Analyze Diet
Zoonoses and public health2022; 69(7); 864-874; doi: 10.1111/zph.12979

A quarterly Survey of antibiotic prescribing in small animal and equine practices-Minnesota and North Dakota, 2020.

Abstract: Antimicrobials are critical for medicine, but the problem of antimicrobial resistance (AMR) threatens the effectiveness of these valuable drugs. In USA, there are no national- or state-level programs or policies in place to track antibiotic use (AU) in dogs, cats, and horses, despite acknowledgement of this sector's importance to both the AMR problem and its solution. AU measurement is a key part of antibiotic stewardship and AMR prevention. This study aimed to fill existing gaps in the veterinary professions' knowledge of antibiotic prescribing in small animals and horses. To address this aim, medical record data were collected on a single day per quarter for 1 year from 19 Minnesota and North Dakota small animal and equine practices, totaling 1,899 veterinarian consults of dogs, cats, and horses. Overall, 25.8% of all canine, feline, and equine consults involved an antibiotic prescription. Third-generation cephalosporins were the most commonly prescribed systemic antibiotic drug class, and the long-acting injectable drug, cefovecin, was the most commonly prescribed antibiotic for cats (34.5%). Topical antibiotic preparations were prescribed frequently, especially in dogs (42.5% of canine prescriptions), though systemic antibiotics were often prescribed concurrently. Common general indications, based on problem or diagnosis recorded in the medical record, for antibiotics in all species combined were skin conditions (24.4%), otitis (22.1%), ophthalmic (9.4%), gastrointestinal (8.3%), respiratory (8.3%), and urinary tract (7.6%) diseases. While 44.2% of patients for which antibiotics were prescribed had cytology performed, only 3.9% had bacterial culture and susceptibility performed. In a pre-study survey, veterinarians' recommendations for AU differed from actual prescribing, suggesting collection of AU data provides more accurate assessments of veterinary prescribing behaviour than surveys. This study shows feasibility of AU measurement in small animals and horses. The data collection tool and standard operating procedures described prove suitable for national AU data collection.
Publication Date: 2022-05-29 PubMed ID: 35643964PubMed Central: PMC9796041DOI: 10.1111/zph.12979Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article investigates and reports the usage of antibiotics in small animal and equine practices across North Dakota and Minnesota, United States over the span of one year.

Overview and Objective of the Study

  • The main objective of this study was to address the knowledge gap concerning the prescription of antibiotics in small animals and horses. This comes in the background of understanding the increasing problem of Antimicrobial Resistance (AMR) and the lack of state- or national-level programs tracking Antibiotic Use (AU) in these animals.
  • The researchers aimed to scrub through medical records from 19 veterinary practices in Minnesota and North Dakota to gather data on AU. The data covered 1,899 consultations involving dogs, cats, and horses.

Findings

  • In all the consultations, about a quarter (25.8%) involved a prescription for antibiotics.
  • Third-generation cephalosporins emerged as the most commonly issued systemic antibiotic. Moreover, for cats, the long-acting injectable drug cefovecin was predominantly prescribed (34.5%).
  • The research pointed out that topical antibiotic preparations were commonly prescribed, especially for dogs, wherein 42.5% of prescriptions were for these preparations.
  • Common reasons for antibiotic prescriptions across all species were skin conditions (24.4%), otitis (22.1%), ophthalmic (9.4%), gastrointestinal (8.3%), respiratory (8.3 percent), and urinary tract (7.6%) diseases.
  • A noteworthy fact was that while 44.2% of patients prescribed antibiotics had cytology performed, only 3.9% had bacterial culture and susceptibility performed.

Implications and Conclusions

  • The study uncovered discrepancies between veterinarians’ recommendations for AU and actual prescribing practices, suggesting that data collection provides a more accurate evaluation of veterinary prescribing behavior than surveys.
  • Science acknowledged that there is a need for a measurement of AU to contribute to antibiotic stewardship and help in preventing AMR. Hence, the study showed the feasibility and value of AU measurement in small animals and horses.
  • The data collection tool and standard procedures used were adequate and could be applied for national-level AU data collection.

