Pet owner and vet interactions: exploring the drivers of AMR

Smith, Matt; King, Carole; Davis, Mark David McGregor; Dickson, Adele; Park, Jeni; Smith, Fraser; Currie, Kaye; Flowers, Paul

doi:10.1186/s13756-018-0341-1

Cited by 77 publications

(135 citation statements)

References 20 publications

Supporting

Mentioning

123

Contrasting

Unclassified

Order By: Relevance

“…Barriers to appropriate antibiotic use and drivers of AMR in companion animals have been explored in many recent studies ( 20 – 23 ), with this area of veterinary medicine of increasing interest in relation to AMR and antibiotic use. Results in this study support many findings from previous studies, in particular the point that open, adequate communication between vets and pet owners needs support to ensure appropriate antibiotic and antimicrobial use ( 21 ), and to avoid misinterpretation of intentions or motivations. Communication between vets and owners was evidently inadequate in many of the examples given both by vets and pet owners in this study and showed conflicting perceptions of responsibility regarding antibiotic prescription and use.…”

Section: Discussionsupporting

confidence: 87%

Vets' and Pet Owners' Views About Antibiotics for Companion Animals and the Use of Phages as an Alternative

Rhys-Davies

Ogden

2020

Front. Vet. Sci.

View full text Add to dashboard Cite

Antimicrobial resistance (AMR) is a global health burden. Although a complex and multi-faceted problem, inappropriate antibiotic use has repeatedly been identified as one of the main drivers of the acceleration and spread of AMR. Behaviors associated with antibiotic prescription and use have been extensively investigated in human medicine and in the livestock sector of veterinary medicine. There is now a growing interest in the factors that drive inappropriate antibiotic use in companion animal medicine, as the significance of antimicrobial use in this sector is being recognized. Additionally, the possibility of an alternative antimicrobial, phage therapy, being implemented into companion animal medicine is explored in this study. Interviews revealed complexities in the vet-owner relationship including conflicting perceptions of responsibility regarding antibiotic prescription and use, distrust of vets' intentions, and misconception of clients' needs. A need for alternative antimicrobials was evident, as all vets were able to report difficulties finding antibiotics to treat infections as a common occurrence. Questionnaire results indicated that vets and pet owners are open to the use of phage therapy in companion animals. This study shows that an alternative antimicrobial such as phage therapy could be accepted into companion animal medicine in the UK; however, effective communication between vets and pet owners is vital if antibiotic use is to be reduced and new antimicrobials are successfully implemented.

show abstract

Section: Discussionsupporting

confidence: 87%

Vets' and Pet Owners' Views About Antibiotics for Companion Animals and the Use of Phages as an Alternative

Rhys-Davies

Ogden

2020

Front. Vet. Sci.

View full text Add to dashboard Cite

show abstract

“…The importance of an animal owner or caretaker regarding AMU is confirmed by other studies on companion animals as well as on farm animals (Mateus et al, 2014;Speksnijder et al, 2015a;Coyne et al, 2016;Chipangura et al, 2017;Hardefeldt et al, 2017;Smith et al, 2018). A recent study on AM prescribing in companion animals states that veterinarian's perceptions of client expectations might drive inappropriate AM prescribing (Currie et al, 2018).…”

Section: Discussionmentioning

confidence: 81%

Factors influencing antimicrobial prescribing by Dutch companion animal veterinarians: A qualitative study

