Veterinary peer study groups as a method of continuous education—A new approach to identify and address factors associated with antimicrobial prescribing
Autoři:
Valerie-Beau Pucken aff001; Gertraud Schüpbach-Regula aff002; Manuela Gerber aff001; Corina Salis Gross aff003; Michèle Bodmer aff001
Působiště autorů:
Clinic for Ruminants, Vetsuisse Faculty, University of Berne, Berne, Switzerland
aff001; Veterinary Public Health Institute, Vetsuisse Faculty, University of Berne, Liebefeld, Switzerland
aff002; Swiss Research Institute for Public Health and Addiction, University of Zurich, Zurich, Switzerland
aff003
Vyšlo v časopise:
PLoS ONE 14(9)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0222497
Souhrn
Within the dairy industry, most antimicrobials are used for dry-cow therapy or mastitis treatment. To reduce antimicrobial usage in dairy cows, increasing awareness and behaviour change is necessary. As veterinarians are known to be influenced by their peers, peer study groups as a continuous education might contribute to this. Therefore, the objective of this study was to analyse written records of veterinary peer study group meetings to identify factors associated with antimicrobial prescribing decisions, and to analyse veterinarians’ attitude towards the benefits of this continuous education method. Twenty-three participating Swiss cattle practitioners were divided into three groups. Each group met every two to five months, together with a facilitator and an expert on the topic to be discussed. Written records from every meeting were taken and analysed qualitatively to identify factors influencing veterinarians’ decisions on antimicrobial prescribing and mastitis therapy. In addition, focus group discussions were conducted after the last meeting, to assess the veterinarians' learning achievements gained during the peer study group meetings. Extrinsic factors such as external pressure, competition, farmer, individual animal, farm and diagnostics as well as intrinsic factors such as own experience/attitude, knowledge and change of mindset during career could be shown to influence veterinarians’ decisions on antimicrobial prescribing. In the focus group discussions, the veterinarians stated that they gained new knowledge, received new stimuli, exchanged with their peers and felt supported in their relationship to their farmers. Since the identified factors are partly interrelated, it is not sufficient to change a single factor to achieve a change in the antimicrobial prescription behaviour of veterinarians. Veterinary peer study groups could contribute to the intention to change, because veterinarians experienced multiple benefits from this method of continuous education. In order to quantify this, the prescription data of the veterinarians are analysed in a next step.
Klíčová slova:
Biology and life sciences – Organisms – Eukaryota – Psychology – Animals – Social sciences – People and places – Population groupings – Professions – Medicine and health sciences – Microbiology – Vertebrates – Amniotes – Mammals – Zoology – Women's health – Maternal health – Pharmacology – Agriculture – Microbial control – Antimicrobials – Drugs – Behavior – Animal behavior – Veterinary science – Bovines – Cattle – Ruminants – Veterinarians – Veterinary medicine – Mastitis – Veterinary diagnostics – Livestock care – Farms – Collective animal behavior
Zdroje
