Hardefeldt L Y, Crabb H K, Bailey K E, Johnstone T, Gilkerson J R, Billman-Jacobe H, Browning G F
Asia-Pacific Centre for Animal Health, Melbourne Veterinary School, University of Melbourne and the National Centre for Antimicrobial Stewardship, Peter Doherty Institute, Grattan St, Carlton, 3050, Victoria, Australia.
Translational Research and Animal Clinical Trial Study Group (TRACTS), U-Vet Animal Hospital Werribee, Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, 250 Princes Hwy, Werribee, 3030, Victoria, Australia.
Aust Vet J. 2019 Sep;97(9):316-322. doi: 10.1111/avj.12848. Epub 2019 Jul 8.
The Australian Veterinary Prescribing Guidelines for antimicrobial prophylaxis for surgery on dogs and cats are evidence-based guidelines for veterinary practitioners. Validation of these guidelines is necessary to ensure quality and implementability. Two validated tools, used for medical guideline appraisal, were chosen to assess the guidelines. The terminology from the GuideLine Implementability Appraisal (GLIA) and the Appraisal of Guidelines for Research and Evaluation version 2 (AGREE II) were adapted for use by veterinarians. A two-phase evaluation approach was conducted. In the first phase of the evaluation, the GLIA tool was used by two specialist veterinary surgeons in clinical practice. The results of this phase were then used to modify the guidelines. In the second phase, the AGREE II tool was used by 6 general practitioners and 6 specialists to appraise the guidelines. In phase 1, the specialist surgeons either agreed or strongly agreed that the guidelines were executable, decidable, valid and novel, and that the guidelines would fit within the process of care. The surgeons were neutral on flexibility and measurability. Additional clarity around one common surgical procedure was added to the guidelines, after which the surgeons agreed that the guidelines were sufficiently flexible. In phase 2, 12 veterinarians completed the assessment using the AGREE II tool. In all sections the scaled domain score was greater than 70%. The overall quality of the guidelines was given a global scaled score of 76%. This assessment has demonstrated that the guidelines for antimicrobial prophylaxis for companion animal surgery are valid and appear implementable.
《澳大利亚犬猫手术抗菌预防兽医处方指南》是面向兽医从业者的循证指南。对这些指南进行验证对于确保其质量和可实施性至关重要。选择了两种用于医学指南评估的经过验证的工具来评估这些指南。《指南可实施性评估》（GLIA）和《研究与评估指南第2版》（AGREE II）的术语经过调整后供兽医使用。采用了两阶段评估方法。在评估的第一阶段，两名临床实践中的兽医专科外科医生使用了GLIA工具。然后利用该阶段的结果对指南进行修改。在第二阶段，6名全科医生和6名专科医生使用AGREE II工具对指南进行评估。在第一阶段，专科外科医生要么同意要么强烈同意这些指南是可执行的、可判定的、有效的和新颖的，并且这些指南符合护理流程。外科医生在灵活性和可衡量性方面持中立态度。指南中增加了关于一种常见外科手术的额外清晰度内容，之后外科医生一致认为这些指南具有足够的灵活性。在第二阶段，12名兽医使用AGREE II工具完成了评估。在所有板块中，领域评分的量表得分均超过70%。这些指南的整体质量获得了76%的全球量表评分。该评估表明，伴侣动物手术抗菌预防指南是有效的，且似乎具有可实施性。
