Building the European Antimicrobial Resistance Surveillance network in veterinary medicine (EARS-Vet)

被引：60

作者：

Mader, Rodolphe ^{[1
]}

Damborg, Peter ^{[2
]}

Amat, Jean-Philippe ^{[3
]}

Bengtsson, Bjorn ^{[4
]}

Bourely, Clemence ^{[5
]}

Broens, Els M. ^{[6
]}

Busani, Luca ^{[7
]}

Crespo-Robledo, Paloma ^{[8
]}

Filippitzi, Maria-Eleni ^{[9
]}

Fitzgerald, William ^{[10
]}

Kaspar, Heike ^{[11
]}

Munoz Madero, Cristina ^{[8
]}

Norstrom, Madelaine ^{[12
]}

Nykasenoja, Suvi ^{[13
]}

Pedersen, Karl ^{[4
]}

Pokludova, Lucie ^{[14
]}

Urdahl, Anne Margrete ^{[12
]}

Vatopoulos, Alkiviadis ^{[15
]}

Zafeiridis, Christos ^{[16
]}

Madec, Jean-Yves ^{[1
]}

机构：

[1] Univ Lyon, French Agcy Food Environm & Occupat Hlth & Safety, Lab Lyon, Antibiot Resistance & Bacterial Virulence Unit, 31 Ave Tony Garnier, F-69007 Lyon, France

[2] Univ Copenhagen, Dept Vet & Anim Sci, Stigbojlen 4, DK-1870 Frederiksberg C, Denmark

[3] Univ Lyon, French Agcy Food Environm & Occupat Hlth & Safety, Lab Lyon, Epidemiol & Support Surveillance Unit, 31 Ave Tony Garnier, F-69007 Lyon, France

[4] Natl Vet Inst, Dept Anim Hlth & Antimicrobial Strategies, Ulls Vag 2B, SE-75189 Uppsala, Sweden

[5] Bur Sante Anim, Direct Gen Alimentat, F-75015 Paris, France

[6] Univ Utrecht, Fac Vet Med, Dept Biomol Hlth Sci, Yalelaan 1, NL-3584 CL Utrecht, Netherlands

[7] Ist Super Sanita, Dept Infect Dis, Viale Regina Elena 299, I-00161 Rome, Italy

[8] Agencia Espanola Med & Prod Sanitarios AEMPS, Coordinac Plan Nacl Antibiot PRAN, Calle Campezo 1,EDF 8, Madrid 28022, Spain

[9] Sciensano, Vet Epidemiol Unit, Dept Epidemiol & Publ Hlth, Belgian Fed Res Inst Publ & Anim Hlth, Rue Juliette Wytsmanstr 14, B-1050 Brussels, Belgium

[10] Limerick Reg Vet Lab, Dept Agr Food & Marine, Limerick V94 WK44, Ireland

[11] Fed Off Consumer Protect & Food Safety, Mauerstr 39-42, D-10117 Berlin, Germany

[12] Norwegian Vet Inst NVI, Pb 750 Sentrum, N-0106 Oslo, Norway

[13] Finnish Food Author, Lab & Res Div, Microbiol Unit, Mustialankatu 3, Helsinki 00790, Finland

[14] Inst State Control Vet Biol & Med ISCVBM, Hudcova 56 A, Brno, Czech Republic

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

[16] Minist Rural Dev & Food, Ministers Cabinet, 2 Acharnon Str, Athens, Greece

来源：

EUROSURVEILLANCE | 2021年 / 26卷 / 04期

关键词：

D O I：

10.2807/1560-7917.ES.2021.26.4.2001359

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Antimicrobial resistance (AMR) should be tackled through a One Health approach, as stated in the World Health Organization Global Action Plan on AMR. We describe the landscape of AMR surveillance in the European Union/European Economic Area (EU/EEA) and underline a gap regarding veterinary medicine. Current AMR surveillance efforts are of limited help to veterinary practitioners and policymakers seeking to improve antimicrobial stewardship in animal health. We propose to establish the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet) to report on the AMR situation, follow AMR trends and detect emerging AMR in selected bacterial pathogens of animals. This information could be useful to advise policymakers, explore efficacy of interventions, support antimicrobial stewardship initiatives, (re-)evaluate marketing authorisations of antimicrobials, generate epidemiological cut-off values, assess risk of zoonotic AMR transmission and evaluate the burden of AMR in animal health. EARS-Vet could be integrated with other AMR monitoring systems in the animal and medical sectors to ensure a One Health approach. Herein, we present a strategy to establish EARS-Vet as a network of national surveillance systems and highlight challenges of data harmonisation and bias. Strong political commitment at national and EU/EEA levels is required for the success of EARS-Vet.

引用

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