Nolff M;Phythian CJ;Timofte D;Zendri F;Jessen LR

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抗菌药物管理指南(ASG)是帮助兽医优化抗菌药物使用的重要工具,目的是降低抗菌药物耐药性。本研究的目的是绘制并定性评估欧洲猫和犬抗菌剂使用的ASG。要求欧洲兽医抗菌治疗优化网络(ENOVAT)的国家代表确定其国家公布的ASG。对自2010年1月以来更新的所有经整理的ASG进行了详细审查,包括AGREE II分析,其中包含对影响猫和犬不同器官系统的至少三种疾病的抗菌治疗建议。在调查的40个国家中,11个国家的15个助理秘书长符合入选标准。确定了抗菌药物使用的几个关键原则,提供了一个框架,应有助于制定管理指南。AGREE II的分析突出了现有助理秘书长在方法上的一些局限性。这项研究揭示了多个欧洲国家缺乏狗和猫的国家ASG,并应鼓励国家机构优先考虑小动物指南的制定。进一步认识到有必要采用结构化的方法来制定准则,可以提高今后助理秘书长的质量。
Antimicrobial stewardship guidelines (ASGs) represent an important tool to help veterinarians optimize their antimicrobial use with the objective of decreasing antimicrobial resistance. The aim of this study was to map and qualitatively assess the ASGs for antimicrobial use in cats and dogs in Europe. Country representatives of the European Network for Optimization of Veterinary Antimicrobial Treatment (ENOVAT) were asked to identify ASGs published in their countries. All collated ASGs updated since January 2010 containing recommendations on antimicrobial therapy for at least three conditions affecting different organ systems in cats and dogs underwent detailed review including AGREE II analysis. Out of forty countries investigated, fifteen ASGs from eleven countries met the inclusion criteria. Several critical principles of antimicrobial use were identified, providing a framework that should assist development of stewardship guidance. The AGREE II analysis highlighted several methodological limitations of the currently available ASGs. This study sheds light on the lack of national ASGs for dogs and cats in multiple European countries and should encourage national bodies to prioritize guideline development in small animals. A greater awareness of the need to use a structured approach to guideline development could improve the quality of ASGs in the future.
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发表时间: 2020-01-14
影响因子: 1.6
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