期刊
EMERGING INFECTIOUS DISEASES
卷 26, 期 8, 页码 1778-1791出版社
CENTERS DISEASE CONTROL & PREVENTION
DOI: 10.3201/eid2608.191786
关键词
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资金
- Veterinary Medicines Directorate [VM0520]
- University of Liverpool
- SAVSNET
- Biotechnology and Biological Sciences Research Council
- British Small Animal Veterinary Association
- Animal Welfare Foundation
- BBSRC [BB/N019547/1] Funding Source: UKRI
Antimicrobial stewardship is a cornerstone of efforts to curtail antimicrobial resistance. To determine factors potentially influencing likelihood of prescribing antimicrobials for animals, we analyzed electronic health records for unwell dogs (n = 155,732 unique dogs, 281,543 consultations) and cats (n = 69,236 unique cats, 111,139 consultations) voluntarily contributed by 173 UK veterinary practices. Using multi-variable mixed effects logistic regression, we found that factors associated with decreased odds of systemic antimicrobial prescription were client decisions focused on preventive health: vaccination (dogs, odds ratio [OR] 0.93, 95% CI, 0.90-0.95; cats, OR 0.92, 95% CI 0.89-0.95), insurance (dogs, OR 0.87, 95% CI 0.84-0.90; cats, OR 0.82, 95% CI 0.79-0.86), neutering of dogs (OR 0.90, 95% CI 0.88-0.92), and practices accredited by the Royal College of Veterinary Surgeons (OR 0.79, 95% 95% CI 0.68-0.92). This large multicenter companion animal study demonstrates the potential of preventive healthcare and client engagement to encourage responsible antimicrobial drug use.
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