Cite This Article

APA
Bollig ER, Granick JL, Webb TL, Ward C, Beaudoin AL. (2022). A quarterly Survey of antibiotic prescribing in small animal and equine practices-Minnesota and North Dakota, 2020. Zoonoses Public Health, 69(7), 864-874. https://doi.org/10.1111/zph.12979

Publication

ISSN: 1863-2378
NlmUniqueID: 101300786
Country: Germany
Language: English
Volume: 69
Issue: 7
Pages: 864-874

Researcher Affiliations

Bollig, Emma R
  • College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota, USA.
Granick, Jennifer L
  • College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota, USA.
Webb, Teckla L
  • College of Health Professions, North Dakota State University, Fargo, North Dakota, USA.
Ward, Christie
  • College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota, USA.
Beaudoin, Amanda L
  • Minnesota Department of Health, Saint Paul, Minnesota, USA.

MeSH Terms

  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents
  • Cats
  • Cephalosporins
  • Dogs
  • Horses
  • Minnesota
  • North Dakota / epidemiology
  • Surveys and Questionnaires

Conflict of Interest Statement

The authors have no conflicts of interest to declare.

References

This article includes 38 references
  1. American Horse Council Foundation. 2017 economic impact of the U.S. horse industry. .
  2. American Veterinary Medical Association. AVMA Pet Ownership and Demographics Sourcebook. .
  3. American Veterinary Medical Association. The veterinarian‐client‐patient relationship (VCPR). .
  4. American Veterinary Medical Association Task Force for Antimicrobial Stewardship in Companion Animal Practice. Understanding companion animal practitioners' attitudes toward antimicrobial stewardship. Journal of the American Veterinary Medical Association 247(8), 883–884.
    doi: 10.2460/javma.247.8.883pubmed: 26421397google scholar: lookup
  5. British Small Animal Veterinary Association. BSAVA/SAMSoc Guide to Responsible Use of Antibacterials: PROTECT ME. .
    doi: 10.22233/9781910443644google scholar: lookup
  6. Burke S, Black V, Sanchez‐Vizcaino F, Radford A, Hibbert A, Tasker S. Use of cefovecin in a UKpopulation of cats attending first‐opinion practices as recorded in electronic health records. Journal of Feline Medicine and Surgery 19(6), 687–692.
    doi: 10.1177/1098612X16656706pmc: PMC11128814pubmed: 27507842google scholar: lookup
  7. Bush K, Bradford PA. Epidemiology of β‐lactamase‐producing pathogens. Clinical Microbiology Reviews 33(2), e00047‐19.
    doi: 10.1128/CMR.00047-19pmc: PMC7048014pubmed: 32102899google scholar: lookup
  8. Centers for Disease Control and Prevention. 2013 NCHS Urban–Rural Classification Scheme for Counties. .
    pubmed: 24776070
  9. Centers for Disease Control and Prevention. Antibiotic Resistance Threats in the United States, 2019. .
  10. Fadok VA, Irwin K. Sodium hypochlorite/salicylic acid shampoo for treatment of canine staphylococcal pyoderma. Journal of the American Animal Hospital Association 55(3), 117–123.
    doi: 10.5326/JAAHA-MS-6628pubmed: 30870602google scholar: lookup
  11. Federation of European Companion Animal Veterinary Associations. Recommendations for Appropriate Antimicrobial Therapy. .
  12. Food and Drug Administration, Center for Veterinary Medicine. Supporting Antimicrobial Stewardship in Veterinary Settings: Goals for Fiscal Years 2019–2023. .
  13. Fowler H, Davis MA, Perkins A, Trufan S, Joy C, Buswell M, TF ME, Moore D, Worhle R, Rabinowitz PM. A survey of veterinary antimicrobial prescribing practices, Washington state 2015. The Veterinary Record 179(25), 651.
