■临床乳腺炎(CM)治疗决策是一个多方面的过程,仍然相对缺乏研究,尽管CM是全球奶牛场最普遍的疾病之一,极大地促进了抗生素在乳制品行业的使用。这项研究旨在深入了解不列颠哥伦比亚省和艾伯塔省的奶农采用的决策机制,加拿大,与CM打交道时。
■采访了加拿大不列颠哥伦比亚省和艾伯塔省的15名奶农,并使用反身主题分析进行了分析,以制定影响该地区农民CM决策的决策途径和总体主题。
■分析产生了一个决策过程,该过程从CM的识别和分类开始,以牛奶和乳房的视觉特征为指导,可用的牛奶产量和质量数据,系统体征的存在,和额外的诊断。随后,CM病例是根据治愈的可能性来评估的,牛的价值,和群体目标,以决定是否需要抗菌治疗。接下来,通过评估病例的严重程度和紧迫性来做出治疗选择,药物的可用性和案件的时机。最后,治疗成功的定义和治疗决定后随时间的进展指导治疗的终止.产生了三个塑造决策过程的总体主题:\'个人属性\',包括个人方法和经验知识;“互动动态”,例如生产者之间的共同决策和动态,兽医,和挤奶者;和“超越协议”,这突出了乳腺炎决策的动态性。TheseinsightshavethepotentialtoinformthedevelopmentofeffectiveinterventionstoimproveCMantiaminantusethatalignwiththerealityoffarmingoperationswithinWesternCanada,而且可能超越。
UNASSIGNED: Clinical mastitis (CM) treatment decision-making is a multifaceted process that remains relatively understudied, despite CM being one of the most prevalent diseases on dairy farms worldwide, contributing greatly to the use of antimicrobials in the dairy industry. This study aimed to gain insights into decision-making mechanisms employed by dairy farmers in British Columbia and Alberta, Canada, when dealing with CM.
UNASSIGNED: Interviews were held with 15 dairy farmers in the Canadian provinces of British Columbia and Alberta and analyzed using reflexive thematic analysis to develop both the decision-pathway and overarching themes influencing the CM decisions by farmers in this region.
UNASSIGNED: The analysis generated a decision-making process that begins with identification and classification of CM, guided by visual characteristics of milk and the udder, available milk production and quality data, presence of systemic signs, and additional diagnostics. Subsequently, CM cases are assessed based on the likelihood of cure, value of the cow, and herd goals to decide whether antimicrobial treatment is desired. Next, a treatment choice is made by evaluating severity and urgency of the case, availability of drugs and timing of the case. Finally, definition of treatment success and progression over time following the treatment decision guides the termination of treatment. Three overarching themes were generated that shape the decision-making process: \'Personal attributes\', including personal approach and experiential knowledge; \'Inter-actor dynamics\', such as shared decision-making and dynamics among producers, veterinarians, and milkers; and \'Moving beyond protocols\', which highlights the dynamic nature of mastitis decision-making. These insights have the potential to inform the development of effective interventions to improve CM antimicrobial use that align with the reality of farming operations within Western Canada, and potentially beyond.