A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018)
Although dog-to-dog bite wounds (DBW) are a common presentation to veterinary clinics, antimicrobial prescribing habits of Australian clinics have not been reported. This study determined the frequency and results of DBW cultures; antimicrobial selection; and importance class of antimicrobials presc...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/11/1/55 |
| _version_ | 1797496300017549312 |
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| author | Nicole Jacqueline Kalnins Catriona Croton Mark Haworth Justine Gibson Sarah Leonie Purcell Allison Jean Stewart |
| author_facet | Nicole Jacqueline Kalnins Catriona Croton Mark Haworth Justine Gibson Sarah Leonie Purcell Allison Jean Stewart |
| author_sort | Nicole Jacqueline Kalnins |
| collection | DOAJ |
| description | Although dog-to-dog bite wounds (DBW) are a common presentation to veterinary clinics, antimicrobial prescribing habits of Australian clinics have not been reported. This study determined the frequency and results of DBW cultures; antimicrobial selection; and importance class of antimicrobials prescribed relative to wound severity, geographic location, or year. A systematic sample of 72,507 patient records was retrieved from the VetCompass Australia database. Records for 1713 dog bite events involving 1655 dogs were reviewed for presenting signs, results of culture and susceptibility testing (C&S), antimicrobial treatment, geographical location, and outcome. A crossed random effects multivariable logistic regression model was used to determine if antimicrobial importance was associated with wound severity, year, and location, and to assess the differences in antimicrobial prescription between geographical locations, clinics, and veterinarians. Antimicrobials were prescribed in 86.1% of DBW. Amoxicillin-clavulanic acid was prescribed in 70% (1202/1713) with underdosing in 15.8% (191/1202). High-importance antimicrobial use was associated with wound severity (<i>p</i> < 0.001), year category (<i>p</i> = 0.007), and surgery (<i>p</i> = 0.03). C&S testing was recorded as having been performed in only one case. Differences in individual veterinarian prescribing habits were stronger than the clinic culture, suggesting that education utilizing clinic-wide antimicrobial guidelines may aid in improving antimicrobial stewardship. |
| first_indexed | 2024-03-10T03:02:40Z |
| format | Article |
| id | doaj.art-5f057dbebb504496becd18310057a6a4 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-10T03:02:40Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-5f057dbebb504496becd18310057a6a42023-11-23T12:43:57ZengMDPI AGAntibiotics2079-63822022-01-011115510.3390/antibiotics11010055A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018)Nicole Jacqueline Kalnins0Catriona Croton1Mark Haworth2Justine Gibson3Sarah Leonie Purcell4Allison Jean Stewart5School of Veterinary Science, The University of Queensland, Gatton, QLD 4343, AustraliaFaculty of Health, Engineering and Sciences, School of Sciences, University of Southern Queensland, Toowoomba, QLD 4350, AustraliaSchool of Veterinary Science, The University of Queensland, Gatton, QLD 4343, AustraliaSchool of Veterinary Science, The University of Queensland, Gatton, QLD 4343, AustraliaSchool of Veterinary Science, The University of Queensland, Gatton, QLD 4343, AustraliaSchool of Veterinary Science, The University of Queensland, Gatton, QLD 4343, AustraliaAlthough dog-to-dog bite wounds (DBW) are a common presentation to veterinary clinics, antimicrobial prescribing habits of Australian clinics have not been reported. This study determined the frequency and results of DBW cultures; antimicrobial selection; and importance class of antimicrobials prescribed relative to wound severity, geographic location, or year. A systematic sample of 72,507 patient records was retrieved from the VetCompass Australia database. Records for 1713 dog bite events involving 1655 dogs were reviewed for presenting signs, results of culture and susceptibility testing (C&S), antimicrobial treatment, geographical location, and outcome. A crossed random effects multivariable logistic regression model was used to determine if antimicrobial importance was associated with wound severity, year, and location, and to assess the differences in antimicrobial prescription between geographical locations, clinics, and veterinarians. Antimicrobials were prescribed in 86.1% of DBW. Amoxicillin-clavulanic acid was prescribed in 70% (1202/1713) with underdosing in 15.8% (191/1202). High-importance antimicrobial use was associated with wound severity (<i>p</i> < 0.001), year category (<i>p</i> = 0.007), and surgery (<i>p</i> = 0.03). C&S testing was recorded as having been performed in only one case. Differences in individual veterinarian prescribing habits were stronger than the clinic culture, suggesting that education utilizing clinic-wide antimicrobial guidelines may aid in improving antimicrobial stewardship.https://www.mdpi.com/2079-6382/11/1/55bite woundscanineantimicrobial susceptibilityantimicrobial stewardshipbacteriologyVetCompass Australia |
| spellingShingle | Nicole Jacqueline Kalnins Catriona Croton Mark Haworth Justine Gibson Sarah Leonie Purcell Allison Jean Stewart A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018) Antibiotics bite wounds canine antimicrobial susceptibility antimicrobial stewardship bacteriology VetCompass Australia |
| title | A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018) |
| title_full | A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018) |
| title_fullStr | A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018) |
| title_full_unstemmed | A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018) |
| title_short | A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018) |
| title_sort | vetcompass australia study of antimicrobial use in dog to dog bite wounds 1998 2018 |
| topic | bite wounds canine antimicrobial susceptibility antimicrobial stewardship bacteriology VetCompass Australia |
| url | https://www.mdpi.com/2079-6382/11/1/55 |
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