Quantifying Antimicrobial Use in Dutch Companion Animals
Antimicrobial resistance (AMR) is an increasing threat, both in human and in veterinary medicine. To reduce the selection and spread of AMR, antimicrobial use (AMU) should be optimized, also in companion animals. To be able to optimize AMU, a feasible method to quantify AMU and information on curren...
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doaj-0be3486cb3964177a306a449059ed1622020-11-25T02:45:49ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692019-05-01610.3389/fvets.2019.00158456390Quantifying Antimicrobial Use in Dutch Companion AnimalsNonke E. M. Hopman0Marloes A. M. van Dijk1Els M. Broens2Jaap A. Wagenaar3Jaap A. Wagenaar4Jaap A. Wagenaar5Dick J. J. Heederik6Dick J. J. Heederik7Ingeborg M. van Geijlswijk8Ingeborg M. van Geijlswijk9Department of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, NetherlandsDepartment of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, NetherlandsDepartment of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, NetherlandsDepartment of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, NetherlandsThe Netherlands Veterinary Medicines Institute (SDa), Utrecht, NetherlandsWageningen Bioveterinary Research, Lelystad, NetherlandsThe Netherlands Veterinary Medicines Institute (SDa), Utrecht, NetherlandsDivision Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, NetherlandsThe Netherlands Veterinary Medicines Institute (SDa), Utrecht, NetherlandsPharmacy Department, Faculty of Veterinary Medicine, Utrecht University, Utrecht, NetherlandsAntimicrobial resistance (AMR) is an increasing threat, both in human and in veterinary medicine. To reduce the selection and spread of AMR, antimicrobial use (AMU) should be optimized, also in companion animals. To be able to optimize AMU, a feasible method to quantify AMU and information on current AMU are needed. Therefore, a method to quantify AMU was developed, using the number of Defined Daily Doses Animal (DDDA). This method was used to explore applied antimicrobial classes and to identify differences in prescribing patterns in time and between veterinary clinics. Antimicrobial procurement data of the years 2012–2014 were collected retrospectively from 100 Dutch veterinary clinics providing care for companion animals. The mean number of DDDAs per clinic per year decreased significantly from 2012 to 2014. A shift in used classes of antimicrobials (AMs) was seen as well, with a significant decrease in use of third choice AMs (i.e., fluoroquinolones and third generation cephalosporins). Large differences in total AMU were seen between clinics ranging from 64-fold in 2012 to 20-fold in 2014. Despite the relative low and decreasing AMU in Dutch companion animal clinics during the study, the substantial differences in antimicrobial prescribing practices between clinics suggest that there is still room for quantitative and qualitative optimization of AMU.https://www.frontiersin.org/article/10.3389/fvets.2019.00158/fullantimicrobialantibioticcompanion animalsveterinary medicinedefined daily doseDDDA |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nonke E. M. Hopman Marloes A. M. van Dijk Els M. Broens Jaap A. Wagenaar Jaap A. Wagenaar Jaap A. Wagenaar Dick J. J. Heederik Dick J. J. Heederik Ingeborg M. van Geijlswijk Ingeborg M. van Geijlswijk |
spellingShingle |
Nonke E. M. Hopman Marloes A. M. van Dijk Els M. Broens Jaap A. Wagenaar Jaap A. Wagenaar Jaap A. Wagenaar Dick J. J. Heederik Dick J. J. Heederik Ingeborg M. van Geijlswijk Ingeborg M. van Geijlswijk Quantifying Antimicrobial Use in Dutch Companion Animals Frontiers in Veterinary Science antimicrobial antibiotic companion animals veterinary medicine defined daily dose DDDA |
author_facet |
Nonke E. M. Hopman Marloes A. M. van Dijk Els M. Broens Jaap A. Wagenaar Jaap A. Wagenaar Jaap A. Wagenaar Dick J. J. Heederik Dick J. J. Heederik Ingeborg M. van Geijlswijk Ingeborg M. van Geijlswijk |
author_sort |
Nonke E. M. Hopman |
title |
Quantifying Antimicrobial Use in Dutch Companion Animals |
title_short |
Quantifying Antimicrobial Use in Dutch Companion Animals |
title_full |
Quantifying Antimicrobial Use in Dutch Companion Animals |
title_fullStr |
Quantifying Antimicrobial Use in Dutch Companion Animals |
title_full_unstemmed |
Quantifying Antimicrobial Use in Dutch Companion Animals |
title_sort |
quantifying antimicrobial use in dutch companion animals |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Veterinary Science |
issn |
2297-1769 |
publishDate |
2019-05-01 |
description |
Antimicrobial resistance (AMR) is an increasing threat, both in human and in veterinary medicine. To reduce the selection and spread of AMR, antimicrobial use (AMU) should be optimized, also in companion animals. To be able to optimize AMU, a feasible method to quantify AMU and information on current AMU are needed. Therefore, a method to quantify AMU was developed, using the number of Defined Daily Doses Animal (DDDA). This method was used to explore applied antimicrobial classes and to identify differences in prescribing patterns in time and between veterinary clinics. Antimicrobial procurement data of the years 2012–2014 were collected retrospectively from 100 Dutch veterinary clinics providing care for companion animals. The mean number of DDDAs per clinic per year decreased significantly from 2012 to 2014. A shift in used classes of antimicrobials (AMs) was seen as well, with a significant decrease in use of third choice AMs (i.e., fluoroquinolones and third generation cephalosporins). Large differences in total AMU were seen between clinics ranging from 64-fold in 2012 to 20-fold in 2014. Despite the relative low and decreasing AMU in Dutch companion animal clinics during the study, the substantial differences in antimicrobial prescribing practices between clinics suggest that there is still room for quantitative and qualitative optimization of AMU. |
topic |
antimicrobial antibiotic companion animals veterinary medicine defined daily dose DDDA |
url |
https://www.frontiersin.org/article/10.3389/fvets.2019.00158/full |
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