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了解印度某地区兽医专业人员对抗菌药物使用及抗菌药物耐药性的行为和认知。

Accessing the behavior and awareness of veterinary professionals towards antimicrobials use and antimicrobial resistance in Indian district.

作者信息

Dhayal Virendra S, Rehman Bilal Ur, Krishnan Ayana, Singh Vijay Pal

机构信息

Shri Jagdishprasad Jhabarmal Tibrewala (JJT) University, Jhunjhunu, Rajasthan, India.

Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, India.

出版信息

Front Vet Sci. 2024 Mar 11;11:1342089. doi: 10.3389/fvets.2024.1342089. eCollection 2024.

DOI:10.3389/fvets.2024.1342089
PMID:38528873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10962261/
Abstract

INTRODUCTION

Antimicrobial resistance (AMR) poses a significant public health threat, and understanding the awareness and practices of healthcare professionals is crucial for its mitigation. Since the animal sector plays a key role in India's economy, we decided to explore the understanding of Antimicrobial Use (AMU) and AMR among veterinary professionals.

METHODS

The study aimed to evaluate the awareness and behavior of veterinarians and para-veterinarians working in the Jhunjhunu district, Rajasthan, India, concerning AMU and AMR. Questionnaire surveys were administered to them with closed-ended questions. The data was collected and subjected to statistical analysis to derive meaningful insights. The key findings highlight notable differences in certain behavioral aspects of antibiotic prescription among the two groups.

RESULTS AND DISCUSSION

It appears that 53.8% of veterinarians as compared to 25.8% para-veterinarians do not surely inform farmers about the importance of adhering to antibiotic withdrawal periods, thereby failing to raise awareness about proper antibiotic use. Moreover, para-veterinarians (46.6%) tend to engage less in evidence-based antibiotic prescription than veterinarians (81%). Furthermore, both groups exhibit a lower frequency of advice on Antimicrobial Susceptibility Testing (ABST), essential for informed prescribing decisions. Most significantly, both groups show a tendency to prefer critically important antibiotics for prescription, raising concerns about the escalating threat of AMR. This study thus emphasizes the areas that need targeted interventions to enhance responsible antimicrobial usage and curb the growth of AMR in the region.

摘要

引言

抗菌药物耐药性(AMR)对公众健康构成重大威胁,了解医疗保健专业人员的认识和做法对于缓解这一威胁至关重要。由于畜牧业在印度经济中发挥着关键作用,我们决定探索兽医专业人员对抗菌药物使用(AMU)和抗菌药物耐药性的理解。

方法

该研究旨在评估在印度拉贾斯坦邦琼胡努区工作的兽医和准兽医对抗菌药物使用和抗菌药物耐药性的认识和行为。向他们发放了包含封闭式问题的问卷调查。收集数据并进行统计分析以得出有意义的见解。主要发现突出了两组在抗生素处方某些行为方面的显著差异。

结果与讨论

似乎53.8%的兽医与25.8%的准兽医相比,没有向农民明确告知遵守抗生素停药期的重要性,从而未能提高对正确使用抗生素的认识。此外,准兽医(46.6%)比兽医(81%)更少倾向于基于证据进行抗生素处方。此外,两组在对抗菌药物敏感性测试(ABST)的建议频率上都较低,而抗菌药物敏感性测试对于明智的处方决策至关重要。最重要的是,两组都表现出倾向于选择极重要的抗生素进行处方的趋势,这引发了对抗菌药物耐药性威胁不断升级的担忧。因此,本研究强调了需要有针对性干预的领域,以加强负责任的抗菌药物使用并遏制该地区抗菌药物耐药性的增长。

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本文引用的文献

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Antibiotics (Basel). 2023 Dec 12;12(12):1718. doi: 10.3390/antibiotics12121718.
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Reservoirs of antimicrobial resistance in the context of One Health.“One Health”背景下的抗微生物药物耐药性储库。
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Qualitative Study on Antimicrobial Usage and Resistance in the Dairy Chain: A Situation Analysis and Solutions by Stakeholders from Punjab, India.
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Antibiotics (Basel). 2022 Sep 9;11(9):1229. doi: 10.3390/antibiotics11091229.
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Rapid expansion and extinction of antibiotic resistance mutations during treatment of acute bacterial respiratory infections.抗生素耐药性突变在急性细菌性呼吸道感染治疗过程中的快速扩张和消失。
Nat Commun. 2022 Mar 9;13(1):1231. doi: 10.1038/s41467-022-28188-w.
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Antibiotic Resistance: One Health One World Outlook.抗生素耐药性:同一健康,同一世界的展望。
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