1
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Zafeiridis C, Valiakos G, Giakoupi P, Papadogiannakis E. Building the National Antimicrobial Resistance Surveillance Network in Animals in Greece: A "One Health" Approach. Antibiotics (Basel) 2023; 12:1442. [PMID: 37760738 PMCID: PMC10525538 DOI: 10.3390/antibiotics12091442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 08/14/2023] [Accepted: 09/11/2023] [Indexed: 09/29/2023] Open
Abstract
It is widely accepted that, in order to prevent and control antimicrobial resistance (AMR), surveillance systems across human, animal and environmental sectors need to be integrated, in a One Health approach. Currently, in Europe, there are surveillance networks established only for the human and food sector and, until now, there has been no organized effort to monitor AMR in bacterial pathogens derived from diseased animals in Europe. Since 2017, efforts to fill this gap have taken place by the European Antimicrobial Resistance Surveillance network in a veterinary medicine (EARS-Vet) initiative, included in the EU Joint Action on AMR and Healthcare-Associated Infections (EU-JAMRAI). EARS-Vet is designed to complement and integrate with existing European monitoring systems for AMR as well as constitute a European network of national monitoring systems. As Greece has no national AMR surveillance system for pathogens of animal origin currently in place, in the context of the development of EARS-Vet, an initiative took place for the organization of such a system by competent agencies and other stakeholders. In this article, the steps to organize a first AMR national surveillance network in Greece are presented and a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis is performed to present main characteristics of the approach implemented.
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Affiliation(s)
- Christos Zafeiridis
- General Directorate of Veterinary Services, Ministry of Rural Development & Food of Greece, 10176 Athens, Greece;
| | - George Valiakos
- Faculty of Veterinary Science, University of Thessaly, 43100 Karditsa, Greece;
| | - Panagiota Giakoupi
- Department of Public Health Policy, School of Public Health, University of West Attica, 11521 Athens, Greece;
| | - Emmanouil Papadogiannakis
- Department of Public Health Policy, School of Public Health, University of West Attica, 11521 Athens, Greece;
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2
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Mader R, Muñoz Madero C, Aasmäe B, Bourély C, Broens EM, Busani L, Callens B, Collineau L, Crespo-Robledo P, Damborg P, Filippitzi ME, Fitzgerald W, Heuvelink A, van Hout J, Kaspar H, Norström M, Pedersen K, Pohjanvirta T, Pokludova L, Dal Pozzo F, Slowey R, Teixeira Justo C, Urdahl AM, Vatopoulos A, Zafeiridis C, Madec JY, Amat JP. Review and Analysis of National Monitoring Systems for Antimicrobial Resistance in Animal Bacterial Pathogens in Europe: A Basis for the Development of the European Antimicrobial Resistance Surveillance Network in Veterinary Medicine (EARS-Vet). Front Microbiol 2022; 13:838490. [PMID: 35464909 PMCID: PMC9023068 DOI: 10.3389/fmicb.2022.838490] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 02/22/2022] [Indexed: 11/13/2022] Open
Abstract
The monitoring of antimicrobial resistance (AMR) in bacterial pathogens of animals is not currently coordinated at European level. To fill this gap, experts of the European Union Joint Action on Antimicrobial Resistance and Healthcare Associated Infections (EU-JAMRAI) recommended building the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet). In this study, we (i) identified national monitoring systems for AMR in bacterial pathogens of animals (both companion and food-producing) among 27 countries affiliated to EU-JAMRAI, (ii) described their structures and operations, and (iii) analyzed their respective strengths, weaknesses, opportunities and threats (SWOT). Twelve countries reported having at least one national monitoring system in place, representing an opportunity to launch EARS-Vet, but highlighting important gaps in AMR data generation in Europe. In total, 15 national monitoring systems from 11 countries were described and analyzed. They displayed diverse structures and operations, but most of them shared common weaknesses (e.g., data management and representativeness) and common threats (e.g., economic vulnerability and data access), which could be addressed collectively under EARS-Vet. This work generated useful information to countries planning to build or improve their system, by learning from others' experience. It also enabled to advance on a pragmatic harmonization strategy: EARS-Vet shall follow the European Committee on Antimicrobial Susceptibility Testing (EUCAST) standards, collect quantitative data and interpret AMR data using epidemiological cut-off values.
