Scientific Literacy of Equine Students Regarding the Use of Antibiotics and Vaccines

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South Dakota State University From the SelectedWorks of Sara Mastellar June 6, 2016 Scientific Literacy of Equine Students Regarding the Use of Antibiotics and Vaccines S.L. Mastellar, South Dakota State University R.C. Bott, South Dakota State University Available at: https://works.bepress.com/sara-mastellar/8/

SCIENTIFIC LITERACY OF EQUINE STUDENTS REGARDING THE USE OF ANTIBIOTICS AND VACCINES S. L. Mastellar & R. C. Bott, South Dakota State University, Brookings, SD, USA: contact email: sara.mastellar@sdstate.edu There exists much misinformation about antibiotic and vaccine use. An understanding of these topics is important for the use of these tools for the best equine health outcomes. The purpose of this study was to evaluate students understanding of antibiotics and vaccines, identify learned misinformation, and establish baseline data. A survey was administered at the beginning of Equine Health & Disease (AS 213) and Horse Production (AS 365) at South Dakota State University during the spring 2016 semester. AS 213 is not a prerequisite for AS 365. Results of the survey suggest that students may come with some understanding of the concepts surrounding antibiotic and vaccine use (Table 1), but are willing to administer vaccines and antibiotics in situations where they are unwarranted (Table 2). This data suggests that misconceptions related to vaccine and antibiotic use exist in the student population and there may be a need for increased instructional emphasis on the application of vaccines and antibiotics in equine management. Table 1: Correct student responses (%) to knowledge base questions regarding antibiotics and vaccines at the beginning of AS 213 (n=38) and AS 365 (n=33) Question AS 213 AS 365 True or False. Antibiotics will kill viruses as well as bacteria. 78.9 84.8 Which of these is a major concern about the overuse of antibiotics? 100.0 97.0 a. It can lead to antibiotic-resistant bacteria Many diseases may be cured by antibiotics. However, the success of some 89.5 90.9 antibiotics against staph infections in horses has diminished in recent years. What is the reason for this? b. Bacteria can become resistant to antibiotics True or False. Vaccines are effective immediately once administered. 97.4 90.9 True or False. A horse does not need to be vaccinated if it doesn t leave 94.7 93.9 the property. True or False. A vaccination protocol is essential for ideal equine welfare. 100.0 97.0 Table 2: Student responses (%) at the beginning of AS 213 (n=38) and AS 365 (n=33) to "I would give an antibiotic or vaccine to a horse for (circle all that apply)" Response Antibiotic Vaccine AS 213 AS 365 AS 213 AS 365 a. Viral infections, such as the flu 26.3 24.2 42.1 51.5 b. Cancer treatment, such as carcinoma 7.9 15.2 13.2 6.1 c. Bacterial infections, such as Potomac Horse Fever 86.8 84.8 18.4 15.2 d. Disease prevention, such as rabies 15.8 6.1 86.8 81.8 e. Parasite removal, such as bots 42.1 36.4 13.2 9.1 f. I would not give a horse antibiotics or vaccines 0.0 0.0 0.0 0.0 Correct* 39.5 39.4 44.7 39.4 Incorrect** 60.5 60.6 55.3 60.6 *Only bacterial infections for antibiotic and only disease prevention for vaccine **Includes students that marked more than one choice

Scientific literacy of equine students regarding the use of antibiotics & vaccines S. L. Mastellar & R. C. Bott Contact email: sara.mastellar@sdstate.edu

Outline Background Objective Methods Results Implications & future research

1993 MRSA outbreak at vet teaching hospital Antibiotics 1993 1997 2001 2005 2009 2013 Future Vaccines Background: Societal issues Measles eradicated from US 2000 2004 Documented MRSA transmission from horse to human Andrew Wakefield study retracted 2004 Andrew Wakefield study published 1998 2016 Veterinary Feed Directive set to take effect in December Measles outbreak spreads from Disneyland 2015

Background: Scientific literacy A scientifically literate population has societal benefits Measures tend to focus on physical sciences Minimal inclusion of life sciences Vaccination Antibiotic resistance Evolution

Objectives 1Evaluate students understanding of antibiotics & vaccines 2ID learned misinformation 3Establish baseline data

Methods: Survey design 1 2 3 4 Pre course assessment for demographics Source of current understanding Questions based on Pew Research Data and PISA Literacy Skills Application (circle all that apply) questions Survey design Approval #: IRB 1601006 EXM

Methods: Courses AS 213: Equine Health & Disease AS 365: Horse Production Topic focus Pre requisites Equine diseases, disorders, & conditions None Production of horses in a capstone setting AS 104 (Intro to Horse Mgmt) or AS 101 (Intro to Animal Sci) Production option for Animal Science major? No Yes Required for Equine minor? Yes Yes

Methods: Survey administration Survey administered Survey administered Midterm

Statistics Results are presented as frequencies or percentages

Results: Demographics

Results: Demographics Primary discipline Rodeo Working/Ranch Trail/Packhorses Western Pleasure Hunt Seat Show Jumping Saddle Seat Reining Driving/Pulling None Other AS 213 (n = 38) AS 365 (n = 32) 0 5 10 15 20 Frequency

