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接受家庭用药治疗的猫主人的用药依从性。

Medication compliance by cat owners prescribed treatment for home administration.

作者信息

Odom Thomas F, Riley Christopher B, Benschop Jackie, Hill Kate E

机构信息

School of Veterinary Science, Massey University, Palmerston North, New Zealand.

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

出版信息

J Vet Intern Med. 2025 Jan-Feb;39(1):e17298. doi: 10.1111/jvim.17298.

Abstract

BACKGROUND

Most veterinary literature examining medication compliance has described the phenomenon in dogs. The evidence available regarding factors affecting cat owner medication compliance is limited.

OBJECTIVES

Identify and describe factors associated with cat owners' noncompliance with veterinary recommendations for pet medications, as well as client-reported barriers and aids to administering medications prescribed by primary care veterinarians.

SUBJECTS

Cat owners presenting their animals for veterinary examination and treatment.

METHODS

A cross-sectional survey of cat owners' compliance with veterinary medication recommendations was performed from January 9, 2019, to July 18, 2020. A convenience sample of owners prescribed medication for their pets by veterinarians during or after elective veterinary examination was recruited to respond to questions regarding medication administration experience and compliance. Follow-up was obtained from owners to determine if the course of medication had been completed. Compliance data were analyzed descriptively, and logistic regression was performed.

RESULTS

Medication noncompliance was recorded for 39% (26/66) of cat owners. A quarter (16/66) reported challenges in administering medication to their pets; the most commonly cited reason was a resistant pet. Oral administration of antibiotics was significantly associated with noncompliance (P = .01). Clients with limited pet ownership experience were less likely to be noncompliant (P = .04).

CONCLUSIONS AND CLINICAL IMPORTANCE

Clients' inability to medicate their cats PO may have implications for clinical outcomes and antimicrobial stewardship. Alternatives to direct PO administration of solid-form medications in cats should be considered. Demonstrating administration techniques to all clients may improve compliance and influence clinical outcome.

摘要

背景

大多数研究药物依从性的兽医文献都描述了犬类中的这一现象。关于影响猫主人药物依从性的因素,现有证据有限。

目的

识别并描述与猫主人不遵守兽医关于宠物用药建议相关的因素,以及客户报告的在给初级保健兽医开的药给药时遇到的障碍和帮助。

对象

带动物前来接受兽医检查和治疗的猫主人。

方法

于2019年1月9日至2020年7月18日对猫主人遵守兽医用药建议的情况进行了横断面调查。招募了一个便利样本,这些主人在选择性兽医检查期间或之后由兽医为其宠物开了药,以回答有关给药经验和依从性的问题。对主人进行随访,以确定用药疗程是否完成。对依从性数据进行描述性分析,并进行逻辑回归。

结果

39%(26/66)的猫主人记录有用药不依从情况。四分之一(16/66)的人报告在给宠物用药时遇到挑战;最常提到的原因是宠物抗拒。口服抗生素与不依从显著相关(P = 0.01)。宠物饲养经验有限的客户不依从的可能性较小(P = 0.04)。

结论及临床意义

客户无法经口给猫用药可能会对临床结果和抗菌药物管理产生影响。应考虑猫固体剂型药物直接经口给药的替代方法。向所有客户演示给药技术可能会提高依从性并影响临床结果。

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