Abstract：
The Netherlands has been very successful in the last decade in reducing antimicrobial use in animals. On about a quarter of farms, antimicrobial use in weaned pigs remains relatively high. As Streptococcus suis (S. suis) infections are responsible for a high consumption of antimicrobials, a specific veterinary guideline to control S. suis was developed, but seemed to be poorly adopted by veterinarians. Guided by the theoretical domains framework, the aim of this study was to identify determinants influencing veterinarians\' adherence to this guideline. We interviewed 13 pig veterinarians. Interviewees described multiple approaches to managing S. suis problems and adherence to the guideline. Mentioned determinants could be categorized into 12 theoretical domains. The following six domains were mentioned in all interviews: knowledge, skills, beliefs about capabilities, beliefs about consequences, social influences, and environmental context and resources. The insights derived from this study are relevant for understanding factors influencing veterinarians\' adoption of scientific evidence and guidelines and can be used to develop evidence-based implementation strategies for veterinary guidelines.
摘要：
在过去的十年中，荷兰在减少动物中抗菌药物的使用方面非常成功。在大约四分之一的农场，断奶猪的抗菌药物使用率仍然相对较高。作为猪链球菌(S.suis)感染是抗微生物药物消耗高的原因，制定了控制猪链球菌的具体兽医指南，但似乎很少被兽医采用。在理论领域框架的指导下，本研究的目的是确定影响兽医遵守本指南的决定因素。我们采访了13名猪兽医。受访者描述了管理猪链球菌问题和遵守指南的多种方法。提到的决定因素可以分为12个理论领域。在所有访谈中都提到了以下六个领域：知识，技能,关于能力的信念，关于后果的信念，社会影响,环境背景和资源。本研究得出的见解与理解影响兽医采用科学证据和指南的因素有关，可用于制定基于证据的兽医指南实施策略。
