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澳大利亚牛兽医从业者用于手术预防的抗菌药物横断面研究。

Cross-sectional study of antimicrobials used for surgical prophylaxis by bovine veterinary practitioners in Australia.

作者信息

Hardefeldt Laura Y, Browning Glenn F, Thursky Karin A, Gilkerson James R, Billman-Jacobe Helen, Stevenson Mark A, Bailey Kirsten E

机构信息

Faculty of Veterinary and Agricultural Sciences, Asia-Pacific Centre for Animal Health, University of Melbourne, Parkville, Victoria, Australia.

National Centre for Antimicrobial Stewardship, Peter Doherty Institute, Carlton, Victoria, Australia.

出版信息

Vet Rec. 2017 Oct 21;181(16):426. doi: 10.1136/vr.104375. Epub 2017 Sep 11.

Abstract

Antimicrobials are widely used in veterinary practices, but there has been no investigation of antimicrobial classes used or the appropriateness of their use in bovine practice. This study investigated antimicrobial use for surgical prophylaxis in bovine practice in Australia. A cross-sectional study of veterinarian antimicrobial usage patterns was conducted using an online questionnaire. Information solicited included respondent's details, the frequency with which antimicrobials were used for specific surgical conditions (including the dose, timing and duration of therapy) and details of practice antimicrobial use policies and sources of information about antimicrobials. In total, 212 members of the Australian veterinary profession working in bovine practice completed the survey. Antimicrobials were always or frequently used by more than 75 per cent of respondents in all scenarios. Generally, antimicrobial drug choice was appropriate for the reported surgical conditions. Procaine penicillin and oxytetracycline accounted for 93 per cent of use. However, there was a wide range of doses used, with underdosing and inappropriate timing of administration being common reasons for inappropriate prophylactic treatment. There was very low use of critically important antimicrobials (3.3 per cent of antimicrobials reported). Antimicrobial use guidelines need to be developed and promoted to improve the responsible use of antimicrobials in bovine practice.

摘要

抗菌药物在兽医实践中广泛使用,但尚未有人对牛类实践中使用的抗菌药物种类或其使用的适当性进行调查。本研究调查了澳大利亚牛类实践中用于手术预防的抗菌药物使用情况。通过在线问卷对兽医抗菌药物使用模式进行了横断面研究。收集的信息包括受访者的详细信息、抗菌药物用于特定手术情况的频率(包括治疗剂量、时间和持续时间)以及实践中的抗菌药物使用政策和抗菌药物信息来源的详细情况。共有212名从事牛类实践的澳大利亚兽医专业人员完成了调查。在所有情况下,超过75%的受访者总是或频繁使用抗菌药物。一般来说,抗菌药物的选择对于所报告的手术情况是合适的。普鲁卡因青霉素和土霉素占使用量的93%。然而,使用的剂量范围很广,给药剂量不足和时间不当是预防性治疗不当的常见原因。极为重要的抗菌药物使用量非常低(占所报告抗菌药物的3.3%)。需要制定和推广抗菌药物使用指南,以改善牛类实践中抗菌药物的合理使用。

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