Factors influencing the behaviour and perceptions of Australian veterinarians towards antibiotic use and antimicrobial resistance

Autoři: Jacqueline M. Norris aff001;  Annie Zhuo aff003;  Merran Govendir aff001;  Samantha J. Rowbotham aff004;  Maurizio Labbate aff005;  Chris Degeling aff006;  Gwendolyn L. Gilbert aff002;  Dale Dominey-Howes aff002;  Michael P. Ward aff001
Působiště autorů: Sydney School of Veterinary Science, The University of Sydney, Sydney, New South Wales, Australia aff001;  Westmead Institute for Medical Research, Sydney, New South Wales, Australia aff002;  School of Geosciences, The University of Sydney, Sydney, New South Wales, Australia aff003;  Menzies Centre for Health Policy, Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia aff004;  School of Life Sciences, University of Technology Sydney, Sydney, New South Wales, Australia aff005;  Australian Centre for Health Engagement, Evidence & Values, School of Health and Society - Faculty of Social Sciences, University of Wollongong, Wollongong, New South Wales, Australia aff006;  Wollongong Antimicrobial Resistance Research Alliance (WARRA), University of Wollongong, Wollongong, New South Wales, Australia aff007;  Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney, New South Wales, Australia aff008
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0223534


Antimicrobial resistance (AMR) is a global crisis with impacts on the future health and welfare of humans and animals. Determining key factors that influence veterinarians’ antimicrobial prescribing behaviours can bridge the gap between prescribing guidelines and clinical usage. Veterinarians practicing in Australia were surveyed on their frequency in prescribing different antibiotics; factors influencing their antibiotic prescribing behaviours; and their perceptions of current drivers of AMR. Antibiotics were prescribed in a third of consultations with key differences in the frequency of use of specific antibiotics by small companion animal (SCA), equine and livestock veterinarians, which broadly aligned with antibiotic registration restrictions in Australia. SCA veterinarians reported prescribing broad-spectrum antibiotics of higher importance to human health more frequently than livestock veterinarians. Factors that were reported as ‘strong’ or ‘moderate’ barriers to appropriate antibiotic prescribing were the 1) cost of culture and susceptibility testing and 2) lack of access to rapid and affordable diagnostic tests. Fear of losing clients, colleague pressure, and lack of their own understanding about antibiotics were considered to be ‘no’ or ‘somewhat’ of a barrier to appropriate prescribing by respondents. SCA veterinarians placed greater importance on the contribution of antibiotic use in livestock to AMR, than antibiotic use in companion animals. Despite reporting use of fewer, mostly narrow spectrum antibiotics of lower importance to human and animal health, livestock veterinarians were generally more aware of their potential contribution to AMR. This study provides insights into the similarities and differences in SCA, equine and livestock veterinarians practicing in Australia and informs sector-specific strategies to improve antimicrobial stewardship.

Klíčová slova:

Antibiotic resistance – Antibiotics – Antimicrobial resistance – Antimicrobials – Australia – Equines – Livestock care – Veterinarians


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