INTRODUCTION Antimicrobial resistance is (AMR) an emerging global public health problem. Rationale use of antibiotic can prevent the rise of antimicrobial resistance. The objective of this study was to understand the knowledge, attitude and practice on antibiotic usage and AMR among the veterinarians and para-veterinarians in Bhutan. METHOD A cross-sectional questionnaire survey among the veterinarians and para-veterinarians was conducted from June to July 2020. A score of one to the correct answers and zero for the wrong answers was allotted to each respondent answers. The total score was added and those who scored above the mean was categorized as having good knowledge and favourable attitude. RESULT A total of 219 animal health workers participated in this study. The mean knowledge score was 12.05 ±1.74 with 38.8% of the respondents having good knowledge on antibiotic use and AMR. Similarly, the mean scores for the attitude level were 8.32±1.61 with 51% them having favorable attitude towards antibiotic usage and AMR. The mean practice score was 3.83±1.06 with 77% of them having good practices on antibiotic use. The respondents who read national plan on AMR were found to have good knowledge on antibiotics and AMR (AOR: 2.39; 95% CI: 1.19-4.82). The female respondents (AOR: 2.16; 95% CI: 1.01-4.61), respondents from the eastern region (AOR: 2.53; 95% CI: 1.18-5.44), west central (AOR: 3; 95% CI: 1.30-6.92), animal health supervisors (AOR: 9.77; 95% CI: 1.98-48.29), and livestock production supervisors (AOR: 2.77; 95% CI: 1.21-6.35) have favorable attitude towards antibiotics and AMR. CONCLUSIONS Our study identified that most animal health workers in Bhutan had poor knowledge on antibiotics usage and AMR. Therefore, regular awareness education on antibiotics and AMR in the form of refresher course/training must be provided to the animal health workers in the country to avoid inappropriate use of antibiotics.

中文翻译：

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不丹兽医和准兽医对抗生素使用和抗生素耐药性的知识、态度和实践。


简介 抗菌素耐药性 (AMR) 是一个新兴的全球公共卫生问题。合理使用抗生素可以防止抗菌素耐药性的上升。本研究的目的是了解不丹兽医和准兽医对抗生素使用和抗菌素耐药性的知识、态度和实践。方法 2020 年 6 月至 7 月，对兽医和准兽医进行横断面问卷调查。每个受访者的答案为正确答案得 1 分，错误答案得 0 分。将总分相加，得分高于平均分的人被归类为具有良好的知识和良好的态度。结果共有219名动物卫生工作者参与了本研究。平均知识得分为 12.05 ±1.74，38.8% 的受访者对抗生素使用和 AMR 有良好的了解。同样，态度水平的平均得分为 8.32±1.61，其中 51% 对抗生素使用和抗菌素耐药性持积极态度。平均实践得分为 3.83±1.06，其中 77% 在抗生素使用方面有良好实践。研究发现，阅读过国家抗菌素耐药性计划的受访者对抗生素和抗菌素耐药性有较好的了解（AOR：2.39；95% CI：1.19-4.82）。女性受访者（AOR：2.16；95% CI：1.01-4.61）、东部地区受访者（AOR：2.53；95% CI：1.18-5.44）、中西部地区（AOR：3；95% CI：1.30-6.92） ）、动物卫生监督员（AOR：9.77；95% CI：1.98-48.29）和畜牧生产监督员（AOR：2.77；95% CI：1.21-6.35）对抗生素和抗菌素耐药性持积极态度。结论 我们的研究发现，不丹的大多数动物卫生工作者对抗生素的使用和抗菌素耐药性知之甚少。 因此，必须以进修课程/培训的形式定期向国内动物卫生工作者提供有关抗生素和抗菌素耐药性的认识教育，以避免抗生素的不当使用。