Gómez-Beltrán David A, Schaeffer David J, Ferguson Duncan C, Monsalve Laura K, Villar David
Centro de Investigaciones Básicas y Aplicadas en Veterinaria Research Group (Grupo CIBAV), Facultad de Ciencias Agrarias, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín 050010, Colombia.
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, 2001 S Lincoln Avenue, Urbana, IL 61802, USA.
Vet Sci. 2021 Apr 26;8(5):73. doi: 10.3390/vetsci8050073.
This study surveyed the prescribing behavior of Colombian companion animal veterinarians and compared the responses to the current guidelines of the International Society for Companion Animals on Infectious Diseases (ISCAID). A convenience sample of 100 primary-care veterinary practitioners was selected from the city of Medellin. A questionnaire was designed to present hypothetical clinical scenarios regarding prescription choices for systemic antimicrobials. The numbers of veterinarians empirically prescribing a course of systemic antimicrobials for each scenario were-perioperative elective surgeries (86%), superficial pyoderma (90%), lower urinary tract disease (52%), acute hemorrhagic diarrhea (50%), and kennel cough (46%). For urinary tract disease, cultures and susceptibility testing were only performed by half of the respondents, suggesting lower diagnostic standards. In superficial pyoderma cases, cytology was performed in the following percent of cases-0% (24), 20% (30), 40% (17), 60% (11), 80% (8), and 100% (10). Antimicrobials were over-prescribed relative to emerging standard for elective surgeries (86%), kennel cough (46%), and acute hemorrhagic diarrhea (50%). Critically important antimicrobials, such as fluoroquinolones, were applied commonly for superficial pyoderma (18%), kennel cough (12%), and lower urinary tract disease in dogs (20%) and cats (26%). In conclusion, antimicrobial prescribing behavior was inconsistent with current guidelines, and antimicrobial use could be improved by appropriate diagnostic steps allowing choice of an optimal antimicrobial drug. Overall, we documented the widespread use of antimicrobials for the treatment of these four common disease conditions.
本研究调查了哥伦比亚伴侣动物兽医的处方行为，并将其回答与国际伴侣动物传染病学会（ISCAID）的现行指南进行了比较。从麦德林市选取了100名初级保健兽医作为便利样本。设计了一份问卷，以呈现关于全身用抗菌药物处方选择的假设临床场景。针对每种场景，经验性开具全身用抗菌药物疗程的兽医数量分别为：择期手术围手术期（86%）、浅表脓皮病（90%）、下泌尿道疾病（52%）、急性出血性腹泻（50%）和犬窝咳（46%）。对于泌尿道疾病，只有一半的受访者进行了培养和药敏试验，这表明诊断标准较低。在浅表脓皮病病例中，进行细胞学检查的病例百分比分别为：0%（24例）、20%（30例）、40%（17例）、60%（11例）、80%（8例）和100%（10例）。相对于择期手术（86%）、犬窝咳（46%）和急性出血性腹泻（50%）的新出现标准，抗菌药物存在过度处方的情况。氟喹诺酮等极为重要的抗菌药物常用于浅表脓皮病（18%）、犬窝咳（12%）以及犬（20%）和猫（26%）的下泌尿道疾病。总之，抗菌药物的处方行为与现行指南不一致，通过适当的诊断步骤以选择最佳抗菌药物可改善抗菌药物的使用。总体而言，我们记录了抗菌药物在治疗这四种常见疾病中的广泛使用情况。
