Determinants Associated with Veterinary Antimicrobial Prescribing in Farm Animals in the Netherlands: A Qualitative Study

Speksnijder, David C.; Jaarsma, Debbie; Gugten, Anne C. van der; Verheij, Th.J.M.; Wagenaar, Jaap A.

doi:10.1111/zph.12168

Cited by 121 publications

(218 citation statements)

References 55 publications

(104 reference statements)

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“…Therefore, antibiotic prescribing decisions of veterinarians should be after consideration of intrinsic and extrinsic factors (e.g. type of husbandry practice in food-producing animals) (De Bryine et al 2013;Coyne et al, 2014;Speksnijder et al, 2015;Coyne et al, 2016). Even more concerning is that majority of the respondents in this study choose new generation antibiotics (e.g., extended-spectrum antibiotics) as first line of treatment.…”

Section: Discussionmentioning

confidence: 99%

Veterinarians’ Perception, Knowledge and Practices of Antibiotic Stewardship in Enugu State Southeast, Nigeria

Anyanwu¹,

Kolade²

2017

Not Sci Biol

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A cross-sectional survey utilizing structured questionnaires was used to study the veterinarians' perception, knowledge and practices of antibiotic stewardship (ABS) in Enugu State, Southeastern Nigeria. Data obtained were analyzed using chi-square on SPSS (Version 15.0) at a significance level of P < 0.05 to determine possible associations between variables and perceptions/knowledge about ABS. Out of 280 respondents, 41 (17.1%) had heard about ABS. Minority of the respondents perceived/knew that using antibiotics only when necessary (6.4%, 18), administering antibiotics at the appropriate dose (6.4%, 18) and administering antibiotics for appropriate duration in every case (4.3%, 12) were among the principles of ABS. The study also showed that age, gender, qualification, years of practice and locations did not exert any influence (P > 0.05) on the awareness of respondents about ABS. More than one-third of the respondents wrongly perceived that increasing the use of broad-spectrum antibiotics (35.4%, 99) is one of the goals of ABS, whereas the minority of the respondents rightly perceived/knew that minimizing toxicity and other adverse effects (16.8%, 47) and reducing antibiotic resistance (ABR) (43.2%, 121) are also goals of ABS. Only 21.4% (60) had overall knowledge of ABS. Prescribing antibiotics without seeing/examining the patient, prescribing antibiotics for any case suspected to be infectious, prescribing broad-spectrum antibiotics despite availability of narrow-spectrum antibiotics, prescribing different classes/types of antibiotics concurrently to ensure therapeutic efficacy, prescribing overdose of antibiotics to ensure efficacy and non-consultation of the veterinary formulary/other resources when in doubt during prescription, are some of inappropriate/untoward ABS practices/behaviors/attitudes amongst the respondents. No significant association (P > 0.05) was found between practices of ABS and age, gender, qualification, years of practice and location. In conclusion, the veterinarians' awareness/perception and practices of ABS is abysmally poor in the study area, thus education of Nigerian veterinarians about ABS and the teaching of the principles and practices of ABS during veterinary schools are recommended.

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Section: Discussionmentioning

confidence: 99%

Veterinarians’ Perception, Knowledge and Practices of Antibiotic Stewardship in Enugu State Southeast, Nigeria

Anyanwu¹,

Kolade²

2017

Not Sci Biol

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“…Interview topic guides and the online survey questionnaire were informed by a rapid literature review (Alarcon, 2013;BfR, 2015;Buller et al, 2015;Coyne et al, 2014;De Briyne et al, 2016;Dean et al, 2015;European Commission, 2005, 2010Fontané, 2015;Gibbons, 2013;Hughes, Hermans and Morgan, 2008;Jan et al, 2012;Laanen et al, 2014;Moreno, 2014;Schulze-Geisthövel et al, 2016;Speksnijder et al, 2014 andSwinkels, 2015;and Visschers et al, 2015).…”

