131 EMA and EFSA Joint Scientific Opinion on measures to reduce the need to use antimicrobial agents in animal husbandry in the European Union (Research report – EMA EFSA, 2017 )

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131 Research report – EMA EFSA – 2017 – EMA and EFSA Joint Scientific Opinion on measures to reduce the need to use antimicrobial agents in animal husbandry in the European Union

In Significant Impact Groups: AMU reduction strategies \ Monitoring and surveillance; Antibiotic use; Prudent use AB
Species targeted: Pigs; Poultry; Dairy; Beef; Sheep; Other;
Age: Young; Adult; Different for different species;
Summary: In 2017, EFSA and EMA have jointly reviewed measures taken in the EU to reduce the need for and use of antimicrobials in food-producing animals, and the resultant impacts on antimicrobial resistance (AMR).Some reduction strategies have been implemented successfully in some Member States, including: national reduction targets, benchmarking of antimicrobial use, controls on prescribing by veterinarians and restrictions on use of specific critically important antimicrobials, together with improvements to animal husbandry, disease prevention and control measures.

https://efsa.onlinelibrary.wiley.com/doi/epdf/10.2903/j.efsa.2017.4666; https://doi.org/10.2903/j.efsa.2017.4666

Country: EU

130 Mastitis treatment_Reduction in antibiotic usage in dairy cows (Research report – Kromker, 2017)

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130 Research report – Kromker – 2017 – Mastitis treatment_Reduction in antibiotic usage in dairy cows

AMU reduction strategies \ Specific alternatives
Species targeted: Dairy;
Age: Not stated;
Summary:
Reduction in Antibiotic Usage (AMU) in dairy cows due to mastitis by implementation of smart, evidence‐based selection criteria requires increased diagnostic efforts. When the identification of therapy‐worthy animals as well as treatment‐requiring mastitis‐causing pathogens succeeds in a rapid and reliable manner, the reduction of AMU by ~50% in treatment of clinical mastitis and ~30% in antibiotic dry cow treatment (amount of uninfected cows) is feasible. Progress in the development of therapeutic alternatives and further investigations make a further reduction in AMU seem likely. However, the most effective and contemporary methods for decreasing AMU in dairy production comprise the implementation of evidence‐based mastitis therapy concepts and selective dry cow treatment. Avoidance of wrong decisions with unfavourable long‐term effects and related adverse consequences for animal welfare requires a systematic udder health monitoring of dairy farms.

https://onlinelibrary.wiley.com/doi/full/10.1111/rda.13032 ; https://doi.org/10.1111/rda.13032

Country: DE

129 The global threat of antimicrobial resistance_science for intervention (Research report – Roca, 2015)

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129 Research report – Roca – 2015 – The global threat of antimicrobial resistance_science for intervention

AMU reduction strategies \ Monitoring and surveillance; Antibiotic use; Prudent use AB
Species targeted: Other;
Age: Different for different species;
Summary: The current threat of antimicrobial resistance plus the need to control it and find alternatives to currently used antimicrobial products has prompted the different stakeholders to take action in integrating research and public health, maintaining and promoting national and international antimicrobial resistance (AMR) research communities. In summary, the following measures can be taken to prevent emergence and spread of AMR: rational antibiotic’s use, implementing infection control measures at farm level, developing strategies to mitigate the risks for environment of antimicrobial residues, having rapid tests for diagnosis of infections, promotion of research on prevention and surveillance of AMR and developing novel antimicrobial strategies and agents, improving general and public awareness of responsible antibiotic use and risks associated to increased AMR.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446399/; https://doi.org/10.1016/j.nmni.2015.02.007

Country: ES, TR, FR, UK, BE, NL, SE, DK, US, IT, IE, MZ, DE, CH,

125 Dairy farmers’ perspectives on antibiotic use – A qualitative study (Research paper; Fischer, 2019)

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125 Research paper – Fischer – 2019 – Dairy farmers’ perspectives on antibiotic use_ A qualitative study

AMU reduction strategies \ Monitoring and surveillance; Antibiotic use; Prudent use AB
Species targeted: Dairy;
Age: Adult;
Summary: An important step in limiting the development of antibiotic resistance is reducing use of antibiotics in animal husbandry. Farmers’ practices and reasoning around their antibiotic use do not reflect solely that farmer as an individual, and are guided by context (e.g., veterinary advice, peer pressure, regulation, and interactions with farm animals). This paper draws on the concept of the “good farmer,” to interpret findings from a study of Swedish dairy farms. Despite comparatively strict antibiotic use regulations in Sweden, the farmers do not report lack of access to antibiotics when needed. Structural limitations faced by farmers, rather than lack of information, impose constraints to further limiting antibiotic use in Sweden. Overall stricter and more uniform global regulations on antibiotic use in animal farming could be an effective measure for reducing antibiotic use.
Where to find the original material:

https://www.journalofdairyscience.org/action/showPdf?pii=S0022-0302%2819%2930006-2; https://doi.org/10.3168/jds.2018-15015

