Quantifying the relationship between antibiotic use in food-producing animals and antibiotic resistance in humans

It is commonly asserted that agricultural production systems must use fewer antibiotics in food-producing animals in order to mitigate the global spread of antimicrobial resistance (AMR). In order to assess the cost-effectiveness of such interventions, especially given the potential trade-off with r...

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Main Authors: Emes, David, Naylor, Nichola R., Waage, Jeff, Knight, Gwenan M.
Format: Journal Article
Language:Inglés
Published: MDPI 2022
Subjects:
Online Access:https://hdl.handle.net/10568/171482
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author Emes, David
Naylor, Nichola R.
Waage, Jeff
Knight, Gwenan M.
author_browse Emes, David
Knight, Gwenan M.
Naylor, Nichola R.
Waage, Jeff
author_facet Emes, David
Naylor, Nichola R.
Waage, Jeff
Knight, Gwenan M.
author_sort Emes, David
collection Repository of Agricultural Research Outputs (CGSpace)
description It is commonly asserted that agricultural production systems must use fewer antibiotics in food-producing animals in order to mitigate the global spread of antimicrobial resistance (AMR). In order to assess the cost-effectiveness of such interventions, especially given the potential trade-off with rural livelihoods, we must quantify more precisely the relationship between food-producing animal antimicrobial use and AMR in humans. Here, we outline and compare methods that can be used to estimate this relationship, calling on key literature in this area. Mechanistic mathematical models have the advantage of being rooted in epidemiological theory, but may struggle to capture relevant non-epidemiological covariates which have an uncertain relationship with human AMR. We advocate greater use of panel regression models which can incorporate these factors in a flexible way, capturing both shape and scale variation. We provide recommendations for future panel regression studies to follow in order to inform cost-effectiveness analyses of AMR containment interventions across the One Health spectrum, which will be key in the age of increasing AMR.
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spelling CGSpace1714822025-12-08T10:29:22Z Quantifying the relationship between antibiotic use in food-producing animals and antibiotic resistance in humans Emes, David Naylor, Nichola R. Waage, Jeff Knight, Gwenan M. resistance to antibiotics livestock agriculture antibiotics antimicrobials one health approach cost analysis It is commonly asserted that agricultural production systems must use fewer antibiotics in food-producing animals in order to mitigate the global spread of antimicrobial resistance (AMR). In order to assess the cost-effectiveness of such interventions, especially given the potential trade-off with rural livelihoods, we must quantify more precisely the relationship between food-producing animal antimicrobial use and AMR in humans. Here, we outline and compare methods that can be used to estimate this relationship, calling on key literature in this area. Mechanistic mathematical models have the advantage of being rooted in epidemiological theory, but may struggle to capture relevant non-epidemiological covariates which have an uncertain relationship with human AMR. We advocate greater use of panel regression models which can incorporate these factors in a flexible way, capturing both shape and scale variation. We provide recommendations for future panel regression studies to follow in order to inform cost-effectiveness analyses of AMR containment interventions across the One Health spectrum, which will be key in the age of increasing AMR. 2022 2025-01-29T12:58:14Z 2025-01-29T12:58:14Z Journal Article https://hdl.handle.net/10568/171482 en Open Access MDPI Emes, David; Naylor, Nichola; Waage, Jeff; and Knight, Gwenan. 2022. Quantifying the relationship between antibiotic use in food-producing animals and antibiotic resistance in humans. Antibiotics 11(1): 66. https://doi.org/10.3390/antibiotics11010066
spellingShingle resistance to antibiotics
livestock
agriculture
antibiotics
antimicrobials
one health approach
cost analysis
Emes, David
Naylor, Nichola R.
Waage, Jeff
Knight, Gwenan M.
Quantifying the relationship between antibiotic use in food-producing animals and antibiotic resistance in humans
title Quantifying the relationship between antibiotic use in food-producing animals and antibiotic resistance in humans
title_full Quantifying the relationship between antibiotic use in food-producing animals and antibiotic resistance in humans
title_fullStr Quantifying the relationship between antibiotic use in food-producing animals and antibiotic resistance in humans
title_full_unstemmed Quantifying the relationship between antibiotic use in food-producing animals and antibiotic resistance in humans
title_short Quantifying the relationship between antibiotic use in food-producing animals and antibiotic resistance in humans
title_sort quantifying the relationship between antibiotic use in food producing animals and antibiotic resistance in humans
topic resistance to antibiotics
livestock
agriculture
antibiotics
antimicrobials
one health approach
cost analysis
url https://hdl.handle.net/10568/171482
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