Antibiotic resistance: A cross-sectional study on knowledge, attitude, and practices among veterinarians of Haryana state in India

Aim: The current study aimed to assess the knowledge, attitude, and practices pertaining to antibiotic usage among the field veterinarians who serve as nodal officers playing a crucial role in disseminating knowledge to the farmers regarding livestock management practices in India. Materials and Methods: A pilot study was conducted in which 106 of the 173 field veterinarians of Haryana, India, agreed to contribute through their valuable participation in the study. The collected data were critically analyzed by simple descriptive statistics, and the responses were ranked using Garrett’s ranking method. Results: Our study found that most of the clinicians were aware of the fundamental clinical aspects of antibiotic resistance (AR), i.e., the general causes and transmission of resistance, response during treatment failure, and safe disposal of hospital waste. Further, implementation of “antibiotic stewardship” (rational/responsible use of antibiotics) and interruption of AR transmission by means of cross-kingdom pathogens are two ways to restrict the spread of resistant pathogens which were not in the clinical purview of majority of the clinicians. This highlights a lack of awareness and scope of improving clinician’s knowledge pertaining to AR. Moreover, we got to know the methodology adopted by farmers for disposal of infected milk from diseased udders as well as their attitude toward diseased and unproductive animals. Conclusion: This study provides snippets of the current animal husbandry practices prevalent at the field level which would assist to plug in the gaps of knowledge regarding AR among the veterinarians as well as the general public and serve to reduce its deleterious impacts in Indian animal farming as well as in the world through the concept of “One World, One Health.”

[1]  J. Cevallos-Cevallos,et al.  Internal Colonization of Salmonella enterica Serovar Typhimurium in Tomato Plants , 2011, PloS one.

[2]  M. Melotto,et al.  Plant innate immunity against human bacterial pathogens , 2014, Front. Microbiol..

[3]  U. Gupta,et al.  Rationalizing antibiotic use to limit antibiotic resistance in India+ , 2011, The Indian journal of medical research.

[4]  J. Rushton,et al.  Antimicrobial Resistance: the use of antimicrobials in the Livestock Sector , 2014 .

[5]  Gerding Dn,et al.  Does antibiotic restriction prevent resistance? , 1996, New horizons.

[6]  Jing Zhang,et al.  WHO: draft global action plan on antimicrobial resistance , 2015 .

[7]  K. Lim Singapore’s National Action Plan on Antimicrobial Resistance , 2020, Asian Fisheries Science.

[8]  P. Chandra,et al.  Antibiotic misuse in children by the primary care physicians--an Indian experience. , 2008, Nigerian journal of clinical practice.

[9]  A. Prüss,et al.  Safe management of wastes from health care activities , 2001 .

[10]  A. van Belkum,et al.  Disease induction by human microbial pathogens in plant-model systems: potential, problems and prospects. , 2007, Drug discovery today.

[11]  Didier Raboisson,et al.  Addressing Antimicrobial Resistance: An Overview of Priority Actions to Prevent Suboptimal Antimicrobial Use in Food-Animal Production , 2017, Front. Microbiol..

[12]  L. Garrod Causes of failure in antibiotic treatment. , 1972, British medical journal.

[13]  R. Laxminarayan,et al.  Antibiotic Resistance in India: Drivers and Opportunities for Action , 2016, PLoS medicine.

[14]  S. Essack,et al.  Antibiotic Resistance in the Food Chain: A Developing Country-Perspective , 2016, Front. Microbiol..

[15]  Diarmaid Hughes,et al.  Microbiological effects of sublethal levels of antibiotics , 2014, Nature Reviews Microbiology.

[16]  H. Goossens,et al.  Antibiotic resistance—the need for global solutions , 2013, BDJ.

[17]  M. Ntemgwa,et al.  The threat of antimicrobial resistance in developing countries: causes and control strategies , 2017, Antimicrobial Resistance & Infection Control.

[18]  M. K. Chattopadhyay Use of antibiotics as feed additives: a burning question , 2014, Front. Microbiol..

[19]  X. Ai,et al.  Benefits and risks of antimicrobial use in food-producing animals , 2014, Front. Microbiol..

[20]  Alan G Mathew,et al.  Antibiotic resistance in bacteria associated with food animals: a United States perspective of livestock production. , 2007, Foodborne pathogens and disease.

[21]  J. Farrar,et al.  Antimicrobial resistance in humans, livestock and the wider environment , 2015, Philosophical Transactions of the Royal Society B: Biological Sciences.

[22]  F. Aarestrup,et al.  Resistance in bacteria of the food chain: epidemiology and control strategies , 2013 .

[23]  C. Amábile-Cuevas Global Perspectives of Antibiotic Resistance , 2010 .

[24]  J. Wagenaar,et al.  Determinants Associated with Veterinary Antimicrobial Prescribing in Farm Animals in the Netherlands: A Qualitative Study , 2015, Zoonoses and public health.

[25]  Marius Gilbert,et al.  Global trends in antimicrobial use in food animals , 2015, Proceedings of the National Academy of Sciences.

[26]  E. Johansson,et al.  Antibiotic use, resistance development and environmental factors: a qualitative study among healthcare professionals in Orissa, India , 2010, BMC public health.

[27]  T. Alam,et al.  Irrational Use of Antibiotics, in Different Age Groups of Karachi: A WakeupCall for Antibiotic Resistance and Future Infections , 2016 .

[28]  F. Baquero,et al.  Tackling antibiotic resistance: the environmental framework , 2015, Nature Reviews Microbiology.

[29]  F. Aarestrup,et al.  Resistance in bacteria of the food chain: epidemiology and control strategies , 2008, Expert review of anti-infective therapy.

[30]  C. Adithan,et al.  Antimicrobial resistance in India: A review , 2013, Journal of natural science, biology, and medicine.

[31]  P. Fedorka-Cray,et al.  Antimicrobial use and resistance in animals. , 2002, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.