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    Assessing the feasibility of a two-cohort design to assess the potential of homeopathic medicinal products to reduce antimicrobial resistance in turkeys (The HOMAMR Project):
    study protocol (2024)

    Art
    Zeitschriftenartikel / wissenschaftlicher Beitrag
    Autoren
    Baur-Bernhardt, Silvia (WE 8)
    Käsbohrer, Annemarie
    Doherr, Marcus Georg (WE 16)
    Meemken, Diana (WE 8)
    Sonnenschein-Swanson, Lena (WE 8)
    Stetina, Birgit Ursula
    Sommer, Mary-Ann (WE 8)
    Weiermayer, Petra
    Quelle
    Homeopathy : the journal of the Faculty of Homeopathy
    Seiten: 1 – 8
    ISSN: 1475-4916
    Sprache
    Englisch
    Verweise
    URL (Volltext): http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1781448
    DOI: 10.1055/s-0044-1781448
    Kontakt
    Institut für Veterinär-Epidemiologie und Biometrie

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

    Abstract / Zusammenfassung

    Background:
    Antimicrobial resistance (AMR) is a serious public health concern worldwide. The European Union requires a reduction in the use of antibiotics by 50% by 2030, with separate regulations on organic production that give preference to homeopathy and phytotherapy in organic farms before the use of conventional medicines (including antibiotics). We have therefore designed a two-phased project whose overarching aim is to investigate the potential role of homeopathic medicinal products (HMPs) in combating AMR in turkeys (the HOMAMR project): a two-cohort feasibility study using turkey-farm data that have been collected and analyzed retrospectively, followed by a prospective two-cohort study in turkey farms that would examine the impact of HMPs on changing antibiotic use.

    Objective:
    The objective of this paper is to describe the protocol for the first phase of HOMAMR, which is a study under field conditions to assess the feasibility of collecting data retrospectively about turkeys that have been managed conventionally only or with HMPs.

    Methods:
    Surveys performed on farms in Germany and Austria, including interviews with consenting farmers, will determine the feasibility of comparing retrospectively gathered data on antibiotic use and performance/production data in two cohorts of turkeys: (1) homeopathic treatment with conventional care (antibiotics) added if necessary or (2) conventional care (antibiotics) only. Co-primary outcomes to be studied are the amount of antimicrobial use and production period-related mortality. In addition, other production/performance parameters will be compared between the two treated cohorts.

    Conclusion:
    To our knowledge, this is the first feasibility study on the treatment of turkeys using homeopathy, and whose retrospectively obtained data will inform a prospective study that would examine the impact of HMPs on antibiotic use in commercial turkey raising, fattening and breeding production.