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Mader R, Muñoz Madero C, Aasmäe B, Bourély C, Broens EM, Busani L, Callens B, Collineau L, Crespo-Robledo P, Damborg P, Filippitzi ME, Fitzgerald W, Heuvelink A, van Hout J, Kaspar H, Norström M, Pedersen K, Pohjanvirta T, Pokludova L, Dal Pozzo F, Slowey R, Teixeira Justo C, Urdahl AM, Vatopoulos A, Zafeiridis C, Madec JY, Amat JP. Review and Analysis of National Monitoring Systems for Antimicrobial Resistance in Animal Bacterial Pathogens in Europe: A Basis for the Development of the European Antimicrobial Resistance Surveillance Network in Veterinary Medicine (EARS-Vet). Front Microbiol 2022; 13:838490. [PMID: 35464909 PMCID: PMC9023068 DOI: 10.3389/fmicb.2022.838490] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 02/22/2022] [Indexed: 11/13/2022] Open
Abstract
The monitoring of antimicrobial resistance (AMR) in bacterial pathogens of animals is not currently coordinated at European level. To fill this gap, experts of the European Union Joint Action on Antimicrobial Resistance and Healthcare Associated Infections (EU-JAMRAI) recommended building the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet). In this study, we (i) identified national monitoring systems for AMR in bacterial pathogens of animals (both companion and food-producing) among 27 countries affiliated to EU-JAMRAI, (ii) described their structures and operations, and (iii) analyzed their respective strengths, weaknesses, opportunities and threats (SWOT). Twelve countries reported having at least one national monitoring system in place, representing an opportunity to launch EARS-Vet, but highlighting important gaps in AMR data generation in Europe. In total, 15 national monitoring systems from 11 countries were described and analyzed. They displayed diverse structures and operations, but most of them shared common weaknesses (e.g., data management and representativeness) and common threats (e.g., economic vulnerability and data access), which could be addressed collectively under EARS-Vet. This work generated useful information to countries planning to build or improve their system, by learning from others' experience. It also enabled to advance on a pragmatic harmonization strategy: EARS-Vet shall follow the European Committee on Antimicrobial Susceptibility Testing (EUCAST) standards, collect quantitative data and interpret AMR data using epidemiological cut-off values.
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Affiliation(s)
- Rodolphe Mader
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Cristina Muñoz Madero
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Birgit Aasmäe
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Tartu, Estonia
| | - Clémence Bourély
- Direction Générale de l’Alimentation, Bureau de la Santé Animale, Paris, France
| | - Els M. Broens
- Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - Luca Busani
- Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - Bénédicte Callens
- Antimicrobial Consumption and Resistance in Animals – AMCRA, Brussels, Belgium
| | - Lucie Collineau
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
| | - Paloma Crespo-Robledo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Peter Damborg
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Maria-Eleni Filippitzi
- Sciensano, Veterinary Epidemiology Unit, Belgian Research Centre for Health, Brussels, Belgium
- Laboratory of Animal Production Economics, Department of Animal Production, Ichthyology, Ecology and Protection of the Environment, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - William Fitzgerald
- Limerick Regional Veterinary Laboratory, Department of Agriculture, Food and the Marine, Limerick, Ireland
| | | | | | - Heike Kaspar
- Federal Office of Consumer Protection and Food Safety, Berlin, Germany
| | | | - Karl Pedersen
- Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute, Uppsala, Sweden
| | - Tarja Pohjanvirta
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Helsinki, Finland
| | - Lucie Pokludova
- Institute for State Control of Veterinary Biologicals and Medicines (ISCVBM), Brno, Czechia
| | - Fabiana Dal Pozzo
- Antimicrobial Consumption and Resistance in Animals – AMCRA, Brussels, Belgium
| | - Rosemarie Slowey
- Department of Agriculture, Food and the Marine Laboratories, Celbridge, Ireland
| | - Cristiana Teixeira Justo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | | | - Alkiviadis Vatopoulos
- Department of Public Health Policy, School of Public Health, University of West Attica, Athens, Greece
| | | | - Jean-Yves Madec
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Jean-Philippe Amat
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
