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意大利艾米利亚-罗马涅地区小动物兽医实践中抗菌药物处方模式调查。

Survey on antimicrobial prescribing patterns in small animal veterinary practice in Emilia Romagna, Italy.

作者信息

Barbarossa A, Rambaldi J, Miraglia V, Giunti M, Diegoli G, Zaghini A

机构信息

University of Bologna, Ozzano dell'Emilia, Italy.

Servizio Prevenzione Collettiva e Sanità Pubblica, Bologna, Italy.

出版信息

Vet Rec. 2017 Jul 15;181(3):69. doi: 10.1136/vr.104128. Epub 2017 May 16.

Abstract

This investigation provides for the first time a general view of the prescribing patterns of antimicrobials in small animal practice in Emilia Romagna, Italy. In the context of a project on antimicrobial resistance managed by the Regional Veterinary Service, veterinary clinicians were invited to voluntarily complete an online questionnaire. This was designed to gather information on antimicrobial prescribing practices and biosecurity measures and to understand the perception of the issue specific to this region of Italy. In total, 266 questionnaires correctly completed were collected. Although clinicians seemed to follow different approaches when using antimicrobials, the data analysis revealed a general awareness on resistance. Penicillins were the most commonly prescribed class, followed by (fluoro)quinolones and cephalosporins. Among those who use laboratory testing more or less frequently (microbiological analysis and susceptibility testing) to support their prescribing habits, only 7 per cent make a habit of always waiting for the results before starting the treatment. Seventy-eight per cent of the respondents declared the use of antimicrobials licensed for human beings. Biosecurity measures were carefully taken into account by the majority of the veterinarians. The results identified the antimicrobial classes that are commonly prescribed and highlighted that perioperative hygiene measures and the use of laboratory diagnosis are critical aspects that need to be emphasised in drawing up guidelines on the prudent use of these drugs in pets.

摘要

本调查首次提供了意大利艾米利亚-罗马涅地区小动物医疗中抗菌药物处方模式的总体情况。在地区兽医服务机构管理的一项关于抗菌药物耐药性的项目背景下,邀请兽医临床医生自愿填写一份在线问卷。该问卷旨在收集有关抗菌药物处方做法和生物安全措施的信息,并了解意大利该地区对此问题的看法。总共收集到266份正确填写的问卷。尽管临床医生在使用抗菌药物时似乎采用不同的方法,但数据分析显示他们对耐药性有普遍认识。青霉素是最常处方的类别,其次是(氟)喹诺酮类和头孢菌素类。在或多或少经常使用实验室检测(微生物分析和药敏试验)来支持其处方习惯的人中,只有7%养成了在开始治疗前总是等待结果的习惯。78%的受访者表示使用了人类许可使用的抗菌药物。大多数兽医都认真考虑了生物安全措施。结果确定了常用的抗菌药物类别,并强调围手术期卫生措施和实验室诊断的使用是在制定宠物谨慎使用这些药物的指南时需要强调的关键方面。

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