Tompson Alice C, Mateus Ana L P, Brodbelt Dave C, Chandler Clare I R
London School of Hygiene and Tropical Medicine, London, United Kingdom.
VEEPH Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, London, United Kingdom.
Front Vet Sci. 2021 Oct 8;8:719547. doi: 10.3389/fvets.2021.719547. eCollection 2021.
Addressing antibiotic use is essential to tackle antimicrobial resistance, a major human and animal health challenge. This review seeks to inform stewardship efforts in companion animals by collating research insights regarding antibiotic use in this group and identifying overlooked avenues for future research and stewardship efforts. The development of population-based methods has established that antibiotics are frequently used in companion animal care. Research insights are also contributing toward an in-depth comprehension of the contexts to antibiotic use. Qualitative approaches, for example, have enabled a nuanced understanding in four key areas: interactions with owners, clinical and financial risk management, time pressures, and clinic dynamics. This review identifies that much of the existing research frames antibiotic use as the result of choices made by the individuals at the interface of their use. Future research and policy endeavours could look beyond the moment of prescribing to consider the societal structures and networks in which companion animal antibiotic use is entangled. A diversification in research approaches and frameworks through which antibiotic use is understood will facilitate the identification of additional targets for stewardship initiatives beyond providing information and awareness campaigns.
应对抗生素使用问题对于应对抗菌药物耐药性至关重要，这是一项重大的人类和动物健康挑战。本综述旨在通过整理有关伴侣动物抗生素使用的研究见解，并确定未来研究和管理工作中被忽视的途径，为伴侣动物的管理工作提供参考。基于人群的方法的发展表明，抗生素在伴侣动物护理中经常被使用。研究见解也有助于深入理解抗生素使用的背景。例如，定性方法已在四个关键领域实现了细致入微的理解：与主人的互动、临床和财务管理、时间压力以及诊所动态。本综述指出，现有研究大多将抗生素使用视为使用环节中个体选择的结果。未来的研究和政策努力可以超越开处方的时刻，考虑伴侣动物抗生素使用所涉及的社会结构和网络。通过多样化的研究方法和框架来理解抗生素使用，将有助于确定除提供信息和开展宣传活动之外的管理举措的其他目标。
