White Paper: Bridging the gap between surveillance data and antimicrobial stewardship in the animal sector-practical guidance from the JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks.
Journal
The Journal of antimicrobial chemotherapy
ISSN: 1460-2091
Titre abrégé: J Antimicrob Chemother
Pays: England
ID NLM: 7513617
Informations de publication
Date de publication:
06 12 2020
06 12 2020
Historique:
entrez:
6
12
2020
pubmed:
7
12
2020
medline:
25
6
2021
Statut:
ppublish
Résumé
The JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks have joined efforts to formulate a set of target actions to link the surveillance of antimicrobial usage (AMU) and antimicrobial resistance (AMR) with antimicrobial stewardship (AMS) activities in four different settings. This White Paper focuses on the veterinary setting and embraces the One Health approach. A review of the literature was carried out addressing research questions in three areas: AMS leadership and accountability; AMU surveillance and AMS; and AMR surveillance and AMS. Consensus on target actions was reached through a RAND-modified Delphi process involving over 40 experts in infectious diseases, clinical microbiology, AMS, veterinary medicine and public health, from 18 countries. Forty-six target actions were developed and qualified as essential or desirable. Essential actions included the setup of AMS teams in all veterinary settings, building government-supported AMS programmes and following specific requirements on the production, collection and communication of AMU and AMR data. Activities of AMS teams should be tailored to the local situation and capacities, and be linked to local or national surveillance systems and infection control programmes. Several research priorities were also identified, such as the need to develop more clinical breakpoints in veterinary medicine. This White Paper offers a practical tool to veterinary practitioners and policy makers to improve AMS in the One Health approach, thanks to surveillance data generated in the veterinary setting. This work may also be useful to medical doctors wishing to better understand the specificities of the veterinary setting and facilitate cross-sectoral collaborations.
Sections du résumé
BACKGROUND
The JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks have joined efforts to formulate a set of target actions to link the surveillance of antimicrobial usage (AMU) and antimicrobial resistance (AMR) with antimicrobial stewardship (AMS) activities in four different settings. This White Paper focuses on the veterinary setting and embraces the One Health approach.
METHODS
A review of the literature was carried out addressing research questions in three areas: AMS leadership and accountability; AMU surveillance and AMS; and AMR surveillance and AMS. Consensus on target actions was reached through a RAND-modified Delphi process involving over 40 experts in infectious diseases, clinical microbiology, AMS, veterinary medicine and public health, from 18 countries.
RESULTS/DISCUSSION
Forty-six target actions were developed and qualified as essential or desirable. Essential actions included the setup of AMS teams in all veterinary settings, building government-supported AMS programmes and following specific requirements on the production, collection and communication of AMU and AMR data. Activities of AMS teams should be tailored to the local situation and capacities, and be linked to local or national surveillance systems and infection control programmes. Several research priorities were also identified, such as the need to develop more clinical breakpoints in veterinary medicine.
CONCLUSIONS
This White Paper offers a practical tool to veterinary practitioners and policy makers to improve AMS in the One Health approach, thanks to surveillance data generated in the veterinary setting. This work may also be useful to medical doctors wishing to better understand the specificities of the veterinary setting and facilitate cross-sectoral collaborations.
Identifiants
pubmed: 33280048
pii: 6024992
doi: 10.1093/jac/dkaa429
pmc: PMC7719408
doi:
Substances chimiques
Anti-Bacterial Agents
0
Anti-Infective Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
ii52-ii66Investigateurs
Ayola Akim Adegnika
(AA)
Fabiana Arieti
(F)
Nithya Babu Rajendran
(NB)
Julia Bielicki
(J)
Steffen Borrmann
(S)
Elena Carrara
(E)
Roberto Cauda
(R)
Monica Compri
(M)
Giulia De Angelis
(G)
Maria-Eleni Filippitzi
(ME)
Isabel Frost
(I)
Liliana Galia
(L)
Christian Giske
(C)
Siri Göpel
(S)
Luca Guardabassi
(L)
Annet Heuvelink
(A)
Gunnar Kahlmeter
(G)
Souha S Kanj
(SS)
Tomislav Kostyanev
(T)
Leonard Leibovici
(L)
Jean-Christophe Lucet
(JC)
Lorena López-Cerero
(L)
Rodolphe Mader
(R)
Fulvia Mazzaferri
(F)
Elena Mazzolini
(E)
Marc Mendelson
(M)
Rita Murri
(R)
Nico T Mutters
(NT)
Mical Paul
(M)
Maria Diletta Pezzani
(MD)
Elisabeth Presterl
(E)
Hanna Renk
(H)
Le Huu Song
(LH)
Maurizio Sanguinetti
(M)
Remco Schrijver
(R)
Luigia Scudeller
(L)
Mike Sharland
(M)
Marcella Sibani
(M)
Evelina Tacconelli
(E)
Didem Torumkuney
(D)
Thirumalaisamy P Velavan
(TP)
Andreas Voss
(A)
Informations de copyright
© The Author(s) 2020. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy.
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