Country: Sweden

121 Antimicrobial Stewardship in Food Animals in Canada_ Progress on Recommendations and Stakeholder Activities by National Farmed Animal Health and Welfare Council (Industry Innovation)

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121 Industry Innovation – Antimicrobial Stewardship in Food Animals in Canada_ Progress on Recommendations and Stakeholder Activities by National Farmed Animal Health and Welfare Council

In Significant Impact Groups: AMU reduction strategies \ Monitoring and surveillance Antibiotic use
Species targeted: Pigs; Poultry; Dairy; Beef; Sheep;
Summary: This report details the collaborative and joined up approach to the challenge of AMR and the support needed for the continuous development of antimicrobial stewardship in food production in Canada. This 2019 update reflects on the Canadian One Health strategy based around the pillars of Surveillance, Infection prevention and control, Stewardship and Research & Innovation and evaluates what progress has been made against the recommendations. The Council has galvanised many parts of the industry to act within their sectors as well as respond to changing policy around the manufacture, import, purchase and licensing of certain drugs. The report goes into detail about how each recommendation has been acted upon and the developments within each region of Canada.
Where to find the original material:

https://www.amstewardship.ca/antimicrobial-stewardship-in-food-animals-in-canada-progress-on-recommendations-and-stakeholder-activities/
Country: CA

118 FAAST- Farmed Animal Antimicorbial Stewardship Veterinary Reference Manual by ACER Consulting and Ontario Veterinary Medical Association ( Industry Innovation)

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118 Industry Innovation – FAAST- Farmed Animal Antimicorbial Stewardship Veterinary Reference Manual by ACER Consulting and Ontario Veterinary Medical Association

In Significant Impact Groups: AMU reduction strategies \ Legislation and incentives Government Prudent use AB
Species targeted: Pigs; Poultry; Dairy; Beef; Sheep;
Summary:

The Canadian government has developed a One Health strategy to address AMR across the country. Veterinarians are key to antimicrobial stewardship and are advised to use the 5 Rs: Responsibility Reduction Refinement Replacement Review There have been several policy changes in Canada in recent years (2018-2019) pertaining to the prescription and purchasing of antimicrobials due to the ease in which some antimicrobials were available without a prescription for purchase by animal owners. Animal owners will no longer be able to import medication for use on their own animals and they will need to purchase antimicrobials from a veterinarian/pharmacy/feed mill within Canada. Additionally, a valid VCPR (Vet-Client-Patient-Relationship) must be established prior to a veterinarian providing services to a client/their animal. Health Canada is also increasing its oversight of medically important antimicrobial Active Pharmaceutical Ingredients (APIs) for veterinary use, including their import/manufacture/distribution. The federal changes now require all importers/ manufacturers etc. of APIs for veterinary use to obtain a license, comply with industry guidelines and report sales to Government annually. Furthermore, there will no longer be growth promotion claims on drug products containing medically important antimicrobials (MIAs).

www.amstewardship.ca;

Country: CA

116 Information note on antibiotic resistance and the responsible use of antibiotics in farm animals by RUMA (Industry Innovation)

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116 Industry Innovation – INFORMATION NOTE ON ANTIBIOTIC RESISTANCE AND THE RESPONSIBLE USE OF ANTIBIOTICS IN FARM ANIMALS by RUMA

In Significant Impact Groups: AMU reduction strategies \ Monitoring and surveillance Antibiotic use Prudent use AB
Species targeted: Pigs; Poultry; Dairy; Beef; Sheep;
Summary:
The Responsible Use of Medicines in Agriculture Alliance (RUMA) is an alliance of over 26 industry organisations representing every stage of food production from “farm to fork”. See www.ruma.org.uk/about/ruma-members for full list of current member organisations. RUMA aims to promote a co-ordinated and integrated approach to best practice in the use of medicines for farm animals. RUMA provides free guidance to farmers and vets on the responsible and effective use of medicines in agriculture. Responsible use of antibiotics on farms means using antibiotics as little as possible and as much as necessary. Regardless of the farming system, the focus for improved animal husbandry should include improved biosecurity practices and on-going vet and farmer training on disease prevention and the responsible use of antibiotics.

https://www.ruma.org.uk/wp-content/uploads/2020/04/RUMA-NOTE-ON-AMR-AND-THE-RESPONSIBLE-USE-OF-ANTIBIOTICS-IN-FARM-ANIMALS-Final-updated-130420-1;
Country: UK

