Review of antimicrobial resistance surveillance programmes in livestock and meat in EU with focus on humans

Schrijver, R.S.; Stijntjes, M.; Rodríguez‐Baño, Jesús; Tacconelli, E.; Rajendran, Nithya; Voß, Andreas

doi:10.1016/j.cmi.2017.09.013

Cited by 93 publications

(81 citation statements)

References 10 publications

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“…Hence, prevention of CRE occurrence and spread in wildlife, food-producing, and companion animals should be a major public health priority to protect both persons with direct (occupational) exposure and consumers [4]. Authorities in European countries have already reacted by establishing antimicrobial resistance monitoring programmes in food-producing animals [16].…”

Section: Introductionmentioning

confidence: 99%

Carbapenem-resistant Enterobacteriaceae in wildlife, food-producing, and companion animals: a systematic review

Köck

Daniels-Haardt²,

Becker

et al. 2018

Clinical Microbiology and Infection

261

167

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Section: Introductionmentioning

confidence: 99%

Carbapenem-resistant Enterobacteriaceae in wildlife, food-producing, and companion animals: a systematic review

Köck

Daniels-Haardt²,

Becker

et al. 2018

Clinical Microbiology and Infection

261

167

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“…12 EFSA also publishes annually the "Trends and sources of zoonoses and zoonotic agents in foodstuffs, animals and feeding stuffs" 13 report ("EFSA report" onwards) for those countries which have not published this information. The European Animal Health Study Center (CEESA) 14 is a non-governmental organization financed by the veterinary pharmaceutical industry doing research on AMR. Two relevant CEESA subsystems for this review are the VetPath monitoring system and the European Antimicrobial Susceptibility Surveillance in Animals (EASSA).…”

Section: Europementioning

confidence: 99%

“…The Spanish Veterinary Antimicrobial Resistance Surveillance Network (VAV) 14,20 was created to monitor AMR. It consists of three programs dealing with healthy animals, sick animals and with food and it is performed by the Ministry of Agriculture, Fisheries and Food (MAPAMA).…”

Section: Spainmentioning

confidence: 99%

<p>Monitoring Antimicrobial Resistance and Drug Usage in the Human and Livestock Sector and Foodborne Antimicrobial Resistance in Six European Countries</p>

Mesa-Varona¹,

Chaintarli²,

Müller‐Pebody³

et al. 2020

IDR

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Introduction: Antimicrobial resistance (AMR), associated with antimicrobial use (AMU), is a major public concern. Surveillance and monitoring systems are essential to assess and control the trends in AMU and AMR. However, differences in the surveillance and monitoring systems between countries and sectors make comparisons challenging. The purpose of this article is to describe all surveillance and monitoring systems for AMU and AMR in the human and livestock sectors, as well as national surveillance and monitoring systems for AMR in food, in six European countries (Spain, Germany, France, the Netherlands, the United Kingdom and Norway) as a baseline for developing suggestions to overcome current limitations in comparing AMU and AMR data. Methods: A literature search in 2018 was performed to identify relevant peer-reviewed articles and national and European grey reports as well as AMU/AMR databases. Results: Comparison of AMU and AMR systems across the six countries showed a lack of standardization and harmonization with different AMU data sources (prescription vs sales data) and units of AMU and AMR being used. The AMR data varied by sample type (clinical/non-clinical), laboratory method (disk diffusion, microdilution, and VITEK, among others), data type, ie quantitative (minimum inhibition concentration (MIC) in mg/ L/inhibition zone (IZ) in mm) vs qualitative data (susceptible-intermediate-resistant (SIR)), the standards used (EUCAST/CLSI among others), and/or the evaluation criteria adopted (epidemiological or clinical). Discussion: A One Health approach for AMU and AMR requires harmonization in various aspects between human, animal and food systems at national and international levels. Additionally, some overlap between systems of AMU and AMR has been encountered. Efforts should be made to improve standardization and harmonization and allow more meaningful analyses of AMR and AMU surveillance data under a One Health approach.

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“…It is important that national surveillance systems involve data collection and assessment of both antimicrobial consumption and resistance across human, animal, and environmental health sectors, as well as the provision of adequate laboratories, equipment and technical expertise necessary. [40][41][42][43] Surveillance metrics should include the overall quantity of antimicrobials used as well as an assessment of both appropriate and inappropriate use. It is also important that there is adequate laboratory capacity and capability supported by a regular programme of external quality assessments.…”

Section: -Surveillancementioning

confidence: 99%

A governance framework for development and assessment of national action plans on antimicrobial resistance

Anderson

Schulze

Cassini

et al. 2019

The Lancet Infectious Diseases

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Strengthening governance is an essential strategy to tackling antimicrobial resistance (AMR) at all levels; global, national, regional and local. To date, no systematic approach to governance of AMR national action plans (NAPs) exists. To address this, we aimed to develop the first governance framework to offer guidance for both the development and assessment of AMR national action plans (NAPs). We reviewed health system governance framework reviews to inform the basic structure of our framework, international guidance documents from the WHO, FAO, OIE and the EU, and sought the input of over 25 experts from international organizations, government ministries, policy institutes and academic institutions to develop and refine our framework. The framework consists of 18 domains with 52 indicators that are contained within three governance areas: "policy design", "implementation tools", and "monitoring and evaluation". To consider the dynamic nature of AMR, the framework is conceptualized as a cyclical process, which is responsive to the context and allows for continuous improvement and adaptation of AMR NAPs. Key messages • Antimicrobial Resistance (AMR) is one of the most pressing and complex issues today, with multi drug-resistant, extensively drug-resistant, and even pan drug-resistant organisms emerging. • AMR is driven by interrelated dynamics in the human, animal, and environmental health sectors, which makes governance challenging. • Strengthening governance of AMR policies at all levels; global, national, regional and local, is essential to tackling AMR. To date, no comprehensive framework for the governance of AMR National Action Plans (NAPs) has been developed. • To our knowledge, this is the first study that has developed a governance framework for AMR NAPs, based on a systematic review of the literature, international guidance, and over 20 experts from various international organizations, government ministries, policy institutes and academic institutions • The framework is conceptualized as a cyclical process between the three governance areas; policy design, implementation tools, and monitoring and evaluation.

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Review of antimicrobial resistance surveillance programmes in livestock and meat in EU with focus on humans

Cited by 93 publications

References 10 publications

Carbapenem-resistant Enterobacteriaceae in wildlife, food-producing, and companion animals: a systematic review

Carbapenem-resistant Enterobacteriaceae in wildlife, food-producing, and companion animals: a systematic review

<p>Monitoring Antimicrobial Resistance and Drug Usage in the Human and Livestock Sector and Foodborne Antimicrobial Resistance in Six European Countries</p>

A governance framework for development and assessment of national action plans on antimicrobial resistance

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