Objectives: The present study aimed to assess the factors associated with pet owners' expectations for receiving antibiotics for their pet dogs and/or cats and the factors associated with pets (dogs and/or cats) receiving antibiotics during non-routine veterinary clinic consultations in Singapore.
Methods: A cross-sectional study was conducted on consenting pet owners who attended 16 veterinary clinics in Singapore, between March and December 2023. An online survey measured participants' knowledge of antibiotic use, prior antibiotic use experience, expectation for antibiotics and receipt of antibiotics during the last non-routine clinic consultation for their pets. Multivariable logistic regression models were used to determine the factors associated with expectation of antibiotics and receipt of antibiotics.
Results: Among the 821 pet owners, over one-in-four (27.5%) expected antibiotics. Owners with prior antibiotic use (adjusted OR 5.18, 95%CI 2.85-9.42) and poor knowledge of antibiotic use (adjusted OR 1.69, 95% CI 1.21-2.35) were 5 times and nearly 2 times as likely as owners without prior antibiotic use and those with good knowledge of antibiotic use respectively, to expect antibiotics for their pets. After adjusting for potential confounders, owners who expected antibiotics (adjusted OR 12.09, 95% CI 7.83-18.68) and had prior antibiotic use for their pets (adjusted OR 8.57, 95% CI 4.75-15.47) were more likely to receive antibiotics for their pets.
Conclusion: Factors which significantly influenced expectation of antibiotics in pet owners included poor knowledge of antibiotic use and prior usage of antibiotics. This highlights the importance of effective communication by veterinarians to mitigate pet owners' expectations to address inappropriate antibiotic prescribing.
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http://dx.doi.org/10.3389/fvets.2024.1491054 | DOI Listing |
Injury
January 2025
Institute for Biomechanics, Paracelsus Medical University, Strubergasse 21, 5020 Salzburg, Austria; Department of Trauma Surgery, BG Unfallklinik Murnau, Professor-Küntscher-Str. 8, 82418 Murnau am Staffelsee, Germany.
Treatment algorithms for fracture nonunion depend on the presence or absence of bacterial infection. However, it is often impossible to identify infection preoperatively. While some infections may present with clinical signs of infection, low-grade infections lack infection signs and have a clinical presentation similar to aseptic nonunion.
View Article and Find Full Text PDFLancet Child Adolesc Health
January 2025
Department of Infectious Diseases, Alder Hey Children's NHS Foundation Trust, Liverpool, UK; Department of Clinical Infection, Microbiology, and Immunology, Institute of Infection, Veterinary, and Ecological Sciences, University of Liverpool, Liverpool, UK. Electronic address:
Background: Procalcitonin is a rapid response biomarker specific for bacterial infection, which is not routinely used in the UK National Health Service. We aimed to assess whether using a procalcitonin-guided algorithm would safely reduce the duration of antibiotic therapy compared with usual care, in which C-reactive protein is the commonly used biomarker.
Methods: The BATCH trial was a pragmatic, multicentre, open-label, parallel, two-arm, individually randomised, controlled trial conducted in 15 hospitals in England and Wales.
Int J Mol Sci
December 2024
Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, 8 Eroii Sanitari Street, 050474 Bucharest, Romania.
This study investigates the synthesis of ZnSnO@SiO@5-FU nanoparticles as an additive for bone fillers in dental maxillofacial reconstruction. ZnSnO nanoparticles were synthesized and coated with a SiO shell, followed by the incorporation of 5-Fluorouracil (5-FU), aimed at enhancing the therapeutic properties of classical fillers. Structural analysis using X-ray diffraction confirmed that ZnSnO was the single crystalline phase present, with its crystallinity preserved after both SiO coating and 5-FU incorporation.
View Article and Find Full Text PDFSpinal Cord
January 2025
Santa Clara Valley Medical Center, Department of Physical Medicine and Rehabilitation, San Jose, CA, USA.
Study Design: Retrospective review.
Objectives: While most individuals with spinal cord injury (SCI) are expected to have 1-2 urinary tract infections (UTIs) per year, there is a subset with higher incidence. We evaluate our practice to characterize common causes of recurrent UTIs, hypothesizing that more frequent infections typically have addressable risk factors.
Open Forum Infect Dis
January 2025
Department of Medicine, Sinai Health and University Health Network, Toronto, Ontario, Canada.
Antibiotic resistance is a global public health threat driven, in part, by antibiotic overprescription. Behavior change theories are increasingly used to try to modify prescriber behavior. A metasynthesis of 8 reviews was conducted to identify factors influencing antibiotic prescribing for adults in hospital settings and to analyze these factors using 4 behavior change frameworks.
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