114 Anthelmintic resistance and responsible use in livestock by British Vet Association (Industry Innovation)

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114 Industry Innovation – Anthelmintic resistance and responsible use in livestock by British Vet Association

114 Industry Innovation
Anthelmintic resistance and responsible use in livestock
by British Vet Association
In Significant Impact Groups: AMU reduction strategies
Species targeted: Dairy; Beef; Sheep;
Age: Different for different species;
Summary: Anthelmintics must be used responsibly as part of a farm-specific strategic anthelmintic plan. All prescribers of Anthelmintics (to include Vets and Suitably Qualified Persons) should:• use diagnostic information for each parasite risk period to ensure treatment of only those animals that need it• target the drug used to the parasite to be treated• treat based on actual body weight• understand the interplay of other host species and intermediate host species• advise that newly treated animals should not be moved immediately onto clean pasture• explain and emphasise the importance of quarantining incoming animals, assessing their parasite burden, faecal worm egg counts, and response to treatment• investigate suspected cases of resistance and advise on the selection of alternatives from other classes of anthelmintic drugs• report suspected cases of lack of efficacy to the Veterinary Medicines Directorate• encourage holistic and integrated preventive strategies.

https://www.bva.co.uk/take-action/our-policies/anthelmintic-resistance-and-responsible-use-in-livestock
Country: UK

112 Effect of Antimicrobial Consumption and Production Type on Antibacterial Resistance in the Bovine Respiratory and Digestive Tract (Research paper; Catry, 2016)

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112 Research paper – Catry – 2016 – Effect of Antimicrobial Consumption and Production Type on Antibacterial Resistance in the Bovine Respiratory and Digestive Tract

112 Research paper
Effect of Antimicrobial Consumption and Production Type on Antibacterial Resistance in the Bovine Respiratory and Digestive Tract
by Catry, B., Dewulf, J., Maes, D., Pardon, B., Callens, B., Vanrobaeys, M., Opsomer, G., de Kruif, A. and F. Haesebrouck. 2016 PLOS ONE 11: e0146488 (16p.)
In Significant Impact Groups: AMU reduction strategies \ Monitoring and surveillance Antibiotic use
Species targeted: Dairy; Beef;
Age: Young; Adult;
Summary: The relationship between antimicrobial use and the occurrence of antimicrobial resistance in cattle was investigated in this study. Three types of production system were investigated for 2 years, for a total of 25 herds: 10 dairy, 10 beef, and 5 veal herds. Two different types of bacteria were sampled for the monitoring of intestinal and nasal resistance. The use of antimicrobials was recorded on 15 of these farms (5 of each production type). Antimicrobial resistance rates for 12 antimicrobial agents demonstrated large differences between intensively reared veal calves and more extensively reared dairy and beef cattle. Data analysis showed a strong relation between intensity of antimicrobial use and increased resistance. Antimicrobials given in orally in low doses and antimicrobials used preventively as group medication promoted the rise of multi-drug resistance in bacteria from the digestive and respiratory system.

Country: BE

111 Prophylactic and metaphylactic antimicrobial use in Belgian fattening pig herds (Research paper; Callens, 2012)

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111 Research paper – Callens – 2012 – Prophylactic and metaphylactic antimicrobial use in Belgian fattening pig herds

111 Research paper
Prophylactic and metaphylactic antimicrobial use in Belgian fattening pig herds
by Callens, B., Persoons, D., Maes, D., Laanen, M., Postma, M., Boyen, F., Haesebrouck, F., Butaye, P., Catry, B. and J. Dewulf. 2012 Preventive Veterinary Medicine 106: 53-62
In Significant Impact Groups: AMU reduction strategies \ Monitoring and surveillance Antibiotic use
Species targeted: Pigs;
Age: Young; Adult;
Summary: The guidelines for prudent use of antimicrobials are not yet implemented in Belgium. Between January and October 2010 data antimicrobial use was collected retrospectively on 50 closed pig herds. An overall higher use of prophylactic antimicrobial group level therapy was recorded in 2010 compared to 2003. This shift was marked by a partial yet substantial replacement of older, orally administered compounds by new injectable long acting products. The most frequently used antimicrobials orally applied to groups of pigs were colistin (30.7%), amoxicillin (30.0%), trimethoprim-sulfonamides (13.1%), doxycycline (9.9%) and tylosin (8.1%). The most frequently applied injectable antimicrobials were tulathromycin (45.0%), long acting ceftiofur (40.1%) and long acting amoxicillin (8.4%). Injectable products were generally overdosed (79.5%), whereas oral treatments were often under dosed (47.3%). In conclusion, this study shows that preventive group treatment was applied in 98% of the visited herds and often includes the use of critically important and broad-spectrum antimicrobials.

Country: BE