Hopman

Hulscher

Graveland

et al. 2018

Preventive Veterinary Medicine

View full text Add to dashboard Cite

Use of antimicrobials selects for antimicrobial resistance, and this poses a threat for both human and animal health. Although previous studies show that total antimicrobial use in Dutch companion animal clinics is relatively low and decreasing, the majority of antimicrobials prescribed are categorised as critically important for human medicine by the World Health Organization (WHO). Large differences in use between clinics are also observed. Identification of factors that influence the prescribing behaviour of veterinarians is needed to tailor future interventions aimed at promoting prudent use of antimicrobials in companion animals. The aim of this study was to explore factors influencing the antimicrobial prescribing behaviour of companion animal veterinarians in the Netherlands. Face-to-face, semi-structured interviews were used to interview 18 Dutch companion animal veterinarians. Interviews were held until theoretical data saturation was reached. An interview guide was used to structure the interviews, and ATLAS.ti 7.5 was used to manage and analyse the qualitative data. An iterative approach was applied to develop a conceptual model of factors that influence antimicrobial prescribing behaviour. The conceptual model shows four major categories of factors that influence the antimicrobial prescribing behaviour: veterinarian-related factors, patient-related (i.e. owner- and pet-related) factors, treatment-related factors (i.e. alternative treatment options and antimicrobial-related factors) and contextual factors (i.e. professional interactions, further diagnostics and environmental factors). All four major categories of influencing factors should be addressed to improve awareness on antimicrobial prescribing behaviour and to develop an antimicrobial stewardship programme for companion animal clinics.

show abstract

“…Previous research has highlighted the importance of social and cultural context alongside personal experience for understanding specific attitudes towards vaccination, 25,32 and similar contextual influences have been discussed in the context of antibiotic use. [35][36][37] The future research indicated here should be cognisant of these influences, and consider medical and veterinary care contexts such as parental decision-making and veterinarian-client communication as well as broader dynamics within the general population regarding antibiotic use as well as vaccine decisions.…”

Section: Higher Vaccine Risk Perceptions Are Associated With Antibiotmentioning

confidence: 99%

Knowledge about antibiotics and attitudes towards vaccination: Regression analysis of Wellcome Monitor survey data.

Anderson¹

2020

Preprint

View full text Add to dashboard Cite

Objectives:To analyse associations within the UK public between vaccine-related attitudes and knowledge about the role of antibiotics for treating various infections. Design:Secondary analysis of a random-probability mixed-mode survey conducted by NatCen Social Research for the Wellcome Trust in late 2018.Setting:England, Wales, Scotland.Participants:2,708 members of the public recruited to the NatCen Panel from the British Social Attitudes random-probability survey.Main outcome measures:Ordinal logistic regression models of antibiotic-related knowledge predicted by vaccine attitudes, controlling for age, sex, education, employment status, geography, health information habits, perceptions of individual agency, and interview mode. The outcome variable was based on a question about the kinds of infections antibiotics are useful for treating. Vaccine-attitude outcomes were perceptions of the risk of serious side-effects from vaccination and perceptions of the efficacy of vaccination as a preventative intervention. Results:Compared to the modal response category of ‘Fairly low’, respondents who rated the risk of serious side-effects from vaccination as ‘Very high’ (OR=3.34, 95% CL=2.13-5.25) or ‘Fairly high’ (OR=1.55, 95% CL=1.26-1.90) were more likely to have provided incorrect responses to questions about the utility of antibiotics for treating different types of infection. Conversely, respondents who felt that there was ‘No risk at all’ (OR=0.64, 95% CL=0.46-0.87) were less likely to have provided incorrect responses about the utility of antibiotics. Compared to the modal category of ‘Almost always effective’, respondents who felt that vaccines were ‘Sometimes effective’ (OR=1.25, 95% CL=1.05-1.49) as a preventative intervention were slightly more likely to have provided incorrect responses regarding antibiotics’ utility. However, there were no other significant associations between perceptions of vaccines’ efficacy and knowledge about antibiotics. Conclusions:Perceptions of the risk of side-effects from vaccination and their understanding of the role of antibiotics for treating different infections are associated with one other within the general UK public. Research is needed to understand the nature of this association and identify areas of public understanding that are not exclusive to specific health interventions but that may be targeted to improve responsiveness to vaccine- and antibiotic-related public health interventions.

show abstract

Pet owner and vet interactions: exploring the drivers of AMR

Cited by 77 publications

References 20 publications

Vets' and Pet Owners' Views About Antibiotics for Companion Animals and the Use of Phages as an Alternative

Vets' and Pet Owners' Views About Antibiotics for Companion Animals and the Use of Phages as an Alternative

Factors influencing antimicrobial prescribing by Dutch companion animal veterinarians: A qualitative study

Knowledge about antibiotics and attitudes towards vaccination: Regression analysis of Wellcome Monitor survey data.

Contact Info

Product

Resources

About