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Table 3 Compliance with the guidelines in 2016 and 2018 for cases with aURTDa, FLUTDb and abscesses

From: Antimicrobial prescriptions in cats in Switzerland before and after the introduction of an online antimicrobial stewardship tool

Category aURTDa FLUTDb Abscesses
2016 2018 2016 2018 2016 2018
AMUcindicated n = 64 n = 78 n = 57 n = 55 n = 65 n = 82
% [CI]d % [CI]d % [CI]d % [CI]d % [CI]d % [CI]d
Guidelines followed 10.9 [4.5–21.2] 16.7 [9.2–26.8] 38.6 [26.0–52.4] 45.5 [32.0–59.4] 50.8 [38.1–63.4] 41.5 [30.7–52.9]
Guidelines not followed
a. Different dose/duration 6.3 [1.7–15.2] 2.6 [0.3–9.0] 1.8 [0.0–9.4] 5.5 [1.1–15.1] 24.6 [14.8–36.9] 34.1 [24.0–45.4]
b. Different antimicrobial class 75.0 [62.6–85.0] 67.9 [56.4–78.1] 54.4 [40.7–67.6] 38.2 [25.4–52.3] 21.5 [12.3–33.5] 22.0 [13.6–32.5]
c. Unjustified non-use 7.8 [2.6–17.3] 12.8 [6.3–22.3] 5.3 [1.1–14.6] 10.9 [4.1–22.2] 3.1 [0.4–10.7] 2.4 [0.3–8.5]
AMUcnot indicated n = 120 n = 92 n = 106 n = 109 n = 66 n = 47
% [CI]d % [CI]d % [CI]d % [CI]d % [CI]d % [CI]d
Guidelines followed 35.0 [26.5–44.2] 55.4 [44.7–65.8] 55.7 [45.7–65.3] 67.9 [58.3–76.5] 4.5 [0.9–12.7] 19.1 [9.1–33.3]
Treatment duratione n = 140 n = 127 n = 178 n = 134 n = 153 n = 164
% [CI]d % [CI]d % [CI]d % [CI]d % [CI]d % [CI]d
Guidelines followed 89.3 [82.9–93.9] 88.2 [81.3–93.2] 44.4 [37.0–52.0] 54.5 [45.7–63.1] 39.2 [31.4–47.4] 39.6 [32.1–47.6]
Guidelines not followed
a. Too long 10.7 [6.1–17.1] 10.2 [5.6–16.9] 50.6 [43.0–58.1] 38.8 [30.5–47.6] 57.5 [49.3–65.5] 56.1 [48.1–63.8]
b. Too short 0.0 [0.0–2.6] 1.6 [0.2–5.6] 5.1 [2.3–9.4] 6.7 [3.1–12.4] 3.3 [1.1–7.5] 4.3 [1.7–8.6]
  1. Non-overlapping 95% confidence intervals are shown in bold; Data from cases from 2016 has been published previously [45]; aaURTD, acute upper respiratory tract disease; bFLUTD, feline lower urinary tract disease; cAMU, antimicrobial use; dCI, 95% confidence interval; eTreatment duration is unknown for numbers not listed (2016: n = 111; 2018: n = 103)