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Knowledge, Attitudes and Practices of Veterinarians Towards Antimicrobial Resistance and Stewardship in Nigeria.
Antibiotics ( IF 4.3 ) Pub Date : 2020-07-28 , DOI: 10.3390/antibiotics9080453
Usman O Adekanye 1 , Abel B Ekiri 2 , Erika Galipó 2 , Abubakar Bala Muhammad 3 , Ana Mateus 4 , Roberto M La Ragione 2 , Aliyu Wakawa 5 , Bryony Armson 2 , Erik Mijten 6 , Ruth Alafiatayo 2 , Gabriel Varga 6 , Alasdair J C Cook 2
Affiliation  

Antimicrobial resistance (AMR) is a global health concern and the inappropriate use of antibiotics in animals and humans is considered a contributing factor. A cross-sectional survey to assess the knowledge, attitudes and practices of veterinarians regarding AMR and antimicrobial stewardship was conducted in Nigeria. A total of 241 respondents completed an online survey. Only 21% of respondents correctly defined the term antimicrobial stewardship and 59.8% were unaware of the guidelines provided by the Nigeria AMR National Action Plan. Over half (51%) of the respondents indicated that prophylactic antibiotic use was appropriate when farm biosecurity was poor. Only 20% of the respondents conducted antimicrobial susceptibility testing (AST) frequently, and the unavailability of veterinary laboratory services (82%) and the owner’s inability to pay (72%) were reported as key barriers to conducting AST. The study findings suggest strategies focusing on the following areas may be useful in improving appropriate antibiotic use and antimicrobial stewardship among veterinarians in Nigeria: increased awareness of responsible antimicrobial use among practicing and newly graduated veterinarians, increased dissemination of regularly updated antibiotic use guidelines, increased understanding of the role of good biosecurity and vaccination practices in disease prevention, and increased provision of laboratory services and AST at affordable costs.

中文翻译:

尼日利亚兽医对抗菌素耐药性和管理的知识,态度和实践。

抗菌素耐药性(AMR)是一个全球性的健康问题,动物和人类中抗生素的不当使用被认为是一个促成因素。在尼日利亚进行了一项横断面调查,以评估兽医对抗菌药物耐药和抗菌素管理的知识,态度和做法。共有241位受访者完成了在线调查。只有21%的受访者正确定义了抗菌素管理一词,而59.8%的受访者不了解《尼日利亚AMR国家行动计划》提供的指导原则。超过一半(51%)的受访者表示,当农场的生物安全性较差时,预防性使用抗生素是合适的。只有20%的受访者经常进行抗菌药物敏感性测试(AST),据报告,兽医实验室服务的不可用(82%)和所有者无力支付(72%)是进行AST的主要障碍。研究结果表明,侧重于以下领域的策略可能有助于改善尼日利亚兽医对抗生素的合理使用和抗菌管理:提高执业和刚毕业的兽医对负责任的抗生素使用的认识,增加对定期更新的抗生素使用指南的传播,增加对药物的了解良好的生物安全和疫苗接种做法在疾病预防中的作用,以及以可承受的费用增加提供实验室服务和AST的能力。
更新日期:2020-07-28
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