Knowledge, Attitudes and Practices of Small Ruminant Farmers Regarding Antimicrobial Use, Antimicrobial Resistance and Residues

There is growing concern that antimicrobial use (AMU) in livestock may contribute to antimicrobial resistance (AMR) in humans and lead to the consumption of animal-derived foods contaminated with antimicrobial residues. As stakeholders in the livestock industry, farmers must participate in the joint effort to reduce AMU. This cross-sectional study, based on a survey questionnaire, was conducted to evaluate the biosafety measures implemented on small ruminant farms and to assess the knowledge, attitudes and practices (KAP) of small ruminant farmers regarding AMU, AMR and residues. The mean biosafety score obtained was 8.4 points on a 0–17 scale. Some biosafety measures appeared difficult to implement, namely vehicle disinfection, requiring visitors to change clothing and footwear at the farm entrance, cleaning and disinfecting farm facilities, using high-pressure washing equipment, and requiring employees to change clothing and footwear upon entering the farm. Although farmers self-reported moderate levels of knowledge (4.9 points on a 0–7 scale) and positive attitudes (5.8 points on a 0–7 scale), significant gaps in knowledge about antibiotics and antimicrobial stewardship persisted. Practices received lower scores (4.7 on a 0–7 scale), especially regarding medication recording, leftover antibiotic management, and waste disposal. Cluster analysis identified distinct farmer profiles with different patterns of knowledge and practices. These findings underscore the importance of considering farmer heterogeneity when designing interventions aimed at improving AMU.