Aithal Seema, Guo Huiling, Teo Boon Han, Chua Timothy, Hildon Zoe Jane-Lara, Chow Angela
Tan Tock Seng Hospital, Singapore, Singapore.
Singapore Veterinary Association, Singapore, Singapore.
Front Vet Sci. 2024 Nov 18;11:1491054. doi: 10.3389/fvets.2024.1491054. eCollection 2024.
The present study aimed to assess the factors associated with pet owners' expectations for receiving antibiotics for their pet dogs and/or cats and the factors associated with pets (dogs and/or cats) receiving antibiotics during non-routine veterinary clinic consultations in Singapore.
A cross-sectional study was conducted on consenting pet owners who attended 16 veterinary clinics in Singapore, between March and December 2023. An online survey measured participants' knowledge of antibiotic use, prior antibiotic use experience, expectation for antibiotics and receipt of antibiotics during the last non-routine clinic consultation for their pets. Multivariable logistic regression models were used to determine the factors associated with expectation of antibiotics and receipt of antibiotics.
Among the 821 pet owners, over one-in-four (27.5%) expected antibiotics. Owners with prior antibiotic use (adjusted OR 5.18, 95%CI 2.85-9.42) and poor knowledge of antibiotic use (adjusted OR 1.69, 95% CI 1.21-2.35) were 5 times and nearly 2 times as likely as owners without prior antibiotic use and those with good knowledge of antibiotic use respectively, to expect antibiotics for their pets. After adjusting for potential confounders, owners who expected antibiotics (adjusted OR 12.09, 95% CI 7.83-18.68) and had prior antibiotic use for their pets (adjusted OR 8.57, 95% CI 4.75-15.47) were more likely to receive antibiotics for their pets.
Factors which significantly influenced expectation of antibiotics in pet owners included poor knowledge of antibiotic use and prior usage of antibiotics. This highlights the importance of effective communication by veterinarians to mitigate pet owners' expectations to address inappropriate antibiotic prescribing.
本研究旨在评估与宠物狗和/或猫的主人期望为其宠物接受抗生素治疗相关的因素，以及与新加坡非例行兽医诊所咨询期间宠物（狗和/或猫）接受抗生素治疗相关的因素。
于2023年3月至12月对新加坡16家兽医诊所的同意参与的宠物主人进行了一项横断面研究。一项在线调查测量了参与者对抗生素使用的知识、先前的抗生素使用经验、对抗生素的期望以及在其宠物最后一次非例行诊所咨询期间宠物接受抗生素治疗的情况。使用多变量逻辑回归模型来确定与抗生素期望和接受抗生素治疗相关的因素。
在821名宠物主人中，超过四分之一（27.5%）期望使用抗生素。有先前抗生素使用经历的主人（调整后的比值比为5.18，95%置信区间为2.85 - 9.42）和对抗生素使用知识不足的主人（调整后的比值比为1.69，95%置信区间为1.21 - 2.35）为其宠物期望使用抗生素的可能性分别是没有先前抗生素使用经历的主人和对抗生素使用知识良好的主人的5倍和近2倍。在调整潜在混杂因素后，期望使用抗生素的主人（调整后的比值比为12.09，95%置信区间为7.83 - 18.68）和其宠物有先前抗生素使用经历的主人（调整后的比值比为8.57，95%置信区间为4.75 - 15.47）更有可能为其宠物接受抗生素治疗。
显著影响宠物主人对抗生素期望的因素包括对抗生素使用知识不足和先前使用过抗生素。这凸显了兽医进行有效沟通以降低宠物主人期望从而解决不适当抗生素处方问题的重要性。
