2018
DOI: 10.1016/j.cvex.2018.01.014
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Prudent Use of Antimicrobials in Exotic Animal Medicine

Abstract: Reduction of antimicrobial use can result in reduction of resistance in commensal bacteria. In exotic animals, information on use of antimicrobials and resistance in commensals and pathogens is scarce. However, use of antimicrobials listed as critically important antimicrobials for human medicine seems high in exotic animals. Ideally, the selection of a therapy should be based on an accurate diagnosis and antimicrobial susceptibility testing. When prescribing antimicrobials based on empiricism, knowledge of th… Show more

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Cited by 21 publications
(27 citation statements)
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“…Both domesticated and exotic pets present recognised risks to public health and safety as transmitters of zoonotic disease [ 9 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 ], and sources of antimicrobial resistance [ 83 , 84 , 85 , 86 ]. Human illnesses associated with domesticated species are generally within the familiar purview of ordinary veterinarians and medical doctors, thus facilitating relatively efficient diagnoses and treatments [ 87 ].…”
Section: Introductionmentioning
confidence: 99%
“…Both domesticated and exotic pets present recognised risks to public health and safety as transmitters of zoonotic disease [ 9 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 ], and sources of antimicrobial resistance [ 83 , 84 , 85 , 86 ]. Human illnesses associated with domesticated species are generally within the familiar purview of ordinary veterinarians and medical doctors, thus facilitating relatively efficient diagnoses and treatments [ 87 ].…”
Section: Introductionmentioning
confidence: 99%
“…Antimicrobial resistance (AMR) is a complex One Health issue, driven by use and complicated by the misuse and overuse of antimicrobials in humans and animals [ 1 ]. Long durations of antimicrobial use (AMU), insufficient dosing, inappropriate drug selection, and poor compliance to treatment regimens foster the potential for treatment failure, as well as emergence and spread of resistant bacteria [ 2 ]. Considerable effort must be made to minimize the development of resistant organisms by optimizing AMU, thereby limiting use to situations where antimicrobials are necessary, and where the benefits of administering antimicrobials are clear and significant [ 3 ].…”
Section: Introductionmentioning
confidence: 99%
“…In an effort to mitigate AMR in veterinary practice, guidelines and recommendations to improve use of antimicrobials have been developed by veterinary associations around the globe covering a wide range of major species [ 2 ], but typically focusing on food producing animals and common companion animals (dogs and cats) [ 1 , 2 ]. Antimicrobial use guidelines for less common species, including exotic, backyard small ruminant, and small flock species remain largely unavailable.…”
Section: Introductionmentioning
confidence: 99%
“…Lack of knowledge of the underlying pathogen may render these interventions ineffective, in addition to dysbiosis leading to complications such as anorexia and diarrhoea [15]. Guinea pigs are sensitive to fatal dysbiosis associated with antibiotic use of penicillin, macrolides and lincosamides [16,17,18]. Accurately identifying a causative microorganism is time consuming and lacks feasibility when a patient is experiencing an acute infection [19].…”
Section: Introductionmentioning
confidence: 99%