EMA and EFSA Joint Scientific Opinion on measures to reduce the need to use antimicrobial agents in animal husbandry in the European Union, and the resulting impacts on food safety (RONAFA) - Anses - Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail Access content directly
Journal Articles EFSA Journal Year : 2017

EMA and EFSA Joint Scientific Opinion on measures to reduce the need to use antimicrobial agents in animal husbandry in the European Union, and the resulting impacts on food safety (RONAFA)

David Murphy
Antonia Ricci
  • Function : Author
Zanda Auce
  • Function : Author
J. Gabriel Gabriel Beechinor
  • Function : Author
Hanne Bergendahl
  • Function : Author
Rory Breathnach
  • Function : Author
João Pedro Duarte da Silva
  • Function : Author
Judita Hederová
  • Function : Author
Peter Hekman
  • Function : Author
  • PersonId : 926771
Cornelia Ibrahim
  • Function : Author
Emil Kozhuharov
  • Function : Author
Gábor Kulcsár
  • Function : Author
Eva Lander Persson
  • Function : Author
Johan Lenhardsson
  • Function : Author
Petras Mačiulskis
  • Function : Author
Ioannis Malemis
  • Function : Author
Ljiljana Markus‐cizelj
  • Function : Author
Alia Michaelidou‐patsia
  • Function : Author
Martti Nevalainen
  • Function : Author
Paolo Pasquali
  • Function : Author
  • PersonId : 1222298
  • IdRef : 139507728
Jean‐claude Rouby
  • Function : Author
Johan Schefferlie
  • Function : Author
Wilhelm Schlumbohm
  • Function : Author
Marc Schmit
  • Function : Author
Stephen Spiteri
  • Function : Author
Stanko Srčič
  • Function : Author
Lollita Taban
  • Function : Author
Toomas Tiirats
  • Function : Author
Bruno Urbain
  • Function : Author
Ellen‐margrethe Vestergaard
  • Function : Author
Anna Wachnik‐święcicka
  • Function : Author
Jason Weeks
  • Function : Author
Barbara Zemann
  • Function : Author
Ana Allende
  • Function : Author
Declan Bolton
  • Function : Author
Marian Chemaly
  • Function : Author
Kostas Koutsoumanis
  • Function : Author
Roland Lindqvist
  • Function : Author
Birgit Nørrung
  • Function : Author
Robert Robertson
  • Function : Author
Marion Simmons
  • Function : Author
Panagiotis Skandamis
  • Function : Author
Emma Snary
  • Function : Author
Benno ter Kuile
  • Function : Author
Helen Wahlström
  • Function : Author
Keith Baptiste
  • Function : Author
Pier Sandro Cocconcelli
  • Function : Author
Robert Davies
  • Function : Author
  • PersonId : 883485
Christian Friis
  • Function : Author
Gregers Jungersen
  • Function : Author
Simon More
  • Function : Author
Cristina Muñoz Madero
  • Function : Author
Marian Bos
  • Function : Author
Zoltan Kunsagi
  • Function : Author
Jordi Torren Edo
  • Function : Author
Rosella Brozzi
  • Function : Author
Denise Candiani
  • Function : Author
John Threlfall
  • Function : Author
Helen Jukes
  • Function : Author

Abstract

EFSA and EMA have jointly reviewed measures taken in the EU to reduce the need for and use of antimicrobials in food-producing animals, and the resultant impacts on antimicrobial resistance (AMR). Reduction strategies have been implemented successfully in some Member States. Such strategies include national reduction targets, benchmarking of antimicrobial use, controls on prescribing and restrictions on use of specific critically important antimicrobials, together with improvements to animal husbandry and disease prevention and control measures. Due to the multiplicity of factors contributing to AMR, the impact of any single measure is difficult to quantify, although there is evidence of an association between reduction in antimicrobial use and reduced AMR. To minimise antimicrobial use, a multifaceted integrated approach should be implemented, adapted to local circumstances. Recommended options (non-prioritised) include: development of national strategies; harmonised systems for monitoring antimicrobial use and AMR development; establishing national targets for antimicrobial use reduction; use of on-farm health plans; increasing the responsibility of veterinarians for antimicrobial prescribing; training, education and raising public awareness; increasing the availability of rapid and reliable diagnostics; improving husbandry and management procedures for disease prevention and control; rethinking livestock production systems to reduce inherent disease risk. A limited number of studies provide robust evidence of alternatives to antimicrobials that positively influence health parameters. Possible alternatives include probiotics and prebiotics, competitive exclusion, bacteriophages, immunomodulators, organic acids and teat sealants. Development of a legislative framework that permits the use of specific products as alternatives should be considered. Further research to evaluate the potential of alternative farming systems on reducing AMR is also recommended. Animals suffering from bacterial infections should only be treated with antimicrobials based on veterinary diagnosis and prescription. Options should be reviewed to phase
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anses-01634046 , version 1 (13-11-2017)

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David Murphy, Antonia Ricci, Zanda Auce, J. Gabriel Gabriel Beechinor, Hanne Bergendahl, et al.. EMA and EFSA Joint Scientific Opinion on measures to reduce the need to use antimicrobial agents in animal husbandry in the European Union, and the resulting impacts on food safety (RONAFA). EFSA Journal, 2017, 15 (1), pp.1-245. ⟨10.2903/j.efsa.2017.4666⟩. ⟨anses-01634046⟩
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