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Dewé T, Broadfoot F, Ashiru-Oredope D, Brown C, Malcolm W. Taking a One Health approach to antibiotic stewardship. Vet Rec 2023; 192:298-299. [PMID: 37000727 DOI: 10.1002/vetr.2927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/01/2023]
Affiliation(s)
- Tamsin Dewé
- Veterinary Medicines Directorate, Woodham Lane, Addlestone, Surrey, KT15 3LS
| | - Fraser Broadfoot
- Veterinary Medicines Directorate, Woodham Lane, Addlestone, Surrey, KT15 3LS
| | | | - Colin Brown
- UK Health Security Agency, Nobel House, 17 Smith Square, London, SW1P 3JR
| | - William Malcolm
- ARHAI Scotland, NHS National Services Scotland, Meridian Court, 5 Cadogan Street, Glasgow, G2 6QE
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Sanders P, Vanderhaeghen W, Fertner M, Fuchs K, Obritzhauser W, Agunos A, Carson C, Borck Høg B, Dalhoff Andersen V, Chauvin C, Hémonic A, Käsbohrer A, Merle R, Alborali GL, Scali F, Stärk KDC, Muentener C, van Geijlswijk I, Broadfoot F, Pokludová L, Firth CL, Carmo LP, Manzanilla EG, Jensen L, Sjölund M, Pinto Ferreira J, Brown S, Heederik D, Dewulf J. Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes. Front Vet Sci 2020; 7:540. [PMID: 33195490 PMCID: PMC7475698 DOI: 10.3389/fvets.2020.00540] [Citation(s) in RCA: 62] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 07/10/2020] [Indexed: 01/11/2023] Open
Abstract
The acknowledgment of antimicrobial resistance (AMR) as a major health challenge in humans, animals and plants, has led to increased efforts to reduce antimicrobial use (AMU). To better understand factors influencing AMR and implement and evaluate stewardship measures for reducing AMU, it is important to have sufficiently detailed information on the quantity of AMU, preferably at the level of the user (farmer, veterinarian) and/or prescriber or provider (veterinarian, feed mill). Recently, several countries have established or are developing systems for monitoring AMU in animals. The aim of this publication is to provide an overview of known systems for monitoring AMU at farm-level, with a descriptive analysis of their key components and processes. As of March 2020, 38 active farm-level AMU monitoring systems from 16 countries were identified. These systems differ in many ways, including which data are collected, the type of analyses conducted and their respective output. At the same time, they share key components (data collection, analysis, benchmarking, and reporting), resulting in similar challenges to be faced with similar decisions to be made. Suggestions are provided with respect to the different components and important aspects of various data types and methods are discussed. This overview should provide support for establishing or working with such a system and could lead to a better implementation of stewardship actions and a more uniform communication about and understanding of AMU data at farm-level. Harmonization of methods and processes could lead to an improved comparability of outcomes and less confusion when interpreting results across systems. However, it is important to note that the development of systems also depends on specific local needs, resources and aims.
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Affiliation(s)
- Pim Sanders
- The Netherlands Veterinary Medicines Institute (SDa), Utrecht, Netherlands
| | - Wannes Vanderhaeghen
- Centre of Expertise on Antimicrobial Consumption and Resistance in Animals (AMCRA), Brussels, Belgium
| | - Mette Fertner
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Klemens Fuchs
- Department for Data, Statistics and Risk Assessment, Austrian Agency for Health and Food Safety, Vienna, Austria
| | - Walter Obritzhauser
- Unit of Veterinary Public Health and Epidemiology, Institute of Food Safety, Food Technology and Veterinary Public Health, University of Veterinary Medicine, Vienna, Austria
| | - Agnes Agunos
- Public Health Agency of Canada, Guelph, ON, Canada
| | | | - Birgitte Borck Høg
- Division for Risk Assessment and Nutrition, National Food Institute, Technical University of Denmark, Lyngby, Denmark
| | - Vibe Dalhoff Andersen
- Research Group for Genomic Epidemiology, National Food Institute, Technical University of Denmark, Lyngby, Denmark
| | - Claire Chauvin
- Epidemiology, Health and Welfare Unit, French Agency for Food, Environmental and Occupational Health & Safety, Ploufragan, France
| | - Anne Hémonic
- IFIP-Institut du Porc, Domaine de la Motte au Vicomte, Le Rheu, France
| | - Annemarie Käsbohrer
- Unit of Veterinary Public Health and Epidemiology, Institute of Food Safety, Food Technology and Veterinary Public Health, University of Veterinary Medicine, Vienna, Austria.,Unit for Epidemiology, Zoonoses and Antimicrobial Resistance, Federal Institute for Risk Assessment (BfR), Berlin, Germany
| | - Roswitha Merle
- Institute for Veterinary Epidemiology and Biostatistics, Freie Universität Berlin, Berlin, Germany
| | - Giovanni L Alborali
- Istituto Zooprofilattico Sperimentale della Lombardia e Dell'Emilia Romagna, Brescia, Italy
| | - Federico Scali
- Istituto Zooprofilattico Sperimentale della Lombardia e Dell'Emilia Romagna, Brescia, Italy
| | | | - Cedric Muentener
- Institute of Veterinary Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland
| | | | | | - Lucie Pokludová
- Institute for State Control of Veterinary Biologicals and Medicines, Brno, Czechia
| | - Clair L Firth
- Unit of Veterinary Public Health and Epidemiology, Institute of Food Safety, Food Technology and Veterinary Public Health, University of Veterinary Medicine, Vienna, Austria
| | - Luís P Carmo
- Vetsuisse Faculty, Veterinary Public Health Institute, University of Bern, Bern, Switzerland
| | - Edgar Garcia Manzanilla
- Moorepark Animal and Grassland Research Center, Teagasc, Irish Agriculture and Food Development Authority, Cork, Ireland.,School Veterinary Medicine, University College Dublin, Dublin, Ireland
| | - Laura Jensen
- Danish Veterinary and Food Administration, Glostrup, Denmark
| | - Marie Sjölund
- Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute, Uppsala, Sweden
| | | | - Stacey Brown
- Veterinary Medicines Directorate, Addlestone, United Kingdom
| | - Dick Heederik
- The Netherlands Veterinary Medicines Institute (SDa), Utrecht, Netherlands
| | - Jeroen Dewulf
- Veterinary Epidemiology Unit, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
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