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Published on: August 30, 2018
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Antimicrobial prescribing during telemedicine appointments
Michael Haverkate1, Madison Evans1, Elaine J Scallan Walter1
1Colorado Integrated Food Safety Center of Excellence, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Boulder, CO.
Open Veterinary Journal
|February 10, 2025
Summary
Veterinary telemedicine antimicrobial drug (AMD) prescribing rates are similar to in-person visits. Younger veterinarians are more likely to prescribe AMDs, indicating a need for further education on telemedicine and antimicrobial stewardship.
Area of Science:
- Veterinary Medicine
- Pharmacology
- Digital Health
Background:
- Veterinary telemedicine has expanded, accelerated by the COVID-19 pandemic.
- Reliable videoconferencing has increased telemedicine use for animal care.
- Data on antimicrobial drug (AMD) prescribing in veterinary telemedicine is limited.
Purpose of the Study:
- To assess antimicrobial drug (AMD) prescription practices among U.S. veterinarians using telemedicine.
- To understand factors influencing AMD prescriptions in virtual veterinary care.
Main Methods:
- An online survey of U.S. veterinarians was conducted.
- Data collected included appointment details, species, complaints, and AMD requests.
- Veterinarians' years of practice and telemedicine platform type were recorded.
Main Results:
- 15% of 88 telemedicine appointments resulted in an oral antibiotic prescription.
- AMDs were prescribed more frequently for felines (25%) than canines (5%).
- Veterinarians with less experience (<15 years) prescribed AMDs more often (23% vs. 8%).
- Pet owner requests for antibiotics preceded prescriptions in 54% of cases.
Conclusions:
- Antimicrobial prescribing rates in veterinary telemedicine mirror those of in-person visits.
- Less experienced veterinarians showed higher AMD prescription rates via telemedicine.
- This highlights the need for enhanced education on telemedicine and antimicrobial stewardship.
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