Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Common Barriers, Attitudes and Practices of Veterinary Practitioners Regarding Antimicrobial Resistance and Stewardship in Bangladesh

Version 1 : Received: 23 September 2020 / Approved: 24 September 2020 / Online: 24 September 2020 (04:41:43 CEST)

How to cite: Rahman, M.S.; Rafa, N. Common Barriers, Attitudes and Practices of Veterinary Practitioners Regarding Antimicrobial Resistance and Stewardship in Bangladesh. Preprints 2020, 2020090567 (doi: 10.20944/preprints202009.0567.v1). Rahman, M.S.; Rafa, N. Common Barriers, Attitudes and Practices of Veterinary Practitioners Regarding Antimicrobial Resistance and Stewardship in Bangladesh. Preprints 2020, 2020090567 (doi: 10.20944/preprints202009.0567.v1).

Abstract

Usage of antimicrobials in veterinary practices has always been under scrutiny due to the perceived risk of resulting in antimicrobial-resistant pathogens. This creates the necessity for understanding the role of the prescriber group. Hence, we conducted a cross-sectional survey among veterinary practitioners from August to November 2019 in the Chattogram district of Bangladesh, aiming to assess the practitioner’s perceptions regarding antimicrobial prescribing and antimicrobial resistance (AMR) issue. We collected responses from 100 veterinarians engaged in the treatment of the large animal, poultry, and pet animal through a self-administrated questionnaire. Proportions were calculated for categorical variables and the results are presented using visual aids. Our study revealed two key barriers - scarcity of enough information on antimicrobial used, and the lack of training in the proper prescription of antimicrobials. Participants recognized that prescribing too many varieties of antimicrobials and the use of an incomplete course of drugs as two very important causes for the development of antimicrobial resistance. In addition, prescription of inappropriate doses and incentives from pharmaceutical companies were dubbed as important causes. We also found that along with clinical features and types of organisms, the availability of drugs in the local market and the economic conditions of farmers have potential impacts on the antimicrobials prescribing decision of the veterinarians. However, all participants recognized the emerging threats of AMR. Results suggested that capacity building of veterinarians and the maintenance of strong coordination are crucial in ensuring the proper engagement of veterinarians as the front-line fighters for tackling the AMR issue.

Subject Areas

antimicrobial resistance; antimicrobial stewardship; barriers; perception; survey; veterinary practitioners

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