一项兽医调查提示抗真菌药物使用及管理相关的知识、态度和实践存在差异
A survey of veterinarians suggests variability in knowledge, attitudes, and practices surrounding antifungal use and stewardship.
文献信息
| PMID | 42892312 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Indira Rojas Rivera |
| 作者单位 | Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA. |
| 期刊 | American journal of veterinary research |
| SCI 分区 | Q2 |
| IF | 1.4 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 评估兽医关于抗真菌药物使用和管理的知识、态度和实践。
方法： 采用迭代方法开发调查问卷，并纳入抗真菌治疗专家的反馈及在目标人群中的预试验。该调查于2025年6月通过在线平台向初级保健从业者、皮肤科医生和内科医生发放，并在至少200名兽医回复后关闭。计算受访者在真菌感染和抗真菌知识、抗真菌耐药和管理担忧，以及诊断真菌感染和处方抗真菌药物的舒适度方面的评分。比较初级保健兽医与专科医生之间的中位评分。
结果： 210名兽医（100名初级保健从业者、49名皮肤科医生、61名内科医生）完成了调查。中位知识、担忧和舒适度评分存在显著差异，专科医生在所有量表上的中位评分均更高。皮肤科医生报告的每周局部和全身抗真菌处方中位数显著高于初级保健兽医和内科医生（分别为每周20 vs 7.5 vs 0次局部处方；每周9 vs 0 vs 0.5次全身处方）。对疑似酵母性皮炎始终进行院内细胞学检查的比例为：49名皮肤科医生中49名（100%）、100名初级保健兽医中53名（53%）、61名内科医生中19名（31.3%）。对疑似酵母性外耳炎始终进行院内细胞学检查的比例为：49名皮肤科医生中49名（100%）、100名初级保健兽医中39名（39%）、61名内科医生中57名（92.8%）。
结论： 兽医在真菌感染和抗真菌知识、诊断实践及抗真菌处方方面存在差异，凸显了开展有针对性的抗真菌管理教育的必要性。
临床相关性： 本研究为制定兽医抗真菌管理倡议提供了基础信息。
英文摘要
OBJECTIVE: To assess veterinarians' knowledge, attitudes, and practices regarding antifungal use and stewardship.
METHODS: A survey was developed using an iterative approach with feedback from experts in antifungal therapy and pilot testing among target audiences. The survey was administered in June of 2025 via an online platform to primary care practitioners, dermatologists, and internists and was closed when at least 200 veterinarians had responded. Respondents' scores were calculated for fungal infections and antifungal knowledge, antifungal resistance and stewardship concerns, and comfort with diagnosing fungal infections and prescribing antifungals. Median scores were compared between primary care veterinarians and specialists.
RESULTS: 210 veterinarians (100 primary care practitioners, 49 dermatologists, 61 internists) completed the survey. Significant differences were identified in the median knowledge, concern, and comfort scores, with specialists having higher median scores for all scales. Dermatologists reported significantly higher median weekly topical and systemic antifungal prescribing than primary care veterinarians and internists (20 vs 7.5 vs 0 topical prescriptions/wk, respectively; 9 vs 0 vs 0.5 systemic prescriptions/wk, respectively). Always performing in-house cytology for suspected yeast dermatitis was reported by 49 of 49 dermatologists (100%), 53 of 100 primary care veterinarians (53%), and 19 of 61 internists (31.3%). Always performing in-house cytology for suspected yeast otitis externa was reported by 49 of 49 dermatologists (100%), 39 of 100 primary care veterinarians (39%), and 57 of 61 internists (92.8%).
CONCLUSIONS: Variability in fungal infection and antifungal knowledge, diagnostic practices, and antifungal prescribing across veterinarians highlights the need for targeted antifungal stewardship education.
CLINICAL RELEVANCE: This study provides foundational information for developing veterinary antifungal stewardship initiatives.