Becker Jens, Meylan Mireille
Clinic for Ruminants, Vetsuisse-Faculty, University of Bern, Bremgartenstrasse 109a, 3012 Bern, Switzerland.
Antibiotics (Basel). 2021 Jul 8;10(7):832. doi: 10.3390/antibiotics10070832.
Precise quantification of antimicrobial treatment incidence (TI) is crucial for benchmarking. Two widespread methods for treatment incidence quantification were compared for agreement. Field data were obtained from 38 veal farms from 2016 to 2018 (1905 calves, 1864 treatments). Calculation of TI for calves was based on detailed treatment records using pharmacokinetic values from the Swiss Veterinary Medicines Compendium. The method published by the European Medicines Agency was used to calculate TI in defined daily doses (TI). For each calf and treatment, TI and TI were calculated on level of the antimicrobial class, drug, application route, and farm. The quotient (Q) of TI and TI was calculated. Divergence in results between the two methods of ≤25% was arbitrarily set as good agreement. The agreement between TI and TI was mostly good. On class level, good agreement was observed for treatments representing 71.5% of the TI and 74.5% of the total TI on drug level. Poor agreement was mainly observed for tylosin and sulfadimidine. The agreement was better for parenteral than for oral treatments (81.6% vs. 72.3%). For practically orientated calculation on farm level, good agreement was observed (77.5% of the TI). The TI method showed mostly good agreement, especially for parenteral treatments.
精确量化抗菌药物治疗发生率(TI)对于基准设定至关重要。比较了两种广泛使用的治疗发生率量化方法的一致性。从2016年至2018年从38个小牛肉农场获取现场数据(1905头犊牛,1864次治疗)。犊牛TI的计算基于详细的治疗记录,并使用了《瑞士兽药汇编》中的药代动力学值。采用欧洲药品管理局发布的方法以限定日剂量计算TI。对于每头犊牛和每次治疗,分别在抗菌药物类别、药物、给药途径和农场层面计算TI和TI。计算TI与TI的商(Q)。两种方法之间结果差异≤25%被任意设定为良好一致性。TI与TI之间的一致性大多良好。在类别层面,对于占TI的71.5%以及药物层面总TI的74.5%的治疗观察到良好一致性。主要在泰乐菌素和磺胺二甲嘧啶方面观察到一致性较差。肠胃外给药治疗的一致性优于口服给药治疗(81.6%对72.3%)。在农场层面进行实际导向计算时,观察到良好一致性(TI的77.5%)。TI方法大多显示出良好一致性,尤其是对于肠胃外给药治疗。