Cross‐sectional evaluation of a large‐scale antimicrobial stewardship trial in Australian companion animal practices

Author:

Richards Suzanna12,Bailey Kirsten E.12ORCID,Scarborough Ri12,Gilkerson James R.12,Browning Glenn F.12,Hur Brian123,Ierardo Jessica4,Awad Magdoline4,Chay Rachel4,Hardefeldt Laura Y.12ORCID

Affiliation:

1. Asia‐Pacific Centre for Animal Health Melbourne Veterinary School Faculty of Science University of Melbourne Parkville Victoria Australia

2. Peter Doherty Institute National Centre for Antimicrobial Stewardship Carlton Victoria Australia

3. School of Computing and Information Systems University of Melbourne Parkville Victoria Australia

4. Greencross Pet Wellness Company North Ryde New South Wales Australia

Abstract

AbstractBackgroundAntimicrobial stewardship programmes (ASPs) are critically important for improving the appropriate use of antimicrobial agents in veterinary practice.MethodsOne of three ASPs was implemented in 135 Australian general veterinary practices in 2018–2020. The ASP interventions and the perceived impact they had on antimicrobial prescribing were assessed by the veterinarians working in these veterinary practices. An online survey was distributed to all 520 veterinarians working in the trial practices and 267 responses were analysed.ResultsMost veterinarians (174/267, 65%) thought they had an ASP at their clinic and most respondents who said that they were aware that they had an ASP at their clinic indicated that they had changed the way they prescribed antimicrobials because of the trial (125/170, 74%). Antimicrobial prescribing guidelines, the traffic light system for indicating antimicrobial importance, delayed prescribing and antimicrobial stewardship champions were reported to have had the biggest impact.LimitationsAll practices in the trial belong to a single corporate group, which may impact the external validity of these results when applied to general small animal practice.ConclusionAntimicrobial stewardship has a positive impact on antimicrobial prescribing in veterinary medicine and future interventions should focus on the implementation of the effective interventions identified in this study.

Publisher

Wiley

Subject

General Veterinary,General Medicine

Reference27 articles.

1. World Health Organization.Global action plan on antimicrobial resistance. 2015. Available from:https://www.who.int/antimicrobial‐resistance/global‐action‐plan/en/

2. Food and Agriculture Organization of the United Nations.The FAO action plan on antimicrobial resistance 2016–2020. 2016. Available from:http://www.fao.org/3/a‐i5996e.pdf

3. UK Department of Health.UK five year antimicrobial resistance strategy 2013 to 2018. 2013. Available from:https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/244058/20130902_UK_5_year_AMR_strategy.pdf

4. Commonwealth of Australia.One health master action plan for Australia's national antimicrobial resistance strategy—2020 and beyond. 2021. Available from:https://www.amr.gov.au/resources/one‐health‐master‐action‐plan‐australias‐national‐antimicrobial‐resistance‐strategy‐2020‐and‐beyond

5. Understanding Antibiotic Use in Companion Animals: A Literature Review Identifying Avenues for Future Efforts

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