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Practical Steps Toward Antimicrobial Stewardship for the General Practitioner.

Casey Cazer1, Amelia Greiner Safi2

  • 1Department of Clinical Sciences, Cornell University College of Veterinary Medicine Ithaca, NY, USA; Department of Public and Ecosystem Health, Cornell University College of Veterinary Medicine, Ithaca, NY, USA.

The Veterinary Clinics of North America. Small Animal Practice
|June 29, 2026
PubMed
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Companion animal veterinarians can reduce antimicrobial use (AMU) through practical stewardship strategies. This approach enhances patient care while combating antimicrobial resistance in both animals and humans.

Area of Science:

  • Veterinary Medicine
  • Antimicrobial Stewardship
  • One Health

Background:

  • Antimicrobial resistance (AMR) poses a significant threat to animal and human health.
  • Companion animal veterinarians are increasingly vital in antimicrobial stewardship and client education.
  • Reducing unnecessary antimicrobial use (AMU) is crucial for combating AMR.

Purpose of the Study:

  • To provide practical strategies for veterinarians to reduce AMU.
  • To maintain high-quality patient care while implementing stewardship principles.
  • To incorporate behavioral and implementation science to overcome practice barriers.

Main Methods:

  • Review of American Veterinary Medical Association (AVMA) stewardship principles.
  • Focus on individual and practice-level commitments.
Keywords:
Antimicrobial resistanceAntimicrobial stewardshipAntimicrobial useBehaviorRecommendationsTools

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  • Integration of disease prevention, judicious prescribing (e.g., "five rights"), AMU practice evaluation, and expertise building.
  • Application of behavioral and implementation science to address barriers like client expectations and diagnostic limitations.

    • Main Results:

    • Provides actionable steps for veterinarians to implement antimicrobial stewardship.
    • Offers insights into overcoming common barriers to reducing AMU.
    • Emphasizes a multi-faceted approach combining clinical practice, client education, and behavioral science.

    Conclusions:

    • Veterinarians can effectively advance antimicrobial stewardship in daily practice.
    • Implementing these strategies helps mitigate the threat of AMR.
    • This approach supports both animal welfare and public health.