Jannah Nurul, Paramitadevi Yudith Vega, Vibowo Heryudianto, Kurniawan Fariz Am, Komarudin Nurul Amri, Hidayat Aceng
Ecosystem, Environment, and Applied Communication Division, Environmental Management and Engineering Study Program, College of Vocational Studies, IPB University, Bogor, West Java, Indonesia.
Sociology Study Program, Faculty of Social and Political Sciences, Sumbawa University of Technology, Sumbawa, West Nusa Tenggara, Indonesia.
Vet Med Int. 2024 Dec 13;2024:6519659. doi: 10.1155/vmi/6519659. eCollection 2024.
The rise in antimicrobial resistance is a vital concern, and various factors, such as the overuse of antibiotics in agriculture, have contributed to its development and spread. Livestock farmers, veterinarians, and pharmacies are key prescribers of antibiotics for disease prevention, control, and treatment of ruminant animals. A qualitative study in the Sumbawa District examined their awareness, attitudes, and practices concerning antibiotic use, residues, and resistance, underscoring their vital role in tackling this challenge. The study utilized nine key informant interviews, sixteen in-depth interviews, a single focus group discussion, and on-farm observations using semistructured formats and thematic analysis to identify and explore themes. This revealed a common practice of antibiotic self-medication among ruminant farmers in the Sumbawa Regency, driven by limited knowledge and leading to medicine store purchases based on advice from veterinary paraprofessionals or for unregulated self-treatment. Factors contributing to antibiotic misuse include trust in veterinary paraprofessionals, economic limitations, lack of targeted antiresistance programs, and insufficient regulation of antibiotic sales. Enhancing veterinary paraprofessionals' awareness of their ethical duties, launching educational programs for actors, providing financial support for these initiatives, and strict enforcement of regulations by the local government are strategies that could collectively promote responsible antibiotic use and stewardship.
抗菌药物耐药性的上升是一个至关重要的问题，诸如农业中抗生素的过度使用等各种因素导致了其产生和传播。畜牧养殖户、兽医和药店是反刍动物疾病预防、控制和治疗中抗生素的主要开方者。松巴哇区的一项定性研究调查了他们在抗生素使用、残留和耐药性方面的意识、态度和做法，强调了他们在应对这一挑战中的关键作用。该研究采用了9次关键 informant访谈、16次深入访谈、1次焦点小组讨论以及使用半结构化形式和主题分析的农场观察，以识别和探讨主题。这揭示了松巴哇摄政区反刍动物养殖户中抗生素自我用药的普遍做法，其原因是知识有限，导致根据兽医辅助专业人员的建议在药店购买药物或进行无监管的自我治疗。导致抗生素滥用的因素包括对兽医辅助专业人员的信任、经济限制、缺乏针对性的抗耐药性计划以及抗生素销售监管不足。提高兽医辅助专业人员对其道德职责的认识、为相关人员开展教育项目、为这些举措提供财政支持以及地方政府严格执行法规，这些策略可以共同促进负责任的抗生素使用和管理。
