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丹麦国家数据库中的抗菌药物处方数据与有机猪场的治疗记录进行了验证,并分析了与屠宰时发现的病变之间的关联。

Antimicrobial prescription data in Danish national database validated against treatment records in organic pig farms and analysed for associations with lesions found at slaughter.

作者信息

Kruse Amanda Brinch, Kristensen Charlotte Sonne, Lavlund Ulrik, Stege Helle

机构信息

University of Copenhangen, Copenhagen, Denmark.

Danish Pig Research Centre, Copenhagen, Denmark.

出版信息

BMC Vet Res. 2019 Jun 27;15(1):218. doi: 10.1186/s12917-019-1913-x.

Abstract

BACKGROUND

Antimicrobial use (AMU) in livestock is a debated topic, mainly due to the risk of associated development of antimicrobial resistance. There is focus on reducing AMU in the Danish pig production, which accounts for the largest proportion of AMU for animals in Denmark. Due to special restriction on AMU in organic pig production, the AMU in organic pig production is lower than in conventional pig production. There is concern that reduced AMU could jeopardize animal health and welfare, if it reflects insufficient treatment of sick animals, which might be reflected by the prevalence and types of lesions found at meat inspection. However, little is known about the associations between AMU and meat inspection findings in pigs from organic farms. Furthermore, excess amount of antimicrobial product after a treatment cannot be re-prescribed in organic pig herds. The initial prescription is recorded in the national database VetStat, but the unused amount is not deducted leading to uncertainty when reporting AMU. The objectives of this study were to 1) describe AMU patterns based on prescription data for organic pig production and compare with those of the conventional pig production for year 2016, 2) study the associations between herd-level AMU prescription data and meat inspection data for organic pig herds and 3) validate herd-level AMU prescription data in VetStat against treatment records collected on-farm in organic Danish pig herds.

RESULTS AND CONCLUSIONS

Gastrointestinal indications account for the largest proportion of AMU in both organic pig herds (65 and 54% of treatment doses for weaners and finishers, respectively) and conventional pig herds (80 and 68% of doses for weaners and finishers, respectively). A larger proportion is prescribed for respiratory indications in organic than conventional weaners and arthropathic indications in finishers. No associations between AMU and meat inspection data were found. This needs further investigation as the prevalence of lesions at slaughter was slightly (non-significantly) higher in herds with no registered AMU than with AMU prescriptions. Only 8 out of 31 herds had recorded their AMU sufficiently detailed to compare, and using VetStat as a proxy for AMU led to 9-88% overestimation of the actual use in 7 out of these 8 herds and 120% underestimation in one herd.

摘要

背景

家畜抗菌药物的使用是一个备受争议的话题,主要是因为存在抗菌药物耐药性相关发展的风险。丹麦猪生产中抗菌药物的使用受到关注,丹麦猪生产中的抗菌药物使用量占丹麦动物抗菌药物使用总量的最大比例。由于有机猪生产中对抗菌药物使用有特殊限制,有机猪生产中的抗菌药物使用量低于传统猪生产。人们担心抗菌药物使用量的减少可能会危及动物健康和福利,如果这反映出对患病动物的治疗不足,这可能会通过肉类检查中发现的病变患病率和类型体现出来。然而,对于有机农场猪的抗菌药物使用量与肉类检查结果之间的关联知之甚少。此外,有机猪群治疗后剩余的抗菌产品不能再次开处方。初始处方记录在国家数据库VetStat中,但未使用的量未扣除,导致报告抗菌药物使用量时存在不确定性。本研究的目的是:1)根据有机猪生产的处方数据描述抗菌药物使用模式,并与2016年传统猪生产的模式进行比较;2)研究有机猪群群体水平的抗菌药物使用处方数据与肉类检查数据之间的关联;3)对照丹麦有机猪群农场收集的治疗记录,验证VetStat中群体水平的抗菌药物使用处方数据。

结果与结论

胃肠道适应症在有机猪群(断奶仔猪和育肥猪治疗剂量的65%和54%)和传统猪群(断奶仔猪和育肥猪剂量的80%和68%)的抗菌药物使用中占比最大。有机断奶仔猪中用于呼吸道适应症的处方比例高于传统断奶仔猪,育肥猪中用于关节病适应症的处方比例更高。未发现抗菌药物使用量与肉类检查数据之间存在关联。由于在无抗菌药物使用记录的猪群中,屠宰时病变的患病率略高于(无统计学意义)有抗菌药物使用处方的猪群,这需要进一步调查。31个猪群中只有8个猪群对其抗菌药物使用量进行了足够详细的记录以供比较,将VetStat用作抗菌药物使用量的替代指标导致这8个猪群中有7个猪群的实际使用量被高估了9% - 88%,有一个猪群被低估了120%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f42f/6598238/eafebaf96055/12917_2019_1913_Fig1_HTML.jpg

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