在农场兽医实践中促进行为改变:"冠军"对抗微生物药物管理的目标设定和实施考虑
JAC-antimicrobial resistance
|October 27, 2025
概括
兽医处方冠军促进了威尔士实践中的抗菌药物管理 (AMS) 变化. 大多数实践都实现了AMS目标,尽管实际和文化因素等挑战仍然存在.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 公共卫生 公共卫生
- 一个健康 一个健康
背景情况:
- 抗菌素耐药性 (AMR) 是人类和动物健康中抗菌素使用所带来的重大威胁.
- 对抗微生物药物管理 (AMS) 的干预对于促进负责任的抗微生物药物使用至关重要.
- 威尔士的Arwain干预旨在通过兽医实践中的同行网络来加强AMS.
研究的目的:
- 在Arwain干预中评估AMS的目标设定和实施.
- 评估威尔士兽医实践中AMS倡议的成就和挑战.
主要方法:
- 实践行动计划 (2020年,2024年) 和自我报告的实施数据 (2024年) 的描述性定量分析.
- 对参与者采访 (2023) 和关于实施挑战的研讨会反 (2024) 的定性分析.
- 专注于持续从事阿尔温的兽医实践 (n=34).
主要成果:
- 兽医处方冠军 (VPCs) 推动了行为主导和结构性的AMS变化.
- 所有参与实践都至少启动了一个AMS变化目标.
- 大多数实践 (73%) 报告完全实施至少一个AMS变革目标.
- 实施的挑战包括实际,文化,跨专业,农场层面和外部因素.
结论:
- 阿尔温的干预成功地促进了对兽医实践的AMS变革的实施.
- 在不同实践中,AMS实施的复杂性和完整性各不相同.
- 需要进一步的研究来评估这些干预措施对实际抗微生物药物使用的影响,并为未来的政策提供信息.
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