Population wide assessment of antimicrobial use in dogs and cats using a novel data source – A cohort study using pet insurance data

Hardefeldt, Laura Y.; Selinger, Joshua; Stevenson, Mark; Gilkerson, James R.; Crabb, Helen; Billman‐Jacobe, Helen; Thursky, Karin; Bailey, Kirsten E; Awad, Magdoline; Browning, Glenn F.

doi:10.1016/j.vetmic.2018.09.010

Cited by 47 publications

(61 citation statements)

References 22 publications

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“…The results demonstrate that while a higher number of antimicrobials are prescribed to dogs, as compared to cats, in cats there is a higher rate of antimicrobials with high-importance rating being dispensed. This is due primarily to the prescribing of cefovecin to cats, a long-acting 3 rd generation cephalosporin, consistent with previous research in Australia [39]. However, the previous study of insured pets showed that cats had 47% lower exposure to antimicrobials PLOS ONE compared to dogs in any one year, whereas in the current study the difference was only 7.5%.…”

Section: Discussionsupporting

confidence: 90%

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Describing the antimicrobial usage patterns of companion animal veterinary practices; free text analysis of more than 4.4 million consultation records

et al. 2020

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Section: Discussionsupporting

confidence: 90%

“…This may be explained by differences in insured and predominately non-insured populations. Higher antimicrobials prescribing in dogs may be due to increased routine preventative health exams performed for cats versus dogs, as reported previously [39]. Further research is needed to investigate these differences.…”

Section: Discussionmentioning

confidence: 66%

Describing the antimicrobial usage patterns of companion animal veterinary practices; free text analysis of more than 4.4 million consultation records

et al. 2020

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“…Increased attention for AMU in general and national action plans to establish reduction of AMU in food producing animal sectors, appeared to have affected AMU in Dutch companion animals as well. Not only in the Netherlands, but also in other countries a recent decrease in AM prescriptions in companion animals was reported (20,21). However, in present study considerable differences in AMU between clinics were seen, suggesting possibilities for optimization of AMU.…”

Section: Discussionmentioning

confidence: 37%

“…Amounts and types of AMs used in animals have been investigated in several countries, particularly in food producing animals (11)(12)(13)(14)(15)(16). Only a few studies describe AMU and prescribing patterns in companion animals (17)(18)(19)(20)(21). The majority of studies regarding AMU in companion animals uses total sales or prescription data expressed in kilograms of AMs (18), the mass of active AM substances (by AM class or subclass) in relation to a specified population to express AMU or the number of prescriptions (15,(20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

“…Only a few studies describe AMU and prescribing patterns in companion animals (17)(18)(19)(20)(21). The majority of studies regarding AMU in companion animals uses total sales or prescription data expressed in kilograms of AMs (18), the mass of active AM substances (by AM class or subclass) in relation to a specified population to express AMU or the number of prescriptions (15,(20)(21)(22). These different measurement units make it hard to compare data between these studies.…”

Section: Introductionmentioning

confidence: 99%

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Quantifying Antimicrobial Use in Dutch Companion Animals

et al. 2019

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Antimicrobial resistance (AMR) is an increasing threat, both in human and in veterinary medicine. To reduce the selection and spread of AMR, antimicrobial use (AMU) should be optimized, also in companion animals. To be able to optimize AMU, a feasible method to quantify AMU and information on current AMU are needed. Therefore, a method to quantify AMU was developed, using the number of Defined Daily Doses Animal (DDDA). This method was used to explore applied antimicrobial classes and to identify differences in prescribing patterns in time and between veterinary clinics. Antimicrobial procurement data of the years 2012-2014 were collected retrospectively from 100 Dutch veterinary clinics providing care for companion animals. The mean number of DDDAs per clinic per year decreased significantly from 2012 to 2014. A shift in used classes of antimicrobials (AMs) was seen as well, with a significant decrease in use of third choice AMs (i.e., fluoroquinolones and third generation cephalosporins). Large differences in total AMU were seen between clinics ranging from 64-fold in 2012 to 20-fold in 2014. Despite the relative low and decreasing AMU in Dutch companion animal clinics during the study, the substantial differences in antimicrobial prescribing practices between clinics suggest that there is still room for quantitative and qualitative optimization of AMU.

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Morbidity of insured Swedish cats between 2011 and 2016: Comparing disease risk in domestic crosses and purebreds

Hadar

Bonnett²,

Poljak

et al. 2023

Veterinary Record

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Background: Sources of population-based cat health information are scarce. The objective of this study was to determine disease frequency in cats using pet insurance data to inform health promotion efforts. Methods: A descriptive analysis of cats insured with Agria Pet Insurance in Sweden (2011-2016) was performed. Incidence rates of broad disease categories were calculated based on veterinary care events and an exact denominator consisting of cat-years-at-risk. Rate ratios were calculated, comparing domestic crosses to all purebreds and specific purebreds to all other purebreds combined. Results:The study included over 1.6 million cat-years-at-risk (78.5% were domestic crosses), 18 breeds and 24 disease categories. The most common disease categories causing morbidity in purebreds were digestive, whole body, injury, urinary lower, skin and female reproduction. Purebreds had the highest relative risk (compared to domestics crosses) in the female reproduction, heart, operation complication, respiratory lower and immunological disease categories. Limitations: There are typical limitations of secondary data, but they do not negate the overall value of such a large dataset. Conclusion:This study demonstrates how pet insurance data can be used to find breed-specific differences in the incidence of various disease categories in cats. This may be of importance for breeders, cat owners, veterinarians and researchers.

show abstract

Population wide assessment of antimicrobial use in dogs and cats using a novel data source – A cohort study using pet insurance data

Cited by 47 publications

References 22 publications

Describing the antimicrobial usage patterns of companion animal veterinary practices; free text analysis of more than 4.4 million consultation records

Describing the antimicrobial usage patterns of companion animal veterinary practices; free text analysis of more than 4.4 million consultation records

Quantifying Antimicrobial Use in Dutch Companion Animals

Morbidity of insured Swedish cats between 2011 and 2016: Comparing disease risk in domestic crosses and purebreds

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