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Mader R, Muñoz Madero C, Aasmäe B, Bourély C, Broens EM, Busani L, Callens B, Collineau L, Crespo-Robledo P, Damborg P, Filippitzi ME, Fitzgerald W, Heuvelink A, van Hout J, Kaspar H, Norström M, Pedersen K, Pohjanvirta T, Pokludova L, Dal Pozzo F, Slowey R, Teixeira Justo C, Urdahl AM, Vatopoulos A, Zafeiridis C, Madec JY, Amat JP. Review and Analysis of National Monitoring Systems for Antimicrobial Resistance in Animal Bacterial Pathogens in Europe: A Basis for the Development of the European Antimicrobial Resistance Surveillance Network in Veterinary Medicine (EARS-Vet). Front Microbiol 2022; 13:838490. [PMID: 35464909 DOI: 10.5281/zenodo.5205371] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 02/22/2022] [Indexed: 05/26/2023] Open
Abstract
The monitoring of antimicrobial resistance (AMR) in bacterial pathogens of animals is not currently coordinated at European level. To fill this gap, experts of the European Union Joint Action on Antimicrobial Resistance and Healthcare Associated Infections (EU-JAMRAI) recommended building the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet). In this study, we (i) identified national monitoring systems for AMR in bacterial pathogens of animals (both companion and food-producing) among 27 countries affiliated to EU-JAMRAI, (ii) described their structures and operations, and (iii) analyzed their respective strengths, weaknesses, opportunities and threats (SWOT). Twelve countries reported having at least one national monitoring system in place, representing an opportunity to launch EARS-Vet, but highlighting important gaps in AMR data generation in Europe. In total, 15 national monitoring systems from 11 countries were described and analyzed. They displayed diverse structures and operations, but most of them shared common weaknesses (e.g., data management and representativeness) and common threats (e.g., economic vulnerability and data access), which could be addressed collectively under EARS-Vet. This work generated useful information to countries planning to build or improve their system, by learning from others' experience. It also enabled to advance on a pragmatic harmonization strategy: EARS-Vet shall follow the European Committee on Antimicrobial Susceptibility Testing (EUCAST) standards, collect quantitative data and interpret AMR data using epidemiological cut-off values.
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Affiliation(s)
- Rodolphe Mader
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Cristina Muñoz Madero
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Birgit Aasmäe
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Tartu, Estonia
| | - Clémence Bourély
- Direction Générale de l'Alimentation, Bureau de la Santé Animale, Paris, France
| | - Els M Broens
- Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - Luca Busani
- Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - Bénédicte Callens
- Antimicrobial Consumption and Resistance in Animals - AMCRA, Brussels, Belgium
| | - Lucie Collineau
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
| | - Paloma Crespo-Robledo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Peter Damborg
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Maria-Eleni Filippitzi
- Sciensano, Veterinary Epidemiology Unit, Belgian Research Centre for Health, Brussels, Belgium
- Laboratory of Animal Production Economics, Department of Animal Production, Ichthyology, Ecology and Protection of the Environment, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - William Fitzgerald
- Limerick Regional Veterinary Laboratory, Department of Agriculture, Food and the Marine, Limerick, Ireland
| | | | | | - Heike Kaspar
- Federal Office of Consumer Protection and Food Safety, Berlin, Germany
| | | | - Karl Pedersen
- Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute, Uppsala, Sweden
| | - Tarja Pohjanvirta
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Helsinki, Finland
| | - Lucie Pokludova
- Institute for State Control of Veterinary Biologicals and Medicines (ISCVBM), Brno, Czechia
| | - Fabiana Dal Pozzo
- Antimicrobial Consumption and Resistance in Animals - AMCRA, Brussels, Belgium
| | - Rosemarie Slowey
- Department of Agriculture, Food and the Marine Laboratories, Celbridge, Ireland
| | - Cristiana Teixeira Justo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | | | - Alkiviadis Vatopoulos
- Department of Public Health Policy, School of Public Health, University of West Attica, Athens, Greece
| | | | - Jean-Yves Madec
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Jean-Philippe Amat
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
