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oai:figshare.com:article/33936463 2026-09-18T14:33:20Z category_1325 portal_316 item_type_3 month_year_09_2026

Supplementary file 1_Understanding antibiotic decision-making for bovine respiratory disease: a survey of UK farm veterinarians.docx Ardi B. Prakoso (23930721) Gwenllian M. Rees (23723712) Veterinary Anaesthesiology and Intensive Care antibiotic prescribing behaviour antimicrobial stewardship bovine respiratory disease diagnostic and preventive practices veterinarian-farmer relationships Introduction<p>Bovine Respiratory Disease (BRD) is a major cause of morbidity and mortality in young calves and a major driver of antibiotic use in the United Kingdom (UK), making veterinary decision-making central to antimicrobial stewardship (AMS).</p>Methods<p>This study used a mixed-methods survey of UK farm veterinarians (n = 95), combining quantitative and qualitative questions, to explore diagnostic tools, antibiotic choices, and factors influencing the use of ancillary therapies.</p>Results<p>For BRD diagnosis in calves, clinical examination (36.8%), necropsy (33.7%), and rectal temperature (31.6%) were the tools most regarded as extremely important. Oxytetracycline was the most commonly used primary antibiotic (52.6%), tulathromycin was the secondary option (38.9%), and NSAIDs were represented as the most common ancillary therapy (80.0%). The risk of antimicrobial resistance (AMR; 22.1%) and clinical experience (21.1%) primarily drove antibiotic selection. Prevention focused on colostrum management (80.0%), ventilation (65.3%), intranasal vaccines (46.3%), and injectable vaccines (40.0%). Influences on prescribing behaviours included motivations regarding responsible antibiotic use (68.4%), avoiding blame (45.3%), and veterinarian-farmer relationships (42.1%). Bacterial culture and sensitivity testing were the least important (24.2%), suggesting a need to strengthen AMS.</p>Discussion<p>These results showed a phenomenon in clinical diagnosis, specific antimicrobial classes used, and relational factors in prescribing. The study showed that clinical assessment, social pressures, and policy contexts jointly shaped antimicrobial prescribing decisions. Enhancing diagnostic capacity, embedding evidence-based preventive measures, and applying behavioural frameworks to support veterinarian-farmer communication were identified as essential to improve AMS. The targeted interventions within One Health approach are required to support sustainable UK dairy health management.</p> 2026-09-18T14:33:20Z Dataset Dataset 10.3389/fvets.2026.1791479 https://figshare.com/articles/dataset/Supplementary_file_1_Understanding_antibiotic_decision-making_for_bovine_respiratory_disease_a_survey_of_UK_farm_veterinarians_docx/33936463 CC BY 4.0