Hund Alexandra, Wittek Thomas, Selan Ursa, Käsbohrer Annemarie, Firth Clair L
University Clinic for Ruminants, University of Veterinary Medicine, Vienna, Austria.
Agricultural Centre for Cattle, Grassland, Dairy, Game and Fisheries of Baden Wuerttemberg (LAZBW), Aulendorf, Germany.
Front Vet Sci. 2023 Oct 6;10:1258812. doi: 10.3389/fvets.2023.1258812. eCollection 2023.
Knowledge of common diseases and their treatment in minor species, such as llamas and alpacas, is growing, but frequently drugs are not licensed in these species. Our aim was to evaluate frequent diagnoses and commonly applied antibiotics in patients of a university clinic with a particular focus on EMA Category B antibiotics, which are critically important for human health. We retrospectively analyzed anonymized patient records between 2005 and 2019 regarding the causes for antibiotic treatment and choice of antibiotic substance. The most frequent indications for antibiotic treatment were diseases of the digestive tract and perioperative prophylaxis for castrations. The number of applications of EMA Category B antibiotics initially increased with the number of patients treated, then remained stable, while the use of Category D drugs increased over time. Most Category B antibiotics were used for diseases of crias and diseases of the digestive tract, primarily dental disease. The use of EMA Category B antibiotics cannot be completely avoided based on the types of cases treated. However, antibiotic stewardship guidelines should be followed wherever possible.
对于骆驼和羊驼等小型物种常见疾病及其治疗方法的了解正在不断增加，但这些物种的药物通常未获许可。我们的目的是评估一家大学诊所患者的常见诊断和常用抗生素，特别关注对人类健康至关重要的欧洲药品管理局（EMA）B类抗生素。我们回顾性分析了2005年至2019年间匿名患者记录中抗生素治疗的原因和抗生素物质的选择。抗生素治疗最常见的指征是消化道疾病和去势手术的围手术期预防。EMA B类抗生素的使用数量最初随治疗患者数量增加，然后保持稳定，而D类药物的使用随时间增加。大多数B类抗生素用于幼崽疾病和消化道疾病，主要是牙科疾病。基于所治疗病例的类型，无法完全避免使用EMA B类抗生素。然而，应尽可能遵循抗生素管理指南。