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Affiliation(s)
- Rodolphe Mader
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Cristina Muñoz Madero
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Birgit Aasmäe
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Tartu, Estonia
| | - Clémence Bourély
- Direction Générale de l’Alimentation, Bureau de la Santé Animale, Paris, France
| | - Els M. Broens
- Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - Luca Busani
- Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - Bénédicte Callens
- Antimicrobial Consumption and Resistance in Animals – AMCRA, Brussels, Belgium
| | - Lucie Collineau
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
| | - Paloma Crespo-Robledo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Peter Damborg
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Maria-Eleni Filippitzi
- Sciensano, Veterinary Epidemiology Unit, Belgian Research Centre for Health, Brussels, Belgium
- Laboratory of Animal Production Economics, Department of Animal Production, Ichthyology, Ecology and Protection of the Environment, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - William Fitzgerald
- Limerick Regional Veterinary Laboratory, Department of Agriculture, Food and the Marine, Limerick, Ireland
| | | | | | - Heike Kaspar
- Federal Office of Consumer Protection and Food Safety, Berlin, Germany
| | | | - Karl Pedersen
- Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute, Uppsala, Sweden
| | - Tarja Pohjanvirta
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Helsinki, Finland
| | - Lucie Pokludova
- Institute for State Control of Veterinary Biologicals and Medicines (ISCVBM), Brno, Czechia
| | - Fabiana Dal Pozzo
- Antimicrobial Consumption and Resistance in Animals – AMCRA, Brussels, Belgium
| | - Rosemarie Slowey
- Department of Agriculture, Food and the Marine Laboratories, Celbridge, Ireland
| | - Cristiana Teixeira Justo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | | | - Alkiviadis Vatopoulos
- Department of Public Health Policy, School of Public Health, University of West Attica, Athens, Greece
| | | | - Jean-Yves Madec
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Jean-Philippe Amat
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
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3
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Mader R, Muñoz Madero C, Aasmäe B, Bourély C, Broens EM, Busani L, Callens B, Collineau L, Crespo-Robledo P, Damborg P, Filippitzi ME, Fitzgerald W, Heuvelink A, van Hout J, Kaspar H, Norström M, Pedersen K, Pohjanvirta T, Pokludova L, Dal Pozzo F, Slowey R, Teixeira Justo C, Urdahl AM, Vatopoulos A, Zafeiridis C, Madec JY, Amat JP. Review and Analysis of National Monitoring Systems for Antimicrobial Resistance in Animal Bacterial Pathogens in Europe: A Basis for the Development of the European Antimicrobial Resistance Surveillance Network in Veterinary Medicine (EARS-Vet). Front Microbiol 2022; 13:838490. [PMID: 35464909 DOI: 10.5281/zenodo.5205371] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 02/22/2022] [Indexed: 05/26/2023] Open
Abstract
The monitoring of antimicrobial resistance (AMR) in bacterial pathogens of animals is not currently coordinated at European level. To fill this gap, experts of the European Union Joint Action on Antimicrobial Resistance and Healthcare Associated Infections (EU-JAMRAI) recommended building the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet). In this study, we (i) identified national monitoring systems for AMR in bacterial pathogens of animals (both companion and food-producing) among 27 countries affiliated to EU-JAMRAI, (ii) described their structures and operations, and (iii) analyzed their respective strengths, weaknesses, opportunities and threats (SWOT). Twelve countries reported having at least one national monitoring system in place, representing an opportunity to launch EARS-Vet, but highlighting important gaps in AMR data generation in Europe. In total, 15 national monitoring systems from 11 countries were described and analyzed. They displayed diverse structures and operations, but most of them shared common weaknesses (e.g., data management and representativeness) and common threats (e.g., economic vulnerability and data access), which could be addressed collectively under EARS-Vet. This work generated useful information to countries planning to build or improve their system, by learning from others' experience. It also enabled to advance on a pragmatic harmonization strategy: EARS-Vet shall follow the European Committee on Antimicrobial Susceptibility Testing (EUCAST) standards, collect quantitative data and interpret AMR data using epidemiological cut-off values.