1. Hoelzer K, Wong N, Thomas J, Talkington K, Jungman E, Coukell A. Antimicrobial drug use in food-producing animals and associated human health risks: what, and how strong, is the evidence? BMC Vet Res. 2017 Dec 4;13(1):211. Available from http://bmcvetres.biomedcentral.com/articles/10.1186/s12917-017-1131-3 28676125
2. Saini V, McClure JT, Scholl DT, DeVries TJ, Barkema HW. Herd-level association between antimicrobial use and antimicrobial resistance in bovine mastitis Staphylococcus aureus isolates on Canadian dairy farms. J Dairy Sci. 2012 Apr;95(4):1921–9. Available from http://linkinghub.elsevier.com/retrieve/pii/S0022030212001567 22459839
3. Nobrega DB, De Buck J, Barkema HW. Antimicrobial resistance in non- aureus staphylococci isolated from milk is associated with systemic but not intramammary administration of antimicrobials in dairy cattle. J Dairy Sci. 2018;101(8). doi: 10.3168/jds.2018-14540 29729922
4. Bager F. DANMAP: monitoring antimicrobial resistance in Denmark. Int J Antimicrob Agents. 2000 May 1;14(4):271–4. Available from https://www.sciencedirect.com/science/article/pii/S0924857900001357?via%3Dihub 10794946
5. van Gool WA. Advisory letter Tightening up on antibiotic use in animals [Internet]. The Hague: Gezondheidsraad, Health Council of the Netherlands; 2015 [cited 2018 Aug 22]. https://www.healthcouncil.nl/documents/advisory-reports/2015/12/16/tightening-up-on-antibiotic-use-in-animals
6. Topp E. Agriculture and Agri-Food Canada’s research program on antimicrobial resistance. Can Commun Dis Rep. 2017 Nov 2;43(11):224–7. Available from http://www.ncbi.nlm.nih.gov/pubmed/29770051
7. Nationale Strategie Antibiotikaresistenzen Schweiz (StAR). Bundesamt für Gesundheit BAG Bundesamt für Landwirtschaft BLW Bundesamt für Lebensmittelsicherheit und Veterinärwesen BLV Bundesamt für Umwelt BAFU; 2015 [cited 2018 Aug 22]. https://www.star.admin.ch/star/de/home.html
8. Verordnung über die Tierarzneimittel (Tierarzneimittelverordnung, TAMV), Änderung vom 11. März 2016. AS 2016 961 Schweiz;
9. Verordnung über die Tierarzneimittel (Tierarzneimittelverordnung, TAMV) vom 18. August 2004. SR 812.212.27 Schweiz;
10. Menéndez González S, Steiner A, Gassner B, Regula G. Antimicrobial use in Swiss dairy farms: quantification and evaluation of data quality. Prev Vet Med. 2010 Jun 1;95(1–2):50–63. Available from http://www.sciencedirect.com/science/article/pii/S0167587710000735 20381180
11. De Briyne N, Atkinson J, Pokludová L, Borriello SP. Antibiotics used most commonly to treat animals in Europe. Vet Rec. 2014 Jun 4;175(13):325. Available from http://veterinaryrecord.bmj.com/content/early/2014/06/04/vr.102462.abstract 24899065
12. Thomson K, Rantala M, Hautala M, Pyörälä S, Kaartinen L. Cross-sectional prospective survey to study indication-based usage of antimicrobials in animals: Results of use in cattle. BMC Vet Res. 2008;4(1):15. Available from http://bmcvetres.biomedcentral.com/articles/10.1186/1746-6148-4-15
13. Kuipers A, Koops WJ, Wemmenhove H. Antibiotic use in dairy herds in the Netherlands from 2005 to 2012. J Dairy Sci. 2015 Feb;99(2):1632–48. Available from http://linkinghub.elsevier.com/retrieve/pii/S0022030215009054 26709178
14. Scherpenzeel CGM, den Uijl IEM, van Schaik G, Riekerink RGMO, Hogeveen H, Lam TJGM. Effect of different scenarios for selective dry-cow therapy on udder health, antimicrobial usage, and economics. J Dairy Sci. 2016;99(5). doi: 10.3168/jds.2015-9963 26947289
15. Roberson JR. Treatment of Clinical Mastitis. Vet Clin North Am Food Anim Pract. 2012 Jul;28(2):271–88. Available from http://www.sciencedirect.com/science/article/pii/S074907201200028X 22664208
