Combining benchmarking and Competency-based training to implement antimicrobial stewardship on dairy farms

摘要 中心假设：我们假设奶牛场的AMU可以通过发展一种 创新的教育计划，通过提供指标， 基准AMU，并提供工具，以促进管理变革，提高能力， 农场工人，并利用农民主导的会议，以确定量身定制的解决方案。我们建议加强 当地兽医和他们的乳制品客户之间的关系，通过提供一种机制， 使用以目标为导向的年度抗生素管理计划进行参与。制定衡量标准， 减少AMU的进展将有助于兽医评估治疗方案的依从性， 提供新出现的导致AMU增加的动物健康问题的证据。 具体目标：抗生素对于对抗细菌性疾病至关重要， 增加人类和动物的福利。然而，抗生素可以选择耐药 威胁公众健康的细菌菌株。虽然AMU在人类医学中是一个公认的驱动因素， 在耐药性方面，动物使用的大量抗菌剂也是出现耐药性的潜在来源。 和耐药细菌的传播。因此，农民和兽医必须 共同确保AMU仅用于保护动物福祉。该项目的具体目标 将激励和装备奶农和他们的兽医评估AMU和制定计划， 导致负责任和明智地使用抗菌剂。具体目标是：1。创新型 AMU基准工具，并培训用户创建比较农场之间AMU的指标， 兽医与奶制品客户的更多接触。2.开发多语言、基于能力的 农场工人培训材料，以促进采用抗菌剂管理原则。一起 这些目标将加强兽医对医学上重要的抗菌剂的监督，并确保AMU 专注于确保奶牛健康。

ABSTRACT Central Hypothesis: We hypothesize that AMU on dairy farms can be reduced by development of an innovative educational program that motivates the desire for change by providing metrics that benchmark AMU and provides tools to facilitate management changes by enhancing competencies of farm workers and using farmer-led meetings to identify tailored solutions. We propose to strengthen relationships between local veterinarians and their dairy clients by providing a mechanism for engagement using goal-oriented annual antibiotic stewardship plans. Development of metrics to assess progress in reducing AMU will help veterinarians assess compliance with treatment protocols as well as provide evidence of emerging animal health problems that result in increased AMU. Specific Aims: Antibiotics are essential for combatting bacterial diseases and have contributed to increased welfare of both humans and animals. However, antimicrobials can select for resistant bacterial strains that threaten public health. While AMU in human medicine is a well-recognized driver of resistance, the large mass of antimicrobials used in animals is also a potential source of emergence and dissemination of resistant bacteria. Thus, it is essential that farmers and veterinarians work together to ensure that AMU is used only to protect animal well-being. The specific aims of this project will motivate and equip dairy farmers and their veterinarians to assess AMU and develop plans that result in responsible and judicious usage of antimicrobials. Specific aims are: 1. Validate an innovative AMU benchmarking tool, and train users to creates metrics comparing AMU among farms and facilitate greater engagement of veterinarians with dairy clients. 2. Develop multilingual, competency-based farm worker training materials to enhance adoption of antimicrobial stewardship principles. Together these aims will enhance veterinary oversight of medically important antimicrobials and ensure that AMU is focused on assuring dairy animal health.