Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016
Antimicrobial stewardship is a cornerstone of efforts to curtail antimicrobial resistance. To determine factors potentially influencing likelihood of prescribing antimicrobials for animals, we analyzed electronic health records for unwell dogs (n = 155,732 unique dogs, 281,543 consultations) and cat...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Centers for Disease Control and Prevention
2020-08-01
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| Series: | Emerging Infectious Diseases |
| Subjects: | |
| Online Access: | https://wwwnc.cdc.gov/eid/article/26/8/19-1786_article |
| _version_ | 1811294966871228416 |
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| author | David A. Singleton Gina L. Pinchbeck Alan D. Radford Elena Arsevska Susan Dawson Philip H. Jones Peter-John M. Noble Nicola J. Williams Fernando Sánchez-Vizcaíno |
| author_facet | David A. Singleton Gina L. Pinchbeck Alan D. Radford Elena Arsevska Susan Dawson Philip H. Jones Peter-John M. Noble Nicola J. Williams Fernando Sánchez-Vizcaíno |
| author_sort | David A. Singleton |
| collection | DOAJ |
| description | Antimicrobial stewardship is a cornerstone of efforts to curtail antimicrobial resistance. To determine factors potentially influencing likelihood of prescribing antimicrobials for animals, we analyzed electronic health records for unwell dogs (n = 155,732 unique dogs, 281,543 consultations) and cats (n = 69,236 unique cats, 111,139 consultations) voluntarily contributed by 173 UK veterinary practices. Using multivariable mixed effects logistic regression, we found that factors associated with decreased odds of systemic antimicrobial prescription were client decisions focused on preventive health: vaccination (dogs, odds ratio [OR] 0.93, 95% CI, 0.90–0.95; cats, OR 0.92, 95% CI 0.89–0.95), insurance (dogs, OR 0.87, 95% CI 0.84–0.90; cats, OR 0.82, 95% CI 0.79–0.86), neutering of dogs (OR 0.90, 95% CI 0.88–0.92), and practices accredited by the Royal College of Veterinary Surgeons (OR 0.79, 95% 95% CI 0.68–0.92). This large multicenter companion animal study demonstrates the potential of preventive healthcare and client engagement to encourage responsible antimicrobial drug use. |
| first_indexed | 2024-04-13T05:26:20Z |
| format | Article |
| id | doaj.art-0f0622fa489146b2a1cd10bf6d2b7169 |
| institution | Directory Open Access Journal |
| issn | 1080-6040 1080-6059 |
| language | English |
| last_indexed | 2024-04-13T05:26:20Z |
| publishDate | 2020-08-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Emerging Infectious Diseases |
| spelling | doaj.art-0f0622fa489146b2a1cd10bf6d2b71692022-12-22T03:00:35ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592020-08-012681778179110.3201/eid2608.191786Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016David A. SingletonGina L. PinchbeckAlan D. RadfordElena ArsevskaSusan DawsonPhilip H. JonesPeter-John M. NobleNicola J. WilliamsFernando Sánchez-VizcaínoAntimicrobial stewardship is a cornerstone of efforts to curtail antimicrobial resistance. To determine factors potentially influencing likelihood of prescribing antimicrobials for animals, we analyzed electronic health records for unwell dogs (n = 155,732 unique dogs, 281,543 consultations) and cats (n = 69,236 unique cats, 111,139 consultations) voluntarily contributed by 173 UK veterinary practices. Using multivariable mixed effects logistic regression, we found that factors associated with decreased odds of systemic antimicrobial prescription were client decisions focused on preventive health: vaccination (dogs, odds ratio [OR] 0.93, 95% CI, 0.90–0.95; cats, OR 0.92, 95% CI 0.89–0.95), insurance (dogs, OR 0.87, 95% CI 0.84–0.90; cats, OR 0.82, 95% CI 0.79–0.86), neutering of dogs (OR 0.90, 95% CI 0.88–0.92), and practices accredited by the Royal College of Veterinary Surgeons (OR 0.79, 95% 95% CI 0.68–0.92). This large multicenter companion animal study demonstrates the potential of preventive healthcare and client engagement to encourage responsible antimicrobial drug use.https://wwwnc.cdc.gov/eid/article/26/8/19-1786_articleEpidemiologypetsdogscatsveterinaryinformatics |
| spellingShingle | David A. Singleton Gina L. Pinchbeck Alan D. Radford Elena Arsevska Susan Dawson Philip H. Jones Peter-John M. Noble Nicola J. Williams Fernando Sánchez-Vizcaíno Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016 Emerging Infectious Diseases Epidemiology pets dogs cats veterinary informatics |
| title | Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016 |
| title_full | Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016 |
| title_fullStr | Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016 |
| title_full_unstemmed | Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016 |
| title_short | Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016 |
| title_sort | factors associated with prescription of antimicrobial drugs for dogs and cats united kingdom 2014 2016 |
| topic | Epidemiology pets dogs cats veterinary informatics |
| url | https://wwwnc.cdc.gov/eid/article/26/8/19-1786_article |
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