Your data on MRCVSonline
The nature of the services provided by Vision Media means that we might obtain certain information about you.
Please read our Data Protection and Privacy Policy for details.

In addition, (with your consent) some parts of our website may store a 'cookie' in your browser for the purposes of
functionality or performance monitoring.
Click here to manage your settings.
If you would like to forward this story on to a friend, simply fill in the form below and click send.

Your friend's email:
Your email:
Your name:
Send Cancel

Rise in vets with AMR concerns about cascade
“Where the cascade is not offering the most appropriate solution, BVA advises vets to use their clinical judgement and consider alternative prescribing options” – Anna Judson.
Almost one in 10 worried using cascade led to irresponsible prescribing.

There is growing concern among veterinary surgeons about antimicrobial resistance when following the cascade to make prescription decisions, the latest Voice of the Veterinary Profession survey has revealed.

The survey, conducted by the British Veterinary Association (BVA), showed that 86 per cent of respondents felt that using the cascade had led to them making at least one prescription decision which did not follow the principles of responsible antimicrobial prescribing. Fifty-eight per cent reported this happening either often or sometimes.

The number of concerned veterinary surgeons has grown since 2018, when the respective figures were 60 per cent and 43 per cent.

The survey also revealed that concerns when using the cascade were more common among veterinary surgeons treating non-traditional companion animals.

BVA has released the findings from the Autumn 2023 Voice of the Veterinary Profession survey as part of World Antimicrobial Awareness Week (18-24 November).

BVA president Anna Judson said: “We know vets want to protect antimicrobials and keep them working against serious and potentially life-threatening infections.

“However, there’s an ongoing concern among our members, especially colleagues who treat minor species or exotics, that it can often be difficult to balance the appropriate use of antibiotics with the cascade. In some circumstances this leads to decisions that could exacerbate antimicrobial resistance.

“Where the cascade is not offering the most appropriate solution, BVA advises vets to use their clinical judgement and consider alternative prescribing options. This should be done on a case-by-case basis and after giving full consideration to potential risks and all available evidence.

“For any off-licence use of antimicrobials, vets can also help extend the body of evidence around antimicrobial safety and efficacy by publishing case studies and pharmacokinetic data where possible.

“We would also like to work with Veterinary Medicines Directorate to find ways to increase licensed options for minor species and exotics, to make it easier for vets to prescribe medications based on evidence-based clinical judgement while stewarding responsible antimicrobial use.”

Image © Shutterstock

Become a member or log in to add this story to your CPD history

Bristol uni celebrates 75 years of teaching vets

News Story 1
 The University of Bristol's veterinary school is celebrating 75 years of educating veterinary students.

Since the first group of students were admitted in October 1949, the school has seen more than 5,000 veterinary students graduate.

Professor Jeremy Tavare, pro vice-chancellor and executive dean for the Faculty of Health and Life Sciences, said: "I'm delighted to be celebrating Bristol Veterinary School's 75 years.

"Its excellence in teaching and research has resulted in greater understanding and some real-world changes benefiting the health and welfare of both animals and humans, which is testament to the school's remarkable staff, students and graduates." 

Click here for more...
News Shorts
RCVS HQ to temporarily relocate

The headquarters of the Royal College of Veterinary Surgeons (RCVS) is to move temporarily, ahead of its permanent relocation later in the year.

From Monday, 26 February 2024, RCVS' temporary headquarters will be at 2 Waterhouse Square, Holborn, London. This is within walking distance of its current rented offices at The Cursitor, Chancery Lane.

RCVS have been based at The Cursitor since February 2022, following the sale of its Westminster premises the previous March.

However, unforeseen circumstances relating to workspace rental company WeWork filing for bankruptcy means The Cursitor will no longer operate as a WeWork space. The new temporary location is still owned by WeWork.

RCVS anticipates that it will move into its permanent location at Hardwick Street, Clerkenwell, later on in the year.