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- Should the kennel cough vaccine be given during COVID-19?
- Can cats transfer COVID-19 to other animals, and is there a risk of zoonosis
- What's the difference between FCoV and COVID-19?
- What can we clean a patient with, and will this kill COVID-19?
- Does ultraviolet light actually kill COVID-19?
- Will good weather affect infection rates of COVID-19?
- When should we test an animal for COVID-19?
- How do Face Coverings work?
- What evidence supports use of face coverings?
- How and when to wear a face covering
- Do ferrets and other mustelids pose a zoonotic risk for COVID-19?
- Mink and COVID-19: The Denmark mutation
- What advice should we give owners of ferrets during COVID-19?
- How can we offer a cat friendly environment during COVID-19?
- How should we handle a ferret in the practice or rescue environment?
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AMR Hub
In our AMR Hub, you will find freely accessible, evidence-based knowledge and resources about responsible antimicrobial use. With over 42 hours of CPD, teams can access this information and embed good antimicrobial stewardship in practice.
If you would like to speak with us about our AMR work, or to suggest materials for inclusion on this page, please get in touch at ebvm@rcvsknowledge.org
Latest resources
- Responsible use of antibiotics in veterinary practice - This RCVS Knowledge collection provides access to evidence and appropriate resources to support responsible antibiotic use.
- Farm Vet Champions has over 20 hours of free CPD covering species-specific antimicrobial use, communication skills, behaviour change and the legal use of medicines, policies and One Health.
- Farm Vet Champions' SMART goal tool – This RCVS Knowledge tool supports veterinary teams, to turn their learning into action and help them manage their antimicrobial use in practice. Click here to view the live launch with Executive Director, Chris Gush, Clinical Lead, Fiona Lovatt and guest speakers Kitty Healey (VMD) and Chris Lloyd (RUMA).
- UK 5-year action plan for antimicrobial resistance 2019 to 2024 - Ambitions and actions for the next 5 years, supporting the 20-year vision for antimicrobial resistance (AMR).
1. Governance on antimicrobial resistance
- UK 5-year action plan for antimicrobial resistance 2019 to 2024 - Ambitions and actions for the next 5 years, supporting the 20-year vision for antimicrobial resistance (AMR).
- UK 20-year vision for antimicrobial resistance. This document supports the 20-year vision for antimicrobial resistance (AMR) and how the UK will contribute to containing and controlling antimicrobial resistance by 2040.
- Veterinary Antimicrobial Resistance and Sales Surveillance 2020 (UK VARSS) - This report provides the details of UK veterinary antibiotic resistance and sales surveillance.
2. Biosecurity and infection control
This webinar series provides guidance on different aspects of infection control. Aimed at veterinary professionals, the series will help you to improve your infection control and biosecurity practices, helping you instigate responsible antimicrobial use. The series contains five webinars that cover:
- Biosecurity during COVID-19: Recorded during the COVID-19 pandemic, but introduces biosecurity as a whole to get your team thinking about how this relates to practice (CPD: 60 minutes).
- Organisms of concern and modes of transmission: Understanding modes of transport for different organisms can help your team put processes in place to help prevent disease. This webinar will set the foundations for understating infections within the practice – essential for effective infection control and patient care (CPD: 60 minutes).
- Policies and procedures in routine practice: The patient’s journey through practice can cover numerous areas, so how can you protect patients, clients, and the team? Providing practical guidance on implementing infection control policies and procedures within the practice, the role of infection prevention will be covered, including creating an infection control group within the practice; how to develop a biosecurity policy; and areas in practice that need consideration (CPD: 70 minutes).
- Disinfectant types: Including relevant terminology, the action of disinfectant, active ingredients and how to choose the most appropriate one. This webinar is ideal for everyone working in practice, and a must for anyone producing or updating infection control procedures (CPD: 30 minutes).
- Auditing in veterinary practice: Once you have your infection control guidelines in place, how do you know if they are helping to improve your patient, client, and practice team’s safety? Auditing infection control will help you understand how an audit can be useful in infection control with examples on how to audit your cleaning protocols, hand hygiene and post-operative complications (CPD: 60 minutes).
3. Current guidelines on antimicrobial stewardship
- Farm Vet Champions has over 20 hours of free CPD covering species-specific antimicrobial use, communication skills, behaviour change and the legal use of medicines, policies and One Health.
- BSAVA PROTECT ME - BSAVA and SAMSoc have worked together to provide information that is intended to support practices in discussing and drawing up practice guidelines on responsible antibacterial use.
- BSAVA guidelines for responsible antibacterial use - Following these BSAVA guidelines will help to maximise the therapeutic success of antibacterial agents whilst at the same time minimising the development of antibacterial resistance, thereby safeguarding antimicrobials for future veterinary and human use.
- BEVA Protect Me Toolkit - Guidelines on responsible antimicrobial use in equines.
- Responsible Use of Medicines in Agriculture (RUMA) Alliance - RUMA guidelines for responsible antimicrobial use in food-producing animal species.
4. Evidence from research
Find below the available research regarding antibiotic use within practice and published Knowledge Summaries from Veterinary Evidence. These talk about antimicrobial usage, but not necessarily a reduction in usage. However, the evidence may help you to use antibiotics more responsibly in practice.
- in the Spotlight
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Responsible use of antibiotics in veterinary practice - This RCVS Knowledge collection provides access to evidence and appropriate resources to support responsible antibiotic use.
- inFOCUS journal watch:
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Randomised positive control trial of NSAID and antimicrobial treatment for calf fever caused by pneumonia - This summarises evidence that shows that in some cases the use of NSAIDs can reduce the requirement for antimicrobials in calves with pneumonia and improve clinical outcomes.
