A multinational survey of companion animal veterinary clinicians: How can antimicrobial stewardship guidelines be optimised for the target stakeholder?
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A multinational survey of companion animal veterinary clinicians : How can antimicrobial stewardship guidelines be optimised for the target stakeholder? / Farrell, S.; Bagcigil, A. F.; Chaintoutis, S. C.; Firth, C.; Aydin, F. G.; Hare, C.; Maaland, M.; Mateus, A.; Vale, A. P.; Windahl, U.; Damborg, P.; Timofte, D.; Singleton, D.; Allerton, F.
In: Veterinary Journal, Vol. 303, 106045, 2024.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - A multinational survey of companion animal veterinary clinicians
T2 - How can antimicrobial stewardship guidelines be optimised for the target stakeholder?
AU - Farrell, S.
AU - Bagcigil, A. F.
AU - Chaintoutis, S. C.
AU - Firth, C.
AU - Aydin, F. G.
AU - Hare, C.
AU - Maaland, M.
AU - Mateus, A.
AU - Vale, A. P.
AU - Windahl, U.
AU - Damborg, P.
AU - Timofte, D.
AU - Singleton, D.
AU - Allerton, F.
N1 - Publisher Copyright: © 2023 The Authors
PY - 2024
Y1 - 2024
N2 - Antimicrobial stewardship initiatives are widely regarded as a cornerstone for ameliorating the global health impact of antimicrobial resistance. Within companion animal health, such efforts have largely focused on development and dissemination of antimicrobial stewardship guidelines (ASGs). However, there have been few attempts to understand veterinarian attitudes towards and knowledge of ASGs or to determine how awareness regarding ASGs might best be increased. An online survey regarding ASGs was formulated for veterinarians who treat companion animals. The survey was distributed across 46 European and associated countries between 12 January and 30 June, 2022. In total, 2271 surveys were completed, with 64.9% of respondents (n = 1474) reporting awareness and usage of at least one ASG. Respondents from countries with greater awareness of ASGs tended to report more appropriate use of antimicrobials (Spearman's rank coefficient = 0.6084, P ≤ 0.001), with respondents from countries with country-specific ASGs tending to score highest across both awareness and appropriate use domains. Respondents prioritised guidance around antimicrobial choice (82.0%, n = 1863), duration of treatment (66.0%, n = 1499), and dosage (51.9%, n = 1179) for inclusion in future ASGs, with 78.0% (n = 1776) of respondents preferring ASGs to be integrated into their patient management system. Awareness of ASGs and their use in companion animal veterinary practice appears to be greater than previously reported, with respondents tending to report antimicrobial prescription decision making broadly in line with current clinical recommendations. However, further initiatives aimed at maximising accessibility to ASGs both within countries and individual veterinary practices are recommended.
AB - Antimicrobial stewardship initiatives are widely regarded as a cornerstone for ameliorating the global health impact of antimicrobial resistance. Within companion animal health, such efforts have largely focused on development and dissemination of antimicrobial stewardship guidelines (ASGs). However, there have been few attempts to understand veterinarian attitudes towards and knowledge of ASGs or to determine how awareness regarding ASGs might best be increased. An online survey regarding ASGs was formulated for veterinarians who treat companion animals. The survey was distributed across 46 European and associated countries between 12 January and 30 June, 2022. In total, 2271 surveys were completed, with 64.9% of respondents (n = 1474) reporting awareness and usage of at least one ASG. Respondents from countries with greater awareness of ASGs tended to report more appropriate use of antimicrobials (Spearman's rank coefficient = 0.6084, P ≤ 0.001), with respondents from countries with country-specific ASGs tending to score highest across both awareness and appropriate use domains. Respondents prioritised guidance around antimicrobial choice (82.0%, n = 1863), duration of treatment (66.0%, n = 1499), and dosage (51.9%, n = 1179) for inclusion in future ASGs, with 78.0% (n = 1776) of respondents preferring ASGs to be integrated into their patient management system. Awareness of ASGs and their use in companion animal veterinary practice appears to be greater than previously reported, with respondents tending to report antimicrobial prescription decision making broadly in line with current clinical recommendations. However, further initiatives aimed at maximising accessibility to ASGs both within countries and individual veterinary practices are recommended.
KW - Antimicrobial guidelines
KW - Antimicrobial resistance
KW - Antimicrobial use
KW - Companion animal
KW - Survey
U2 - 10.1016/j.tvjl.2023.106045
DO - 10.1016/j.tvjl.2023.106045
M3 - Journal article
C2 - 38000694
AN - SCOPUS:85178646229
VL - 303
JO - The Veterinary Journal
JF - The Veterinary Journal
SN - 1090-0233
M1 - 106045
ER -
ID: 385697799