Why do veterinarians ask for antimicrobial susceptibility testing? A qualitative study exploring determinants and evaluating the impact of antibiotic reduction policy.

摘要: For public health reasons, increasing attention has focused on more rational use of antimicrobials in farm animals. Guidance concerning the prescription antibiotics and antimicrobial susceptibility testing (antibiograms this case) are beneficial tools to help control development resistance. Nevertheless, even though there already several qualitative studies analysing determinants veterinary medicine, little is known about decision-making antibiograms. The aim study was provide a better understanding veterinarians’ motivations role-players’ influence choice whether ask for an antibiogram bovine, porcine, poultry equine sectors France. We concurrently evaluated impact new French decree (2016) requiring before certain critically important agents can be used medicine. Semi-structured interviews with veterinarians were conducted Thematic analysis analyse transcripts. In all, we surveyed 66 veterinarians. Use antibiograms medicine multifactorial - 46 factors grouped into 11 categories identified differed between animal sectors: almost systematic poultry, frequent pigs rare both bovine sectors. not increased but induced change prescriptions due field constraints time needed obtain results Respondents see as aid promoting responsible antibiotics, fostering alternatives. Our findings basis position regarding resistance, pointing out levers facilitate (for example communication benefits test external financial support). Furthermore, evaluation aimed at reducing antibiotic highlights key successful regulations, such advance planning, precise adapted communication, demonstration measure’s legitimacy. These will useful guiding representative bodies regulatory authorities during their decision-making, policy regulation choices combat