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Affiliation(s)
- Rodolphe Mader
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Cristina Muñoz Madero
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Birgit Aasmäe
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Tartu, Estonia
| | - Clémence Bourély
- Direction Générale de l'Alimentation, Bureau de la Santé Animale, Paris, France
| | - Els M Broens
- Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - Luca Busani
- Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - Bénédicte Callens
- Antimicrobial Consumption and Resistance in Animals - AMCRA, Brussels, Belgium
| | - Lucie Collineau
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
| | - Paloma Crespo-Robledo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Peter Damborg
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Maria-Eleni Filippitzi
- Sciensano, Veterinary Epidemiology Unit, Belgian Research Centre for Health, Brussels, Belgium
- Laboratory of Animal Production Economics, Department of Animal Production, Ichthyology, Ecology and Protection of the Environment, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - William Fitzgerald
- Limerick Regional Veterinary Laboratory, Department of Agriculture, Food and the Marine, Limerick, Ireland
| | | | | | - Heike Kaspar
- Federal Office of Consumer Protection and Food Safety, Berlin, Germany
| | | | - Karl Pedersen
- Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute, Uppsala, Sweden
| | - Tarja Pohjanvirta
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Helsinki, Finland
| | - Lucie Pokludova
- Institute for State Control of Veterinary Biologicals and Medicines (ISCVBM), Brno, Czechia
| | - Fabiana Dal Pozzo
- Antimicrobial Consumption and Resistance in Animals - AMCRA, Brussels, Belgium
| | - Rosemarie Slowey
- Department of Agriculture, Food and the Marine Laboratories, Celbridge, Ireland
| | - Cristiana Teixeira Justo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | | | - Alkiviadis Vatopoulos
- Department of Public Health Policy, School of Public Health, University of West Attica, Athens, Greece
| | | | - Jean-Yves Madec
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Jean-Philippe Amat
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
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4
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Mader R, Muñoz Madero C, Aasmäe B, Bourély C, Broens EM, Busani L, Callens B, Collineau L, Crespo-Robledo P, Damborg P, Filippitzi ME, Fitzgerald W, Heuvelink A, van Hout J, Kaspar H, Norström M, Pedersen K, Pohjanvirta T, Pokludova L, Dal Pozzo F, Slowey R, Teixeira Justo C, Urdahl AM, Vatopoulos A, Zafeiridis C, Madec JY, Amat JP. Review and Analysis of National Monitoring Systems for Antimicrobial Resistance in Animal Bacterial Pathogens in Europe: A Basis for the Development of the European Antimicrobial Resistance Surveillance Network in Veterinary Medicine (EARS-Vet). Front Microbiol 2022. [PMID: 35464909 DOI: 10.3389/fmicb.2022.83849] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Open
Abstract
The monitoring of antimicrobial resistance (AMR) in bacterial pathogens of animals is not currently coordinated at European level. To fill this gap, experts of the European Union Joint Action on Antimicrobial Resistance and Healthcare Associated Infections (EU-JAMRAI) recommended building the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet). In this study, we (i) identified national monitoring systems for AMR in bacterial pathogens of animals (both companion and food-producing) among 27 countries affiliated to EU-JAMRAI, (ii) described their structures and operations, and (iii) analyzed their respective strengths, weaknesses, opportunities and threats (SWOT). Twelve countries reported having at least one national monitoring system in place, representing an opportunity to launch EARS-Vet, but highlighting important gaps in AMR data generation in Europe. In total, 15 national monitoring systems from 11 countries were described and analyzed. They displayed diverse structures and operations, but most of them shared common weaknesses (e.g., data management and representativeness) and common threats (e.g., economic vulnerability and data access), which could be addressed collectively under EARS-Vet. This work generated useful information to countries planning to build or improve their system, by learning from others' experience. It also enabled to advance on a pragmatic harmonization strategy: EARS-Vet shall follow the European Committee on Antimicrobial Susceptibility Testing (EUCAST) standards, collect quantitative data and interpret AMR data using epidemiological cut-off values.
