Integrated Interventions to Tackle Antimicrobial Usage in Animal Production Systems: The ViParc Project in Vietnam.
Integrated Interventions to Tackle Antimicrobial Usage in Animal Production Systems: The ViParc Project in Vietnam.
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DOI：
10.3389/fmicb.2017.01062
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发表时间：
2017
影响因子：
5.2
通讯作者：
Rushton J
中科院分区：
文献类型：
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作者：
Carrique-Mas JJ;Rushton J
动物生产中的抗菌药物使用和抗菌药物耐药性（AMR）现在被认为是导致全球AMR问题的重要因素。许多低收入和中等收入国家目前正在讨论在动物生产中制止滥用抗菌剂的举措。旨在解决抗生素过度使用问题的精心设计、科学合理的干预措施应该为科学家和政策制定者提供最高质量的证据，以指导政策变革并制定更有针对性的研究计划。然而，由于大规模干预费用高昂，因此需要认真规划，以免浪费宝贵的资源。在这里，我们描述了ViParc项目（www.viparc.org）的组成部分，该项目是首批大规模干预措施之一，旨在解决东南亚动物生产系统中抗生素过度使用的问题。该项目是一项针对越南湄公河三角洲地区小规模家禽养殖场的“随机前后对照研究”。它旨在为农民提供适合当地情况的兽医支持服务，帮助他们减少对抗菌剂的依赖。ViParc是在越南政府努力制定国家行动计划以减少牲畜和水产品中的抗菌剂的背景下开发的。至关重要的是，该项目整合了社会经济分析，这些分析将深入了解抗菌药物使用的驱动因素，以及对拟议干预措施的成本效益进行评估。ViParc提供的信息应有助于越南政府完善其政策，以遏制家禽生产中抗生素的过度使用，而ViParc的经验教训将有助于解决越南和更广泛的东南亚地区其他生产系统中抗生素的过度使用。
Antimicrobial usage and antimicrobial resistance (AMR) in animal production is now recognized to be an important contributor to the global problem of AMR. Initiatives to curb indiscriminate antimicrobial use in animal production are currently being discussed in many low- and middle-income countries. Well-designed, scientifically sound interventions aimed to tackle excessive antimicrobial usage should provide scientists and policy makers with evidence of the highest quality to guide changes in policy and to formulate better targeted research initiatives. However, since large-scale interventions are costly, they require careful planning in order not to waste valuable resources. Here, we describe the components of the ViParc project (www.viparc.org), one of the first large-scale interventions of its kind to tackle excessive antimicrobial usage in Southeast Asian animal production systems. The project has been formulated as a “randomized before-and-after controlled study” targeting small-scale poultry farms in the Mekong Delta region of Vietnam. It aims to provide farmers with a locally-adapted veterinary support service to help them reduce their reliance on antimicrobials. ViParc has been developed in the backdrop of efforts by the Government of Vietnam to develop a National Action Plan to reduce Antimicrobials in Livestock and Aquaculture. Crucially, the project integrates socio-economic analyses that will provide insights into the drivers of antimicrobial usage, as well as an assessment of the cost-effectiveness of the proposed intervention. Information generated from ViParc should help the Government of Vietnam refine its policies to curb excessive antimicrobial usage in poultry production, while lessons from ViParc will help tackle excessive antimicrobial usage in other productions systems in Vietnam and in the broader Southeast Asian region.