Knowledge, Attitudes and Practices of Veterinarians Towards Antimicrobial Resistance and Stewardship in Nigeria
Knowledge, Attitudes and Practices of Veterinarians Towards Antimicrobial Resistance and Stewardship in Nigeria
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DOI：
10.3390/antibiotics9080453
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发表时间：
2020-08-01
影响因子：
4.8
通讯作者：
Cook, Alasdair J. C.
中科院分区：
文献类型：
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作者：
Adekanye, Usman O.;Ekiri, Abel B.;Cook, Alasdair J. C.
抗生素耐药性（AMR）是一个全球性的健康问题，在动物和人类中不适当地使用抗生素被认为是一个促成因素。在尼日利亚进行了一项横断面调查，以评估兽医对AMR和抗菌药物管理的知识、态度和实践。共有241名受访者完成了在线调查。只有21%的受访者正确定义了抗菌药物管理一词，59.8%的受访者不知道尼日利亚AMR国家行动计划提供的指导方针。超过一半（51%）的受访者表示，当农场生物安全性差时，预防性使用抗生素是适当的。只有20%的受访者经常进行抗菌药物敏感性测试（AST），兽医实验室服务的不可用性（82%）和业主无力支付（72%）被报告为进行AST的主要障碍。研究结果表明，关注以下领域的策略可能有助于改善尼日利亚兽医的抗生素使用和抗菌管理：提高执业兽医和新毕业兽医对负责任地使用抗生素的认识，加强定期更新抗生素使用指南的传播，提高对良好生物安全和疫苗接种做法在疾病预防中的作用的认识，并以可承受的成本增加实验室服务和AST的提供。
Antimicrobial resistance (AMR) is a global health concern and the inappropriate use of antibiotics in animals and humans is considered a contributing factor. A cross-sectional survey to assess the knowledge, attitudes and practices of veterinarians regarding AMR and antimicrobial stewardship was conducted in Nigeria. A total of 241 respondents completed an online survey. Only 21% of respondents correctly defined the term antimicrobial stewardship and 59.8% were unaware of the guidelines provided by the Nigeria AMR National Action Plan. Over half (51%) of the respondents indicated that prophylactic antibiotic use was appropriate when farm biosecurity was poor. Only 20% of the respondents conducted antimicrobial susceptibility testing (AST) frequently, and the unavailability of veterinary laboratory services (82%) and the owner's inability to pay (72%) were reported as key barriers to conducting AST. The study findings suggest strategies focusing on the following areas may be useful in improving appropriate antibiotic use and antimicrobial stewardship among veterinarians in Nigeria: increased awareness of responsible antimicrobial use among practicing and newly graduated veterinarians, increased dissemination of regularly updated antibiotic use guidelines, increased understanding of the role of good biosecurity and vaccination practices in disease prevention, and increased provision of laboratory services and AST at affordable costs.