256 EMA Categorisation of antibiotics for use in animals for prudent and responsible use by European Medicines Agency (Tools & Checklists)

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256 ToolsChecklists – EMA Categorisation of antibiotics for use in animals for prudent and responsible use by European Medicines Agency

In Significant Impact Groups: Prudent use AB \ Veterinarian
Species targeted: Pigs; Poultry; Dairy; Beef; Sheep;
Age:
Summary:
Veterinarians are encouraged to check and consider EMA’s updated scientific advice on the categorisation of antibiotics when prescribing these medicines for animals in their care. This categorisation can also be used as a tool for the preparation of treatment guidelines. The classification now comprises four categories, from A to D: Avoid, Restrict, Caution and Prudence. Category A: These medicines may not be used in food-producing animals and may be given to individual companion animals only under exceptional circumstances. Category B: The use of these medicines in animals should be restricted to mitigate the risk to public health. Category C: These antibiotics should only be used when there are no antimicrobial substances in Category D that would be clinically effective. Category D: These antibiotics can be used in animals in a prudent manner.

Where to find the original material: https://www.ema.europa.eu/en/documents/report/infographic-categorisation-antibiotics-use-animals-prudent-responsible-use_en.pdf;
Country: European Union

212 – Temporal Relationship Between Decrease in Antimicrobial Prescription for Danish Pigs and the Yellow Card Legal Intervention Directed at Reduction of Antibiotics (Research paper – Jensen – 2014)

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212 Research paper – Jensen – 2014 – Temporal Relationship Between Decrease in Antimicrobial Prescription for Danish Pigs and the Yellow Card Legal Intervention Directed at Reduction of A

In Significant Impact Groups: Prudent use AB \ Veterinarian; AMU reduction strategies
Species targeted: Pigs;
Age: Not stated;
Summary:
The potential effects of the Yellow Card intervention, enforced by Danish authorities since 2010 on the antimicrobial prescription in the Danish pig production were investigated. Descriptive analysis of temporal trends in quantitative antimicrobial prescription for pigs were performed for each administration route, age and disease group. There was a 25% decline in the total antimicrobial use per pig produced between 2009 and 2011, both in sows, piglets, weaners and finishers. Reduced prescription of some antibiotics for oral use in weaners and finishers explained 76% of the total reduction. In 2012, the overall antimicrobial use increased by 10%, as a result of slight changes of prescription patterns. On herd level, the decline and subsequent increase was mainly related to changes in number of herds receiving regular monthly prescriptions. The steep decrease in antimicrobial use in the Danish pig production was temporally related with the announcement and introduction of the Yellow Card intervention.

Where to find the original material: https://pubmed.ncbi.nlm.nih.gov/25263135/; https://doi.org/10.1016/j.prevetmed.2014.08.006
Country: DK

183 Antimicrobial prescribing guidelines for pigs by Australian Veterinary Association (Industry Innovation)

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183 Industry Innovation – Antimicrobial prescribing guidelines for pigs by Australian Veterinary Association

In Significant Impact Groups: Prudent use AB \ Veterinarian
Species targeted: Pigs;
Age: Different for different species;
Summary:
The Australian veterinary profession and livestock industries have a long history of addressing antimicrobial resistance (AMR). In particular, the veterinary profession has worked in close cooperation with animal industries and governments to implement the seven objectives of Australia’s First National Antimicrobial Resistance Strategy 2015-19 (National Strategy). The antimicrobial prescribing guidelines for pigs addresses the second objective of the National Strategy. This objective requires us to ‘implement effective antimicrobial stewardship practices across human health and animal care settings to ensure the appropriate and judicious prescribing, dispensing and administering of antimicrobials’. These guidelines for the Australian pig veterinarian are a handy ‘go-to’ resource, as they have been developed specifically for Australian conditions and contain the most contemporary knowledge available on AMR. One of the key objectives of any antimicrobial stewardship program is to reduce the use of antimicrobials.

Where to find the original material: https://www.ava.com.au/siteassets/resources/fighting-antimicrobial-resistance/antimicrobial-prescribing-guidelines-for-pigs.pdf;
Country: AU

182 Categorisation of antibiotics used in animals promotes responsible use to protect public and animal health by EMA (Tools & Checklists)

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182 ToolsChecklists – Categorisation of antibiotics used in animals promotes responsible use to protect public and animal health by EMA

In Significant Impact Groups: Prudent use AB \ Veterinarian
Species targeted: Pigs; Poultry; Dairy; Beef; Sheep;
Age:
Summary:
Veterinarians are encouraged to check and consider EMA’s updated scientific advice on the categorisation of antibiotics when prescribing these medicines for animals in their care. This categorisation can also be used as a tool for the preparation of treatment guidelines. The scientific advice ranks antibiotics by considering both the risk that their use in animals causes to public health through the possible development of antimicrobial resistance and the need to use them in veterinary medicine. The update takes into account the World Health Organization’s CIA list, i.e. those of most relevance for human health. The EMA also evaluated the impact of the route of administration on the selection of AMR and included its conclusions in a separate list to consider when prescribing antibiotics. The classification now comprises four categories, from A to D: Avoid, Restrict, Caution and Prudence.

Where to find the original material: https://www.ema.europa.eu/en/documents/report/categorisation-antibiotics-european-union-answer-request-european-commission-updating-scientific_en.pdf;
Country: EU;

174 Opinions of veterinarians on antimicrobial use in farm animals in Flanders and the Netherlands (Research paper – Postma, 2016)

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174 Research paper – Postma – 2016 – Opinions of veterinarians on antimicrobial use in farm animals in Flanders and the Netherlands

Prudent use AB \ Veterinarian; AMU reduction strategies
Species targeted: Pigs; Poultry; Dairy; Beef; Sheep; Other;
Age: Young; Adult;
Summary:
This study aimed to assess opinions of veterinarians from the Netherlands and Flanders regarding antimicrobial use and resistance issues in farm animals. A survey was answered by 174 and 437 veterinarians from Flanders and the Netherlands, respectively. The most important cause for high antimicrobial use in farm animals was poor climate conditions. Flemish veterinarians also regarded insufficient biosecurity measures and farmers’ mentality as important factors, while the Dutch ranked insufficient immunity of young animals and economic considerations of farmers as major causes. Most Dutch vets supported the policy to halve veterinary antimicrobial use, while only about 33% of Flemish vets supported this policy. Improvements in housing and climate conditions, biosecurity measures and control of specific infectious diseases were considered important in reducing antimicrobial use. To reduce antimicrobial use in farm animals, some approaches might be applicable in both countries, but cultural, political and societal differences should also be considered.

Where to find the original material: https://www.ncbi.nlm.nih.gov/pubmed/27313178; https://doi.org/10.1136/vr.103618
Country: BE; NL