Evidence map›Paper›PMID 40035018›Full record

ArticleOne health (Amsterdam, Netherlands)2025

The VALUE of antibiotic stewardship for companion animals: Understanding appropriate antibiotic prescribing for pet cats and dogs in veterinary clinics in Singapore.

Huiling Guo, Zoe Jane-Lara Hildon, Lok Hang Wong, Timothy Chua, Boon Han Teo, Angela Chow

Abstract read
In one paragraph

Article in One health (Amsterdam, Netherlands), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Huiling GuoDepartment of Preventive and Population Medicine, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng Hospital, Singapore.
Zoe Jane-Lara HildonSaw Swee Hock School of Public Health and National University Health System, National University of Singapore, Singapore.
Lok Hang WongDepartment of Preventive and Population Medicine, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng Hospital, Singapore.
Timothy ChuaSingapore Veterinary Association, Singapore.
Boon Han TeoSingapore Veterinary Association, Singapore.
Angela ChowDepartment of Preventive and Population Medicine, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Understanding the factors influencing antibiotic prescribing for pets can inform future interventions to prevent development and spillover of antimicrobial resistance (AMR) from pets to other animals, humans and the wider environment. Material and methods: We conducted interviews with 19 veterinarians (January-July 2022) to explore factors influencing antibiotic prescribing for cats and dogs. Thematic analysis was performed using a VALUE model and themes were segmented by consultation touchpoints. Results: We observed that veterinary clinics in Singapore heavily prioritised business viability. Existing antibiotic stewardship efforts driven by individual veterinarians were often justified as meeting pet owners' satisfaction instead. National guidelines being loosely followed, but AMR-related values and practices were mostly aligned to those of key decision-making veterinarians. Open discussions on antibiotic prescribing amongst different veterinary professionals and shared decision-making (SDM) with pet owners were common. Audits were welcomed by veterinarians but resource limitations were a major concern. Conclusion: Recommendations to support veterinarians in prescribing antibiotics appropriately for cats and dogs range from formalising antibiotic stewardship as a clinic value, providing collective training for all veterinary professionals, continuing SDM with pet owners, automating tracking of meaningful indicators for monitoring and evaluation, and setting up a feedback system to inform behaviour change.

Indexed as

Antibiotic prescribingAntimicrobial resistanceAntimicrobial stewardshipCompanion animalsVALUE modelVeterinary clinics

Identifiers

PMID40035018
PMCPMC11875800

What OpenQuestion holds

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Registered trials

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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.