Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes
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 importa...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-08-01
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| Series: | Frontiers in Veterinary Science |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fvets.2020.00540/full |
| _version_ | 1830486736956817408 |
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| author | Pim Sanders Wannes Vanderhaeghen Mette Fertner Klemens Fuchs Walter Obritzhauser Agnes Agunos Carolee Carson Birgitte Borck Høg Vibe Dalhoff Andersen Claire Chauvin Anne Hémonic Annemarie Käsbohrer Annemarie Käsbohrer Roswitha Merle Giovanni L. Alborali Federico Scali Katharina D. C. Stärk Cedric Muentener Ingeborg van Geijlswijk Fraser Broadfoot Lucie Pokludová Clair L. Firth Luís P. Carmo Edgar Garcia Manzanilla Edgar Garcia Manzanilla Laura Jensen Marie Sjölund Jorge Pinto Ferreira Stacey Brown Dick Heederik Jeroen Dewulf |
| author_facet | Pim Sanders Wannes Vanderhaeghen Mette Fertner Klemens Fuchs Walter Obritzhauser Agnes Agunos Carolee Carson Birgitte Borck Høg Vibe Dalhoff Andersen Claire Chauvin Anne Hémonic Annemarie Käsbohrer Annemarie Käsbohrer Roswitha Merle Giovanni L. Alborali Federico Scali Katharina D. C. Stärk Cedric Muentener Ingeborg van Geijlswijk Fraser Broadfoot Lucie Pokludová Clair L. Firth Luís P. Carmo Edgar Garcia Manzanilla Edgar Garcia Manzanilla Laura Jensen Marie Sjölund Jorge Pinto Ferreira Stacey Brown Dick Heederik Jeroen Dewulf |
| author_sort | Pim Sanders |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T18:48:12Z |
| format | Article |
| id | doaj.art-8ab431721e8942ebb88ca2cc9bc84da4 |
| institution | Directory Open Access Journal |
| issn | 2297-1769 |
| language | English |
| last_indexed | 2024-12-21T18:48:12Z |
| publishDate | 2020-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Veterinary Science |
| spelling | doaj.art-8ab431721e8942ebb88ca2cc9bc84da42022-12-21T18:53:49ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692020-08-01710.3389/fvets.2020.00540558142Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and ProcessesPim Sanders0Wannes Vanderhaeghen1Mette Fertner2Klemens Fuchs3Walter Obritzhauser4Agnes Agunos5Carolee Carson6Birgitte Borck Høg7Vibe Dalhoff Andersen8Claire Chauvin9Anne Hémonic10Annemarie Käsbohrer11Annemarie Käsbohrer12Roswitha Merle13Giovanni L. Alborali14Federico Scali15Katharina D. C. Stärk16Cedric Muentener17Ingeborg van Geijlswijk18Fraser Broadfoot19Lucie Pokludová20Clair L. Firth21Luís P. Carmo22Edgar Garcia Manzanilla23Edgar Garcia Manzanilla24Laura Jensen25Marie Sjölund26Jorge Pinto Ferreira27Stacey Brown28Dick Heederik29Jeroen Dewulf30The Netherlands Veterinary Medicines Institute (SDa), Utrecht, NetherlandsCentre of Expertise on Antimicrobial Consumption and Resistance in Animals (AMCRA), Brussels, BelgiumDepartment of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, DenmarkDepartment for Data, Statistics and Risk Assessment, Austrian Agency for Health and Food Safety, Vienna, AustriaUnit of Veterinary Public Health and Epidemiology, Institute of Food Safety, Food Technology and Veterinary Public Health, University of Veterinary Medicine, Vienna, AustriaPublic Health Agency of Canada, Guelph, ON, CanadaPublic Health Agency of Canada, Guelph, ON, CanadaDivision for Risk Assessment and Nutrition, National Food Institute, Technical University of Denmark, Lyngby, DenmarkResearch Group for Genomic Epidemiology, National Food Institute, Technical University of Denmark, Lyngby, DenmarkEpidemiology, Health and Welfare Unit, French Agency for Food, Environmental and Occupational Health & Safety, Ploufragan, France0IFIP-Institut du Porc, Domaine de la Motte au Vicomte, Le Rheu, FranceUnit of Veterinary Public Health and Epidemiology, Institute of Food Safety, Food Technology and Veterinary Public Health, University of Veterinary Medicine, Vienna, Austria1Unit for Epidemiology, Zoonoses and Antimicrobial Resistance, Federal Institute for Risk Assessment (BfR), Berlin, Germany2Institute for Veterinary Epidemiology and Biostatistics, Freie Universität Berlin, Berlin, Germany3Istituto Zooprofilattico Sperimentale della Lombardia e Dell'Emilia Romagna, Brescia, Italy3Istituto Zooprofilattico Sperimentale della Lombardia e Dell'Emilia Romagna, Brescia, Italy4SAFOSO AG, Bern, Switzerland5Institute of Veterinary Pharmacology and Toxicology, University of Zurich, Zurich, SwitzerlandThe Netherlands Veterinary Medicines Institute (SDa), Utrecht, Netherlands6Veterinary Medicines Directorate, Addlestone, United Kingdom7Institute for State Control of Veterinary Biologicals and Medicines, Brno, CzechiaUnit of Veterinary Public Health and Epidemiology, Institute of Food Safety, Food Technology and Veterinary Public Health, University of Veterinary Medicine, Vienna, Austria8Vetsuisse Faculty, Veterinary Public Health Institute, University of Bern, Bern, Switzerland9Moorepark Animal and Grassland Research Center, Teagasc, Irish Agriculture and Food Development Authority, Cork, Ireland0School Veterinary Medicine, University College Dublin, Dublin, Ireland1Danish Veterinary and Food Administration, Glostrup, Denmark2Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute, Uppsala, Sweden4SAFOSO AG, Bern, Switzerland6Veterinary Medicines Directorate, Addlestone, United KingdomThe Netherlands Veterinary Medicines Institute (SDa), Utrecht, Netherlands3Veterinary Epidemiology Unit, Faculty of Veterinary Medicine, Ghent University, Merelbeke, BelgiumThe 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.https://www.frontiersin.org/article/10.3389/fvets.2020.00540/fullantimicrobial uselivestockoverviewindicatorbenchmarkingmonitoring |
| spellingShingle | Pim Sanders Wannes Vanderhaeghen Mette Fertner Klemens Fuchs Walter Obritzhauser Agnes Agunos Carolee Carson Birgitte Borck Høg Vibe Dalhoff Andersen Claire Chauvin Anne Hémonic Annemarie Käsbohrer Annemarie Käsbohrer Roswitha Merle Giovanni L. Alborali Federico Scali Katharina D. C. Stärk Cedric Muentener Ingeborg van Geijlswijk Fraser Broadfoot Lucie Pokludová Clair L. Firth Luís P. Carmo Edgar Garcia Manzanilla Edgar Garcia Manzanilla Laura Jensen Marie Sjölund Jorge Pinto Ferreira Stacey Brown Dick Heederik Jeroen Dewulf Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes Frontiers in Veterinary Science antimicrobial use livestock overview indicator benchmarking monitoring |
| title | Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes |
| title_full | Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes |
| title_fullStr | Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes |
| title_full_unstemmed | Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes |
| title_short | Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes |
| title_sort | monitoring of farm level antimicrobial use to guide stewardship overview of existing systems and analysis of key components and processes |
| topic | antimicrobial use livestock overview indicator benchmarking monitoring |
| url | https://www.frontiersin.org/article/10.3389/fvets.2020.00540/full |
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