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Affiliation(s)
- Rodolphe Mader
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Cristina Muñoz Madero
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Birgit Aasmäe
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Tartu, Estonia
| | - Clémence Bourély
- Direction Générale de l'Alimentation, Bureau de la Santé Animale, Paris, France
| | - Els M Broens
- Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands
| | - Luca Busani
- Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, Italy
| | - Bénédicte Callens
- Antimicrobial Consumption and Resistance in Animals - AMCRA, Brussels, Belgium
| | - Lucie Collineau
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
| | - Paloma Crespo-Robledo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | - Peter Damborg
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Maria-Eleni Filippitzi
- Sciensano, Veterinary Epidemiology Unit, Belgian Research Centre for Health, Brussels, Belgium
- Laboratory of Animal Production Economics, Department of Animal Production, Ichthyology, Ecology and Protection of the Environment, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - William Fitzgerald
- Limerick Regional Veterinary Laboratory, Department of Agriculture, Food and the Marine, Limerick, Ireland
| | | | | | - Heike Kaspar
- Federal Office of Consumer Protection and Food Safety, Berlin, Germany
| | | | - Karl Pedersen
- Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute, Uppsala, Sweden
| | - Tarja Pohjanvirta
- Finnish Food Authority, Veterinary Bacteriology and Pathology Unit, Helsinki, Finland
| | - Lucie Pokludova
- Institute for State Control of Veterinary Biologicals and Medicines (ISCVBM), Brno, Czechia
| | - Fabiana Dal Pozzo
- Antimicrobial Consumption and Resistance in Animals - AMCRA, Brussels, Belgium
| | - Rosemarie Slowey
- Department of Agriculture, Food and the Marine Laboratories, Celbridge, Ireland
| | - Cristiana Teixeira Justo
- Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Frente a la Resistencia a los Antibióticos (PRAN), Madrid, Spain
| | | | - Alkiviadis Vatopoulos
- Department of Public Health Policy, School of Public Health, University of West Attica, Athens, Greece
| | | | - Jean-Yves Madec
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, Lyon, France
| | - Jean-Philippe Amat
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, Lyon, France
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5
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Nielsen SS, Bicout DJ, Calistri P, Canali E, Drewe JA, Garin‐Bastuji B, Gonzales Rojas JL, Gortazar Schmidt C, Herskin M, Michel V, Miranda Chueca MA, Padalino B, Pasquali P, Roberts HC, Sihvonen LH, Spoolder H, Stahl K, Velarde A, Viltrop A, Winckler C, Guardabassi L, Hilbert F, Mader R, Aznar I, Baldinelli F, Alvarez J. Assessment of animal diseases caused by bacteria resistant to antimicrobials: Dogs and cats. EFSA J 2021; 19:e06680. [PMID: 34194578 PMCID: PMC8237238 DOI: 10.2903/j.efsa.2021.6680] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
In this opinion the antimicrobial-resistant bacteria responsible for transmissible diseases that constitute a threat to dog and cat health have been assessed. The assessment has been performed following a methodology based on information collected via an extensive literature review and expert judgement. Details of the methodology used for this assessment are explained in a separate opinion. A global state of play of antimicrobial resistant Staphylococcus pseudintermedius, Staphylococcus aureus, Staphylococcus schleiferi, Escherichia coli, Proteus mirabilis, Klebsiella spp., Enterobacter spp., Pseudomonas aeruginosa, Clostridium perfringens, Clostridioides difficile, Enterococcus faecalis and Enterococcus faecium has been provided. Among those bacteria, EFSA identified S. pseudintermedius, E. coli and P. aeruginosa with > 90% certainty as the most relevant antimicrobial resistant bacteria in the EU based on the available evidence. The animal health impact of these most relevant bacteria, as well as their eligibility for being listed and categorised within the animal health law framework will be assessed in separate scientific opinions.
