动物诊疗机构人用药品使用现象分析及建议

随着社会经济水平日益提升,越来越多的人饲养宠物作为伴侣,与此同时宠物诊疗机构如春笋般蓬勃发展。然而其在发展中存在诸多问题,尤以使用人用药品问题最为突出。论文从药品使用现状、原因、管理等方面,对动物诊疗机构人用药品使用现象进行分析并提出一些建议,旨在进一步规范动物诊疗机构临床用药,使其良性发展。     

老年公寓户外环境空间要素设计浅析

通过分析居住在老年公寓老年人的户外活动时间、活动内容及公寓服务管理体系行为活动的特征,依据这一特殊人群对户外环境空间需求,提出了户外环境景观设计中空间要素的基本类型和设计要点。     

生姜常见病害的综合防治

生姜的种植主要是采取地下茎作种苗进行无性繁殖,如连年重茬,极易发生姜瘟、霉腐病、立枯病、炭疽病等土传病害,发病率高,危害严重。采用抗病品种、轮作、严格进行种茎和土壤消毒,防止渍水,合理施肥,加强疫病的预防,能获得优质高产。     

Descriptive epidemiological study of the use of antimicrobial drugs by companion animal veterinarians in New Zealand

Abstract

AIM: To describe the patterns of use of antimicrobial drugs by veterinary surgeons treating commonly presented bacterial infections in companion animals in New Zealand.

METHODS: A postal survey of 800 randomly selected companion animal veterinarians practicing in New Zealand was conducted between August and December 2008. Data were collected regarding the antimicrobials prescribed for recent cases of skin, ear and urinary tract infections; the use of culture and susceptibility testing; and veterinarian characteristics such as proportion of time spent treating companion animals and recent attendance at continuing professional development (CPD) events. Potential associations within the data were explored using extended mosaic plots and multivariable regression models.

RESULTS:Completed surveys from 393 respondents were available for analysis, providing data on systemic antimicrobial drug use for 1,799 cases of presumptive bacterial infections. The most frequently prescribed drugs were amoxicillin-clavulanic acid (864 cases, 48%), cephalexin (558, 31%), and fluoroquinolones (198, 11%). Of 359 cases of canine superficial pyoderma, 157 (44%) were treated with amoxicillin-clavulanic acid and 155 (43%) were treated with cephalexin with median reported treatment durations of 7 and 10 days, for these two drugs respectively. Culture and susceptibility tests had been used in 376 of 1,984 (19%) of all reported cases and 160 (43%) of these were suspected urinary tract infections. Practitioners that spent 100% of their time treating companion animals and who had attended a CPD course related to companion animals within the 12 months prior to completing the survey were more likely to submit a sample for culture and susceptibility testing and to prescribe longer courses of antimicrobials for the treatment of canine pyoderma than practitioners who spent less than 100% of their time treating companion animals and had not attended a CPD course in the last 12 months.

CONCLUSIONS: Broad-spectrum drugs considered by the World Health Organisation to be critically important for human health, such as fluoroquinolones and amoxicillin-clavulanic acid, are amongst the most frequently prescribed antimicrobials in companion animal medicine, and these drugs are often prescribed without submitting a sample for culture and susceptibility testing.

CLINICAL RELEVANCE: Many cases of superficial pyoderma were treated for less than the recommended duration of 21 days, which may contribute to a higher rate of recurrent pyoderma and the development of drug resistance within the causal bacteria. Veterinarians should be aware that the use of fluoroquinolones, in particular, should be based upon the results of a culture and susceptibility test.     