16. Ivemeyer S, Maeschli A, Walkenhorst M, Klocke P, Heil F, Oser S, et al. Auswirkungen einer zweijährigen Bestandesbetreuung von Milchviehbeständen hinsichtlich Eutergesundheit, Antibiotikaeinsatz und Nutzungsdauer. Schweiz Arch Tierheilkd. 2008 Oct 1;150(10):499–505. Available from http://sat.gstsvs.ch/de/pubmed/?doi=10.1024/0036-7281.150.10.499
17. European Medicines Agency. European Surveillance of Veterinary Antimicrobial Consumption, 2017. “Sales of veterinary antimicrobial agents in 30 European countries in 2015”. (EMA/184855/2017). https://www.ema.europa.eu/documents/report/seventh-esvac-report-sales-veterinary-antimicrobial-agents-30-european-countries-2015_en.pdffrom
18. European Medicines Agency. European Surveillance of Veterinary Antimicrobial Consumption, 2018. ‘Sales of veterinary antimicrobial agents in 30 European countries in 2016’. (EMA/275982/2018). https://www.ema.europa.eu/documents/report/sales-veterinary-antimicrobial-agents-30-european-countries-2016-trends-2010-2016-eighth-esvac_en.pdffrom
19. Wagemann C. Private Interest Governments are Dead. Long Live Private Interest Governments? Lessons from Swiss Cows. Swiss Polit Sci Rev. 2005 Sep 1;11:1–25. Available from https://doi.org/10.1002/j.1662-6370.2005.tb00360.x
20. swissmilk, Schweizer Milchwirtschaft in Zahlen, Ausgabe 2018/19 [Internet]. [cited 2018 Sep 14]. https://www.swissmilk.ch/de/produzenten/services-fuer-milchproduzenten/angebote-fuer-anlaesse-shop/broschueren-infomaterial/#prod-1151
21. Landwirtschaft und Ernährung Taschenstatistik 2018. Statistik der Schweiz. Neuchâtel: Bundesamt für Statistik; 2018. https://www.bfs.admin.ch/bfs/de/home/statistiken/land-forstwirtschaft/landwirtschaft.assetdetail.5287762.htmlfrom
22. Stevens M, Piepers S, De Vliegher S. Mastitis prevention and control practices and mastitis treatment strategies associated with the consumption of (critically important) antimicrobials on dairy herds in Flanders, Belgium. J Dairy Sci. 2016 Apr;99(4):2896–903. Available from http://linkinghub.elsevier.com/retrieve/pii/S002203021600148X 26874421
23. Lam TJGM, Jansen J, van den Borne BHP, Renes RJR, Hogeveen H. What veterinarians need to know about communication to optimise their role as advisors on udder health in dairy herds. N Z Vet J. 2011 Jan;59(1):8–15. Available from http://www.tandfonline.com/doi/abs/10.1080/00480169.2011.547163 21328152
24. Morley PS, Apley MD, Besser TE, Burney DP, Fedorka-Cray PJ, Papich MG, et al. Antimicrobial Drug Use in Veterinary Medicine. J Vet Intern Med. 2005 Jul;19(4):617–29. Available from http://doi.wiley.com/10.1111/j.1939-1676.2005.tb02739.x 16095186
25. Poizat A, Bonnet-Beaugrand F, Rault A, Fourichon C, Bareille N. Antibiotic use by farmers to control mastitis as influenced by health advice and dairy farming systems. Prev Vet Med. 2017 Oct 1;146:61–72. https://www.sciencedirect.com/science/article/pii/S0167587717300442?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb&dgcid=raven_sd_recommender_email 28992929
26. Moore DA, Klingborg DJ, Brenner JS, Gotz AA. Motivations for and barriers to engaging in continuing veterinary medical education. J Am Vet Med Assoc. 2000 Oct 7;217(7):1001–6. Available from http://avmajournals.avma.org/doi/abs/10.2460/javma.2000.217.1001 11019705
27. De Briyne N, Atkinson J, Pokludová L, Borriello SP, Price S. Factors influencing antibiotic prescribing habits and use of sensitivity testing amongst veterinarians in Europe. Vet Rec. 2013 Nov 16;173(19):475. Available from http://www.ncbi.nlm.nih.gov/pubmed/24068699
