Division of Reproduction, Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Reprod Domest Anim. 2022 Sep;57 Suppl 4(Suppl 4):13-20. doi: 10.1111/rda.14170. Epub 2022 Jun 13.
The ongoing emergence of antibiotic resistance jeopardizes efficacy of antibiotics in curing animals from bacterial infections that threaten their health, welfare and productivity. This review gives an overview of antimicrobial use data in food-producing animals, a discussion on how antimicrobials are used for some infections in the reproductive system in cattle, the horse and pig in Europe where there are differences in treatment practices including options to refine the use of antibiotics, and finally, a presentation of the antibiotic resistance for some bacteria collected from the reproductive system. It is shown that there are differences in applied treatment regimens for, as well as prevention of, several reproductive diseases in Europe. Some of the treatments are not evidence-based, which should be considered by clinicians and other stakeholders. It is concluded that a more refined and restrictive use of antibiotics could be achieved by adhering to evidence-based guidelines by national and international expertise including the scientific literature when available. This may call for a re-think among the animal health stakeholders regarding the use of antibiotics and may demand new skill-sets in the animal health sphere.
抗生素耐药性的持续出现危及抗生素治疗动物细菌性感染的疗效,这些感染威胁着动物的健康、福利和生产力。本文综述了食用动物的抗菌药物使用数据,讨论了在欧洲,抗菌药物如何用于牛、马和猪的生殖系统感染,其中在治疗实践方面存在差异,包括优化抗生素使用的选择,最后介绍了从生殖系统收集的一些细菌的抗生素耐药性。结果表明,欧洲应用于几种生殖疾病的治疗方案和预防方案存在差异。一些治疗方法没有循证医学依据,临床医生和其他利益相关者应予以考虑。结论是,如果遵循包括现有科学文献在内的国家和国际专业知识的循证指南,可以更精细和更严格地使用抗生素。这可能需要动物健康利益相关者重新考虑抗生素的使用,并可能需要动物健康领域的新技能。