Antibiotic use in people and pigs: a One Health survey of rural residents' knowledge, attitudes and practices in Shandong province, China
Antibiotic use in people and pigs: a One Health survey of rural residents' knowledge, attitudes and practices in Shandong province, China
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DOI：
10.1093/jac/dky240
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发表时间：
2018-10-01
影响因子：
5.2
通讯作者：
Lundborg, Cecilia Stalsby
中科院分区：
文献类型：
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作者：
Dyar, Oliver J.;Yin, Jia;Lundborg, Cecilia Stalsby
目的：为了解山东省农村居民对人用和猪用抗生素使用的知识、态度和行为（KAP），对山东省12个农村居民进行了横断面问卷调查，并直接观察了家庭储存的人用和猪用药物。共有769名居民参加，其中包括330名后院养猪户。受访者对抗生素的知识水平较低。四分之一的参与者在前一年没有处方就从药店购买了一种或多种抗生素，这在那些没有咨询兽医就为猪购买抗生素的养猪户中更为常见（49%对25%，P < 0.001）。在42%的家庭中发现了储存的供人使用的抗生素，这些家庭中70%的参与者不知道他们储存了抗生素。31%的后院养猪户储存了猪用抗生素。认为为他们的猪储存剩余抗生素是好的农民更有可能为猪（41%对20%）和人类（47%对32%;均P < 0.01）储存抗生素。五分之一的参与者认为他们自己的行动是重要的控制抗生素resistance.Conclusions：我们发现在后院养猪户和非养猪户的抗生素的KAP的差异，和养猪户的态度和行为之间的相似之处，对猪和人类使用抗生素。我们的研究结果加强了对适应环境的多方面干预措施的需要，以改善抗生素的使用，并为有针对性的教育方法提供建议。
Objectives: To evaluate rural residents' knowledge, attitudes and practices (KAP) towards antibiotic use in humans and pigs, among individuals with and without backyard pig farms living in Shandong province, China.Methods: We conducted a cross-sectional questionnaire study among residents in 12 villages, and directly observed medicines stored in households for humans and pigs.Results: In total, 769 residents participated, including 330 backyard pig farmers. Respondents had low levels of knowledge about antibiotics. A quarter of participants had bought one or more antibiotics from a pharmacy without a prescription in the previous year, and this was more common among pig farmers who had bought antibiotics for their pigs without consulting a vet (49% versus 25%, P < 0.001). Stored antibiotics for human use were found in 42% of households, and 70% of participants from these households did not know they were storing antibiotics. Thirty-one percent of backyard pig farmers were storing antibiotics for pig use. Farmers who thought it was good to store leftover antibiotics for their pigs were more likely to have stored antibiotics for pigs (41% versus 20%) and for humans (47% versus 32%; both P < 0.01). A fifth of participants thought their own actions were important for controlling antibiotic resistance.Conclusions: We found differences in the KAP of backyard pig farmers and non-pig farmers to antibiotics, and parallels between pig farmers' attitudes and behaviours towards antibiotic use in pigs and in humans. Our findings reinforce the need for context-adapted multifaceted interventions to improve antibiotic use and provide suggestions for targeting educational approaches.