Smith David R, Gaunt Patricia S, Plummer Paul J, Cervantes Hector M, Davies Peter, Fajt Virginia R, Frey Erin, Jay-Russell Michele T, Lehenbauer Terry W, Papich Mark G, Parker Tina M, Phipps Erin C, Scheftel Joni M, Schnabel Lauren V, Singer Randall S, Whaley Janet E, Wishnie Jennifer K, Wright Lindsay R, Costin Michael
J Am Vet Med Assoc. 2019 Apr 1;254(7):792-797. doi: 10.2460/javma.254.7.792.
Recent state and federal legislative actions and current recommendations from the World Health Organization seem to suggest that, when it comes to antimicrobial stewardship, use of antimicrobials for prevention, control, or treatment of disease can be ranked in order of appropriateness, which in turn has led, in some instances, to attempts to limit or specifically oppose the routine use of medically important antimicrobials for prevention of disease. In contrast, the AVMA Committee on Antimicrobials believes that attempts to evaluate the degree of antimicrobial stewardship on the basis of therapeutic intent are misguided and that use of antimicrobials for prevention, control, or treatment of disease may comply with the principles of antimicrobial stewardship. It is important that veterinarians and animal caretakers are clear about the reason they may be administering antimicrobials to animals in their care. Concise definitions of prevention, control, and treatment of individuals and populations are necessary to avoid confusion and to help veterinarians clearly communicate their intentions when prescribing or recommending antimicrobial use.
近期州和联邦的立法行动以及世界卫生组织当前的建议似乎表明，在抗菌药物管理方面，将抗菌药物用于疾病预防、控制或治疗可按适当程度进行排序，这在某些情况下进而导致有人试图限制或明确反对将具有医学重要性的抗菌药物常规用于疾病预防。相比之下，美国兽医协会抗菌药物委员会认为，基于治疗意图来评估抗菌药物管理程度的做法是错误的，并且将抗菌药物用于疾病预防、控制或治疗可能符合抗菌药物管理的原则。兽医和动物护理人员清楚他们给所照料动物使用抗菌药物的原因非常重要。对个体和群体的预防、控制及治疗给出简明定义，对于避免混淆以及帮助兽医在开具处方或推荐使用抗菌药物时清楚地传达其意图而言是必要的。
