用于人类专用抗菌药物预留和限制动物抗菌药物使用的治理流程和挑战。
Governance Processes and Challenges for Reservation of Antimicrobials Exclusively for Human Use and Restriction of Antimicrobial Use in Animals.
机构信息
UNIVERSITY OF GUELPH, ONTARIO, CANADA.
MISSION OF BRAZIL TO THE EUROPEAN UNION, BRUSSELS, BELGIUM.
出版信息
J Law Med Ethics. 2022;50(S2):55-63. doi: 10.1017/jme.2022.80.
The majority of antimicrobials that are produced are administered to animals, particularly food animals. While the overall impact of antimicrobial use in animals on antimicrobial resistance in humans and the environment is unclear, it undeniably has a role. Yet, some degree of antimicrobial use in animals is necessary for animal health and welfare purposes. Balancing the benefits and risks of antimicrobial use in animals is challenging because of the complexity of the problem and limitations in available data. However, a range of measures can be implemented to reduce, refine and optimize antimicrobial use in animals, with a goal of minimizing the impact on human and environmental health while maintaining necessary therapeutic use in animals. A pandemic instrument can provide the necessary foundation for the whole-of-society and whole-of government One Health approach that is required to strengthen surveillance, communication, collaboration, and action.
大多数生产的抗生素都用于动物，尤其是食用动物。虽然动物中使用抗生素对人类和环境中抗生素耐药性的总体影响尚不清楚，但它无疑具有一定的作用。然而，为了动物的健康和福利，动物中使用一定程度的抗生素是必要的。由于问题的复杂性和可用数据的局限性，平衡动物中使用抗生素的益处和风险具有挑战性。然而，可以实施一系列措施来减少、改进和优化动物中抗生素的使用，目标是在维持动物必要治疗用途的同时，最大限度地减少对人类和环境健康的影响。大流行文书可以为整个社会和整个政府的“同一健康”方法提供必要的基础，以加强监测、沟通、协作和行动。
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