EU conference 'The Microbial Threat'.
A global or European strategy should be developed to deal with increasing antimicrobial resistance. This strategy includes surveillance of antimicrobial resistance and monitoring of the use of antimicrobial agents in animals and humans. In animals, surveillance should be focussed on potential transfer of resistant, zoonotic, food-born pathogens and resistance genes to humans. In humans the surveillance should be clinically relevant. Guidelines for rational therapy should be implemented and 'antibiotic teams' should be installed in each hospital to evaluate the prescription of antibiotics and its compliance with guidelines. Keeping animals for food production involves the responsibility for their well being. This includes treatment of infections. However, the use of feed additive, growth-promoting antimicrobials related to therapeutics in human medicine, should be banned immediately. Research aimed at intervention strategies for antimicrobial resistance should be given a high priority with adequate financing both nationally and in Europe. Well co-ordinated European research programmes should have priority; this includes the need to install a European multidisciplinary scientific advisory group.
Mevius
D J
DJ
Department of Bacteriology, Institute for Animal Science and Health, Lelystad, The Netherlands. d.j.mevius@id.dlo.nl
Sprenger
M J
MJ
Wegener
H C
HC
D000818:Animals; D004352:Drug Resistance, Microbial; D005062:European Union; D006801:Humans; D011159:Population Surveillance