Department of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, Philadelphia, PA, USA.
Department of Pathobiology, School of Veterinary Medicine, Philadelphia, PA, USA.
BMC Vet Res. 2023 Sep 2;19(1):142. doi: 10.1186/s12917-023-03637-w.
A core principle of antimicrobial stewardship (AMS) in veterinary settings is the need for engagement of all stakeholders; however, no studies have addressed the role of veterinary technicians in AMS specifically. The objective of this study was to qualitatively assess knowledge, opinions, and practices related to AMS among technicians. Semi-structured interviews were conducted with 33 veterinary technicians with varied backgrounds, experience and roles. Interviews centered on participants work experience and interactions with their employer, perceptions of antimicrobial resistance and overuse in veterinary medicine, observed application of AMS principles, opinions on potential opportunities for technicians to contribute to AMS and concomitant potential barriers to these opportunities. Transcripts of interviews were coded thematically by two authors, then organized into a hierarchical framework, and the characterization of codes was compared across different categories of respondents.
Most veterinary technicians were knowledgeable about antimicrobial drugs but could not provide a complete definition of antimicrobial resistance or AMS. Most veterinary technicians could identify examples of antimicrobial misuse. Participants identified areas of client education and discussion with veterinarians as potential areas to contribute to AMS. Barriers identified included hierarchical structures of veterinary practices and time-constraints. Most participants expressed a personal interest in participating in AMS.
There is a possible appetite among some veterinary technicians to participate in AMS and they already play applicable roles in practices. Barriers such as educational needs, hierarchical structures of veterinary practices and time constraints will need to be addressed if technicians are included in AMS efforts.
兽医环境中抗菌药物管理(AMS)的核心原则之一是需要所有利益相关者的参与;然而,尚无研究专门探讨兽医技师在 AMS 中的作用。本研究的目的是定性评估兽医技师在与 AMS 相关的知识、意见和实践方面的情况。对 33 名具有不同背景、经验和角色的兽医技师进行了半结构化访谈。访谈集中在参与者的工作经验及其与雇主的互动、对抗菌药物耐药性和过度使用在兽医实践中的看法、观察到的 AMS 原则的应用、对兽医技师可能为 AMS 做出贡献的潜在机会的看法以及这些机会的潜在障碍。两名作者对访谈记录进行了主题编码,然后将其组织成一个层次框架,并对不同类别的受访者的代码特征进行了比较。
大多数兽医技师对抗菌药物有一定的了解,但无法提供对抗菌药物耐药性或 AMS 的完整定义。大多数兽医技师可以识别出抗菌药物滥用的例子。参与者确定了向客户提供教育和与兽医讨论的领域,作为参与 AMS 的潜在领域。确定的障碍包括兽医实践的等级结构和时间限制。大多数参与者表示个人有兴趣参与 AMS。
一些兽医技师可能有参与 AMS 的意愿,并且他们已经在实践中发挥了适用的作用。如果要让兽医技师参与 AMS 工作,需要解决教育需求、兽医实践的等级结构和时间限制等障碍。