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6
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Mader R, Damborg P, Amat JP, Bengtsson B, Bourély C, Broens EM, Busani L, Crespo-Robledo P, Filippitzi ME, Fitzgerald W, Kaspar H, Madero CM, Norström M, Nykäsenoja S, Pedersen K, Pokludova L, Urdahl AM, Vatopoulos A, Zafeiridis C, Madec JY. Building the European Antimicrobial Resistance Surveillance network in veterinary medicine (EARS-Vet). Euro Surveill 2021; 26:2001359. [PMID: 33509339 PMCID: PMC7848785 DOI: 10.2807/1560-7917.es.2021.26.4.2001359] [Citation(s) in RCA: 46] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Accepted: 11/26/2020] [Indexed: 12/12/2022] Open
Abstract
Antimicrobial resistance (AMR) should be tackled through a One Health approach, as stated in the World Health Organization Global Action Plan on AMR. We describe the landscape of AMR surveillance in the European Union/European Economic Area (EU/EEA) and underline a gap regarding veterinary medicine. Current AMR surveillance efforts are of limited help to veterinary practitioners and policymakers seeking to improve antimicrobial stewardship in animal health. We propose to establish the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet) to report on the AMR situation, follow AMR trends and detect emerging AMR in selected bacterial pathogens of animals. This information could be useful to advise policymakers, explore efficacy of interventions, support antimicrobial stewardship initiatives, (re-)evaluate marketing authorisations of antimicrobials, generate epidemiological cut-off values, assess risk of zoonotic AMR transmission and evaluate the burden of AMR in animal health. EARS-Vet could be integrated with other AMR monitoring systems in the animal and medical sectors to ensure a One Health approach. Herein, we present a strategy to establish EARS-Vet as a network of national surveillance systems and highlight challenges of data harmonisation and bias. Strong political commitment at national and EU/EEA levels is required for the success of EARS-Vet.
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Affiliation(s)
- Rodolphe Mader
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, 31 avenue Tony Garnier, 69007 Lyon, France
| | - Peter Damborg
- University of Copenhagen, Department of Veterinary and Animal Sciences, Stigbøjlen 4, 1870 Frederiksberg C, Denmark
| | - Jean-Philippe Amat
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, 31 avenue Tony Garnier, 69007 Lyon, France
| | - Björn Bengtsson
- National Veterinary Institute, Department of Animal Health and Antimicrobial Strategies, Ulls väg 2B, SE-751 89 Uppsala, Sweden
| | - Clémence Bourély
- Direction générale de l'alimentation, Bureau de la santé animale, 75015, Paris, France
| | - Els M Broens
- Utrecht University, Faculty of Veterinary Medicine, Department of Biomolecular Health Sciences, Yalelaan 1, 3584 CL, Utrecht, the Netherlands
| | - Luca Busani
- Istituto Superiore di Sanità, Department of Infectious Diseases, Viale Regina Elena 299, 00161 Rome, Italy
| | - Paloma Crespo-Robledo
- Agencia Española del Medicamento y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Antibióticos (PRAN), calle Campezo 1, EDF. 8. 28022 Madrid, España
| | - Maria-Eleni Filippitzi
- Sciensano, Veterinary Epidemiology Unit, Department of Epidemiology and Public Health, Belgian Federal Research Institute for Public and Animal Health, Rue Juliette Wytsmanstraat 14, 1050 Brussels, Belgium
| | - William Fitzgerald
- Limerick Regional Veterinary Laboratory, Department of Agriculture, Food and the Marine, Knockalisheen, Limerick, Ireland V94 WK44
| | - Heike Kaspar
- Federal Office of Consumer Protection and Food Safety, Mauerstrasse 39-42, 10117 Berlin, Germany
| | - Cristina Muñoz Madero
- Agencia Española del Medicamento y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Antibióticos (PRAN), calle Campezo 1, EDF. 8. 28022 Madrid, España
| | - Madelaine Norström
- Norwegian Veterinary Institute (NVI), Pb 750 Sentrum, N0106 Oslo, Norway
| | - Suvi Nykäsenoja
- Finnish Food Authority, Laboratory and Research Division, Microbiology Unit, Mustialankatu 3, 00790 Helsinki, Finland
| | - Karl Pedersen
- National Veterinary Institute, Department of Animal Health and Antimicrobial Strategies, Ulls väg 2B, SE-751 89 Uppsala, Sweden
| | - Lucie Pokludova
- Institute for State Control of Veterinary Biologicals and Medicines (ISCVBM), Hudcova 56 A, Brno, the Czech Republic
| | | | - Alkiviadis Vatopoulos
