Today's Veterinary Practice

MAY-JUN 2018

Today's Veterinary Practice provides comprehensive information to keep every small animal practitioner up to date on companion animal medicine and surgery as well as practice building and management.

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21 MAY/JUNE 2018 ● TVPJOURNAL.COM ESSENTIALS KEY TAKEAWAY THE DATA POTENTIAL CONTRIBUTING FACTORS TO OPPORTUNITIES ON TREATMENT PATHWAY TOOLS The globally growing threat of antimicrobial resistance is a reality. To avoid diminished antimicrobial efficacy and evolution of multi-drug resistant bacteria, it is important to use antimicrobial drugs judiciously. Antimicrobial usage patterns at Banfield provide insight into the practices of companion animal veterinarians in common feline infections. These data for feline patients indicate that opportunity oen exists for diagnosis and treatment to be better aligned with existing antimicrobial usage guidelines. Finding the root cause for this gap and ways to address some of the unique challenges of feline patients can help companion animal veterinarians better comply with antimicrobial guidelines in common infections. In 2016, cats presenting with lower urinary tract signs were treated as follows: SOURCES Weese JS, Blondeau JM, Boothe D, et al. Antimicrobial use guidelines for treatment of urinary tract disease in dogs and cats: antimicrobial guidelines working group of the international society for companion animal infectious diseases. Vet Med Int. 2011;2011. Understanding companion animal practitioners' attitudes toward antimicrobial stewardship. AVMA Task Force for Antimicrobial Stewardship in Companion Animal Practice. J Am Vet Med Assoc. 2015;247(8):883-884. Compliance: taking quality care to the next level; a report of the 2009 AAHA compliance follow-up study. American Animal Hospital Association. 2009. Download the full report at or 19,153 cats received antibiotics for a presumptive bacterial UTI 11,497 received antibiotics in conjunction with a positive urinalysis 1,299 received antibiotics in conjunction with C&S testing 7,656 received antibiotics with no urinalysis or negative results 10,198 received antibiotics with no C&S ordered 927 372 received antibiotics despite no growth on C&S received antibiotics with supportive urinalysis and C&S results Awareness Concerns about client compliance Unique feline challenges 88% of veterinarians are unaware of existing International Society for Companion Animal Infectious Diseases (ISCAID) guidelines for antimicrobial use including recommended diagnostic/ treatment plan and adherence to antibiotic prescription e.g., hiding behaviors, defense mechanisms, taste preferences Practice communicating the cost Client communication tips: Introduce new ways of working Client communication tips: The cost of diagnostic testing is oen a barrier to compliance. It can be difficult to communicate the rationale behind costs to clients effectively. Educate the entire hospital team on the importance of diagnostic testing so they can reinforce the treatment plan effectively. Provide the why: "I recommend this course of diagnostic testing and treatment. This is why: ______." Ask for, listen carefully to and address any client concerns about the recommended treatment plan. Spend extra time with pet owners to educate on medication administration. • Provide printed/pictorial instructions for clients. • Demonstrate medication administration and provide multiple options for administration. Follow medication administration with positive reinforcement such as play or food to help strengthen the human-animal bond. Schedule follow-up calls with clients to assess how treatment is going and offer support or advice to promote adherence to prescription. 2018 Veterinary Emerging Topics (VET) ® Report: A Feline Focus on Antimicrobial Usage "C&S" = culture & susceptibility testing performed a t reference laboratory "Urinalysis" = in-house urine dipstick with sediment exam "UTI" = urinary tract infection ©Banfield 2017.12

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