The impact of antimicrobial use guidelines on prescription habits in fourteen Flemish small animal practices

摘要

A prospective study was performed to explore the prescription habits in fourteen first-line, small animal practices during first consultations of cats and dogs. Consultations one month prior to the implementation of antimicrobial use guidelines and at least 20 days thereafter were examined. Differences in the proportion of consultations during which antimicrobials were prescribed, were assessed. Additionally, changes in the choice of active substance were critically evaluated against the introduced antimicrobial use guidelines. The proportion of consultations where antimicrobials were prescribed decreased in cats and dogs (both -12) after the introduction of the antimicrobial use guidelines. There was an increase of consultations of cats (+13) and dogs (+10) where veterinarians handled according to those guidelines. However, an increase in the prescription of third-choice antimicrobials and highest priority critically important antimicrobials was noticed both in cats (+8 and +12, respectively) and dogs (both +5). This unexpected increase invites to create extra awareness amongst prescribers.