- University of West Attica, Department of Public Health Policy, School of Public Health, Athens, Greece
| | - Christos Zafeiridis
- Ministry of Rural Development and Food, Minister's Cabinet, 2 Acharnon Str., Athens, Greece
| | - Jean-Yves Madec
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, 31 avenue Tony Garnier, 69007 Lyon, France
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7
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Mader R, Damborg P, Amat JP, Bengtsson B, Bourély C, Broens EM, Busani L, Crespo-Robledo P, Filippitzi ME, Fitzgerald W, Kaspar H, Madero CM, Norström M, Nykäsenoja S, Pedersen K, Pokludova L, Urdahl AM, Vatopoulos A, Zafeiridis C, Madec JY. Building the European Antimicrobial Resistance Surveillance network in veterinary medicine (EARS-Vet). Euro Surveill 2021. [PMID: 33509339 DOI: 10.2807/1560-7917.es.2021.26.4.2001359eurosurveillance] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Open
Abstract
Antimicrobial resistance (AMR) should be tackled through a One Health approach, as stated in the World Health Organization Global Action Plan on AMR. We describe the landscape of AMR surveillance in the European Union/European Economic Area (EU/EEA) and underline a gap regarding veterinary medicine. Current AMR surveillance efforts are of limited help to veterinary practitioners and policymakers seeking to improve antimicrobial stewardship in animal health. We propose to establish the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet) to report on the AMR situation, follow AMR trends and detect emerging AMR in selected bacterial pathogens of animals. This information could be useful to advise policymakers, explore efficacy of interventions, support antimicrobial stewardship initiatives, (re-)evaluate marketing authorisations of antimicrobials, generate epidemiological cut-off values, assess risk of zoonotic AMR transmission and evaluate the burden of AMR in animal health. EARS-Vet could be integrated with other AMR monitoring systems in the animal and medical sectors to ensure a One Health approach. Herein, we present a strategy to establish EARS-Vet as a network of national surveillance systems and highlight challenges of data harmonisation and bias. Strong political commitment at national and EU/EEA levels is required for the success of EARS-Vet.
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Affiliation(s)
- Rodolphe Mader
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, 31 avenue Tony Garnier, 69007 Lyon, France
| | - Peter Damborg
- University of Copenhagen, Department of Veterinary and Animal Sciences, Stigbøjlen 4, 1870 Frederiksberg C, Denmark
| | - Jean-Philippe Amat
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Epidemiology and Support to Surveillance Unit, 31 avenue Tony Garnier, 69007 Lyon, France
| | - Björn Bengtsson
- National Veterinary Institute, Department of Animal Health and Antimicrobial Strategies, Ulls väg 2B, SE-751 89 Uppsala, Sweden
| | - Clémence Bourély
- Direction générale de l'alimentation, Bureau de la santé animale, 75015, Paris, France
| | - Els M Broens
- Utrecht University, Faculty of Veterinary Medicine, Department of Biomolecular Health Sciences, Yalelaan 1, 3584 CL, Utrecht, the Netherlands
| | - Luca Busani
- Istituto Superiore di Sanità, Department of Infectious Diseases, Viale Regina Elena 299, 00161 Rome, Italy
| | - Paloma Crespo-Robledo
- Agencia Española del Medicamento y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Antibióticos (PRAN), calle Campezo 1, EDF. 8. 28022 Madrid, España
| | - Maria-Eleni Filippitzi
- Sciensano, Veterinary Epidemiology Unit, Department of Epidemiology and Public Health, Belgian Federal Research Institute for Public and Animal Health, Rue Juliette Wytsmanstraat 14, 1050 Brussels, Belgium
| | - William Fitzgerald
- Limerick Regional Veterinary Laboratory, Department of Agriculture, Food and the Marine, Knockalisheen, Limerick, Ireland V94 WK44
| | - Heike Kaspar
- Federal Office of Consumer Protection and Food Safety, Mauerstrasse 39-42, 10117 Berlin, Germany
| | - Cristina Muñoz Madero
- Agencia Española del Medicamento y Productos Sanitarios (AEMPS), Coordinación del Plan Nacional Antibióticos (PRAN), calle Campezo 1, EDF. 8. 28022 Madrid, España
| | - Madelaine Norström
- Norwegian Veterinary Institute (NVI), Pb 750 Sentrum, N0106 Oslo, Norway
| | - Suvi Nykäsenoja
- Finnish Food Authority, Laboratory and Research Division, Microbiology Unit, Mustialankatu 3, 00790 Helsinki, Finland
| | - Karl Pedersen
