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Pet owner and vet interactions: exploring the drivers of AMR

BACKGROUND: Antimicrobial resistance (AMR) is a growing public health problem across the world. As the negative consequences of AMR become apparent at local, national and international levels, more attention is being focussed on the variety of mechanisms by which AMR is potentiated. We explore how i...

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Autores principales: Smith, Matt, King, Caroline, Davis, Mark, Dickson, Adele, Park, Jeni, Smith, Fraser, Currie, Kay, Flowers, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879597/
https://www.ncbi.nlm.nih.gov/pubmed/29619213
http://dx.doi.org/10.1186/s13756-018-0341-1
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author Smith, Matt
King, Caroline
Davis, Mark
Dickson, Adele
Park, Jeni
Smith, Fraser
Currie, Kay
Flowers, Paul
author_facet Smith, Matt
King, Caroline
Davis, Mark
Dickson, Adele
Park, Jeni
Smith, Fraser
Currie, Kay
Flowers, Paul
author_sort Smith, Matt
collection PubMed
description BACKGROUND: Antimicrobial resistance (AMR) is a growing public health problem across the world. As the negative consequences of AMR become apparent at local, national and international levels, more attention is being focussed on the variety of mechanisms by which AMR is potentiated. We explore how interactions between pet owners and veterinarians represent a key arena in which AMR-related behaviours can be shaped. METHODS: In depth semi-structured interviews were carried out with pet owners (n = 23) and vets (n = 16) across the UK in 2017. A thematic analysis approach was taken, with inductively gathered data analysed deductively using a behavioural framework to identified key behaviours emerging from participant accounts which were amenable to change. RESULTS: Interactions between vets and pet owners were characterised by misunderstandings and misconceptions around antibiotics by pet owners, and a lack of clarity about the positions and intentions of the other party. Vets and pet owners had differing perceptions of where pressure to prescribe antibiotics inappropriately originated. Vets perceived it was mostly pet owners who pushed for inappropriate antibiotics, whereas pet owners reported they felt it was vets that overprescribed. Low levels of understanding of AMR in general were apparent amongst pet owners and understandings with regard to AMR in pets specifically were almost non-existent in the sample. CONCLUSIONS: Improved use of antibiotics could be assisted by educating the pet owning public and by guideline development for companion animal vets, concurrent development of mandatory legislation, increased consultation time to facilitate better communication, development of vet training on antimicrobial therapy and stewardship led interactions with pet owners, and increased levels of knowledge of pet-related AMR amongst pet owners.
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spelling pubmed-58795972018-04-04 Pet owner and vet interactions: exploring the drivers of AMR Smith, Matt King, Caroline Davis, Mark Dickson, Adele Park, Jeni Smith, Fraser Currie, Kay Flowers, Paul Antimicrob Resist Infect Control Research BACKGROUND: Antimicrobial resistance (AMR) is a growing public health problem across the world. As the negative consequences of AMR become apparent at local, national and international levels, more attention is being focussed on the variety of mechanisms by which AMR is potentiated. We explore how interactions between pet owners and veterinarians represent a key arena in which AMR-related behaviours can be shaped. METHODS: In depth semi-structured interviews were carried out with pet owners (n = 23) and vets (n = 16) across the UK in 2017. A thematic analysis approach was taken, with inductively gathered data analysed deductively using a behavioural framework to identified key behaviours emerging from participant accounts which were amenable to change. RESULTS: Interactions between vets and pet owners were characterised by misunderstandings and misconceptions around antibiotics by pet owners, and a lack of clarity about the positions and intentions of the other party. Vets and pet owners had differing perceptions of where pressure to prescribe antibiotics inappropriately originated. Vets perceived it was mostly pet owners who pushed for inappropriate antibiotics, whereas pet owners reported they felt it was vets that overprescribed. Low levels of understanding of AMR in general were apparent amongst pet owners and understandings with regard to AMR in pets specifically were almost non-existent in the sample. CONCLUSIONS: Improved use of antibiotics could be assisted by educating the pet owning public and by guideline development for companion animal vets, concurrent development of mandatory legislation, increased consultation time to facilitate better communication, development of vet training on antimicrobial therapy and stewardship led interactions with pet owners, and increased levels of knowledge of pet-related AMR amongst pet owners. BioMed Central 2018-04-02 /pmc/articles/PMC5879597/ /pubmed/29619213 http://dx.doi.org/10.1186/s13756-018-0341-1 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Smith, Matt
King, Caroline
Davis, Mark
Dickson, Adele
Park, Jeni
Smith, Fraser
Currie, Kay
Flowers, Paul
Pet owner and vet interactions: exploring the drivers of AMR
title Pet owner and vet interactions: exploring the drivers of AMR
title_full Pet owner and vet interactions: exploring the drivers of AMR
title_fullStr Pet owner and vet interactions: exploring the drivers of AMR
title_full_unstemmed Pet owner and vet interactions: exploring the drivers of AMR
title_short Pet owner and vet interactions: exploring the drivers of AMR
title_sort pet owner and vet interactions: exploring the drivers of amr
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879597/
https://www.ncbi.nlm.nih.gov/pubmed/29619213
http://dx.doi.org/10.1186/s13756-018-0341-1
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