    doi: 10.1136/vr.103916pubmed: 27807211google scholar: lookup
  14. Giguere S, Cohen ND, Chaffin MK, Slovis NM, Hondalus MK, Hines SA, Prescott JF. Diagnosis, treatment, control, and prevention of infections caused by Rhodococcus equi in foals. Journal of Veterinary Internal Medicine 25(6), 1209–1220.
  15. Hardefeldt LY, Bailey KE, Slater J. Overview of the use of antimicrobial drugs for the treatment of bacterial infections in horses. Equine Veterinary Education 33(11), 602–611.
    doi: 10.1111/eve.13371google scholar: lookup
  16. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics 42(2), 377–381.
    doi: 10.1016/j.jbi.2008.08.010pmc: PMC2700030pubmed: 18929686google scholar: lookup
  17. Hillier A, Lloyd DH, Weese JS, Blondeau JM, Boothe D, Breitschwerdt E, Guardabassi L, Papich MG, Rankin S, Turnidge JD, Sykes JE. Guidelines for the diagnosis and antimicrobial therapy of canine superficial bacterial folliculitis (antimicrobial guidelines working Group of the International Society for companion animal infectious diseases). Veterinary Dermatology 25(3), 163–175.
    doi: 10.1111/vde.12118pubmed: 24720433google scholar: lookup
  18. Kimura A, Yossapol M, Shibata S, Asai T. Selection of broad‐spectrum cephalosporin‐resistant Escherichia coli in the feces of healthy dogs after administration of first‐generation cephalosporins. Microbiology and Immunology 61(1), 34–41.
    doi: 10.1111/1348-0421.12466pubmed: 28111794google scholar: lookup
  19. Koch S. Dermatology details: The challenge of chronic otitis in dogs: From diagnosis to treatment. Today's Veterinary Practice 7(3), 60–68.
  20. Langlois DK, Koenigshof AM, Mani R. Metronidazole treatment of acute diarrhea in dogs: A randomized double blinded placebo‐controlled clinical trial. Journal of Veterinary Internal Medicine 34(1), 98–104.
    doi: 10.1111/jvim.15664pmc: PMC6979100pubmed: 31742807google scholar: lookup
  21. Lappin MR, Blondeau J, Boothe D, Breitschwerdt EB, Guardabassi L, Lloyd DH, Papich MG, Rankin SC, Sykes JE, Turnidge J, Weese JS. Antimicrobial use guidelines for treatment of respiratory tract disease in dogs and cats: Antimicrobial guidelines working Group of the International Society for companion animal infectious diseases. Journal of Veterinary Internal Medicine 31(2), 279–294.
    doi: 10.1111/jvim.14627pmc: PMC5354050pubmed: 28185306google scholar: lookup
  22. Magill SS, Edwards JR, Beldavs ZG, Dumyati G, Janelle SJ, Kainer MA, Lynfield R, Nadle J, Neuhauser MM, Ray SM, Richards K, Rodriguez R, Thompson DL, Fridkin SK, Emerging Infections Program Healthcare-Associated Infections and Antimicrobial Use Prevalence Survey Team. Prevalence of antimicrobial use in US acute care hospitals, may-September 2011. JAMA 312(14), 1438–1446.
    doi: 10.1001/jama.2014.12923pmc: PMC10847977pubmed: 25291579google scholar: lookup
  23. Marks SL, Rankin SC, Byrne BA, Weese JS. Enteropathogenic bacteria in dogs and cats: Diagnosis, epidemiology, treatment, and control. Journal of Veterinary Internal Medicine 25(6), 1195–1208.
  24. Minnesota Board of Veterinary Medicine. Time Extension of Valid Veterinarian‐Client‐Patient Relationship (VCPR). .
  25. Mölstad S, Löfmark S, Carlin K, Erntell M, Aspevall O, Blad L, Hanberger H, Hedin K, Hellman J, Norman C, Skoog G, Stålsby-Lundborg C, Tegmark Wisell K, Åhrén C, Cars O. Lessons learnt during 20 years of the Swedish strategic programme against antibiotic resistance. Bulletin of the World Health Organization 95(11), 764–773.
    doi: 10.2471/BLT.16.184374pmc: PMC5677604pubmed: 29147057google scholar: lookup
