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    Monitoring of farm-level antimicrobial use to guide stewardship:
    overview of existing systems and analysis of key components and processes (2020)

    Art
    Zeitschriftenartikel / wissenschaftlicher Beitrag
    Autoren
    Sanders, Pim
    Vanderhaeghen, Wannes
    Fertner, Mette
    Fuchs, Klemens
    Obritzhauser, Walter
    Agunos, Agnes
    Carson, Carolee
    Borck Høg, Birgitte
    Dalhoff Andersen, Vibe
    Chauvin, Claire
    Hémonic, Anne
    Käsbohrer, Annemarie
    Merle, Roswitha (WE 16)
    Alborali, Giovanni L.
    Scali, Federico
    Stärk, Katharina D. C.
    Muentener, Cedric
    Geijlswijk, Ingeborg <<van>>
    Broadfoot, Fraser
    Pokludová, Lucie
    Firth, Clair L.
    Carmo, Luís P.
    Manzanilla, Edgar Garcia
    Jensen, Laura
    Sjölund, Marie
    Pinto Ferreira, Jorge
    Brown, Stacey
    Heederik, Dick
    Dewulf, Jeroen
    Quelle
    Frontiers in veterinary science : FVETS
    Bandzählung: 7
    Seiten: Artikel 540
    ISSN: 2297-1769
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://www.frontiersin.org/article/10.3389/fvets.2020.00540/full
    DOI: 10.3389/fvets.2020.00540
    Pubmed: 33195490
    Kontakt
    Institut für Veterinär-Epidemiologie und Biometrie

    Königsweg 67
    14163 Berlin
    +49 30 838 56034
    epi@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    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.