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      Knowledge, Attitudes and Practices of Veterinarians Towards Antimicrobial Resistance and Stewardship in Nigeria

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          Abstract

          Antimicrobial resistance (AMR) is a global health concern and the inappropriate use of antibiotics in animals and humans is considered a contributing factor. A cross-sectional survey to assess the knowledge, attitudes and practices of veterinarians regarding AMR and antimicrobial stewardship was conducted in Nigeria. A total of 241 respondents completed an online survey. Only 21% of respondents correctly defined the term antimicrobial stewardship and 59.8% were unaware of the guidelines provided by the Nigeria AMR National Action Plan. Over half (51%) of the respondents indicated that prophylactic antibiotic use was appropriate when farm biosecurity was poor. Only 20% of the respondents conducted antimicrobial susceptibility testing (AST) frequently, and the unavailability of veterinary laboratory services (82%) and the owner’s inability to pay (72%) were reported as key barriers to conducting AST. The study findings suggest strategies focusing on the following areas may be useful in improving appropriate antibiotic use and antimicrobial stewardship among veterinarians in Nigeria: increased awareness of responsible antimicrobial use among practicing and newly graduated veterinarians, increased dissemination of regularly updated antibiotic use guidelines, increased understanding of the role of good biosecurity and vaccination practices in disease prevention, and increased provision of laboratory services and AST at affordable costs.

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          Most cited references42

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          Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship.

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            General Principles of Antimicrobial Therapy

            Antimicrobial agents are some of the most widely, and often injudiciously, used therapeutic drugs worldwide. Important considerations when prescribing antimicrobial therapy include obtaining an accurate diagnosis of infection; understanding the difference between empiric and definitive therapy; identifying opportunities to switch to narrow-spectrum, cost-effective oral agents for the shortest duration necessary; understanding drug characteristics that are peculiar to antimicrobial agents (such as pharmacodynamics and efficacy at the site of infection); accounting for host characteristics that influence antimicrobial activity; and in turn, recognizing the adverse effects of antimicrobial agents on the host. It is also important to understand the importance of antimicrobial stewardship, to know when to consult infectious disease specialists for guidance, and to be able to identify situations when antimicrobial therapy is not needed. By following these general principles, all practicing physicians should be able to use antimicrobial agents in a responsible manner that benefits both the individual patient and the community.
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              Distinguishable epidemics of multidrug-resistant Salmonella Typhimurium DT104 in different hosts.

              The global epidemic of multidrug-resistant Salmonella Typhimurium DT104 provides an important example, both in terms of the agent and its resistance, of a widely disseminated zoonotic pathogen. Here, with an unprecedented national collection of isolates collected contemporaneously from humans and animals and including a sample of internationally derived isolates, we have used whole-genome sequencing to dissect the phylogenetic associations of the bacterium and its antimicrobial resistance genes through the course of an epidemic. Contrary to current tenets supporting a single homogeneous epidemic, we demonstrate that the bacterium and its resistance genes were largely maintained within animal and human populations separately and that there was limited transmission, in either direction. We also show considerable variation in the resistance profiles, in contrast to the largely stable bacterial core genome, which emphasizes the critical importance of integrated genotypic data sets in understanding the ecology of bacterial zoonoses and antimicrobial resistance.
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                Author and article information

                Journal
                Antibiotics (Basel)
                Antibiotics (Basel)
                antibiotics
                Antibiotics
                MDPI
                2079-6382
                28 July 2020
                August 2020
                : 9
                : 8
                : 453
                Affiliations
                [1 ]Nigeria Ministry of Defence Health Implementation Programme, 900247 Abuja, Nigeria; adekanyeusmanoladipo@ 123456gmail.com
                [2 ]School of Veterinary Medicine, University of Surrey, Guildford GU2 7AL, UK; e.galipo@ 123456surrey.ac.uk (E.G.); R.Laragione@ 123456surrey.ac.uk (R.M.L.R.); b.armson@ 123456surrey.ac.uk (B.A.); r.alafiatayo@ 123456surrey.ac.uk (R.A.); alasdair.j.cook@ 123456surrey.ac.uk (A.J.C.C.)
                [3 ]Life Stock Management Services Limited, 900271 Abuja, Nigeria; bala_bubakar2000@ 123456yahoo.com
                [4 ]Royal Veterinary College, University of London, London AL9 7TA, UK; amateus@ 123456rvc.ac.uk
                [5 ]Department of Veterinary Surgery and Medicine, Ahmadu Bello University, 810211 Kaduna, Nigeria; asmwakawa@ 123456yahoo.com
                [6 ]Zoetis-ALPHA Initiative, Zoetis, B-1930 Zaventem, Belgium; erik.mijten@ 123456zoetis.com (E.M.); gabriel.varga@ 123456zoetis.com (G.V.)
                Author notes
                [* ]Correspondence: ab.ekiri@ 123456surrey.ac.uk ; Tel.: +44-1483-688-779
                Author information
                https://orcid.org/0000-0001-9758-808X
                https://orcid.org/0000-0002-2703-1574
                Article
                antibiotics-09-00453
                10.3390/antibiotics9080453
                7460309
                32731420
                1502a5bd-78cd-418d-8a27-e84715377186
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 07 July 2020
                : 24 July 2020
                Categories
                Article

                antibiotic,antimicrobial resistance,veterinary,animal health,africa

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