Results: Demographics 40 Do you plan on pursuing the equine minor? 35 30 13 Frequency 25 20 15 10 24 19 5 0 Yes Maybe No 8 5 AS 213 (n = 37) AS 365 (n = 32)

20 Results: Demographics How many years of horse experience do you have? Frequency 15 10 5 0 0 1 to 3 3 to 5 5 to 7 7 to 10 10 to 15 15 to 20 20+ AS 213 (n = 35) AS 365 (n = 30)

Results: Incoming knowledge source The primary source for my current understanding of antibiotics/vaccines is from: Antibiotics Vaccines Veterinarian Veterinarian College course(s) College course(s) Doctor Parents Parents Doctor High school High school Friends Friends Media Other Other Media 0 10 20 30 40 40 30 20 10 0 AS 213 AS 365 AS 213 AS 365 Note: Frequencies given as many students marked more than one choice

Results: Scientific literacy True or False. Antibiotics will kill viruses as well as bacteria. 100 80 81 97 90 93 % correct 60 40 20 0 Beginning End Beginning End 2009 AS 213 AS 365 U.S. adults Funk, C., Goo, S.K., 2015. A look at what the public knows and does not know about science. Pew Research Center. 54

Results: Scientific literacy Which of these is a major concern about the overuse of antibiotics? a) It can lead to antibiotic resistant bacteria 100 100 100 100 100 80 74 % correct 60 40 20 0 Beginning End Beginning End 2014 AS 213 AS 365 US adults Funk, C., Goo, S.K., 2015. A look at what the public knows and does not know about science. Pew Research Center.

Results: Scientific literacy Many diseases may be cured by antibiotics. However, the success of some antibiotics against staph infections in horses has diminished in recent years. What is the reason for this? b. Bacteria can become resistant to antibiotics % correct 100 80 60 40 20 89 97 88 89 *Includes US & western Europe **Includes Russia, Brazil, Indonesia 60 40 0 Beginning End Beginning End OECD countries* AS 213 AS 365 15 yr olds NonOECD countries** Organisation for Economic Co operation and Development., The UNESCO Institute for Statistics., 2003. Literacy skills for the world of tomorrow: Further results from PISA 2000.

Results: Scientific literacy Questions True or False. Vaccines are effective immediately once administered. True or False. A horse does not need to be vaccinated if it doesn t leave the property. True or False. A vaccination protocol is essential for ideal equine welfare. Beginning (n = 38) % correct AS 213 AS 365 End Beginning (n = 32) (n = 32) End (n = 27) 97 97 94 96 95 97 97 96 100 100 100 100

Results: Application I would give an antibiotic to a horse for (circle all that apply) Response % AS 213 AS 365 Beginning (n = 38) End (n = 31) Beginning (n = 33) End (n = 27) a. Viral infections, such as the flu 26 13 24 19 b. Cancer treatment, such as carcinoma 8 13 15 7 c. Bacterial infections, such as PHF 87 97 85 93 d. Disease prevention, such as rabies 16 3 6 0 e. Parasite removal, such as bots 42 32 36 22 f. I would not give a horse antibiotics 0 0 0 0 Correct* 39 48 39 59 Incorrect** 61 52 61 41 *Only bacterial infections **Includes students that marked more than one choice

Results: Application I would give a vaccine to a horse for (circle all that apply) Response % AS 213 AS 365 Beginning (n = 38) End (n = 32) Beginning (n = 32) End (n = 27) a. Viral infections, such as the flu 42 41 53 48 b. Cancer treatment, such as carcinoma c. Bacterial infections, such as PHF 18 19 16 7 d. Disease prevention, such as rabies 87 91 84 96 e. Parasite removal, such as bots 13 13 9 19 f. I would not give a horse vaccines 0 0 0 0 Correct* 47 38 44 41 Incorrect** 53 63 56 59 *Only disease prevention **Includes students that marked more than one choice

Implications Veterinarians & college courses are major sources for incoming student knowledge on antibiotics and vaccines Students may arrive with a some memorized facts, but may not be able to apply the concepts in horse management situations Instructors in a potential position of impact Shifts in teaching may be required to students ability to apply knowledge

Future research Improved question wording Senior exit survey ongoing Assessment of teaching methods Long term content/concept retention?

Acknowledgements AS 213 students AS 365 students Bryan Goettsch Data entry extraordinaire

Questions? S. L. Mastellar & R. C. Bott Contact email: sara.mastellar@sdstate.edu

References Organisation for Economic Co operation and Development., The UNESCO Institute for Statistics., 2003. Literacy skills for the world of tomorrow: Further results from PISA 2000. Funk, C., Goo, S.K., 2015. A look at what the public knows and does not know about science. Pew Research Center.

Countries participating in PISA Organisation for Economic Co operation and Development., The UNESCO Institute for Statistics., 2003. Literacy skills for the world of tomorrow: Further results from PISA 2000. https://www.oecd.org/edu/school/2960581.pdf