Antimicrobial use practices, attitudes and responsibilities in UK farm animal veterinary surgeons

作者：Lucy Coyne, Sophia Latham, Susan Dawson, Ian Donald, Richard B. Pearson, Robert F. Smith, Nicola Williams, Gina Pinchbeck · 发表于：Preventive Veterinary Medicine · 年份：2018 · DOI：10.1016/j.prevetmed.2018.10.021 · 被引用次数：60 · 研究领域：Antibiotic Use and Resistance、Clostridium difficile and Clostridium perfringens research、Antibiotics Pharmacokinetics and Efficacy

Increasing levels of antimicrobial resistance in human and veterinary medicine have raised concerns around the issue of overprescribing and the indiscriminate use of antimicrobials. Their use in food producing animals is under scrutiny due to the perceived risk from the zoonotic transfer of resistant pathogens from animals to humans. This study aimed to explore UK veterinary surgeons antimicrobial prescribing behaviours, their attitudes to antimicrobial resistance and their perceptions of responsibility of antimicrobial use in pigs through a questionnaire study on a census sample of 261 veterinary surgeons in England, Wales and Scotland who had a clinical caseload which included commercial pigs. The questionnaire had a useable response rate of 34.1% (n = 61/179) in eligible veterinary surgeons. Overall, veterinary surgeons reported personal confidence that their prescribing decisions were responsible however, there was concern that the prescribing behaviours of other veterinary surgeons and physicians in human medicine may be less responsible; a sociological concept known as 'othering'. In parallel, veterinary surgeons seldom identified that treatment failure was a consequence of antimicrobial resistance in their own clinical caseload, however they considered it an issue for other veterinary surgeons and for human prescribers. Veterinary surgeons consulted a wide spectrum of resources on antimicrobial use in pigs which, on occasion, contained conflicting guidance on what was ...