28. Magalhães-Sant’Ana M, More SJ, Morton DB, Hanlon AJ. Challenges facing the veterinary profession in Ireland: 2. On-farm use of veterinary antimicrobials. Ir Vet J. 2017 Dec 15;70(1):28. Available from http://irishvetjournal.biomedcentral.com/articles/10.1186/s13620-017-0106-9
29. Visschers VHM, Backhans A, Collineau L, Loesken S, Nielsen EO, Postma M, et al. A Comparison of Pig Farmers’ and Veterinarians’ Perceptions and Intentions to Reduce Antimicrobial Usage in Six European Countries. Zoonoses Public Health. 2016 Nov;63(7):534–44. Available from http://doi.wiley.com/10.1111/zph.12260 26890125
30. MÖLSTAD S, HOVEUUS B. Reduction in Antibiotic Usage Following an Educational Programme. Fam Pract. 1989 Mar 1;6(1):33–7. Available from https://academic.oup.com/fampra/article-lookup/doi/10.1093/fampra/6.1.33 2714542
31. Al Achkar M, Davies K. A small group learning model for evidence-based medicine. Adv Med Educ Pract. 2016 Oct;Volume 7:611–5. Available from https://www.dovepress.com/a-small-group-learning-model-for-evidence-based-medicine-peer-reviewed-article-AMEP
32. Beyer M, Gerlach F, Flies U, Grol R, Król Z, Munck A, et al. The development of quality circles/peer review groups as a method of quality improvement in Europe. Fam Pract. 2003 Aug;20(4):443–51. Available from https://academic.oup.com/fampra/article-lookup/doi/10.1093/fampra/cmg420 12876119
33. Meesters AJM, Jansen J, Veersen, Lam TJGM. Study groups for udder health improvement led by practitioners—experiences from the Netherlands. In: Proceedings Cattle Consultancy Days. Denmark; 2007. p. 111–6. ftp://173.183.201.52/Inetpub/wwwroot/DairyScience/Extension/studygroups%20experiences%20from%20the%20Netherlands.pdf
34. Tschopp A, Reist M, Kaufmann T, Bodmer M, Kretzschmar L, Heiniger D, et al. A multiarm randomized field trial evaluating strategies for udder health improvement in Swiss dairy herds. J Dairy Sci. 2015 Feb;98(2):840–60. http://dx.doi.org/10.3168/jds.2014-8053 Available from http://www.sciencedirect.com/science/article/pii/S0022030214008054 25434343
35. Bennedsgaard TW, Klaas IC, Vaarst M. Reducing use of antimicrobials—Experiences from an intervention study in organic dairy herds in Denmark. Livest Sci. 2010 Jul 1;131(2–3):183–92. Available from https://www.sciencedirect.com/science/article/pii/S1871141310001265
36. Vandeweerd J-M, Vandeweerd S, Gustin C, Keesemaecker G, Cambier C, Clegg P, et al. Understanding Veterinary Practitioners’ Decision-Making Process: Implications for Veterinary Medical Education. J Vet Med Educ. 2012 Jun 1;39(2):142–51. Available from http://jvme.utpjournals.press/doi/10.3138/jvme.0911.098R1 22718001
37. Proctor A, Lowe P, Phillipson J, Donaldson A. Veterinary field expertise: using knowledge gained on the job. Vet Rec. 2011 Oct 15;169(16):408–10. Available from http://www.ncbi.nlm.nih.gov/pubmed/22001805
38. Klemm WR. Using a formal collaborative learning paradigm for veterinary medical education. J Vet Med Educ. 1994;21(1):2–6. Available from https://scholar.lib.vt.edu/ejournals/JVME/V21-1/Klemm.html
39. Hall ER, Davis RC, Weller R, Powney S, Williams SB. Doing dissections differently: A structured, peer-assisted learning approach to maximizing learning in dissections. Anat Sci Educ. 2013 Jan 1;6(1):56–66. Available from http://doi.wiley.com/10.1002/ase.1308 22899585
40. Mills P. Group Project Work with Undergraduate Veterinary Science Students. Assess Eval High Educ. 2003 Oct;28(5):527–38. Available from http://www.tandfonline.com/doi/abs/10.1080/02602930301676