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Ceasing the use of the highest priority critically important antimicrobials does not adversely affect production, health or welfare parameters on dairy cows - This study summarises evidence that shows that discontinuing the use of Highest Priority Critically Important Antimicrobials did not have a negative effect on the productivity parameters or health and welfare of dairy cows.
- Veterinary Evidence:
5. Podcasts and training
- Quality Improvement Boxset: Farm Vet Champions (an introduction) with Pam Mosedale and Fiona Lovatt from RCVS Knowledge [13 May 2022].
- Quality Improvement Boxset: Lucy Coyne introduces VetTeamAMR, RCVS Knowledge’s initiative championing responsible use of antimicrobials within companion animal, farm animal, and equine veterinary teams [18 May 2022].
- Farm Vet Champions has over 20 hours of free CPD covering species-specific antimicrobial use, communication skills, behaviour change and the legal use of medicines, policies and One Health.
- Responsible Antimicrobial Use in Backyard Poultry with Dr Henrietta Kodilinye-Sims from BVPA [13 April 2022].
- Research Focus - STOP on Sunday (SOS) Urinary Tract Infection Trial - In this RCVS Knowledge podcast, Fergus Allerton spoke to Sally Everitt about the SAMSoc 'STOP on Sunday (SOS) Urinary Tract Infection Trial', which is recruiting first opinion practice vets [16 December 2021].
- The Steward - Animal health Matthew Stone, Deputy Director General of International Standards and Science at the World Organisation for Animal Health (OIE), and Fiona Lovatt, RCVS Knowledge, explore antimicrobial stewardship and infection control [June 2021].
- BCVA Cattlecast with Kat Hart, a cattle vet, and Fiona Lovatt from RCVS Knowledge on how farm vet practices can engage with the Farm Vet Champions project [6 May 2021].
- The Knowledge Sessions: Antimicrobial resistance UK Chief Veterinary Officer Christine Middlemiss chaired a roundtable discussion on challenges presented by antimicrobial resistance and ways to tackle it, with guests Ian Battersby (Davies Veterinary Specialists/Mission Rabies), Steve Howard (PDSA), Kristen Reyher (Bristol Veterinary School) and David Singleton (Small Animal Veterinary Surveillance Network) [22 November 2019].
6. VetTeamAMR - championing responsible antimicrobial use
VetTeamAMR aims to reduce the development and spread of antimicrobial resistance through championing responsible antimicrobial use practices. VetTeamAMR is a major collaborative project to unite and empower companion, farm and equine veterinary teams in responsible antimicrobial stewardship.
7. Clinical case examples from practices
These case examples are from practices that have either reduced and refined their antimicrobial use or audited and improved their infection control and biosecurity. These examples will show you how individual practices have worked and inspire you to assess your own protocols.
- Plymouth Veterinary Group created guidelines for performing cytology on patients presenting with ear pathology, utilising the whole teams' skillset and reducing the overall prescription of antibiotics.
- Meghan Conroy performed a process audit on aural cytology, before and after treatment for otitis was given. By introducing training, the team were able to improve their prescribing practices across their branch practices. You can listen to Meghan discuss her case example in a podcast.
- Kay Lockwood, from Riversbrook Veterinary Group, performed a process and an outcome audit to monitor the use of antibiotics during feline dental extractions.
- The Blue Cross developed guidelines within the practice to deliver a consistent approach to diagnosis and treatment throughout the charity for more than 60 common syndromes and conditions.
- The Laurels used an audit to monitor hand hygiene and compliance to uniform protocols, to keep on top of their infection control in practice.
- Vale Vets performed a hygiene audit through self-assessment to maintain a just culture and to identify any at-risk areas and further training required.
- Vets Now Referrals Glasgow assessed their hand hygiene by completing a clinical audit that assessed adherence to WHO handwashing.
- After incidences of phlebitis, one practice implemented a peripheral catheter care checklist and monitored its use and effectiveness through clinical audit.
- This peripheral catheter care and phlebitis score checklist has been designed in collaboration with Sarah Hancill RVN and Anne Ward PGCertTLHE DipAVN(Surgical) RVN. The template can be used in practice and adapted to suit your own practice protocols.
- After a bulk tank failure after a case of mastitis, the QI Vets team perform a Significant Event Audit to identify what happened.
8. Tools and recommendations
- The Farm Vet Champions’ free SMART Goals tool is for all veterinary individuals and teams who treat farm animals. Set your own goals and measure your progress. This user-friendly online platform makes is easy to work together to improve appropriate use of antimicrobials.
- Our antibiotic usage self-assessment checklist is adapted from the Public Health England and the Royal College of General Practitioners, and help vets to better understand their antibiotic usage.
- SAVSNET is a surveillance tool for companion animals run by the University of Liverpool that harnesses electronic health and environmental data for rapid and actionable research and surveillance. This includes a specific project on antimicrobial resistance called mySAVSNET AMR, which is aimed at all those working in veterinary practice in the UK. It allows any practices to send data to researchers at the University of Liverpool to receive a free benchmark, comparing their antibiotic prescriptions to other anonymised practices across the country.
- VetCompass is an initiative focused on improving companion animal health run by the Royal Veterinary College. VetCompass are investigating the range and frequency of companion animal health problems through computerised practice records including AMR as a major research focus.
- The Bella Moss Foundation is a non-profit charity that promotes prudent antimicrobial use and hygiene in human and veterinary medicine. On the website, you will find links to key veterinary bodies and guidelines concerning diagnosing and managing bacterial infections and AMR.