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

被引:34
|
作者
Hopman, Nonke E. M. [1 ]
Hulscher, Marlies E. J. L. [2 ]
Graveland, Haitske [1 ]
Speksnijder, David C. [1 ]
Wagenaar, Jaap A. [1 ,3 ]
Broens, Els M. [1 ]
机构
[1] Univ Utrecht, Fac Vet Med, Dept Infect Dis & Immunol, Yalelaan 1, NL-3584 CL Utrecht, Netherlands
[2] Radboud Univ Nijmegen, Sci Ctr Qual Healthcare IQ Healthcare, Radboud Inst Hlth Sci, Med Ctr, Geert Grootepl 21, NL-6525 EZ Nijmegen, Netherlands
[3] Wageningen Biovet Res, Houtribweg 39, NL-8221 RA Lelystad, Netherlands
关键词
Antimicrobial use; Companion animals; Qualitative research; Prescribing behaviour; Veterinary; RESISTANT STAPHYLOCOCCUS-PSEUDINTERMEDIUS; CATS; DOGS; POPULATION; USAGE; RISK; STEWARDSHIP; ATTITUDES; PATTERNS; BEHAVIOR;
D O I
10.1016/j.prevetmed.2018.07.013
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
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.
引用
收藏
页码:106 / 113
页数:8
相关论文
共 50 条
  • [1] Attitudes and perceptions of Dutch companion animal veterinarians towards antimicrobial use and antimicrobial resistance
    Hopman, Nonke E. M.
    Mughini-Gras, Lapo
    Speksnijder, David C.
    Wagenaar, Jaap A.
    van Geijlswijk, Ingeborg M.
    Broens, Els M.
    [J]. PREVENTIVE VETERINARY MEDICINE, 2019, 170
  • [2] Effect of an antimicrobial stewardship intervention on the prescribing behaviours of companion animal veterinarians: A pre-post study
    Walker, Ben
    Sanchez-Vizcaino, Fernando
    Barker, Emi N.
    [J]. VETERINARY RECORD, 2022, 190 (12)
  • [3] Factors influencing antimicrobial prescribing by veterinarians and usage by dairy farmers in New Zealand
    McDougall, S.
    Compton, C. W. R.
    Botha, N.
    [J]. NEW ZEALAND VETERINARY JOURNAL, 2017, 65 (02) : 84 - 92
  • [4] A qualitative study of factors influencing antimicrobial prescribing by non-consultant hospital doctors
    De Souza, Valerie
    MacFarlane, Anne
    Murphy, Andrew W.
    Hanahoe, Belinda
    Barber, Andrew
    Cormican, Martin
    [J]. JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2006, 58 (04) : 840 - 843
  • [5] Factors Influencing Antibiotic Prescribing Behavior and Understanding of Antimicrobial Resistance Among Veterinarians in Assam, India
    Eltholth, Mahmoud
    Govindaraj, Gurrappanaidu
    Das, Banani
    Shanabhoga, M. B.
    Swamy, H. M.
    Thomas, Abin
    Cole, Jennifer
    Shome, Bibek R.
    Holmes, Mark A.
    Moran, Dominic
    [J]. FRONTIERS IN VETERINARY SCIENCE, 2022, 9
  • [6] Descriptive epidemiological study of the use of antimicrobial drugs by companion animal veterinarians in New Zealand
    Pleydell, E. J.
    Souphavanh, K.
    Hill, K. E.
    French, N. P.
    Prattley, D. J.
    [J]. NEW ZEALAND VETERINARY JOURNAL, 2012, 60 (02) : 115 - 122
  • [7] Survey of production animal veterinarians' prescription practices, factors influencing antimicrobial drug use, and perceptions of and attitudes toward antimicrobial resistance
    Taylor, Daniel D.
    Martin, Jennifer N.
    Morley, Paul S.
    Belk, Keith E.
    White, Alice E.
    Walter, Elaine J. Scallan
    [J]. JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2020, 257 (01): : 87 - 96
  • [8] The role of companion animal veterinarians in one-health efforts to combat antimicrobial resistancein
    Frey, Erin
    [J]. JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2018, 253 (11): : 1396 - 1404
  • [9] Digital interventions for antimicrobial prescribing and monitoring: a qualitative meta-synthesis of factors influencing user acceptance
    Van Dort, Bethany A.
    Carland, Jane E.
    Penm, Jonathan
    Ritchie, Angus
    Baysari, Melissa T.
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2022, 29 (10) : 1786 - 1796
  • [10] Factors influencing diagnostic sample submission by food animal veterinarians in Mississippi
    Robinson, Philip A.
    Epperson, William B.
    Huston, Carla L.
    Pace, Lanny W.
    Wills, Robert W.
    Cosby, Arthur G.
    [J]. VETERINARIA ITALIANA, 2012, 48 (01) : 31 - 39