1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN.
2Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA.
J Am Vet Med Assoc. 2024 Sep 13;262(11):1485-1490. doi: 10.2460/javma.24.07.0477. Print 2024 Nov 1.
To understand antimicrobial stewardship (AS) and infection prevention and control (IPC) activities in veterinary schools.
An online survey was completed by representatives from American Association of Veterinary Medical Colleges-accredited veterinary schools in the US and Caribbean prior to attending the Inaugural Small Animal Antimicrobial Stewardship Workshop for US Veterinary Schools. Responses were examined to identify patterns among AS and IPC activities and adherence to the AVMA core principles.
Half (12 of 24) of the surveyed schools had an AS committee and most (79% [19 of 24]) had an IPC committee. Lack of dedicated staff time was a common barrier to AS (88% [21 of 24]) and IPC (75% [18 of 24]) reported by schools both with and without AS and IPC committees. Eleven of 24 schools (46%) reported performing at least 1 activity focused on each of the AVMA's 5 core principles of AS. Although 79% (19 of 24) of schools incorporate AS into preclinical curricula, training of clinical faculty (17% [4 of 24]), veterinary technicians and support staff (21% [5 of 24]), and house officers (42% [10 of 24]) is less common, despite these individuals engaging in teaching clinical-year veterinary students.
Veterinary schools varied in established AS education and AS and IPC practices, though financial and human resources were a common barrier.
A collaborative and cohesive approach to AS and IPC among schools to create sustainable frameworks for practice improvement will help combat the global threat of antimicrobial resistance. This is a critical action for settings where future veterinarians are trained.
了解兽医学校的抗菌药物管理（AS）和感染预防与控制（IPC）活动。
在美国和加勒比地区的美国兽医协会医学学院认证兽医学校的代表在参加美国兽医学校小型动物抗菌药物管理工作坊之前，完成了一项在线调查。对调查结果进行了检查，以确定 AS 和 IPC 活动之间的模式以及对 AVMA 核心原则的遵守情况。
在所调查的 24 所学校中，有一半（12/24）有 AS 委员会，大多数（79%[19/24]）有 IPC 委员会。缺乏专门的员工时间是学校普遍存在的 AS（88%[21/24]）和 IPC（75%[18/24]）的障碍，无论是有 AS 和 IPC 委员会的学校还是没有的学校都有这种情况。24 所学校中的 11 所（46%）报告至少开展了 1 项针对 AVMA 抗菌药物管理 5 项核心原则中的每一项的活动。尽管 79%（19/24）的学校将 AS 纳入临床前课程，但对临床教师（17%[4/24]）、兽医技术员和支持人员（21%[5/24]）以及住院医师（42%[10/24]）的培训则不太常见，尽管这些人都在为临床兽医学生授课。
兽医学校在已建立的 AS 教育以及 AS 和 IPC 实践方面存在差异，尽管财务和人力资源是一个常见的障碍。
学校之间开展抗菌药物管理和感染预防与控制的协作和协调方法，以建立可持续的实践改进框架，将有助于应对全球抗菌药物耐药性威胁。这是未来兽医培训场所的一项关键行动。
