Attitudes and perceptions of Dutch companion animal veterinarians towards antimicrobial use and antimicrobial resistance

Autor: Hopman, Nonke E M, Mughini-Gras, Lapo, Speksnijder, David C, Wagenaar, Jaap A, van Geijlswijk, Ingeborg M, Broens, Els M, dI&I I&I-4, LS Klinisch Onderzoek Wagenaar, One Health Microbieel, dIRAS RA-I&I I&I, Faculteit Diergeneeskunde
Přispěvatelé: dI&I I&I-4, LS Klinisch Onderzoek Wagenaar, One Health Microbieel, dIRAS RA-I&I I&I, Faculteit Diergeneeskunde
Jazyk: angličtina
Rok vydání: 2019
Předmět:
medicine.medical_specialty
Referral
Epidemiology
Bioinformatica & Diermodellen
040301 veterinary sciences
Veterinary medicine
030231 tropical medicine
Coronacrisis-Taverne
Legislation
Veterinarians
Likert scale
0403 veterinary science
03 medical and health sciences
0302 clinical medicine
Anti-Infective Agents
Food Animals
Bio-informatics & Animal models
medicine
Animals
Epidemiology
Bio-informatics & Animal models
Netherlands
Epidemiologie
Response rate (survey)
Prescribing behaviour
Descriptive statistics
Public health
Drug Resistance
Microbial
Pets
04 agricultural and veterinary sciences
Guideline
Companion animal
Explanatory variable
Antimicrobial use
Attitude
Epidemiologie
Bioinformatica & Diermodellen
Family medicine
Perception
Animal Science and Zoology
Clinical Competence
Psychology
Social responsibility
Zdroj: Preventive Veterinary Medicine, 170. Elsevier
Preventive Veterinary Medicine 170 (2019)
Preventive Veterinary Medicine, 170
ISSN: 0167-5877
Popis: Antimicrobial use (AMU) in humans and animals facilitates the emergence of antimicrobial resistance (AMR). With increasing AMR being recognised as a major global threat for public health, responsible AMU is strongly advocated in both human and veterinary medicine. Knowledge on factors influencing antimicrobial prescribing behaviour of companion animal veterinarians is needed to promote responsible AMU in companion animals and to improve compliance with current legislation and guidelines. The present study aimed to quantitively investigate attitudes and perceptions of companion animal veterinarians towards AMU and AMR and to identify associations with demographic characteristics as possible explanatory variables. A self-administered questionnaire was developed based upon an earlier qualitative interview study, and 1608 potential participants (i.e. practising companion animal veterinarians) were invited. The questionnaire included questions addressing general descriptives of the respondents and questions with 6-point Likert scale statements, to assess attitudes towards AMU, AMR, factors influencing antimicrobial prescribing, and possible options to support responsible AMU. The response rate was 32% (22% when complete questionnaires considered). Categorical Principal Component Analysis (CATPCA) was conducted on 76 Likert scale questions. This resulted in a final model with 37 questions explaining 38.7% of the variance of the question scores, with three underlying dimensions ("attitudinal profiles"). Additionally, general descriptives were added to the CATPCA as possible explanatory variables. The first dimension, related to "social responsibility" was positively associated with veterinarians working in clinics dedicated to companion animals, with veterinarians working in a referral clinic, and with more experienced veterinarians. The second dimension was related to "scepticism", which was positively associated with being a male veterinarian and with more experienced veterinarians. The third dimension was related to "risk avoidance", especially regarding surgical procedures, and was negatively associated with veterinarians working in clinics in urban areas and with veterinarians working part-time. Antimicrobial prescribing behaviour was self-reported to be well considered, and respondents did not see economic drivers as important influencing factors. The unwillingness of owners and financial constraints were perceived as important barriers for performing further diagnostics. To improve AMU, a multifaceted approach, taking differences between companion animal veterinarians (e.g., in experience and gender) and differences in work situation (e.g., full-time versus part-time) into account, should be directed at companion animal veterinarians and owners. Moreover, a joint and comprehensive effort of several stakeholders, like veterinary nurses, guideline developers, pharmaceutical industry, and providers of diagnostics, is needed to optimise AMU in companion animals.
Databáze: OpenAIRE
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