Transcript Appropriate Use of Antibiotics

Appropriate Use of Antibiotics
A Veterinary Curriculum and Other
Educational Activities
Jennifer Nunnery, DVM
ATPM Fellow
FoodNet/NARMS Unit
Foodborne and Diarrheal Diseases Branch
Centers for Disease Control and Prevention
CDC Educational Activities to
Combat Antimicrobial
Resistance
1.
2.
3.
Activities to Prevent Antibiotic
Resistance in Foodborne Pathogens
Campaign for Appropriate Antibiotic Use
in Healthcare Settings
Campaign for Appropriate Antibiotic Use
in the Community
Activities to Prevent Antibiotic
Resistance in Foodborne
Pathogens
A.
B.
C.
Veterinary School Curriculum promoting
appropriate use of antibiotics.
Co-operative agreements with 4 colleges of
veterinary medicine – projects demonstrating
appropriate use of antibiotics.
State based intervention in Michigan to promote
the appropriate use of antibiotics.
Why a veterinary
curriculum?
An Emerging Threat
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“The emergence and spread of
antimicrobial resistance increasingly
threatens the success of infectious disease
treatment and prevention in the 21st
century.” -- WHO Global Strategy for
Containment of Antimicrobial Resistance
INTERNATIONAL
WHO Global Strategy for
Containment of Antimicrobial
Resistance

Several strategies, including:
WHO Global Principles for the Containment
of Antimicrobial Resistance in Animals
Intended for Food
- Geneva Switzerland – June 5-9, 2000
- http://www.who.int/emc
WHO Global Principles for the
Containment of Antimicrobial
Resistance in Animals Intended
for Food
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“Purpose
To minimize the negative public health
impact of the use of antimicrobial agents in
food-producing animals whilst at the same
time providing for their safe and effective
use in veterinary medicine.”
Education and Training –
WHO
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“Veterinary…education should be evaluated
to ensure that preventive medicine, prudent
antimicrobial use and antimicrobial
resistance are given high priority.”
WHO Global Principles for the
Containment of Antimicrobial
Resistance in Animals Intended for
Food
Veterinary School Curriculum
CDC funded coordinator.
 Subject matter experts from the academic
veterinary community.
 Web based technology for case-based
individual or group study.
 Pre/post test evaluation.

Topics To Be Addressed
Overview of antimicrobial resistance as an
emerging and global problem
 Human health consequences of agricultural use
of antimicrobial agents
 Antibiotic classes, mechanisms of resistance
 Epidemiology and control strategies
 Tools: antibiograms, culture&sensitivity, etc.
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Topics cont.
Species specific judicious use principles
 Client education
 Prophylactic and disease prevention
antimicrobial use
 Growth promotion antimicrobial use

Veterinary Community
Consultation
American Association of Veterinary
Medical Colleges – Lawrence Heider
 Deans – Lonnie King, Michigan State;
Michael Blackwell, Tennessee
 American Association of Veterinary
Teachers for Public Health and Preventive
Medicine (Now AVEPH)
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Consultation cont.
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American Association of Bovine Practitioners
American Veterinary Medical AssociationSteering Committee on Antimicrobial Resistance
Deans/Academicians at AAVMC Agenda For
Action Meeting
Pork Board
AVMA Leadership and CVM Deans at CDC
meeting
Other Activities to Prevent
Antibiotic Resistance in
Foodborne Pathogens
A.
B.
Co-operative agreements with 4 colleges
of veterinary medicine – projects
demonstrating appropriate use of
antibiotics.
State based intervention in Michigan to
promote the appropriate use of antibiotics.
A. Co-operative agreements
with four colleges of
veterinary medicine
Projects demonstrating appropriate use of
antibiotics.
 Michigan State University, University of
California, Davis – Dairy cow/calf
operations
 Tufts, Ohio State – Swine production

B. State based intervention in
Michigan to promote the
appropriate use of
antibiotics.
ELC Grant through Michigan Department
of Health supporting PhD student at
Michigan State University CVM.
 James Averill, DVM
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