Björkman Ingeborg, Röing Marta, Sternberg Lewerin Susanna, Stålsby Lundborg Cecilia, Eriksen Jaran
Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
Department of Biomedical Sciences and Veterinary Public Health, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Front Vet Sci. 2021 Jan 15;7:619030. doi: 10.3389/fvets.2020.619030. eCollection 2020.
Antibacterial resistance (ABR), is a growing global threat to human and animal health. Efforts to contain ABR are urgently needed. This qualitative interview study explored perceptions of work to contain ABR among stakeholders in food animal production in Sweden, with focus on broiler production. Semi-structured interviews were carried out with a strategic sample of 13 stakeholders in different parts of production, from professionals at policy level, veterinary authorities, to poultry farmers and poultry veterinarians. Conventional inductive content analysis was used for data analysis. A latent theme, "Working in unison," emerged, based on the consistency expressed by the informants when they discussed ABR, use of antibiotics, and animal health management. This theme was built on four domains representing the content of the interviews: Knowledge and engagement; Cooperation; Animal health concept; and Development in balance with economic prerequisites. According to the informants, ABR has not been an isolated issue in Sweden but has been included in a tradition of animal health and welfare, and actions have been driven by the industry or by government regulations. Veterinarians described how they worked closely with farmers. Farmers felt involved in the development of animal health management methods. The One Health concept was well-known among stakeholders at national level but not at farm level. Close cooperation between stakeholders seems to facilitate development of animal production with low use of antibiotics.
抗菌药物耐药性（ABR）是全球对人类和动物健康日益严重的威胁。迫切需要采取措施控制ABR。这项定性访谈研究探讨了瑞典食用动物生产利益相关者对控制ABR工作的看法，重点是肉鸡生产。对来自生产不同环节的13名利益相关者进行了半结构化访谈，这些利益相关者包括政策层面的专业人员、兽医当局、家禽养殖户和家禽兽医。数据分析采用传统的归纳式内容分析法。基于受访者在讨论ABR、抗生素使用和动物健康管理时所表达的一致性，出现了一个潜在主题“协同工作”。这个主题建立在代表访谈内容的四个领域之上：知识与参与；合作；动物健康概念；以及与经济前提相平衡的发展。据受访者称，ABR在瑞典并非一个孤立的问题，而是已被纳入动物健康与福利的传统之中，行动由行业或政府法规推动。兽医描述了他们如何与养殖户密切合作。养殖户感到参与了动物健康管理方法的制定。“同一健康”概念在国家层面的利益相关者中广为人知，但在农场层面并非如此。利益相关者之间的密切合作似乎有助于在低抗生素使用情况下发展动物生产。
