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[谨慎使用抗菌药物及兽医学改进建议]

[Prudent use of antimicrobial agents and proposals for improvement in veterinary medicine].

作者信息

Rodríguez Lucas Domínguez, Romo Miguel Angel Moreno, Calonge M Concepción Porrero, Peña Sonia Téllez

机构信息

Centro de Vigilancia Sanitaria Veterinaria (VISAVET), Universidad Complutense, Madrid, España.

出版信息

Enferm Infecc Microbiol Clin. 2010 Nov;28 Suppl 4:40-4. doi: 10.1016/S0213-005X(10)70042-2.

Abstract

The alarms that have sounded in the last two decades of the 20(th) century in the feld of antimicrobial resistance in livestock farming have led to the development of various measures that have substantially improved the use of antimicrobial agents in veterinary medicine. These measures mainly involve the implementation of new pharmaceutical legislation and the hygiene package provisions. Even though awareness of the regulations is high, surveillance systems have been implemented and the promotion of appropriate use has begun to show results, it is necessary to maintain these measures while promoting alternatives to the use of antimicrobials. In particular, alternatives are needed for those agents used for prevention of bacterial diseases, either specifically, through vaccination and improvement of biosafety (use of insecticides, disinfectants and insect repellents), or generally by improving farm facilities and animal welfare. All of these alternatives would reduce the need to use antimicrobial agents in animals. These actions should be complemented by training for all those players involved (veterinarians, farmers, the pharmaceutical industry, veterinary medicines suppliers and food retailers), and by establishing more effective cooperation between human and veterinary medicine.

摘要

20世纪最后二十年里,畜牧业抗菌药物耐药领域敲响的警钟促使人们制定了各种措施,这些措施极大地改善了抗菌药物在兽医学中的使用情况。这些措施主要包括实施新的药品立法和卫生套餐规定。尽管人们对这些规定的认知度很高,监测系统已经建立,促进合理用药也已初见成效,但在推广抗菌药物使用替代方法的同时,仍有必要维持这些措施。特别是,对于用于预防细菌性疾病的药物,需要有替代方法,具体而言,可通过接种疫苗和改善生物安全措施(使用杀虫剂、消毒剂和驱虫剂),或者一般地通过改善养殖场设施和动物福利来实现。所有这些替代方法都将减少动物使用抗菌药物的需求。这些行动还应辅以对所有相关人员(兽医、养殖户、制药行业、兽药供应商和食品零售商)的培训,并在人类医学和兽医学之间建立更有效的合作。

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