41. Ritter C, Jansen J, Roche S, Kelton DF, Adams CL, Orsel K, et al. Invited review: Determinants of farmers’ adoption of management-based strategies for infectious disease prevention and control. J Dairy Sci. 2017;100(5):3329–47. Available from https://doi.org/10.3168/jds.2016-11977 28237585
42. Gibbons JF, Boland F, Buckley JF, Butler F, Egan J, Fanning S, et al. Influences on antimicrobial prescribing behaviour of veterinary practitioners in cattle practice in Ireland. Vet Rec. 2013 Jan 5;172(1):14. Available from http://www.ncbi.nlm.nih.gov/pubmed/23293148
43. Speksnijder DC, Jaarsma ADC, van der Gugten AC, Verheij TJM, Wagenaar JA. Determinants Associated with Veterinary Antimicrobial Prescribing in Farm Animals in the Netherlands: A Qualitative Study. Zoonoses Public Health. 2015 Apr;62(s1):39–51. Available from http://doi.wiley.com/10.1111/zph.12168
44. Higgins HM, Golding SE, Mouncey J, Nanjiani I, Cook AJC. Understanding veterinarians’ prescribing decisions on antibiotic dry cow therapy. J Dairy Sci. 2017 Apr;100(4):2909–16. Available from http://linkinghub.elsevier.com/retrieve/pii/S0022030217300747 28131572
45. Jarrige N, Cazeau G, Morignat E, Chanteperdrix M, Gay E. Quantitative and qualitative analysis of antimicrobial usage in white veal calves in France. Prev Vet Med. 2017 Sep;144:158–66. Available from http://linkinghub.elsevier.com/retrieve/pii/S0167587716304536 28716197
46. Coyne LA, Pinchbeck GL, Williams NJ, Smith RF, Dawson S, Pearson RB, et al. Understanding antimicrobial use and prescribing behaviours by pig veterinary surgeons and farmers: a qualitative study. Vet Rec. 2014 Dec 13;175(23):593–593. Available from http://veterinaryrecord.bmj.com/cgi/doi/10.1136/vr.102686 25200432
47. Carmo LP, Nielsen LR, Alban L, Müntener CR, Schüpbach-Regula G, Magouras I. Comparison of Antimicrobial Consumption Patterns in the Swiss and Danish Cattle and Swine Production (2007–2013). Front Vet Sci. 2017;4:26. Available from https://www.frontiersin.org/article/10.3389/fvets.2017.00026 28303244
48. Pucken V-B, Bodmer M, van den Borne BHP. Rekrutierung von motivierten Praktikern für eine Feldstudie. Schweiz Arch Tierheilkd. 2016;Band 158,. https://sat.gstsvs.ch/de/sat/archiv/2016/032016.html
49. Kilian K, Bannwart L, Morger M. GST- Laufbahnstudie Dem Beruf treu sein—in Teilzeitanstellung. 2017. https://sat.gstsvs.ch/de/sat/sat-artikel/archiv/2017/102017/dem-beruf-treu-sein-in-teilzeitanstellung.htmlfrom
50. Tierärztinnen und Tierärzte 2018. Bern: Bundesamt für Gesundheit BAG; 2018. https://www.bag.admin.ch/bag/de/home/zahlen-und-statistiken/statistiken-berufe-im-gesundheitswesen/statistiken-medizinalberufe1/statistiken-tieraerztinnen-tieraerzte.htmlfrom
51. Schweizer Bauernverband. Milchstatistik der Schweiz, 2017 [Internet]. [cited 2019 Feb 28]. https://www.sbv-usp.ch/de/publikationen/milchstatistik/
52. Auswertung der Daten über die Milchproduktion, Kalenderjahr 2017. Bundesamt für Landwirtschaft BLW; 2018. https://www.blw.admin.ch/dam/blw/de/dokumente/Nachhaltige Produktion/Tierische Produkte und Tierzucht/Milch und Milchprodukte/Auswertung_MD_2017_d.pdf.download.pdf/Auswertung_MD_2017_d.pdf.from
53. Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013 Sep 18;13:117. Available from http://www.ncbi.nlm.nih.gov/pubmed/24047204
54. Pelz C, Schmitt A, Meis M. Knowledge Mapping as a Tool for Analyzing Focus Groups and Presenting Their Results in Market and Evaluation Research. Forum Qual Sozialforsch / Forum Qual Soc Res. 2004 May 31;5(2). Available from http://www.qualitative-research.net/index.php/fqs/article/view/601