  26. Murphy CP, Reid-Smith RJ, Boerlin P, Weese JS, Prescott JF, Janecko N, McEwen SA. Out-patient antimicrobial drug use in dogs and cats for new disease events from community companion animal practices in Ontario. The Canadian Veterinary Journal 53(3), 291–298.
    pmc: PMC3280785pubmed: 22942447
  27. Nixon SL, Rose L, Muller AT. Efficacy of an orally administered anti‐diarrheal probiotic paste (Pro-Kolin Advanced) in dogs with acute diarrhea: A randomized, placebo-controlled, double-blinded clinical study. Journal of Veterinary Internal Medicine 33(3), 1286–1294.
    doi: 10.1111/jvim.15481pmc: PMC6524086pubmed: 30882953google scholar: lookup
  28. OIE (World Organization for Animal Health). OIE List of Antimicrobial Agents of Veterinary Importance. .
  29. Pilla R, Gaschen FP, Barr JW, Olson E, Honneffer J, Guard BC, Blake AB, Villanueva D, Khattab MR, MK AS, Lidbury JA, Steiner JM, Suchodolski JS. Effects of metronidazole on the fecal microbiome and metabolome in healthy dogs. Journal of Veterinary Internal Medicine 34(5), 1853–1866.
    doi: 10.1111/jvim.15871pmc: PMC7517498pubmed: 32856349google scholar: lookup
  30. Redding LE, Cole SD. Pet owners' knowledge of and attitudes toward the judicious use of antimicrobials for companion animals. Journal of the American Veterinary Medical Association 254(5), 626–635.
    doi: 10.2460/javma.254.5.626pubmed: 30779623google scholar: lookup
  31. Shmalberg J, Montalbano C, Morelli G, Buckley GJ. A randomized double blinded placebo‐controlled clinical trial of a probiotic or metronidazole for acute canine diarrhea. Frontiers in Veterinary Science 6, 163.
    doi: 10.3389/fvets.2019.00163pmc: PMC6593266pubmed: 31275948google scholar: lookup
  32. Singleton DA, Noble PJM, Sanchez-Vizcaino F, Dawson S, Pinchbeck GL, Williams NJ, Radford AD, Jones PH. Pharmaceutical prescription in canine acute Diarrhoea: A longitudinal electronic health record analysis of first opinion veterinary practices. Frontiers in Veterinary Science 6, 218.
    doi: 10.3389/fvets.2019.00218pmc: PMC6615257pubmed: 31334254google scholar: lookup
  33. Singleton DA, Sanchez-Vizcaino F, Dawson S, Jones PH, Noble PJM, Pinchbeck GL, Williams NJ, Radford AD. Patterns of antimicrobial agent prescription in a sentinel population of canine and feline veterinary practices in the United Kingdom. Veterinary Journal 224, 18–24.
    doi: 10.1016/j.tvjl.2017.03.010pmc: PMC5518771pubmed: 28697871google scholar: lookup
  34. Sweeney CR, Timoney JF, Newton JR, Hines MT. Streptococcus equi infections in horses: Guidelines for treatment, control, and prevention of strangles. Journal of Veterinary Internal Medicine 19(1), 123–134.
    doi: 10.1111/jvim.15043pubmed: 15715061google scholar: lookup
  35. Unterer S, Strohmeyer K, Kruse BD, Sauter-Louis C, Hartmann K. Treatment of aseptic dogs with hemorrhagic gastroenteritis with amoxicillin/clavulanic acid: A prospective blinded study. Journal of Veterinary Internal Medicine 25(5), 973–979.
  36. Weese JS, Blondeau J, Boothe D, Guardabassi LG, Gumley N, Papich M, Jessen LR, Lappin M, Rankin S, Westropp JL, Sykes J. International society for companion animal infectious diseases (ISCAID) guidelines for the diagnosis and management of bacterial urinary tract infections in dogs and cats. Veterinary Journal 247, 8–25.
    doi: 10.1016/j.tvjl.2019.02.008pubmed: 30971357google scholar: lookup
  37. World Health Organization. Critically Important Antimicrobials for Human Medicine. .
  38. World Health Organization. 2019 WHO AWaRe Classification Database of Antibiotics for evaluation and monitoring of use. .

