Blanco-Penedo Isabel, Fernández González César, Tamminen Lena-Mari, Sundrum Albert, Emanuelson Ulf
Division of Ruminant Medicine and Veterinary Epidemiology, Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Animal Welfare Subprogram, Institute of Agrifood Research and Technology, Monells, Spain.
Front Vet Sci. 2018 Jan 22;4:248. doi: 10.3389/fvets.2017.00248. eCollection 2017.
This study reflects on the recognised need for more joined-up, high-quality research on phytotherapy that addresses the current societal challenges in finding alternatives to the use of antibiotics. The study applied a multidisciplinary participatory approach in an expert workshop exercise within the FP7 EU IMPRO project. Prior to this study, a literature review was elaborated on research in the field of phytotherapy as applied to farm animals, cooperation between research bodies and initiatives to reduce the use of antibiotics by using phytotherapeutic remedies. The review was delivered to the participants of the workshop so as to receive feedback on it and enrich the discussion. Different expertise, background in research or veterinary practice, and varying positions regarding phytotherapy were the criteria in targeting participants. A structured workshop was subsequently organised, with questions to experts addressing scientific validation of phytotherapy, effective treatment under farm conditions and necessary developments for the future. Challenges identified by the experts were as follows: poor study designs, lack of reproducibility of studies, poor standardisation of products, cost-benefit concerns, lack of veterinarian training and poor data availability. To overcome obstacles, the need for improved study designs for clinical trials was given priority in order to prove the efficacy of remedies and to implement a monitoring system which enables the assessment of the effectiveness of treatments in farm practice. Reflections in this report are intended to be a resource for scientists, policy makers and end users for an effective use of phytotherapy at farm level.
本研究反映了对开展更具整体性、高质量的植物疗法研究的公认需求,这种研究旨在应对当前社会在寻找抗生素替代方案方面所面临的挑战。该研究在欧盟第七框架计划(FP7)的IMPRO项目中的一次专家研讨会活动中采用了多学科参与式方法。在本研究之前,针对应用于农场动物的植物疗法领域的研究、研究机构之间的合作以及通过使用植物疗法减少抗生素使用的倡议,进行了一次文献综述。该综述提供给了研讨会的参与者,以便获取他们的反馈并丰富讨论内容。以不同的专业知识、研究或兽医实践背景以及对植物疗法的不同立场作为确定参与者的标准。随后组织了一次结构化的研讨会,向专家提出了关于植物疗法科学验证、农场条件下的有效治疗以及未来必要发展等问题。专家们指出的挑战如下:研究设计不佳、研究缺乏可重复性、产品标准化程度低、成本效益问题、兽医培训不足以及数据可得性差。为克服这些障碍,优先考虑改进临床试验的研究设计,以证明疗法的有效性,并实施一个监测系统,以便能够评估农场实践中治疗的效果。本报告中的思考旨在为科学家、政策制定者和最终用户在农场层面有效使用植物疗法提供参考资源。