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德国奶牛场和肉牛场抗生素使用情况监测——一项纵向分析

Monitoring Antibiotic Usage in German Dairy and Beef Cattle Farms-A Longitudinal Analysis.

作者信息

Hommerich Katharina, Ruddat Inga, Hartmann Maria, Werner Nicole, Käsbohrer Annemarie, Kreienbrock Lothar

机构信息

Department of Biometry, Epidemiology, and Information Processing, WHO Collaborating Centre for Research and Training for Health at the Human-Animal-Environment Interface, University of Veterinary Medicine, Hanover, Germany.

Department Biological Safety, Federal Institute for Risk Assessment, Berlin, Germany.

出版信息

Front Vet Sci. 2019 Jul 26;6:244. doi: 10.3389/fvets.2019.00244. eCollection 2019.

Abstract

It is well-established that antimicrobial use is a major factor for the development of antimicrobial resistance. To analyze the associations between antimicrobial resistance and usage of antimicrobial agents, data from monitoring and surveillance systems are crucial. Within the project VetCAb (Veterinary Consumption of Antibiotics), antibiotic usage data in German livestock is regularly collected and evaluated. Based on a cross-sectional study in 2011, the project was continued as the longitudinal study VetCAb-Sentinel with ongoing participant recruitment and data collection from 2013. The data collection is based on official German application and delivery forms (ADF), voluntarily provided by veterinarians and farmers. In this study the results of antibiotic usage data of dairy cows, dairy calves and beef cattle were described, using a semi-annual treatment frequency, and 95,944 ADF issued between 2011 and 2015 were analyzed. Results show that the median of the treatment frequency in dairy calf and beef cattle holdings slightly decreased from 0.4 to 0.3 and from 0.2 to 0 days, respectively, whereas the median in dairy cow holdings ranged between 1.9 and 2.3 during the observed period. Temporal changes and the effect of the factors "farm size" and "region" on the treatment frequency were investigated, using multiple linear mixed and logistic regression models. Generally, the factor "time" has a statistically significant impact on the treatment frequency in all production types. In addition, a temporal trend test over the first six half-years shows that an increasing linear trend can be stated in dairy cows and dairy calves ( = 0.017; = 0.004, respectively). If the time-period is extended to all eight half-years under study, this turns into a quadratic effect (dairy cows: = 0.006; dairy calves: < 0.001). In dairy calves and beef cattle the factor "farm size" also has a statistically significant impact. The factor "region," in contrast, shows no statistically significant impact at all. Compared to other livestock populations in Germany, the use of antimicrobials in dairy cows, dairy calves, and beef cattle appears to be low, but varies across several associated factors. Considering these effects, it is recommended that the size of dairy calf and beef cattle holdings is regularly considered in the evaluation of antimicrobial usage data over time.

摘要

抗菌药物的使用是导致抗菌药物耐药性产生的主要因素,这一点已得到充分证实。为了分析抗菌药物耐药性与抗菌药物使用之间的关联,来自监测和监督系统的数据至关重要。在“兽医抗生素消费”(VetCAb)项目中,德国牲畜的抗生素使用数据会定期收集并进行评估。基于2011年的一项横断面研究,该项目作为纵向研究“VetCAb - Sentinel”继续进行,自2013年起持续招募参与者并收集数据。数据收集基于德国官方的应用和交付表格(ADF),由兽医和农民自愿提供。在本研究中,描述了奶牛、犊牛和肉牛的抗生素使用数据结果,采用半年治疗频率,并分析了2011年至2015年期间发放的95,944份ADF。结果表明,犊牛养殖场和肉牛养殖场的治疗频率中位数分别从0.4略微降至0.3以及从0.2降至0天,而在观察期内奶牛养殖场的中位数在1.9至2.3之间。使用多元线性混合和逻辑回归模型研究了“农场规模”和“地区”因素对治疗频率的时间变化和影响。总体而言,“时间”因素对所有生产类型的治疗频率均具有统计学显著影响。此外,对前六个半年期进行的时间趋势检验表明,奶牛和犊牛存在上升的线性趋势(分别为 = 0.017; = 0.004)。如果将时间段扩展至所研究的全部八个半年期,这将转变为二次效应(奶牛: = 0.006;犊牛: < 0.001)。在犊牛和肉牛中,“农场规模”因素也具有统计学显著影响。相比之下,“地区”因素根本没有统计学显著影响。与德国其他牲畜种群相比,奶牛、犊牛和肉牛的抗菌药物使用似乎较低,但在几个相关因素方面存在差异。考虑到这些影响,建议在长期评估抗菌药物使用数据时,定期考虑犊牛和肉牛养殖场的规模。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a905/6676220/202bc471dfe3/fvets-06-00244-g0001.jpg

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