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Quantifying the beliefs of key players in the UK sheep industry on the efficacy of two treatments for footrot

机译:量化英国养羊业主要参与者对两种脚癣治疗方法的看法

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摘要

Clinical trials have demonstrated that sheep with footrot treated with parenteral and topical antibiotics without foot trimming (treatment A), cure faster than sheep treated with foot trimming and topical antibiotics (treatment B). We investigated how key players in the UK sheep industry recommended treating footrot, and tested whether reviewing the evidence surrounding treatment of footrot changed their beliefs. Eight key players attended a workshop to investigate their current practices, and their perceived efficacy of treatments, using probabilistic elicitation.At the start of the study, all participants recommended use of antibiotic injection but only four recommended not foot trimming feet with footrot. Initial beliefs in the difference in cure rate within five days of treatment ranged from 30 to 97% in favour of treatment A (true difference 60%); this heterogeneity reduced after reviewing the evidence. Participants who believed the cure rate differed by >60% over-estimated the cure rate of treatment A whilst participants who believed the difference was <60% over-estimated the efficacy of treatment B. During discussions, participants stated that parenteral antibiotics had always been recommended as a treatment for footrot but that the new research clarified when to use them. In contrast, it was highly novel to hear that foot trimming was detrimental to recovery, and key players and farmers are taking longer to accept this evidence. Three months after the workshop, two participants stated that they now placed greater emphasis on rapid individual antibiotic treatment of lame sheep and one was no longer recommending trimming feet.
机译:临床试验表明,经足部外用和局部抗生素治疗而没有修脚的羊(治疗A)比经足部和局部抗生素治疗(治疗B)的羊更快地治愈。我们调查了英国养羊业的主要参与者如何建议治疗脚癣,并测试了审查有关脚癣治疗的证据是否改变了他们的信念。八名主要参与者参加了一个研讨会,通过概率启发研究了他们目前的做法以及对治疗的感知效果。在研究开始时,所有参与者都建议使用抗生素注射,但只有四名参与者建议不要用脚掌修脚。最初相信治疗5天内治愈率的差异在30%至97%之间,有利于治疗A(真实差异为60%);在审查证据后,这种异质性降低了。相信治愈率相差超过60%的参与者高估了治疗A的治愈率,而相信治愈率相差<60%的参与者高估了治疗B的疗效。在讨论中,参与者指出,肠胃外抗生素一直是推荐作为脚癣的治疗方法,但新研究明确了何时使用它们。相反,听到修脚有害于恢复的感觉是非常新颖的,而且主要参与者和农民需要更长的时间才能接受这一证据。研讨会结束三个月后,两名参加者表示,他们现在更加重视对me羊的快速个体抗生素治疗,其中一位不再建议修剪脚。

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