Bennani Houda, Whatford Louise, Myers Jessica, Mays Nicholas, Glover Rebecca, Häsler Barbara
Veterinary Epidemiology, Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, London NW1 0TU, UK.
Policy Innovation and Evaluation Research Unit, Department of Health Services and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK.
Antibiotics (Basel). 2024 Sep 4;13(9):839. doi: 10.3390/antibiotics13090839.
The five-year UK antimicrobial resistance (AMR) National Action Plan (NAP) was published in 2019 focusing on reducing the need for, and unintentional exposure to antimicrobials (AMs); optimising the use of AMs; and investing in innovation, supply and access of AMs. This study aimed to evaluate the progress made in the beef cattle sub-sector in addressing specific NAP commitments related to improving animal health and welfare and responsible antimicrobial use (AMU). A thematic analysis was conducted of 21 semi-structured interviews with stakeholders from government organisations, farms, veterinary practices, levy boards and livestock associations. The findings indicate substantial progress, with various initiatives implemented targeting data collection, farmer and veterinarian engagement, and herd health planning. However, there remain a number of challenges and barriers that need to be addressed in order to assess the impacts of these initiatives, such as the availability of AMU and AMR data. Ensuring the adequacy of resources was found to be critical for the sustainability of effective initiatives, considering competing demands on people's time. Additionally, the importance of other outcomes from these initiatives such as developing and strengthening the farmer-veterinarian relationship should not be underestimated since it is fundamental to successfully addressing issues such as AMR.
英国的《五年抗菌药物耐药性（AMR）国家行动计划》（NAP）于2019年发布，重点关注减少对抗菌药物（AMs）的需求以及无意接触抗菌药物的情况；优化抗菌药物的使用；并在抗菌药物的创新、供应和获取方面进行投资。本研究旨在评估肉牛养殖子行业在履行与改善动物健康和福利以及负责任的抗菌药物使用（AMU）相关的特定NAP承诺方面取得的进展。对来自政府组织、农场、兽医诊所、收费委员会和畜牧协会的利益相关者进行了21次半结构化访谈，并进行了主题分析。研究结果表明取得了重大进展，实施了各种举措，目标是数据收集、农民和兽医参与以及畜群健康规划。然而，为了评估这些举措的影响，仍有一些挑战和障碍需要解决，例如抗菌药物使用和抗菌药物耐药性数据的可用性。考虑到人们时间的竞争需求，确保资源充足对于有效举措的可持续性至关重要。此外，这些举措的其他成果，如发展和加强农民与兽医的关系，其重要性不应被低估，因为这对于成功解决抗菌药物耐药性等问题至关重要。