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Mader R, Muñoz Madero C, Aasmäe B, Bourély C, Broens EM, Busani L, Callens B, Collineau L, Crespo-Robledo P, Damborg P, Filippitzi ME, Fitzgerald W, Heuvelink A, van Hout J, Kaspar H, Norström M, Pedersen K, Pohjanvirta T, Pokludova L, Dal Pozzo F, Slowey R, Teixeira Justo C, Urdahl AM, Vatopoulos A, Zafeiridis C, Madec JY, Amat JP. Review and Analysis of National Monitoring Systems for Antimicrobial Resistance in Animal Bacterial Pathogens in Europe: A Basis for the Development of the European Antimicrobial Resistance Surveillance Network in Veterinary Medicine (EARS-Vet). Front Microbiol 2022. [PMID: 35464909 DOI: 10.3389/fmicb.2022.83849] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Open
Abstract
The monitoring of antimicrobial resistance (AMR) in bacterial pathogens of animals is not currently coordinated at European level. To fill this gap, experts of the European Union Joint Action on Antimicrobial Resistance and Healthcare Associated Infections (EU-JAMRAI) recommended building the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet). In this study, we (i) identified national monitoring systems for AMR in bacterial pathogens of animals (both companion and food-producing) among 27 countries affiliated to EU-JAMRAI, (ii) described their structures and operations, and (iii) analyzed their respective strengths, weaknesses, opportunities and threats (SWOT). Twelve countries reported having at least one national monitoring system in place, representing an opportunity to launch EARS-Vet, but highlighting important gaps in AMR data generation in Europe. In total, 15 national monitoring systems from 11 countries were described and analyzed. They displayed diverse structures and operations, but most of them shared common weaknesses (e.g., data management and representativeness) and common threats (e.g., economic vulnerability and data access), which could be addressed collectively under EARS-Vet. This work generated useful information to countries planning to build or improve their system, by learning from others' experience. It also enabled to advance on a pragmatic harmonization strategy: EARS-Vet shall follow the European Committee on Antimicrobial Susceptibility Testing (EUCAST) standards, collect quantitative data and interpret AMR data using epidemiological cut-off values.
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Affiliation(s)
- Rodolphe Mader
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Cristina Muñoz Madero
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Birgit Aasmäe
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Tartu, Estonia
| | - Clémence Bourély
- Direction Générale de l'Alimentation, Bureau de la Santé Animale, Paris, France
| | - Els M Broens
- Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - Luca Busani
- Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - Bénédicte Callens
- Antimicrobial Consumption and Resistance in Animals - AMCRA, Brussels, Belgium
| | - Lucie Collineau
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
| | - Paloma Crespo-Robledo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Peter Damborg
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Maria-Eleni Filippitzi
- Sciensano, Veterinary Epidemiology Unit, Belgian Research Centre for Health, Brussels, Belgium
- Laboratory of Animal Production Economics, Department of Animal Production, Ichthyology, Ecology and Protection of the Environment, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - William Fitzgerald
- Limerick Regional Veterinary Laboratory, Department of Agriculture, Food and the Marine, Limerick, Ireland
| | | | | | - Heike Kaspar
- Federal Office of Consumer Protection and Food Safety, Berlin, Germany
| | | | - Karl Pedersen
- Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute, Uppsala, Sweden
| | - Tarja Pohjanvirta
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Helsinki, Finland
| | - Lucie Pokludova
- Institute for State Control of Veterinary Biologicals and Medicines (ISCVBM), Brno, Czechia
| | - Fabiana Dal Pozzo
- Antimicrobial Consumption and Resistance in Animals - AMCRA, Brussels, Belgium
| | - Rosemarie Slowey
- Department of Agriculture, Food and the Marine Laboratories, Celbridge, Ireland
| | - Cristiana Teixeira Justo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | | | - Alkiviadis Vatopoulos
- Department of Public Health Policy, School of Public Health, University of West Attica, Athens, Greece
| | | | - Jean-Yves Madec
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Jean-Philippe Amat
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
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