Table 5.
Canine antimicrobial prescription choice as a percentage of total antimicrobial prescriptions, presented by class and for beta-lactams, by sub-class, and by intervention group split into pre- and post-intervention time periods.
CANINE Antimicrobial class | Control group % (95% CI)a | Light intervention group % (95% CI) | Heavy intervention group % (95% CI) | |||||
---|---|---|---|---|---|---|---|---|
Pre-intervention | Post-intervention | Pre-intervention | Post-intervention | P | Pre-intervention | Post-intervention | P | |
Aminoglycoside | 10.94 (9.00–12.88) | 5.50 (4.16–6.84) | 10.60 (8.08–13.13) | 6.17 (4.34–7.99) | 0.444 | 9.81 (7.71–11.90) | 6.04 (3.11–8.97) | 0.699 |
Amphenicol | 7.14 (4.88–9.39) | 8.28 (6.22–10.33) | 5.38 (3.44–7.31) | 7.37 (5.23–9.51) | 0.618 | 6.60 (4.21–8.99) | 8.03 (4.85–11.21) | 0.281 |
Beta-lactamb | 41.71 (37.35–46.07) | 44.84 (41.34–48.34) | 43.48 (40.85–46.11) | 45.15 (41.97–48.32) | 0.259 | 41.87 (39.20–44.53) | 41.83 (38.81–44.86) | 0.204 |
Amoxicillin | 5.27 (0.58–9.97) | 4.00 (0.11–7.89) | 4.58 (2.21–6.94) | 4.09 (1.84–6.33) | 0.684 | 6.83 (1.49–12.18) | 5.36 (1.54–9.18) | 0.849 |
Clavulanic acid potentiated amoxicillin | 73.80 (69.84–77.76) | 73.93 (69.43–78.43) | 73.31 (68.49–78.14) | 76.84 (71.08–82.60) | 0.178 | 74.46 (69.46–79.46) | 78.44 (72.21–84.68) | 0.242 |
1st generation cephalosporin | 18.85 (14.87–22.83) | 20.73 (16.50–24.95) | 20.43 (15.65–25.22) | 17.55 (12.70–22.40) | 0.711 | 16.13 (13.14–19.11) | 15.17 (11.23–19.11) | 0.125 |
2nd generation cephalosporin | 0.10 (0.00–0.19) | 0.07 (0.01–0.13) | 0.06 (0.00–0.13) | 0.05 (0.00–0.12) | 1.000 | 0.29 (0.03–0.54) | 0.02 (0.00–0.06) | 0.482 |
3rd generation cephalosporin c | 1.71 (1.13–2.30) | 1.10 (0.65–1.54) | 1.31 (0.83–1.80) | 1.35 (0.85–1.84) | 0.165 | 2.24 (1.61–2.86) | 0.97 (0.50–1.45) | 0.355 |
Penicillin | – | – | – | 0.01 (0.00–0.03) | 0.296 | 0.02 (0.00–0.05) | – | 0.117 |
Other beta-lactams | 0.38 (0.00–0.92) | 0.09 (0.00–0.24) | 0.30 (0.00–0.62) | 0.15 (0.00–0.36) | 0.644 | 0.09 (0.00–0.26) | – | 0.729 |
Fluoroquinolonec | 2.75 (2.17–3.33) | 2.92 (2.18–3.66) | 2.97 (2.32–3.62) | 3.53 (2.57–4.49) | 0.086 | 2.50 (1.51–3.49) | 2.54 (1.88–3.21) | 0.253 |
Fusidic acid | 18.03 (16.35–19.71) | 13.39 (11.78–15.00) | 19.40 (18.24–20.56) | 15.03 (13.06–17.01) | 0.209 | 19.97 (18.74–21.19) | 18.02 (15.82–20.21) | 0.862 |
Lincosamide | 3.96 (2.76–5.17) | 3.89 (2.69–5.09) | 2.73 (2.06–3.40) | 2.20 (1.61–2.79) | 0.397 | 3.55 (2.32–4.78) | 3.20 (2.35–4.04) | 0.182 |
Macrolidec | 0.03 (0.01–0.06) | 0.03 (0.00–0.05) | 0.04 (0.01–0.08) | 0.03 (0.01–0.06) | 0.423 | 0.03 (0.00–0.06) | 0.02 (0.00–0.04) | 0.593 |
Nitroimidazole | 6.83 (4.96–8.70) | 7.46 (5.83–9.09) | 5.52 (3.73–7.31) | 6.13 (4.53–7.72) | 0.824 | 6.21 (4.27–8.15) | 5.65 (4.28–8.83) | 0.209 |
Nitroimidazole-macrolide | 0.20 (0.05–0.34) | 0.19 (0.07–0.32) | 0.29 (0.06–0.51) | 0.34 (0.08–0.60) | 0.280 | 0.44 (0.00–1.10) | 0.21 (0.00–0.46) | 0.813 |
Other antimicrobials | 7.12 (5.29–8.95) | 12.56 (10.68–14.44) | 8.86 (6.71–11.00) | 13.45 (11.28–15.61) | 0.137 | 8.25 (7.12–9.38) | 12.76 (10.88–14.65) | 0.253 |
Sulphonamide | 0.05 (0.00–0.11) | – | 0.02 (0.00–0.05) | – | 1.000 | 0.06 (0.00–0.13) | 0.05 (0.00–0.12) | 0.232 |
Tetracycline | 1.25 (0.81–1.70) | 0.99 (0.41–1.56) | 0.71 (0.46–0.95) | 0.61 (0.38–0.84) | 0.612 | 0.69 (0.38–1.00) | 0.81 (0.45–1.17) | 0.317 |
Also included are P value outputs of a series of mixed effects panel regression models, modelling antimicrobial class or sub-class against intervention group, pre- and post-intervention. Full regression model outputs are available in Supplementary Table 10. Data is derived from 18,599 pre-intervention and 15,966 post-intervention CG antimicrobial prescriptions; 22,678 pre-intervention and 20,827 post-intervention LIG antimicrobial prescriptions, and 13,199 pre-intervention and 11,024 post-intervention HIG antimicrobial prescriptions.
a95% Confidence interval.
bFindings presented in italics are expressed as a percentage of total beta-lactam prescription within intervention groups i.e., in the control group pre-intervention, amoxicillin comprised 5.3% of beta-lactam prescriptions.
cHighest Priority Critically Important Antimicrobial.