Use of Antibiotics among Residents Living Close to Poultry or Goat Farms: A Nationwide Analysis in The Netherlands

Prior regional studies found a high risk of pneumonia for people living close to poultry and goat farms. This epidemiological study in the Netherlands used nationwide antibiotic prescription data as a proxy for pneumonia incidence to investigate whether residents of areas with poultry and goat farms...

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Autores principales: Inge Roof, Wim van der Hoek, Lisette Oude Boerrigter, Cornelia C. H. Wielders, Lidwien A. M. Smit
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/63cc1ab204bf417b8ad97da0c380c5b7
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spelling oai:doaj.org-article:63cc1ab204bf417b8ad97da0c380c5b72021-11-25T16:23:15ZUse of Antibiotics among Residents Living Close to Poultry or Goat Farms: A Nationwide Analysis in The Netherlands10.3390/antibiotics101113462079-6382https://doaj.org/article/63cc1ab204bf417b8ad97da0c380c5b72021-11-01T00:00:00Zhttps://www.mdpi.com/2079-6382/10/11/1346https://doaj.org/toc/2079-6382Prior regional studies found a high risk of pneumonia for people living close to poultry and goat farms. This epidemiological study in the Netherlands used nationwide antibiotic prescription data as a proxy for pneumonia incidence to investigate whether residents of areas with poultry and goat farms use relatively more antibiotics compared to areas without such farms. We used prescription data on antibiotics most commonly prescribed to treat pneumonia in adults and livestock farming data, both with nationwide coverage. Antibiotic use was expressed as defined daily doses per (4-digit Postal Code (PC4) area)-(age group)-(gender)-(month) combination for the year 2015. We assessed the associations between antibiotic use and farm exposure using negative binomial regression. The amoxicillin, doxycycline, and co-amoxiclav use was significantly higher (5–10% difference in use) in PC4 areas with poultry farms present compared to areas without, even after adjusting for age, gender, smoking, socio-economic status, and goat farm presence. The adjusted models showed no associations between antibiotic use and goat farm presence. The variables included in this study could only partly explain the observed regional differences in antibiotic use. This was an ecological study that precludes inference about causal relations. Further research using individual-level data is recommended.Inge RoofWim van der HoekLisette Oude BoerrigterCornelia C. H. WieldersLidwien A. M. SmitMDPI AGarticleantibiotic usepneumonialivestockhumanpoultrygoatTherapeutics. PharmacologyRM1-950ENAntibiotics, Vol 10, Iss 1346, p 1346 (2021)
institution DOAJ
collection DOAJ
language EN
topic antibiotic use
pneumonia
livestock
human
poultry
goat
Therapeutics. Pharmacology
RM1-950
spellingShingle antibiotic use
pneumonia
livestock
human
poultry
goat
Therapeutics. Pharmacology
RM1-950
Inge Roof
Wim van der Hoek
Lisette Oude Boerrigter
Cornelia C. H. Wielders
Lidwien A. M. Smit
Use of Antibiotics among Residents Living Close to Poultry or Goat Farms: A Nationwide Analysis in The Netherlands
description Prior regional studies found a high risk of pneumonia for people living close to poultry and goat farms. This epidemiological study in the Netherlands used nationwide antibiotic prescription data as a proxy for pneumonia incidence to investigate whether residents of areas with poultry and goat farms use relatively more antibiotics compared to areas without such farms. We used prescription data on antibiotics most commonly prescribed to treat pneumonia in adults and livestock farming data, both with nationwide coverage. Antibiotic use was expressed as defined daily doses per (4-digit Postal Code (PC4) area)-(age group)-(gender)-(month) combination for the year 2015. We assessed the associations between antibiotic use and farm exposure using negative binomial regression. The amoxicillin, doxycycline, and co-amoxiclav use was significantly higher (5–10% difference in use) in PC4 areas with poultry farms present compared to areas without, even after adjusting for age, gender, smoking, socio-economic status, and goat farm presence. The adjusted models showed no associations between antibiotic use and goat farm presence. The variables included in this study could only partly explain the observed regional differences in antibiotic use. This was an ecological study that precludes inference about causal relations. Further research using individual-level data is recommended.
format article
author Inge Roof
Wim van der Hoek
Lisette Oude Boerrigter
Cornelia C. H. Wielders
Lidwien A. M. Smit
author_facet Inge Roof
Wim van der Hoek
Lisette Oude Boerrigter
Cornelia C. H. Wielders
Lidwien A. M. Smit
author_sort Inge Roof
title Use of Antibiotics among Residents Living Close to Poultry or Goat Farms: A Nationwide Analysis in The Netherlands
title_short Use of Antibiotics among Residents Living Close to Poultry or Goat Farms: A Nationwide Analysis in The Netherlands
title_full Use of Antibiotics among Residents Living Close to Poultry or Goat Farms: A Nationwide Analysis in The Netherlands
title_fullStr Use of Antibiotics among Residents Living Close to Poultry or Goat Farms: A Nationwide Analysis in The Netherlands
title_full_unstemmed Use of Antibiotics among Residents Living Close to Poultry or Goat Farms: A Nationwide Analysis in The Netherlands
title_sort use of antibiotics among residents living close to poultry or goat farms: a nationwide analysis in the netherlands
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/63cc1ab204bf417b8ad97da0c380c5b7
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