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2018年加利福尼亚奶牛场成年奶牛抗菌药物使用及管理实践调查:参议院法案27之后

2018 Survey of antimicrobial drug use and stewardship practices in adult cows on California dairies: post-Senate Bill 27.

作者信息

Ekong Pius S, Abdelfattah Essam M, Okello Emmanuel, Williams Deniece R, Lehenbauer Terry W, Karle Betsy M, Rowe Joan D, Marshall Edith S, Aly Sharif S

机构信息

Veterinary Medicine Teaching and Research Center, School of Veterinary Medicine, University of California, Davis, Tulare, CA, United States.

Department of Epidemiology, National Veterinary Research Institute, Vom, Plateau, Nigeria.

出版信息

PeerJ. 2021 Jul 13;9:e11515. doi: 10.7717/peerj.11515. eCollection 2021.

Abstract

BACKGROUND

A survey of California (CA) dairies was performed in spring 2018 to characterize antimicrobial stewardship practices, antimicrobial drug (AMD) use, and health management of adult cows on CA dairies since the implementation of the Veterinary Feed Directive (VFD) and the CA Senate Bill 27 (SB 27). Effective January 1, 2017, the U.S. Food and Drug Administration (FDA) implemented regulatory changes requiring veterinary oversight for therapeutic uses of medically-important antimicrobial drugs (MIADs) administered in feed (VFD) and water (veterinary prescription). Similarly, effective January 1, 2018, the CA legislature enacted California Food and Agricultural Code (FAC) 14400-14408, formerly known as Senate Bill 27 (SB 27) requiring veterinary prescriptions for all other dosage forms of MIADs.

METHODS

The questionnaire consisted of 43 questions partitioned into three sections to assess herd information, management practices, and AMD use and perspectives. The questionnaire was mailed to 1,282 grade A licensed dairies in CA and 149 responses (11.6%) were collected from 19 counties across the three defined regions of CA: Northern CA (NCA), Northern San Joaquin Valley (NSJV), and Greater Southern CA (GSCA).

RESULTS

Most dairies reported treating all dry cows with intramammary AMD and/or teat sealant at the end of a lactation (87.2%). In 92.3% of dairies, producers relied on the veterinarian for information about AMD used to treat cows. Treatment duration for cows treated with AMD was based on the drug manufacturer's label and veterinarian's instructions in most dairies (98.6%). Most respondents to the survey confirmed having a valid veterinarian-client-patient-relationship (VCPR) for their dairies (91.7%), participated in animal welfare audit programs (81.8%) and dairy quality assurance programs (52.9%). Approximately 98.6% respondents were aware that all uses of MIADs in livestock required a veterinary feed directive (VFD) or prescription and are no longer sold over-the-counter (OTC) in CA since January 1, 2018. Multiple factor analysis (MFA) was performed and identified seven components composed of 21 variables (questions) that explained 99.7% of the total variance in the data. Hierarchical cluster analysis on the principal coordinates of the MFA based on conventional dairy survey responses identified two clusters characterized as large conventional dairies (median herd size: 1,265 cows) and mid-sized conventional dairies (median herd size: 715 cows) mostly in GSCA and NSJV. The organic dairies grouped into a single cluster of median herd size of 325 cows mostly in NCA.

CONCLUSIONS

The survey results contribute to the knowledge of AMD use and antimicrobial stewardship practices on CA dairies since the implementation of the SB 27 and VFD laws and provide useful information for future evaluation of resistance-related risk in adult cows.

摘要

背景

2018年春季对加利福尼亚州(CA)的奶牛场进行了一项调查,以描述自实施《兽医饲料指令》(VFD)和加利福尼亚州参议院法案27(SB 27)以来,CA奶牛场的抗菌药物管理实践、抗菌药物(AMD)使用情况以及成年奶牛的健康管理情况。自2017年1月1日起,美国食品药品监督管理局(FDA)实施了监管变更,要求对饲料(VFD)和水中(兽医处方)使用的重要医学抗菌药物(MIADs)的治疗用途进行兽医监督。同样,自2018年1月1日起,CA立法机构颁布了加利福尼亚州食品和农业法典(FAC)14400 - 14408,前身为参议院法案27(SB 27),要求对MIADs的所有其他剂型开具兽医处方。

方法

调查问卷由43个问题组成,分为三个部分,以评估牛群信息、管理实践以及AMD使用情况和观点。该问卷被邮寄给CA的1282家A级许可奶牛场,从CA三个定义区域(北加利福尼亚州(NCA)、北圣华金谷(NSJV)和大南加利福尼亚州(GSCA))的19个县收集到149份回复(11.6%)。

结果

大多数奶牛场报告在泌乳期末用乳房内AMD和/或乳头密封剂治疗所有干奶牛(87.2%)。在92.3%的奶牛场中,生产者依赖兽医获取用于治疗奶牛的AMD信息。在大多数奶牛场(98.6%),用AMD治疗奶牛的持续时间基于药品制造商的标签和兽医的指示。该调查的大多数受访者确认其奶牛场拥有有效的兽医 - 客户 - 患者关系(VCPR)(91.7%),参与了动物福利审核计划(81.8%)和奶牛质量保证计划(52.9%)。大约98.6%的受访者知道自2018年1月1日起在加利福尼亚州,家畜中MIADs的所有用途都需要兽医饲料指令(VFD)或处方,并且不再在柜台销售(OTC)。进行了多因素分析(MFA),并确定了由21个变量(问题)组成的七个成分,这些成分解释了数据中总方差的99.7%。基于传统奶牛场调查回复对MFA的主坐标进行层次聚类分析,确定了两个聚类,其特征分别为大多位于GSCA和NSJV的大型传统奶牛场(牛群中位数规模:1265头奶牛)和中型传统奶牛场(牛群中位数规模:715头奶牛)。有机奶牛场大多位于NCA,聚为一个牛群中位数规模为325头奶牛的单一聚类。

结论

该调查结果有助于了解自SB 27和VFD法律实施以来CA奶牛场的AMD使用情况和抗菌药物管理实践,并为未来评估成年奶牛的耐药相关风险提供有用信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05c6/8284310/8ce6f2fbdf6e/peerj-09-11515-g001.jpg

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