Citations

This article has been cited 8 times.
  1. Habrun CA, Greendyke WG, Szlosek D, Plum A, Kratz MM, Mantell E, Alroy KA. Carbapenem-Resistant Organisms in Companion Animals in New York City, 2019-2022. Open Forum Infect Dis 2025 Oct;12(10):ofaf613.
    doi: 10.1093/ofid/ofaf613pubmed: 41113325google scholar: lookup
  2. Jolley A, Love W, Frey E, Riggott J, Carrier N, May C, Goznikar K, Papich MG, Lanzas C. Effects of regional diversity on antimicrobial prescribing in dogs and cats in North Carolina from 2019 to 2020. JAC Antimicrob Resist 2025 Jun;7(3):dlaf073.
    doi: 10.1093/jacamr/dlaf073pubmed: 40356740google scholar: lookup
  3. Haverkate M, Evans M, Walter EJS. Antimicrobial prescribing during telemedicine appointments. Open Vet J 2024 Dec;14(12):3625-3629.
    doi: 10.5455/OVJ.2024.v14.i12.43pubmed: 39927359google scholar: lookup
  4. Belchik SE, Oba PM, Lin CY, Swanson KS. Effects of a veterinary gastrointestinal diet on fecal characteristics, metabolites, and microbiota concentrations of adult cats treated with metronidazole. J Anim Sci 2024 Jan 3;102.
    doi: 10.1093/jas/skae274pubmed: 39279199google scholar: lookup
  5. Bullone M, Bellato A, Robino P, Nebbia P, Morello S, Marchis D, Tarducci A, Ru G. Prevalence and risk factors associated with nasal carriage of methicillin-resistant staphylococci in horses and their caregivers. Vet Res 2024 Sep 9;55(1):108.
    doi: 10.1186/s13567-024-01364-0pubmed: 39252070google scholar: lookup
  6. Beaudoin AL, Bollig ER, Burgess BA, Cohn LA, Cole SD, Dear JD, Fellman CL, Frey E, Goggs R, Johnston A, Kreuder AJ, KuKanich KS, LeCuyer TE, Menard J, Reagan KL, Sykes JE, Veir JK, Viviano K, Wayne A, Granick JL. Prevalence of antibiotic use for dogs and cats in United States veterinary teaching hospitals, August 2020. J Vet Intern Med 2023 Sep-Oct;37(5):1864-1875.
    doi: 10.1111/jvim.16814pubmed: 37526594google scholar: lookup
  7. Jolley A, Love W, Frey E, Lanzas C. Impacts of the COVID-19 pandemic on antimicrobial use in companion animals in an academic veterinary hospital in North Carolina. Zoonoses Public Health 2023 Aug;70(5):393-402.
    doi: 10.1111/zph.13040pubmed: 37029504google scholar: lookup
  8. Bollig ER, Hirsch EB, Bueno I, Lynfield R, Granick JL, Gens KD, Rashid A, Harris K, Boeser K, Beaudoin AL. Minnesota One Health Antibiotic Stewardship Collaborative: A Reproducible Approach to Facilitate Antimicrobial Stewardship Progress. Open Forum Infect Dis 2022 Dec;9(12):ofac602.
    doi: 10.1093/ofid/ofac602pubmed: 36540391google scholar: lookup