University of Liverpool, Neston, UK.
University of Nottingham, Sutton Bonington, UK.
Vet Rec. 2023 Jul 22;193(2):e2786. doi: 10.1002/vetr.2786. Epub 2023 Mar 20.
The aim of the study was to describe the longitudinal dynamics of antimicrobial use (AMU) on sheep farms and explore associations between AMU and management factors, vaccination strategies, reproductive performance and prevalence of lameness.
Antimicrobial supply data were collected for 272 British sheep farms for 3-6 consecutive years between 2015 and 2021. These data were obtained from the farms' veterinary practices.
Annual median AMU ranged from 8.1 to 11.8 mg/kg population corrected unit. AMU was skewed in each year with a small proportion of very high users. AMU within farms varied substantially between years. High AMU farms in 1 year were not necessarily high in other years. No associations between AMU and either vaccine usage or lameness prevalence were found.
The study design requires veterinarians and farmers to volunteer their data. This unavoidably introduces the potential for a participation bias.
AMU on sheep farms is generally low, with a small number of farms being responsible for high usage. Targeting antimicrobial stewardship effort towards the small minority of persistently high users may be more appropriate than a focus on generic, industry-wide attempts to reduce overall AMU.
本研究旨在描述绵羊养殖场中抗菌药物使用(AMU)的纵向动态,并探讨 AMU 与管理因素、疫苗接种策略、繁殖性能和跛行流行率之间的关系。
2015 年至 2021 年期间,对 272 家英国绵羊养殖场进行了为期 3-6 年的连续抗菌药物供应数据收集,这些数据来自于农场的兽医诊所。
每年的 AMU 中位数范围为 8.1 至 11.8 毫克/公斤群体校正单位。每年的 AMU 都存在偏态分布,极少数使用者的用量极高。农场内的 AMU 每年之间存在很大差异。当年 AMU 较高的农场并不一定在其他年份也较高。AMU 与疫苗使用或跛行流行率之间没有发现关联。
研究设计要求兽医和农民自愿提供数据,这不可避免地引入了参与偏见的可能性。
绵羊养殖场的 AMU 通常较低,只有少数农场的用量较高。将抗菌药物管理工作的重点放在持续高用量的少数农场,可能比针对整个行业的一般性降低总体 AMU 的尝试更合适。