Antimicrobial resistance and antimicrobial use animal monitoring policies in Europe: Where are we ?

Antimicrobial resistance and antimicrobial use animal monitoring policies in Europe: Where are we ?
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DOI:
10.1057/s41271-017-0067-y
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发表时间:
2017-05-01
影响因子:
3.8
通讯作者:
Staerk, Katharina
Staerk, Katharina
中科院分区:
医学4区
文献类型:
--
作者:
Ferreira, Jorge Pinto;Staerk, Katharina

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世界卫生组织承认,抗菌素耐药性是对人类健康的三大威胁之一。在动物身上使用任何抗生素最终都会影响人类,反之亦然。在制定全球政策的同时,人们一再强调适当监测抗菌剂的使用和耐药性。在欧盟研究项目的支持下,我们绘制了十个欧洲国家的抗菌剂使用和耐药性监测计划。然后,我们比较了国际和欧洲的指导方针和政策。在耐药性监测中,我们没有发现国家之间的重要差异。目前的耐药性监测系统侧重于食用动物物种(使用粪便样本)。他们忽视同伴动物。监测抗生素使用的情况有所不同。最近,各国试图统一方法,但报告抗菌剂的使用仍然是自愿的。因此,我们发现有必要制定更强有力的政策。
The World Health Organization has recognized antimicrobial resistance as one of the top three threats to human health. Any use of antibiotics in animals will ultimately affect humans and vice versa. Appropriate monitoring of antimicrobial use and resistance has been repeatedly emphasized along with the need for global policies. Under the auspices of the European Union research project, EFFORT, we mapped antimicrobial use and resistance monitoring programs in ten European countries. We then compared international and European guidelines and policies. In resistance monitoring, we did not find important differences between countries. Current resistance monitoring systems are focused on food animal species (using fecal samples). They ignore companion animals. The scenario is different for monitoring antibiotics use. Recently, countries have tried to harmonize methodologies, but reporting of antimicrobial use remains voluntary. We therefore identified a need for stronger policies.