Show simple item record

Why do veterinarians ask for antimicrobial susceptibility testing? A qualitative study exploring determinants and evaluating the impact of antibiotic reduction policy

dc.contributor.authorBourély, Clémence
dc.contributor.authorFortané, Nicolas
dc.contributor.authorCalavas, Didier
dc.contributor.authorLeblond, Agnès
HAL ID: 182616
ORCID: 0000-0001-9136-4544
dc.contributor.authorGay, Emilie
dc.date.accessioned2019-02-12T12:58:04Z
dc.date.available2019-02-12T12:58:04Z
dc.date.issued2018
dc.identifier.issn01675877
dc.identifier.urihttps://basepub.dauphine.fr/handle/123456789/18444
dc.language.isoenen
dc.subjectAcceptability
dc.subjectAntibiogram
dc.subjectAntimicrobial resistance
dc.subjectCritically important antibiotic
dc.subjectQualitative research
dc.subjectVeterinarian
dc.subject.ddc306en
dc.titleWhy do veterinarians ask for antimicrobial susceptibility testing? A qualitative study exploring determinants and evaluating the impact of antibiotic reduction policy
dc.typeArticle accepté pour publication ou publié
dc.description.abstractenFor public health reasons, increasing attention has focused on more rational use of antimicrobials in farm animals. Guidance concerning the prescription of antibiotics and antimicrobial susceptibility testing (antibiograms in this case) are beneficial tools to help control the development of antimicrobial resistance. Nevertheless, even though there are already several qualitative studies analysing the determinants of antimicrobial prescription and use in veterinary medicine, little is known about decision-making concerning the use of antibiograms. The aim of this study was to provide a better understanding of veterinarians’ motivations and role-players’ influence concerning the choice of whether to ask for an antibiogram in the bovine, porcine, poultry and equine sectors in France. We concurrently evaluated the impact of a new French decree (2016) requiring an antibiogram before certain critically important antimicrobial agents can be used in veterinary medicine. Semi-structured interviews with veterinarians were conducted in France. Thematic analysis was used to analyse transcripts. In all, we surveyed 66 veterinarians. Use of antibiograms in veterinary medicine was multifactorial - 46 factors grouped into 11 categories were identified - and differed between animal sectors: use was almost systematic in poultry, frequent in pigs and rare in both the bovine and equine sectors. The decree has not increased the use of antibiograms but has induced a change in prescriptions due to field constraints and the time needed to obtain the results of antibiograms. Respondents see the decree as an aid in promoting responsible and rational use of antibiotics, fostering the use of alternatives. Our findings provide the basis of veterinarians’ position regarding antibiogram use and antimicrobial resistance, pointing out levers to facilitate the use of antibiograms in veterinary medicine (for example communication on the benefits of this test and external financial support). Furthermore, the evaluation of the impact of the decree aimed at reducing the use of critically important antibiotic highlights key factors for a successful change in regulations, such as advance planning, precise and adapted communication, and demonstration of the measure’s legitimacy. These results will be useful in guiding representative veterinary bodies and regulatory authorities during their decision-making, communication, and policy and regulation choices to combat antimicrobial resistance.
dc.relation.isversionofjnlnamePreventive Veterinary Medicine
dc.relation.isversionofjnlvol159
dc.relation.isversionofjnlissue1
dc.relation.isversionofjnldate2018
dc.relation.isversionofjnlpages123-134
dc.relation.isversionofdoi10.1016/j.prevetmed.2018.09.009
dc.subject.ddclabelCulture et comportementsen
dc.relation.forthcomingnonen
dc.relation.forthcomingprintnonen
dc.description.ssrncandidatenon
dc.description.halcandidateoui
dc.description.readershiprecherche
dc.description.audienceInternational
dc.relation.Isversionofjnlpeerreviewednon
dc.date.updated2019-02-15T14:23:18Z
hal.identifierhal-02015782*
hal.version1*
hal.update.actionupdateFiles*


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record