乌鲁木齐市冬春两季宠物源葡萄球菌的耐药性及耐药基因比较

采用琼脂稀释法,检测从乌鲁木齐市部分宠物医院冬季和春季分离鉴定的154株宠物源葡萄球菌(冬季75株、春季79株)对临床常用的12种抗菌药物(阿米卡星、克林霉素、硫酸庆大霉素、氟苯尼考、四环素、利福平、恩诺沙星、青霉素、苯唑西林、阿莫西林/克拉维酸、头孢噻呋、左氧氟沙星)的耐药性;通过卡方检验,比较供试菌耐药性差异;采用PCR方法,检测葡萄球菌的5类9种耐药基因。对抗菌药物的耐药结果显示:冬季葡萄球菌对苯唑西林和青霉素的耐药率高于90.0%,对头孢噻呋和四环素的耐药率高于50.0%;春季葡萄球菌对左氧氟沙星耐药率达92.4%,对苯唑西林和氟苯尼考耐药率高于80.0%。卡方检验结果显示:冬季葡萄球菌仅对苯唑西林的耐药率显著高于春季葡萄球菌(P0.05);春季葡萄球菌对氟苯尼考、利福平、左氧氟沙星、恩诺沙星和阿莫西林/克拉维酸的耐药率均显著高于冬季葡萄球菌(P0.05)。多药耐药差异性结果显示:冬季葡萄球菌多药耐药集中在1～3耐;春季葡萄球菌多药耐药集中在4、6、9耐。基因检测结果显示:冬季葡萄球菌主要检出的基因有ermB(40.0%,30/75)和fexA(22.7%,17/75);春季葡萄球菌主要检出的基因有fexA(39.3%,31/79)和femA(20.3%,16/79),冬、春季葡萄球菌均未检出cfr、fexB和tetA基因。     

Seroprevalence and risk factors for influenza A viruses in pigs in Peninsular Malaysia

Following a series of H5N1 cases in chickens and birds in a few states in Malaysia, there was much interest in the influenza A viruses subtypes that circulate among the local pig populations. Pigs may act as a mixing vessel for avian and mammal influenza viruses, resulting in new reassorted viruses. This study investigated the presence of antibodies against influenza H1N1 and H3N2 viruses in pigs from Peninsular Malaysia using Herdcheck Swine Influenza H1N1 and H3N2 Antibody Test Kits. At the same time, the presence of influenza virus was examined from the nasal swabs of seropositive pigs by virus isolation and real time RT-PCR. The list of pig farms was obtained from the headquarters of the Department of Veterinary Services, Malaysia, and pig herds were selected randomly from six of 11 states in Peninsular Malaysia. A total of 727 serum and nasal swab samples were collected from 4- to 6-month-old pigs between May and August 2005. By ELISA, the seroprevalences of swine influenza H1N1 and H3N2 among pigs were 12.2% and 12.1% respectively. Seropositivity for either of the virus subtypes was detected in less than half of the 41 sampled farms (41.4%). Combination of both subtypes was detected in 4% of all pigs and in 22% of sampled farms. However, no virus or viral nucleic acid was detected from nasal samples. This study identified that the seropositivity of pigs to H1N1 and H3N2 based on ELISA was significantly associated with factors such as size of farm, importation or purchase of pigs, proximity of farm to other pig farms and the presence of mammalian pets within the farm.     

Pet ownership increases human risk of encountering ticks

We examined whether pet ownership increased the risk for tick encounters and tickborne disease among residents of three Lyme disease‐endemic states as a nested cohort within a randomized controlled trial. Information about pet ownership, use of tick control for pets, property characteristics, tick encounters and human tickborne disease were captured through surveys, and associations were assessed using univariate and multivariable analyses. Pet‐owning households had 1.83 times the risk (95% CI = 1.53, 2.20) of finding ticks crawling on and 1.49 times the risk (95% CI = 1.20, 1.84) of finding ticks attached to household members compared to households without pets. This large evaluation of pet ownership, human tick encounters and tickborne diseases shows that pet owners, whether of cats or dogs, are at increased risk of encountering ticks and suggests that pet owners are at an increased risk of developing tickborne disease. Pet owners should be made aware of this risk and be reminded to conduct daily tick checks of all household members, including the pets, and to consult their veterinarian regarding effective tick control products.