Abstract：
Antimicrobial stewardship initiatives are widely regarded as a cornerstone for ameliorating the global health impact of antimicrobial resistance. Within companion animal health, such efforts have largely focused on development and dissemination of antimicrobial stewardship guidelines (ASGs). However, there have been few attempts to understand veterinarian attitudes towards and knowledge of ASGs or to determine how awareness regarding ASGs might best be increased. An online survey regarding ASGs was formulated for veterinarians who treat companion animals. The survey was distributed across 46 European and associated countries between 12 January and 30 June, 2022. In total, 2271 surveys were completed, with 64.9% of respondents (n = 1474) reporting awareness and usage of at least one ASG. Respondents from countries with greater awareness of ASGs tended to report more appropriate use of antimicrobials (Spearman\'s rank coefficient = 0.6084, P ≤ 0.001), with respondents from countries with country-specific ASGs tending to score highest across both awareness and appropriate use domains. Respondents prioritised guidance around antimicrobial choice (82.0%, n = 1863), duration of treatment (66.0%, n = 1499), and dosage (51.9%, n = 1179) for inclusion in future ASGs, with 78.0% (n = 1776) of respondents preferring ASGs to be integrated into their patient management system. Awareness of ASGs and their use in companion animal veterinary practice appears to be greater than previously reported, with respondents tending to report antimicrobial prescription decision making broadly in line with current clinical recommendations. However, further initiatives aimed at maximising accessibility to ASGs both within countries and individual veterinary practices are recommended.
摘要：
抗菌素管理举措被广泛认为是改善抗菌素耐药性对全球健康影响的基石。在伴侣动物健康中，这些努力主要集中在制定和传播抗菌药物管理指南(ASG)上.然而,很少有人尝试了解兽医对ASG的态度和知识，或者确定如何最好地提高对ASG的认识。针对治疗伴侣动物的兽医制定了有关ASG的在线调查。该调查于1月12日至6月30日期间分布在46个欧洲及相关国家，2022年。总的来说,完成了2,271项调查，64.9%的受访者(n=1,474)报告至少有一个ASG的意识和使用情况。来自对ASG认识较高的国家的受访者倾向于报告更适当地使用抗菌药物（Spearman的等级系数=0.6084，P≤0.001），来自具有特定国家/地区ASG的国家/地区的受访者在意识和适当使用领域中得分最高。受访者优先考虑抗菌药物选择方面的指导(82.0%，n=1,863)，治疗持续时间（66.0%，n=1,499),和剂量(51.9%，n=1,179)用于纳入未来的ASG，78.0%(n=1,776)的受访者更喜欢将ASG整合到他们的患者管理系统中。对ASG及其在伴侣动物兽医实践中的使用的认识似乎比以前报道的要高，受访者倾向于报告抗菌药物处方决策大致符合当前的临床建议。然而,建议采取进一步举措，旨在最大限度地提高各国和个人兽医实践中ASG的可及性。
