Hardefeldt Laura, Nielsen Torben, Crabb Helen, Gilkerson James, Squires Richard, Heller Jane, Sharp Claire, Cobbold Rowland, Norris Jacqueline, Browning Glenn
Asia-Pacific Centre for Animal Health, Department of Veterinary Biosciences, Faculty of Veterinary and Agricultural Sciences, Melbourne Veterinary School, University of Melbourne, Parkville, VIC 3050, Australia.
National Centre for Antimicrobial Stewardship, Peter Doherty Institute, Grattan St, Carlton, VIC 3050, Australia.
Antibiotics (Basel). 2018 Apr 18;7(2):34. doi: 10.3390/antibiotics7020034.
A better understanding of veterinary students’ perceptions, attitudes, and knowledge about antimicrobial stewardship and biosecurity could facilitate more effective education of future veterinarians about these important issues. A multicenter cross-sectional study was performed by administering a questionnaire to veterinary students expected to graduate in 2017 or 2018 in all Australian veterinary schools. Four hundred and seventy-six of 1246 students (38%) completed the survey. Many students were unaware of the high importance of some veterinary drugs to human medicine, specifically enrofloxacin and cefovecin (59% and 47% of responses, respectively). Fewer than 10% of students would use appropriate personal protective equipment in scenarios suggestive of Q fever or psittacosis. Students expected to graduate in 2018 were more likely to select culture and susceptibility testing in companion animal cases (OR 1.89, 95% CI 1.33–2.69, < 0.001), and were more likely to appropriately avoid antimicrobials in large animal cases (OR 1.75, 95% CI 1.26–2.44, = 0.001) than those expected to graduate in 2017. However, 2018 graduates were less likely to correctly identify the importance rating of veterinary antimicrobials for human health (OR 0.48, 95% CI 0.34–0.67, < 0.001) than 2017 graduates. Students reported having a good knowledge of antimicrobial resistance, and combating resistance, but only 34% thought pharmacology teaching was adequate and only 20% said that teaching in lectures matched clinical teaching. Efforts need to be made to harmonize preclinical and clinical teaching, and greater emphasis is needed on appropriate biosecurity and antimicrobial stewardship.
更好地了解兽医专业学生对抗菌药物管理和生物安全的认知、态度及知识，有助于更有效地对未来兽医就这些重要问题展开教育。通过向澳大利亚所有兽医学院预计在2017年或2018年毕业的兽医专业学生发放问卷，开展了一项多中心横断面研究。1246名学生中有476名（38%）完成了调查。许多学生并未意识到某些兽药对人类医学的高度重要性，特别是恩诺沙星和头孢维星（分别有59%和47%的受访者如此）。在疑似Q热或鹦鹉热的场景中，不到10%的学生会使用合适的个人防护装备。预计在2018年毕业的学生在伴侣动物病例中更倾向于选择培养和药敏试验（比值比1.89，95%置信区间1.33 - 2.69，P<0.001），并且在大动物病例中更倾向于合理避免使用抗菌药物（比值比1.75，95%置信区间1.26 - 2.44，P = 0.001），相较于预计在2017年毕业的学生。然而，2018年毕业的学生相较于2017年毕业的学生，正确识别兽用抗菌药物对人类健康重要性评级的可能性更低（比值比0.48，95%置信区间0.34 - 0.67，P<0.001）。学生们报告称对抗菌药物耐药性及应对耐药性有较好的了解，但只有34%的学生认为药理学教学足够，只有20%的学生表示讲座教学与临床教学相匹配。需要努力协调临床前和临床教学，并且需要更加强调适当的生物安全和抗菌药物管理。
