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Antibiotic use practices of veterinarians and para-veterinarians and the implications for antibiotic stewardship in Nigeria

机译:兽医和辅助兽医的抗生素使用做法及其对尼日利亚抗生素管理的影响

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摘要

The aim of this study was to describe the antibiotic use practices of veterinarians and para-veterinarians in Nigeria. An online survey was distributed during November through December 2018 via email and phone to veterinarians and para-veterinarians to collect information on antibiotic use practices. Data were downloaded into Excel and descriptive statistics were presented and analysed. The survey was completed by 390 respondents. Almost all respondents (98.5%, 384/390) recommended the use of antibiotics to treat animal patients, and of these, 93.2% (358/384) were veterinarians and 6.8% (26/384) were para-veterinarians. Most respondents reported commonly recommending the use of oxytetracycline (82.6%, 317/384), tylosin (44.5%, 171/384) and gentamycin (43.8%, 168/384). A third (32.0%, 122/384) of respondents did not undertake antimicrobial susceptibility testing (AST) prior to antibiotic treatment. At least 60% of the respondents recommended the use of antibiotics for the treatment of non-bacterial pathogens, including viral, helminth and fungal pathogens. Over 55% (217/390) were not aware of government-issued guidelines on antibiotic use in animals, although of those aware, 69% (74/107) utilised the guidelines. Across all respondents, the majority believed legislation or regulation by government can influence the use of antibiotics by animal health professionals. The study highlights areas that can be targeted as part of intervention strategies to promote antimicrobial stewardship by animal health professionals in Nigeria, including the need for increased use of AST as a tool for supporting disease management, increased awareness of appropriate antibiotic use and greater dissemination of antibiotic use guidelines and enforcement of relevant regulation by government authorities.
机译:本研究的目的是描述尼日利亚兽医和准兽医的抗生素使用做法。2018 年 11 月至 12 月期间,通过电子邮件和电话向兽医和辅助兽医分发了一项在线调查,以收集有关抗生素使用做法的信息。将数据下载到 Excel 中,并提出和分析描述性统计数据。该调查由 390 名受访者完成。几乎所有受访者 (98.5%,384/390) 建议使用抗生素治疗动物患者,其中 93.2% (358/384) 是兽医,6.8% (26/384) 是辅助兽医。大多数受访者报告普遍推荐使用土霉素 (82.6%,317/384)、泰乐菌素 (44.5%,171/384) 和庆大霉素 (43.8%,168/384)。三分之一 (32.0%,122/384) 的受访者在抗生素治疗前没有进行抗菌药物敏感性试验 (AST)。至少 60% 的受访者建议使用抗生素治疗非细菌性病原体,包括病毒、蠕虫和真菌病原体。超过 55% (217/390) 不知道政府发布的动物抗生素使用指南,尽管在知道的人中,69% (74/107) 使用了这些指南。在所有受访者中,大多数人认为政府的立法或法规可以影响动物卫生专业人员对抗生素的使用。该研究强调了可以作为干预策略的一部分的目标领域,以促进尼日利亚动物卫生专业人员的抗菌药物管理,包括需要更多地使用 AST 作为支持疾病管理的工具、提高对适当抗生素使用的认识以及更多地传播抗生素使用指南以及政府当局执行相关法规。

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