Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016

David A Singleton; Gina L Pinchbeck; Alan D Radford; Elena Arsevska; Susan Dawson; Philip H Jones; Peter-John M Noble; Nicola J Williams; Fernando Sánchez-Vizcaíno

doi:10.3201/eid2608.191786

Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016

David A Singleton, Gina L Pinchbeck, Alan D Radford, Elena Arsevska, Susan Dawson, Philip H Jones, Peter-John M Noble, Nicola J Williams, Fernando Sánchez-Vizcaíno

Bristol Veterinary School

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14 Citations (Scopus)

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Abstract

Antimicrobial stewardship is a cornerstone of efforts to curtail antimicrobial resistance dissemination. However, little is known about factors potentially influencing likelihood of companion animal antimicrobial prescription. Here, we analysed unwell canine (n=155,732 unique dogs, 281,543 consultations) and feline (n=69,236 unique cats, 111,139 consultations) electronic health records (EHRs) voluntarily contributed by 173 UK veterinary practices, using multivariable mixed effects logistic regression. Preventive health-focused owner care decisions including vaccination (dogs: odds ratio, OR 0.93, 95% confidence interval, CI, 0.90-0.95; cats: OR 0.92, CI 0.89-0.95), insurance (dogs: OR 0.87, CI 0.84-0.90; cats: OR 0.82, CI 0.79-0.86) or neutering in dogs (OR 0.90, CI 0.88-0.92) were associated with decreased systemic antimicrobial prescription odds, as were dogs presenting to Royal College of Veterinary Surgeons accredited practices (OR 0.79, CI 0.68-0.92). This large multi-centre companion animal EHR study successfully demonstrated the potential of preventive healthcare and owner engagement to encourage responsible antimicrobial use.

Original language	English
Pages (from-to)	1778-1791
Number of pages	14
Journal	Emerging Infectious Diseases
Volume	26
Issue number	8
DOIs	https://doi.org/10.3201/eid2608.191786
Publication status	Published - 1 Aug 2020

Keywords

epidemiology
pets
dogs
cats
veterinary
informatics
anti-bacterial agents

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10.3201/eid2608.191786

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This is the author accepted manuscript (AAM). The final published version (version of record) is available online via [Centers for Disease Control and Prevention at https://wwwnc.cdc.gov/eid/article/26/8/19-1786_article . Please refer to any applicable terms of use of the publisher.
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Dr Fernando Sánchez-Vizcaíno
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title = "Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016",

abstract = "Antimicrobial stewardship is a cornerstone of efforts to curtail antimicrobial resistance dissemination. However, little is known about factors potentially influencing likelihood of companion animal antimicrobial prescription. Here, we analysed unwell canine (n=155,732 unique dogs, 281,543 consultations) and feline (n=69,236 unique cats, 111,139 consultations) electronic health records (EHRs) voluntarily contributed by 173 UK veterinary practices, using multivariable mixed effects logistic regression. Preventive health-focused owner care decisions including vaccination (dogs: odds ratio, OR 0.93, 95% confidence interval, CI, 0.90-0.95; cats: OR 0.92, CI 0.89-0.95), insurance (dogs: OR 0.87, CI 0.84-0.90; cats: OR 0.82, CI 0.79-0.86) or neutering in dogs (OR 0.90, CI 0.88-0.92) were associated with decreased systemic antimicrobial prescription odds, as were dogs presenting to Royal College of Veterinary Surgeons accredited practices (OR 0.79, CI 0.68-0.92). This large multi-centre companion animal EHR study successfully demonstrated the potential of preventive healthcare and owner engagement to encourage responsible antimicrobial use.",

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author = "Singleton, {David A} and Pinchbeck, {Gina L} and Radford, {Alan D} and Elena Arsevska and Susan Dawson and Jones, {Philip H} and Noble, {Peter-John M} and Williams, {Nicola J} and Fernando S{\'a}nchez-Vizca{\'i}no",

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AU - Dawson, Susan

AU - Jones, Philip H

AU - Noble, Peter-John M

AU - Williams, Nicola J

AU - Sánchez-Vizcaíno, Fernando

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AB - Antimicrobial stewardship is a cornerstone of efforts to curtail antimicrobial resistance dissemination. However, little is known about factors potentially influencing likelihood of companion animal antimicrobial prescription. Here, we analysed unwell canine (n=155,732 unique dogs, 281,543 consultations) and feline (n=69,236 unique cats, 111,139 consultations) electronic health records (EHRs) voluntarily contributed by 173 UK veterinary practices, using multivariable mixed effects logistic regression. Preventive health-focused owner care decisions including vaccination (dogs: odds ratio, OR 0.93, 95% confidence interval, CI, 0.90-0.95; cats: OR 0.92, CI 0.89-0.95), insurance (dogs: OR 0.87, CI 0.84-0.90; cats: OR 0.82, CI 0.79-0.86) or neutering in dogs (OR 0.90, CI 0.88-0.92) were associated with decreased systemic antimicrobial prescription odds, as were dogs presenting to Royal College of Veterinary Surgeons accredited practices (OR 0.79, CI 0.68-0.92). This large multi-centre companion animal EHR study successfully demonstrated the potential of preventive healthcare and owner engagement to encourage responsible antimicrobial use.

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KW - pets

KW - dogs

KW - cats

KW - veterinary

KW - informatics

KW - anti-bacterial agents

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ER -

Factors Associated with Prescription of Antimicrobial Drugs for Dogs and Cats, United Kingdom, 2014–2016

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