Thakar Falguni S, Vasava Kiran, Bagtharia Snehal, Kanani Amit, Chandra Vartika, Patel Beena, Mandaliya Dipeeka K
Department of Animal Husbandry, Gujarat, India.
Gujarat State Biotechnology Mission, Gujarat, India.
Res Vet Sci. 2025 Mar;185:105546. doi: 10.1016/j.rvsc.2025.105546. Epub 2025 Jan 19.
Antimicrobial resistance (AMR) is one of the top 10 global public health threats. One Health approach is needed to tackle antimicrobial resistance as most antimicrobials used in animals are also used in humans and affect the environment. Although the knowledge and attitudes of personnel in the human healthcare sector are studied more frequently in Gujarat, veterinarians' approaches also play a pivotal role in attaining antimicrobial stewardship. Thus, an online survey was conducted to understand the knowledge, attitudes, and practices of veterinarians regarding AMR and antimicrobial stewardship in Gujarat. A total of 691 respondents included 300 government veterinarians (44 %), 258 cooperative veterinarians (37 %), 45 private veterinarians (5 %), 69 MVD GVK veterinarians (10 %), and 19 others (4 %). Several veterinarians (77 %) believe that farmers' misuse of antimicrobials contributes significantly to AMR. According to 78 % of respondents, the inappropriate use of antimicrobials in food-producing animals contributes to AMR, which can be reduced by vaccines, biosecurity measures, and hygiene (79 %). As per 86 % of the responders, antimicrobial stewardship is important, and 81 % educate farmers on the rational use of antimicrobials. Though 92 % of veterinarians agreed that culture and antimicrobial sensitivity testing (AST) should be done as frequently as possible to guide antimicrobial usage, only 4 % always, and 68 % sometimes send samples for AST. However, 31 % think it is acceptable to commence antimicrobial therapy without a confirmatory diagnosis. The study findings suggest that AMR awareness among farmers, increased provision of laboratory services, and AST at affordable costs should be developed to combat the development of AMR.
抗菌药物耐药性（AMR）是全球十大公共卫生威胁之一。应对抗菌药物耐药性需要采取“同一健康”方法，因为动物使用的大多数抗菌药物也用于人类并影响环境。尽管古吉拉特邦对人类医疗保健部门人员的知识和态度研究更为频繁，但兽医的做法在实现抗菌药物管理方面也起着关键作用。因此，开展了一项在线调查，以了解古吉拉特邦兽医对抗菌药物耐药性和抗菌药物管理的知识、态度和做法。共有691名受访者，其中包括300名政府兽医（44%）、258名合作兽医（37%）、45名私人兽医（5%）、69名MVD GVK兽医（10%）和19名其他人员（4%）。几位兽医（77%）认为，农民对抗菌药物的滥用是导致抗菌药物耐药性的重要原因。78%的受访者表示，在食用动物中不当使用抗菌药物会导致抗菌药物耐药性，而通过疫苗、生物安全措施和卫生措施（79%）可以减少这种情况。86%的受访者认为抗菌药物管理很重要，81%的受访者会向农民宣传抗菌药物的合理使用方法。尽管92%的兽医同意应尽可能频繁地进行培养和抗菌药物敏感性测试（AST）以指导抗菌药物的使用，但只有4%的兽医总是这样做，68%的兽医有时会送检样本进行AST检测。然而，31%的兽医认为在没有确诊的情况下开始抗菌治疗是可以接受的。研究结果表明，应提高农民对抗菌药物耐药性的认识，增加实验室服务的提供，并以可承受的成本开展AST检测，以应对抗菌药物耐药性的发展。
