Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes.

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; Alborali, Giovanni L; Scali, Federico; Stärk, Katharina D C; Muentener, Cedric; van Geijlswijk, Ingeborg; Broadfoot, Fraser; Pokludová, Lucie; ... (2020). Monitoring of Farm-Level Antimicrobial Use to Guide Stewardship: Overview of Existing Systems and Analysis of Key Components and Processes. Frontiers in veterinary science, 7, p. 540. Frontiers Media 10.3389/fvets.2020.00540

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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.

Item Type:

Journal Article (Review Article)

Division/Institute:

05 Veterinary Medicine > Department of Clinical Research and Veterinary Public Health (DCR-VPH) > Veterinary Public Health Institute
05 Veterinary Medicine > Department of Clinical Research and Veterinary Public Health (DCR-VPH)

UniBE Contributor:

Gomes do Carmo, Luis Pedro

Subjects:

600 Technology > 630 Agriculture

ISSN:

2297-1769

Publisher:

Frontiers Media

Language:

English

Submitter:

Susanne Agnes Lerch

Date Deposited:

23 Mar 2021 14:55

Last Modified:

28 Mar 2021 03:58

Publisher DOI:

10.3389/fvets.2020.00540

PubMed ID:

33195490

Uncontrolled Keywords:

antimicrobial resistance antimicrobial stewardship antimicrobial use benchmarking indicator livestock monitoring overview

BORIS DOI:

10.48350/152910

URI:

https://boris.unibe.ch/id/eprint/152910

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