ArticleJAC-antimicrobial resistance2022
Antimicrobial stewardship in companion animal practice: an implementation trial in 135 general practice veterinary clinics.
Article in JAC-antimicrobial resistance, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 27 citations in OpenAlex.
- Remote realities: In-depth conversations on antimicrobial stewardship in remote Indigenous communities using a One Health approach.One health (Amsterdam, Netherlands) · 2026Article
- Use of VetCompass Australia data to estimate body weight for antimicrobial stewardship in Australian dogs.Australian veterinary journal · 2026Article
- Interventions to Reduce Antibiotic Prescribing in Small Animal Veterinary Practice: Evidence and Clinical Impact.Antibiotics (Basel, Switzerland) · 2026Review
- A structured, behavioural science approach to the preparation of antimicrobial stewardship interventions for companion animal veterinarians.The Veterinary record · 2026Article
- Antimicrobial stewardship from a One Health perspective.Nature reviews. Microbiology · 2026Review
- Antimicrobial prescribing in dogs and cats with urinary tract disease in a prospective intervention trial.Journal of veterinary internal medicine · 2026Article
- Reaching consensus amongst international experts on the use of high importance-rated antimicrobials in animals - a Delphi study.One health (Amsterdam, Netherlands) · 2024Article
- Survey of antimicrobial and probiotic use practices in wildlife rehabilitation in the United States.PloS one · 2024Article
- The potential role of veterinary technicians in promoting antimicrobial stewardship.BMC veterinary research · 2023Article
- 'Brave Enough': A Qualitative Study of Veterinary Decisions to Withhold or Delay Antimicrobial Treatment in Pets.Antibiotics (Basel, Switzerland) · 2023Article
- Antimicrobial use practices in canine and feline dental procedures performed in primary care veterinary practices in the United States.PloS one · 2023Article
- Article
- Seeking simplicity, navigating complexity: How veterinarians select an antimicrobial drug, dose, and duration for companion animals.Journal of veterinary internal medicineArticle
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntimicrobial stewardship programmes (ASPs) have been widely implemented in medical practice to improve antimicrobial prescribing and reduce selection for multidrug-resistant pathogens.
objectivesTo implement different antimicrobial stewardship intervention packages in 135 veterinary practices and assess their impact on antimicrobial prescribing.
methodsIn October 2018, general veterinary clinics were assigned to one of three levels of ASP, education only (CON), intermediate (AMS1) or intensive (AMS2). De-identified prescribing data (1 October 2016 to 31 October 2020), sourced from VetCompass Australia, were analysed and a Poisson regression model fitted to identify the effect of the interventions on the incidence rates of antimicrobial prescribing.
resultsThe overall incidence rate (IR) of antimicrobial prescribing for dogs and cats prior to the intervention was 3.7/100 consultations, which declined by 36% (2.4/100) in the implementation period, and by 50% (1.9/100) during the post-implementation period. Compared with CON, in AMS2 there was a 4% and 6% reduction in the overall IR of antimicrobial prescribing, and a 24% and 24% reduction in IR of high importance antimicrobial prescribing, attributable to the intervention in the implementation and post-implementation periods, respectively. A greater mean difference in the IR of antimicrobial prescribing was seen in high-prescribing clinics.
conclusionsThese AMS interventions had a positive impact in a large group of general veterinary practices, resulting in a decline in overall antimicrobial use and a shift towards use of antimicrobials rated as low importance, with the greatest impact in high-prescribing clinics.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.