- National Veterinary Institute, Department of Animal Health and Antimicrobial Strategies, Ulls väg 2B, SE-751 89 Uppsala, Sweden
| | - Lucie Pokludova
- Institute for State Control of Veterinary Biologicals and Medicines (ISCVBM), Hudcova 56 A, Brno, the Czech Republic
| | | | - Alkiviadis Vatopoulos
- University of West Attica, Department of Public Health Policy, School of Public Health, Athens, Greece
| | - Christos Zafeiridis
- Ministry of Rural Development and Food, Minister's Cabinet, 2 Acharnon Str., Athens, Greece
| | - Jean-Yves Madec
- University of Lyon, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Laboratory of Lyon, Antibiotic Resistance and Bacterial Virulence Unit, 31 avenue Tony Garnier, 69007 Lyon, France
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8
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van Damme CM, Broens EM, Auxilia ST, Schlotter YM. Clindamycin resistance of skin derived Staphylococcus pseudintermedius is higher in dogs with a history of antimicrobial therapy. Vet Dermatol 2020; 31:305-e75. [PMID: 32323363 PMCID: PMC7496164 DOI: 10.1111/vde.12854] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/29/2020] [Indexed: 01/18/2023]
Abstract
BACKGROUND In the Netherlands there is a lack of data regarding resistance of Staphylococcus pseudintermedius to the systemic antimicrobial drugs used for the treatment of superficial pyoderma. OBJECTIVES To assess antimicrobial resistance, with emphasis on resistance to clindamycin and meticillin, in clinical isolates of S. pseudintermedius isolated from dogs with superficial pyoderma. Results were compared between dogs with and without a history of systemic antimicrobial therapy during the previous year. ANIMALS A retrospective study of 237 referral cases presented to an academic teaching hospital between 2014 and 2019, with the clinical and microbiological diagnosis of superficial pyoderma. METHODS AND MATERIALS All clinical isolates were identified primarily by MALDI-TOF mass spectrometry. Antimicrobial susceptibility was tested either by an agar diffusion method (2014-2016) or by broth microdilution. Antimicrobial history in the preceding year was obtained from medical records. RESULTS Meticillin-resistant S. pseudintermedius (MRSP) was isolated from 8% of superficial pyoderma cases. Within the meticillin-susceptible S. pseudintermedius (MSSP) population, clindamycin resistance was significantly more common in isolates derived from dogs with histories of antimicrobial treatment (37.7%) compared to dogs with no histories of exposure (21.7%; P = 0.03). CONCLUSIONS Given the high prevalence of clindamycin resistance in MSSP isolated from dogs with prior antimicrobial exposure, it is recommended that bacterial culture and susceptibility testing be pursued before prescribing systemic antimicrobials. Clindamycin should be regarded as the preferred treatment option if susceptibility is confirmed, due to its narrow spectrum and reduced selective pressure for MRSP.
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Affiliation(s)
- Catharina M.M. van Damme
- Clinical Sciences of Companion AnimalsFaculty of Veterinary MedicineUtrecht UniversityYalelaan 13584 CMUtrechtthe Netherlands
| | - Els M. Broens
- Infectious Diseases and ImmunologyFaculty of Veterinary MedicineUtrecht UniversityYalelaan 13584 CMUtrechtthe Netherlands
| | - Silvia T. Auxilia
- Clinical Sciences of Companion AnimalsFaculty of Veterinary MedicineUtrecht UniversityYalelaan 13584 CMUtrechtthe Netherlands
| | - Yvette M. Schlotter
- Clinical Sciences of Companion AnimalsFaculty of Veterinary MedicineUtrecht UniversityYalelaan 13584 CMUtrechtthe Netherlands
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9
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González-Domínguez MS, Carvajal HD, Calle-Echeverri DA, Chinchilla-Cárdenas D. Molecular Detection and Characterization of the mecA and nuc Genes From Staphylococcus Species ( S. aureus, S. pseudintermedius, and S. schleiferi) Isolated From Dogs Suffering Superficial Pyoderma and Their Antimicrobial Resistance Profiles. Front Vet Sci 2020; 7:376. [PMID: 32793641 PMCID: PMC7390895 DOI: 10.3389/fvets.2020.00376] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 05/28/2020] [Indexed: 12/18/2022] Open
Abstract
