农村肯尼亚牲畜中的抗生素使用:导航滥用,经验差距和抗菌耐药性风险
Lucy Obolensky1, Esbon Wambugu2, Edna K Kubai2
1Peninsula Medical School, University of Plymouth, Plymouth, PL4 8AA, UK.
Microbiology (Reading, England)
|July 11, 2025
概括
抗菌素耐药性 (AMR) 是一个日益增长的威胁. 在肯尼亚,由于兽医建议有限,牧民滥用抗生素,这凸显了对牲畜抗菌管理的教育需求.
科学领域:
- 全球卫生健康 全球卫生健康
- 兽医医学 兽医医学 兽医医学
- 一个健康的方法.
背景情况:
- 抗菌素耐药性 (AMR) 构成全球健康风险,特别是在低收入和中等收入国家.
- 世界卫生组织倡导"一个健康"的方法,强调跨部门的合作,包括农业,以打击AMR.
- 关于在肯尼亚北部牧民社区的牲畜中使用和管理抗微生物药物的信息有限.
研究的目的:
- 调查肯尼亚北部牧民社区的牲畜中抗菌剂的使用和管理实践.
- 确定在这种特定情况下适当使用抗微生物药物的障碍和促进因素.
- 为改善抗微生物药物管理提供有针对性的干预信息.
主要方法:
- 使用半结构面试进行的定性研究.
- 在2023年12月,从肯尼亚北部四个牧民社区的51名参与者收集的数据.
- 由四名研究人员进行的主题分析.
主要成果:
- 广泛滥用抗生素,通常基于直觉而不是专业指导.
- 缺乏兽医建议被认为是主要障碍;依赖农业兽医和过去的经验是常见的.
- 观察到抗生素的交叉使用 (从动物到人类),有限的AMR意识,以及剩余抗生素的共享/储存.
结论:
- 调查结果突出了关于在牧民牲畜中使用抗微生物药物的知识和实践中的重大差距.
- 迫切需要有针对性的教育和培训计划,以改善这些社区的抗菌药物管理.
- 解决AMR需要在One Health框架内进行特定的干预.
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