Review and Analysis of National Monitoring Systems for Antimicrobial Resistance in Animal Bacterial Pathogens in Europe: A Basis for the Development of the European Antimicrobial Resistance Surveillance Network in Veterinary Medicine (EARS-Vet)

被引：26

作者：

Mader, Rodolphe ^{[1
]}

Madero, Cristina Munoz ^{[2
]}

Aasmae, Birgit ^{[3
]}

Bourely, Clemence ^{[4
]}

Broens, Els M. ^{[5
]}

Busani, Luca ^{[6
]}

Callens, Benedicte ^{[7
]}

Collineau, Lucie ^{[8
]}

Crespo-Robledo, Paloma ^{[2
]}

Damborg, Peter ^{[9
]}

Filippitzi, Maria-Eleni ^{[10
,11
]}

Fitzgerald, William ^{[12
]}

Heuvelink, Annet ^{[13
]}

van Hout, Jobke ^{[13
]}

Kaspar, Heike ^{[14
]}

Norstrom, Madelaine ^{[15
]}

Pedersen, Karl ^{[16
]}

Pohjanvirta, Tarja ^{[17
]}

Pokludova, Lucie ^{[18
]}

Dal Pozzo, Fabiana ^{[7
]}

Slowey, Rosemarie ^{[19
]}

Justo, Cristiana Teixeira ^{[2
]}

Urdahl, Anne Margrete ^{[15
]}

Vatopoulos, Alkiviadis ^{[20
]}

Zafeiridis, Christos ^{[21
]}

Madec, Jean-Yves ^{[1
]}

Amat, Jean-Philippe ^{[8
]}

机构：

[1] Univ Lyon, Antibiot Resistance & Bacterial Virulence Unit, Lab Lyon, French Agcy Food Environm & Occupat Hlth & Safety, Lyon, France

[2] Agencia Espanola Med & Prod Sanitarios AEMPS, Coordinac Plan Nacl Frente Resistencia Antibiot P, Madrid, Spain

[3] Estonian Univ Life Sci, Inst Vet Med & Anim Sci, Tartu, Estonia

[4] Bur Sante Anim, Direct Gen Alimentat, Paris, France

[5] Univ Utrecht, Fac Vet Med, Dept Biomol Hlth Sci, Utrecht, Netherlands

[6] Ist Super Sanita, Ctr Gender Specif Med, Rome, Italy

[7] Antimicrobial Consumpt & Resistance Anim AMCRA, Brussels, Belgium

[8] Univ Lyon, Epidemiol & Support Surveillance Unit, Lab Lyon, French Agcy Food Environm & Occupat Hlth & Safety, Lyon, France

[9] Univ Copenhagen, Dept Vet & Anim Sci, Frederiksberg, Denmark

[10] Sciensano, Vet Epidemiol Unit, Belgian Res Ctr Hlth, Brussels, Belgium

[11] Aristotle Univ Thessaloniki, Sch Vet Med, Dept Anim Prod Ichthyol Ecol & Protect Environm, Lab Anim Prod Econ, Thessaloniki, Greece

[12] Dept Agr Food & Marine, Limerick Reg Vet Lab, Limerick, Ireland

[13] Royal GD, Deventer, Netherlands

[14] Fed Off Consumer Protect & Food Safety, Berlin, Germany

[15] Norwegian Vet Inst NVI, As, Norway

[16] Natl Vet Inst, Dept Anim Hlth & Antimicrobial Strategies, Uppsala, Sweden

[17] Finnish Food Author, Vet Bacteriol & Pathol Unit, Helsinki, Finland

[18] Inst State Control Vet Biol & Med ISCVBM, Brno, Czech Republic

[19] Dept Agr Food & Marine Labs, Celbridge, Ireland

[20] Univ West Attica, Sch Publ Hlth, Dept Publ Hlth Policy, Athens, Greece

[21] Minist Rural Dev & Food, Athens, Greece

来源：

FRONTIERS IN MICROBIOLOGY | 2022年 / 13卷

关键词：

antimicrobial resistance (AMR); monitoring; surveillance; Europe; animal; pathogen; veterinary; antibiotic;

D O I：

10.3389/fmicb.2022.838490

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

The monitoring of antimicrobial resistance (AMR) in bacterial pathogens of animals is not currently coordinated at European level. To fill this gap, experts of the European Union Joint Action on Antimicrobial Resistance and Healthcare Associated Infections (EU-JAMRAI) recommended building the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet). In this study, we (i) identified national monitoring systems for AMR in bacterial pathogens of animals (both companion and food-producing) among 27 countries affiliated to EU-JAMRAI, (ii) described their structures and operations, and (iii) analyzed their respective strengths, weaknesses, opportunities and threats (SWOT). Twelve countries reported having at least one national monitoring system in place, representing an opportunity to launch EARS-Vet, but highlighting important gaps in AMR data generation in Europe. In total, 15 national monitoring systems from 11 countries were described and analyzed. They displayed diverse structures and operations, but most of them shared common weaknesses (e.g., data management and representativeness) and common threats (e.g., economic vulnerability and data access), which could be addressed collectively under EARS-Vet. This work generated useful information to countries planning to build or improve their system, by learning from others' experience. It also enabled to advance on a pragmatic harmonization strategy: EARS-Vet shall follow the European Committee on Antimicrobial Susceptibility Testing (EUCAST) standards, collect quantitative data and interpret AMR data using epidemiological cut-off values.

引用

页数：11

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