Canine superficial pyoderma (CSP) is a bacterial infection secondary to several skin diseases of the dog. Staphylococcus pseudintermedius, which is a commensal bacterium of the dog's skin, is the leading agent found in dogs affected by CSP, which can progress to deep pyoderma. It is also of clinical significance because S. pseudintermedius strains carry antimicrobial resistance genes, mainly the mecA gene. In this descriptive longitudinal study, molecular characterization of bacterial isolates from dogs affected by CSP was performed in addition to phenotyping, antimicrobial profiling, and assessment of resistance carriage status. Fifty dogs (24 females and 26 males) attending the CES University Veterinary Teaching Hospital were included in the study. CSP was confirmed according to clinical signs and cytological examination. Swabs were taken from active skin lesions for bacterial culture, and phenotyping and antimicrobial resistance profiles were assessed using API-Staph phenotyping and the Kirby–Bauer method, respectively. We also performed molecular detection and characterization of the mecA and nuc encoding gene of coagulase-positive Staphylococci. The mecA gene frequency was established by qPCR amplification of a 131bp gene fragment. Data were evaluated by descriptive statistics. Erythema, peeling, pruritus, and alopecia were the predominant symptoms (72, 56, and 46%, respectively). We isolated bacteria compatible with Staphylococcus species from all samples tested. API phenotyping showed 83.1 to 97.8% compatibility with S. pseudintermedius. PCR-genotyping resulted in 15, 3, and 1 isolates positive for S. pseudintermedius, S. aureus, and S. schleiferi, respectively. Isolated strains showed high susceptibility to Imipenem, Ampicillin/Sulbactam, and Rifampicin (100, 94, and 92%, respectively). The highest resistance was against Vancomycin and Trimethoprim/Sulfamethoxazole (98 and 74%, respectively). S. pseudintermedius, S. aureus, and S. schleiferi isolates were cloned and shared 96% sequence homology. Finally, we found 62% carriage status of the mecA gene in isolates of CSP patients, although only 36% of the isolates were methicillin-resistant. Identification of three Staphylococcus species causing CSP, high-level resistance against conventional antimicrobials, and carriage of the mecA gene highlight the importance of performing molecular characterization of bacteria causing dermatological conditions in dogs.
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Affiliation(s)
- María S González-Domínguez
- INCA-CES Research Group, Veterinary Teaching Hospital, Faculty of Veterinary Medicine and Zootechny, CES University, Medellín, Colombia
| | - Hernán D Carvajal
- Instituto Colombiano de Medicina Tropical (ICMT), CES University, Medellín, Colombia
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Loeffler A, Lloyd D. What has changed in canine pyoderma? A narrative review. Vet J 2018; 235:73-82. [DOI: 10.1016/j.tvjl.2018.04.002] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2017] [Revised: 03/23/2018] [Accepted: 04/03/2018] [Indexed: 12/28/2022]
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11
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Characterization of quinolone resistance mechanisms in Enterobacteriaceae isolated from companion animals in Europe (ComPath II study). Vet Microbiol 2018. [DOI: 10.1016/j.vetmic.2018.02.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Ludwig C, de Jong A, Moyaert H, El Garch F, Janes R, Klein U, Morrissey I, Thiry J, Youala M. Antimicrobial susceptibility monitoring of dermatological bacterial pathogens isolated from diseased dogs and cats across Europe (ComPath results). J Appl Microbiol 2016; 121:1254-1267. [DOI: 10.1111/jam.13287] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Revised: 08/13/2016] [Accepted: 08/30/2016] [Indexed: 11/30/2022]
Affiliation(s)
- C. Ludwig
- CEESA ComPath Study Group; Brussels Belgium
| | - A. de Jong
- CEESA ComPath Study Group; Brussels Belgium
| | - H. Moyaert
- CEESA ComPath Study Group; Brussels Belgium
| | | | | | - U. Klein
- CEESA ComPath Study Group; Brussels Belgium
| | | | - J. Thiry
- CEESA ComPath Study Group; Brussels Belgium
| | - M. Youala
- CEESA ComPath Study Group; Brussels Belgium
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13
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Guillard T, de Jong A, Limelette A, Lebreil A, Madoux J, de Champs C. Characterization of quinolone resistance mechanisms in Enterobacteriaceae recovered from diseased companion animals in Europe. Vet Microbiol 2016; 194:23-29. [DOI: 10.1016/j.vetmic.2015.11.033] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 11/24/2015] [Accepted: 11/27/2015] [Indexed: 11/30/2022]
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