Quantifying the Relationship between Antibiotic Use in Food-Producing Animals and Antibiotic Resistance in Humans.

Quantifying the Relationship between Antibiotic Use in Food-Producing Animals and Antibiotic Resistance in Humans.
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量化食用动物抗生素使用与人类抗生素耐药性之间的关系。

DOI:
10.3390/antibiotics11010066
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发表时间:
2022-01-06
期刊:
Antibiotics (Basel, Switzerland)
影响因子:
--
通讯作者:
Knight G
Knight G
中科院分区:
其他
文献类型:
--
作者:
Emes D;Naylor N;Waage J;Knight G

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人们普遍认为,农业生产系统必须在食用动物中使用更少的抗生素,以减轻抗菌素耐药性(AMR)的全球传播。为了评估这些干预措施的成本效益,特别是考虑到与农村生计的潜在权衡,我们必须更精确地量化食用动物抗菌剂使用与人类AMR之间的关系。在这里,我们概述和比较的方法,可用于估计这种关系,呼吁在这一领域的关键文献。机制数学模型的优势在于植根于流行病学理论,但可能难以捕获与人类AMR具有不确定关系的相关非流行病学协变量。我们提倡更多地使用面板回归模型,它可以以灵活的方式结合这些因素,捕捉形状和规模的变化。我们为未来的面板回归研究提供了建议,以便为整个One Health范围内AMR遏制干预措施的成本效益分析提供信息,这将是AMR增加时代的关键。
It is commonly asserted that agricultural production systems must use fewer antibiotics in food-producing animals in order to mitigate the global spread of antimicrobial resistance (AMR). In order to assess the cost-effectiveness of such interventions, especially given the potential trade-off with rural livelihoods, we must quantify more precisely the relationship between food-producing animal antimicrobial use and AMR in humans. Here, we outline and compare methods that can be used to estimate this relationship, calling on key literature in this area. Mechanistic mathematical models have the advantage of being rooted in epidemiological theory, but may struggle to capture relevant non-epidemiological covariates which have an uncertain relationship with human AMR. We advocate greater use of panel regression models which can incorporate these factors in a flexible way, capturing both shape and scale variation. We provide recommendations for future panel regression studies to follow in order to inform cost-effectiveness analyses of AMR containment interventions across the One Health spectrum, which will be key in the age of increasing AMR.
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发表时间: 2021-06
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