Section: Approach and Methodologiesmentioning

confidence: 99%

“…The literature suggest that factors affecting veterinarians' antibiotic prescribing behaviour include pressure from farmers and economic benefits from antibiotics use (Coyne et al, 2014;Speksnijder et al, 2014;Dean et al, 2011), pressure from other actors, such as veterinarians (Dean et al, 2011) and legislation (Coyne et al, 2014).…”

Section: Studies On Veterinariansmentioning

confidence: 99%

EU Insights – Perceptions on the human health impact of antimicrobial resistance (AMR) and antibiotics use in animals across the EU

Étienne¹,

Chirico²,

Gunabalasingham³

et al. 2017

EFSA Supporting Publications

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Tackling antimicrobial resistance (AMR) in animal farming and its impact on public health is a key priority for EFSA and other public health authorities in Europe. This study is a contribution to the joint effort by EFSA and EU member state authorities to address the issue. Focusing on the EU farming sector, it documents perceptions of the risks of AMR, associated behaviours, and the reasons and rationales behind them. Consumers, veterinarians and (pig and poultry) farmers in a sample of European countries were surveyed using a combination of methods (online survey, semi-structured interviews). The evidence gathered can inform communication strategies at national and EU level to increase awareness where these are designed to inform risk perception and change behaviours in relation to the use of antibiotics in animal farming and antibiotics' impact on human health. © ICF, 2017

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“…The livestock industry in Ghana, like most developing countries, is not as well-established with structured management systems, mechanised technology and high level of production as those of developed countries [3].…”

Section: Introductionmentioning

confidence: 99%

Antibiotic Practices and Factors Influencing the Use of Antibiotics in Selected Poultry Farms in Ghana

VE¹,

Agyare²

2016

J Antimicro

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Many of the antibiotics employed in animal production also serve as essential medicines for use in humans. However, only a handful of studies address antibiotic use in animal husbandry in Ghana. The aim of this study was to investigate the use of essential antibiotics in poultry production in Ghana and to assess factors influencing farmers' choice of antibiotics for use on their farms. A cross-sectional survey using questionnaires and semistructured interviews was conducted among 400 poultry farms in the Ashanti, Brong-Ahafo and Greater Accra regions of Ghana. Data was analysed using IBM SPSS and Microsoft Excel. Multivariate analyses were used to evaluate correlations between farm variables and the dependency of antibiotic use on internal and external farm characteristics. Farmers reported the use of 35 different antimicrobial agents for management of conditions such as Newcastle, fowl pox, coccidiosis, and coryza. From these agents, 20 essential antibiotics belonging to 10 antibiotic classes were extracted. Frequently employed antibiotics were tetracyclines (24.17%), aminoglycosides (17.87%), penicillins (16.51%) and fluoroquinolones (10.55%). Only 63% of the farms completed recommended antibiotic course durations, 58% reported following recommended withdrawal periods and 88% sought veterinary advice before administration of antibiotics. Farmers had easy access to antibiotics and antibiotic-related information from veterinary offices, vet-chemical shops and mobile salesmen. Correlation analysis showed farm activities such as frequency of change of bedding material, disinfectant use and seeking expert advice correlated significantly with size and age. The use of antibiotic-containing agents was observed to be dependent on internal factors such as size, presence of other livestock on the farm and infections. External factors such as easy access to antibiotics also influenced farmers' use of antibiotics. These findings call for stricter regulations on access to and use of antibiotics on poultry farms in Ghana.

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Determinants Associated with Veterinary Antimicrobial Prescribing in Farm Animals in the Netherlands: A Qualitative Study

Cited by 121 publications

References 55 publications

Veterinarians’ Perception, Knowledge and Practices of Antibiotic Stewardship in Enugu State Southeast, Nigeria

Veterinarians’ Perception, Knowledge and Practices of Antibiotic Stewardship in Enugu State Southeast, Nigeria

EU Insights – Perceptions on the human health impact of antimicrobial resistance (AMR) and antibiotics use in animals across the EU

Antibiotic Practices and Factors Influencing the Use of Antibiotics in Selected Poultry Farms in Ghana

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