PDF(Pubmed)
Abstract：
BACKGROUND: Considering the significance of increased antimicrobial resistance (AMR) and its adverse effects on individual and social health and the important and effective role that veterinarians play in controlling this growing issue worldwide, it is essential to have effective preventive control programs. To this aim, the first step is to identify the factors behind the prevalence of AMR in Iran and the barriers veterinarians face to controlling this problem. Thus, the present study was conducted to explain the barriers veterinarians faced in the prevention of AMR from an Iranian veterinarian\'s perspective.
METHODS: The present research was done in three cities in Iran in 2021. The data were collected through in-depth interviews with 18 veterinarians selected through purposive and snowball sampling and analyzed using conventional qualitative content analysis.
RESULTS: The data analysis results were classified into 4 main categories and 44 subcategories. The former included: educational factors, administrative/legal factors, client-related factors, and veterinarian-related factors.
CONCLUSIONS: The increased AMR can be approached from multiple aspects. Considering the different factors that affect the increased AMR, it is necessary to consider them all through effective planning and policy-making at multi-level and multidisciplinary dimensions. There is special attention needed to scientific and practical interventions at the individual, interpersonal, social, and even political levels. At the same time, measures should be taken to rehabilitate and maintain the health of society to strengthen supervision and attract the full participation of interested organizations.
METHODS: The present research was done in three cities in Iran in 2021. The data were collected through in-depth interviews with 18 veterinarians selected through purposive and snowball sampling and analyzed using conventional qualitative content analysis.
RESULTS: The data analysis results were classified into 4 main categories and 44 subcategories. The former included: educational factors, administrative/legal factors, client-related factors, and veterinarian-related factors.
CONCLUSIONS: The increased AMR can be approached from multiple aspects. Considering the different factors that affect the increased AMR, it is necessary to consider them all through effective planning and policy-making at multi-level and multidisciplinary dimensions. There is special attention needed to scientific and practical interventions at the individual, interpersonal, social, and even political levels. At the same time, measures should be taken to rehabilitate and maintain the health of society to strengthen supervision and attract the full participation of interested organizations.
摘要：
背景：考虑到抗菌素耐药性（AMR）增加的重要性及其对个人和社会健康的不利影响，以及兽医在控制这一全球日益严重的问题中发挥的重要和有效作用，有有效的预防控制计划至关重要。为了这个目标,第一步是确定伊朗AMR流行背后的因素以及兽医控制这一问题面临的障碍。因此，本研究旨在从伊朗兽医的角度解释兽医在预防AMR时面临的障碍.
方法：本研究于2021年在伊朗的三个城市进行。数据是通过对18名兽医的深入访谈收集的，这些兽医是通过目的和雪球抽样选择的，并使用常规的定性内容分析进行了分析。
结果：数据分析结果分为4个主类和44个亚类。前者包括：教育因素，行政/法律因素，与客户相关的因素，和兽医相关因素。
结论：可以从多个方面探讨AMR的增加。考虑到影响AMR增加的不同因素，有必要通过多层次和多学科层面的有效规划和决策来考虑这些问题。需要特别注意个人的科学和实际干预，人际关系,社会,甚至政治层面。同时,应采取措施恢复和维护社会健康，加强监督，吸引感兴趣的组织的充分参与。
方法：本研究于2021年在伊朗的三个城市进行。数据是通过对18名兽医的深入访谈收集的，这些兽医是通过目的和雪球抽样选择的，并使用常规的定性内容分析进行了分析。
结果：数据分析结果分为4个主类和44个亚类。前者包括：教育因素，行政/法律因素，与客户相关的因素，和兽医相关因素。
结论：可以从多个方面探讨AMR的增加。考虑到影响AMR增加的不同因素，有必要通过多层次和多学科层面的有效规划和决策来考虑这些问题。需要特别注意个人的科学和实际干预，人际关系,社会,甚至政治层面。同时,应采取措施恢复和维护社会健康，加强监督，吸引感兴趣的组织的充分参与。