55. FVE Survey of the Veterinary Profession in Europe. 2015. https://www.fve.org/publications/survey-of-the-veterinary-profession-in-europe/from
56. Hopman NEM, Hulscher MEJL, Graveland H, Speksnijder DC, Wagenaar JA, Broens EM. Factors influencing antimicrobial prescribing by Dutch companion animal veterinarians: A qualitative study. Prev Vet Med. 2018 Oct 1;158:106–13. Available from https://www.sciencedirect.com/science/article/pii/S0167587718302939 30220383
57. Speksnijder DC, Wagenaar JA. Reducing antimicrobial use in farm animals: how to support behavioral change of veterinarians and farmers. Anim Front. 2018 Jun 7;8(2):4–9. Available from https://academic.oup.com/af/article/8/2/4/5034444
58. McDougall S, Compton CWR, Botha N. Factors influencing antimicrobial prescribing by veterinarians and usage by dairy farmers in New Zealand. N Z Vet J. 2017;65(2). doi: 10.1080/00480169.2016.1246214 27748166
59. Cousin M-E, Härdi-Landerer MC, Völk V, Bodmer M. Control of Staphylococcus aureus in dairy herds in a region with raw milk cheese production: farmers’ attitudes, knowledge, behaviour and belief in self-efficacy. BMC Vet Res. 2018 Feb 13;14(1):46. Available from http://www.ncbi.nlm.nih.gov/pubmed/29433483
60. Überblick Direktzahlungen Schweizer Ganzjahresbetriebe. Bundesamt für Landwirtschaft BLW; 2018 [cited 2019 Apr 16]. p. 28. https://www.blw.admin.ch/blw/de/home/instrumente/direktzahlungen.html
61. Salis Gross C, Tatzel J, Lang P, Rauber G, Hatz C. Explorative Studie zur Akzeptanz des Impfens in impfkritischen Bevölkerungsgruppen der Schweiz. 2014;(13). http://www.public-health-services.ch/attachments/content/2015_06_22_schlussbericht.pdf
62. Curado C, Henriques PL, Ribeiro S. Voluntary or mandatory enrollment in training and the motivation to transfer training. Int J Train Dev. 2015 Jun 1;19(2):98–109. Available from http://doi.wiley.com/10.1111/ijtd.12050
63. Gegenfurtner A, Könings KD, Kosmajac N, Gebhardt M. Voluntary or mandatory training participation as a moderator in the relationship between goal orientations and transfer of training. Int J Train Dev. 2016 Dec 1;20(4):290–301. Available from http://doi.wiley.com/10.1111/ijtd.12089
64. Silverman D. Qualitative Research. 3rd ed. London: SAGE Publications Ltd; 2011.
65. Carey MA. The group effect in focus groups: planning, imple- menting, and interpreting focus group research. In: Morce JM, editor. Critical Issues in Qualitative Reseach Methods. Thousand Oaks, California: Sage Publications, Inc; 1994. p. 225–8.
66. Pope C, van Royen P, Baker R. Qualitative methods in research on healthcare quality. BMJ Qual Saf. 2002 Jun 1;11(2):148–52. Available from http://www.ncbi.nlm.nih.gov/pubmed/12448807
Článok vyšiel v časopise
PLOS One
2019 Číslo 9
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Profylaxe infekční endokarditidy ve stomatologii
- Fixní kombinace paracetamol/kodein nabízí synergické analgetické účinky
Najčítanejšie v tomto čísle
- Graviola (Annona muricata) attenuates behavioural alterations and testicular oxidative stress induced by streptozotocin in diabetic rats
- CH(II), a cerebroprotein hydrolysate, exhibits potential neuro-protective effect on Alzheimer’s disease
- Comparison between Aptima Assays (Hologic) and the Allplex STI Essential Assay (Seegene) for the diagnosis of Sexually transmitted infections
- Assessment of glucose-6-phosphate dehydrogenase activity using CareStart G6PD rapid diagnostic test and associated genetic variants in Plasmodium vivax malaria endemic setting in Mauritania