Kogan Lori, Hellyer Peter, Rishniw Mark, Schoenfeld-Tacher Regina
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.
Veterinary Information Network, Davis, CA, United States.
Front Vet Sci. 2019 Jul 4;6:222. doi: 10.3389/fvets.2019.00222. eCollection 2019.
To assess the impact of the human opioid epidemic and associated shortages in drug supply on US general practice veterinarians. Cross-sectional study. Members of the Veterinary Information Network (VIN). An electronic survey was used to examine veterinarians' views regarding opioid use in veterinary medicine and the impact of the opioid shortage on the provision of care. The survey was distributed via the VIN data collection portal from October 12-November 6, 2018. 697 veterinarians completed the survey. Most (99.7%) reported using, dispensing or prescribing opioids in veterinary practice. The most commonly used opioids were buprenorphine, tramadol and butorphanol. While most veterinarians (83.3%) reported difficulty in ordering opioids over the last 6 months, this decreased to 59.0% in the last month. The most difficult drugs to obtain were hydromorphone, morphine, injectable fentanyl, and oxymorphone. The reported rate of difficulty in obtaining all these drugs lessened over time. However, the opioid shortage caused significant difficulty in providing appropriate pain management for 41.1% of participants, and affected the ability of 44.8% of respondents to provide optimal anesthesia. Veterinarians' ability to provide opioids for their patients has been impacted by the opioid shortage, with a greater impact on full mu opioid agonists as compared to drugs like butorphanol, buprenorphine, and tramadol. The results confirm the important role of opioid analgesics in the delivery of modern veterinary medicine and highlight the importance of medical health professionals being able to access these critical medications.
评估人类阿片类药物流行及相关药物供应短缺对美国普通执业兽医的影响。横断面研究。兽医信息网络（VIN）的成员。采用电子调查来考察兽医对兽医学中阿片类药物使用的看法以及阿片类药物短缺对医疗服务提供的影响。该调查于2018年10月12日至11月6日通过VIN数据收集门户进行分发。697名兽医完成了调查。大多数（99.7%）报告在兽医实践中使用、配发或开具阿片类药物。最常用的阿片类药物是丁丙诺啡、曲马多和布托啡诺。虽然大多数兽医（83.3%）报告在过去6个月中订购阿片类药物有困难，但在上个月这一比例降至59.0%。最难获取的药物是氢吗啡酮、吗啡、注射用芬太尼和羟吗啡酮。报告的获取所有这些药物的困难程度随时间有所减轻。然而，阿片类药物短缺给41.1%的参与者在提供适当的疼痛管理方面造成了重大困难，并影响了44.8%的受访者提供最佳麻醉的能力。阿片类药物短缺影响了兽医为其患者提供阿片类药物的能力，与布托啡诺、丁丙诺啡和曲马多等药物相比，对完全μ阿片受体激动剂的影响更大。结果证实了阿片类镇痛药在现代兽医学中的重要作用，并强调了医疗卫生专业人员能够获取这些关键药物的重要性。
