Investigation of antimicrobial use and the impact of antimicrobial use guidelines in a small animal veterinary teaching hospital: 1995–2004

Weese, J. Scott

doi:10.2460/javma.228.4.553

Cited by 89 publications

(104 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A desire to adhere to best practices was listed as one of the most common facilitators for ordering a C/S test, suggesting that veterinarians understand the need to protect the integrity of existing therapeutic agents. According to the American Veterinary Medical Association (AVMA), American College of Veterinary Internal Medicine (ACVIM) and Centers for Disease Control and Prevention (2015a), bacterial culture, isolation and sensitivity should always be used when prescribing antimicrobials to ensure that the appropriate drug is selected (Weese 2006). The ACVIM takes their recommendation a step further by encouraging veterinarians to develop protocols identifying primary, secondary and tertiary drugs to be used while either waiting for C/S test results or when such a test is cost-prohibitive.…”

Section: Discussionmentioning

confidence: 99%

“…Escherichia coli is the most common agent of UTI, though other causative agents include, but are not limited to, Staphylococcus, Proteus, Streptococcus, Klebsiella and Pseudomonas species. Best practices recommend urine C/S when treating UTIs in all animal species, with a need for understanding the underlying factors predisposing a given patient to the illness (Weese 2006). Commonly prescribed antimicrobials vary by the causative agent, species affected and value of the animal (Dowling 2009).…”

Section: Discussionmentioning

confidence: 99%

“…National and international guidelines suggest empirical therapy can be appropriate when used in combination with bacterial culture and sensitivity; however, these rules also outline the importance of using an appropriate first-line drug that is targeted to the most likely bacterial source given the presenting signs and system affected (Weese 2006, Collignon and others 2009, Orand 2012, Corning 2014). It is important for veterinary personnel to prioritise best practices for judicious antimicrobial use in order to prevent the emergence of further resistance.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Survey of veterinary antimicrobial prescribing practices, Washington State 2015

et al. 2016

View full text Add to dashboard Cite

Antimicrobial resistance is a growing global health issue. It is also a recognised problem in veterinary medicine. Between September and December 2015 the authors administered a cross-sectional survey to licensed veterinarians in Washington State to assess factors affecting antimicrobial prescribing practices among veterinarians in Washington State. Two hundred and three veterinarians completed the survey. The majority of respondents (166, 82 per cent) were engaged in small animal or exotic animal practice. 24 per cent of respondents reported not ordering culture and sensitivity (C/S) testing in practice. Of the 76 per cent of veterinarians who reported ordering C/S tests, 36 per cent reported ordering such testing 'often' or 'always' when treating presumptive bacterial infections. Most respondents (65 per cent) mentioned cost as the most common barrier to ordering a C/S test. Only 16 (10 per cent) respondents reported having access to or utilising a clinic-specific antibiogram. This survey demonstrated that while antimicrobials are commonly used in veterinary practice, and veterinarians are concerned about antimicrobial resistance, cost is a barrier to obtaining C/S tests to guide antimicrobial therapy. Summaries of antimicrobial resistance patterns are rarely available to the practising veterinarian. Efforts to promote antimicrobial stewardship in a 'One Health' manner should address barriers to the judicious use of antimicrobials in the veterinary practice setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Survey of veterinary antimicrobial prescribing practices, Washington State 2015

et al. 2016

View full text Add to dashboard Cite

show abstract

“…This suggests the first success of the efforts by international bodies to promote antimicrobial use guidelines that have been shown to decrease antimicrobial prescriptions and reduce the occurrence of antimicrobial resistance (Weese 2006) and reduce the prescription of CIAs, as shown in Sweden where national policies exist (De Briyne and others 2013). …”

mentioning

confidence: 98%

Antimicrobial prescribing practices by Swiss, German and Austrian equine practitioners

2016

View full text Add to dashboard Cite

“…Such studies are rare in veterinary practice; nevertheless, those that have been performed have demonstrated a positive effect on prescribing habits. In 2006, for example, a Canadian teaching hospital demonstrated a reduction in the frequency of antibacterial prescribing, particularly of fluoroquinolones over a nine-year period (Weese 2006). …”

Section: Antibiotic Stewardship and Developing A Practice Prescribingmentioning

confidence: 99%

Using antibiotics responsibly in companion animals

Battersby¹

2014

In Practice

View full text Add to dashboard Cite

Companion Animals Antibiotics are regularly prescribed in practice and it is not uncommon for veterinary surgeons to prescribe them without having irst documented an infection. As such, antibiotics are not always prescribed appropriately. In contrast to many drugs prescribed, the more frequently antibiotics are used, the less efective they become, due to the selection of resistant bacteria. It is, therefore, important that clinicians understand the implications of the overuse of antibiotics and the principles of optimal prescribing. This article aims to review the concerns regarding antibiotic resistance, the role of antibiotics in the development of resistant bacteria, and to provide guidance on how practitioners can reine their prescribing. The problem of emerging multi-resistant bacteria is well recognised in human medicine. The proportion of meticillin-resistant Staphylococcus aureus (MRSA) among all S aureus bacteraemias remained under 3 per cent until 1992, but by 2002 this had risen to 43 per cent (Griffiths and others 2004). In the second volume of her annual report for 2011, the Chief Medical Officer (CMO), Dame Sally Davies, chose to focus on the rise of antibiotic resistance, calling for this 'very real threat' to be placed on the national risk register (Department of Health 2013a). The British Society for Antimicrobial Chemotherapy is currently highlighting the slow development of new antibacterial agents and is actively petitioning the government to increase research in this area (www.antibiotic-action.com).

show abstract

Investigation of antimicrobial use and the impact of antimicrobial use guidelines in a small animal veterinary teaching hospital: 1995–2004

Cited by 89 publications

References 24 publications

Survey of veterinary antimicrobial prescribing practices, Washington State 2015

Survey of veterinary antimicrobial prescribing practices, Washington State 2015

Antimicrobial prescribing practices by Swiss, German and Austrian equine practitioners

Using antibiotics responsibly in companion animals

Contact Info

Product

Resources

About