A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018)

Article


Kalnins, Nicole Jacqueline, Croton, Catriona, Haworth, Mark Haworth, Gibson, Justine, Purcell, Sarah Leonie and Stewart, Allison Jean. 2022. "A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018)." Antibiotics. 11 (1). https://doi.org/10.3390/antibiotics11010055
Article Title

A VetCompass Australia Study of Antimicrobial Use in Dog-to-Dog Bite Wounds (1998–2018)

ERA Journal ID211757
Article CategoryArticle
AuthorsKalnins, Nicole Jacqueline, Croton, Catriona, Haworth, Mark Haworth, Gibson, Justine, Purcell, Sarah Leonie and Stewart, Allison Jean
Journal TitleAntibiotics
Journal Citation11 (1)
Article Number55
Number of Pages19
Year2022
PublisherMDPI AG
Place of PublicationSwitzerland
ISSN2079-6382
Digital Object Identifier (DOI)https://doi.org/10.3390/antibiotics11010055
Web Address (URL)https://www.mdpi.com/2079-6382/11/1/55
Abstract

Although dog-to-dog bite wounds (DBW) are a common presentation to veterinary clinics, antimicrobial prescribing habits of Australian clinics have not been reported. This study determined the frequency and results of DBW cultures; antimicrobial selection; and importance class of antimicrobials prescribed relative to wound severity, geographic location, or year. A systematic sample of 72,507 patient records was retrieved from the VetCompass Australia database. Records for 1713 dog bite events involving 1655 dogs were reviewed for presenting signs, results of culture and susceptibility testing (C&S), antimicrobial treatment, geographical location, and outcome. A crossed random effects multivariable logistic regression model was used to determine if antimicrobial importance was associated with wound severity, year, and location, and to assess the differences in antimicrobial prescription between geographical locations, clinics, and veterinarians. Antimicrobials were prescribed in 86.1% of DBW. Amoxicillin-clavulanic acid was prescribed in 70% (1202/1713) with underdosing in 15.8% (191/1202). High-importance antimicrobial use was associated with wound severity (p < 0.001), year category (p = 0.007), and surgery (p = 0.03). C&S testing was recorded as having been performed in only one case. Differences in individual veterinarian prescribing habits were stronger than the clinic culture, suggesting that education utilizing clinic-wide antimicrobial guidelines may aid in improving antimicrobial stewardship.

Keywordsbite wounds; VetCompass Australia; antimicrobial stewardship; bacteriology; antimicrobial susceptibility; canine
ANZSRC Field of Research 20203199. Other biological sciences
Byline AffiliationsUniversity of Queensland
School of Sciences
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