Informing Stewardship Measures in Canadian Food Animal Species through Integrated Reporting of Antimicrobial Use and Antimicrobial Resistance Surveillance Data—Part I, Methodology Development

This study explores methodologies for the data integration of antimicrobial use (AMU) and antimicrobial resistance (AMR) results within and across three food animal species, surveyed at the farm-level by the Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS). The approach...

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Autores principales:	Agnes Agunos, Sheryl P. Gow, Anne E. Deckert, Grace Kuiper, David F. Léger
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	integration summarized reporting antimicrobial use antimicrobial resistance stewardship metric Medicine R
Acceso en línea:	https://doaj.org/article/ecda325800d84702b710a2245420df85
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spelling	oai:doaj.org-article:ecda325800d84702b710a2245420df852021-11-25T18:38:41ZInforming Stewardship Measures in Canadian Food Animal Species through Integrated Reporting of Antimicrobial Use and Antimicrobial Resistance Surveillance Data—Part I, Methodology Development10.3390/pathogens101114922076-0817https://doaj.org/article/ecda325800d84702b710a2245420df852021-11-01T00:00:00Zhttps://www.mdpi.com/2076-0817/10/11/1492https://doaj.org/toc/2076-0817This study explores methodologies for the data integration of antimicrobial use (AMU) and antimicrobial resistance (AMR) results within and across three food animal species, surveyed at the farm-level by the Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS). The approach builds upon existing CIPARS methodology and principles from other AMU and AMR surveillance systems. Species level data integration involved: (1) standard CIPARS descriptive and temporal analysis of AMU/AMR, (2) synthesis of results, (3) selection of AMU and AMR outcomes for integration, (4) selection of candidate AMU indicators to enable comparisons of AMU levels between species and simultaneous assessment of AMU and AMR trends, (5) exploration of analytic options for studying associations between AMU and AMR, and (6) interpretation and visualization. The multi-species integration was also completed using the above approach. In addition, summarized reporting of internationally-recognized indicators of AMR (i.e., AMR adjusted for animal biomass) and AMU (mg/population correction unit, mg/kg animal biomass) is explored. It is envisaged that this approach for species and multi-species AMU–AMR data integration will be applied to the annual CIPARS farm-level data and progressively developed over time to inform AMU–AMR integrated surveillance best practices for further enhancement of AMU stewardship actions.Agnes AgunosSheryl P. GowAnne E. DeckertGrace KuiperDavid F. LégerMDPI AGarticleintegrationsummarized reportingantimicrobial useantimicrobial resistancestewardshipmetricMedicineRENPathogens, Vol 10, Iss 1492, p 1492 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	integration summarized reporting antimicrobial use antimicrobial resistance stewardship metric Medicine R
spellingShingle	integration summarized reporting antimicrobial use antimicrobial resistance stewardship metric Medicine R Agnes Agunos Sheryl P. Gow Anne E. Deckert Grace Kuiper David F. Léger Informing Stewardship Measures in Canadian Food Animal Species through Integrated Reporting of Antimicrobial Use and Antimicrobial Resistance Surveillance Data—Part I, Methodology Development
description	This study explores methodologies for the data integration of antimicrobial use (AMU) and antimicrobial resistance (AMR) results within and across three food animal species, surveyed at the farm-level by the Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS). The approach builds upon existing CIPARS methodology and principles from other AMU and AMR surveillance systems. Species level data integration involved: (1) standard CIPARS descriptive and temporal analysis of AMU/AMR, (2) synthesis of results, (3) selection of AMU and AMR outcomes for integration, (4) selection of candidate AMU indicators to enable comparisons of AMU levels between species and simultaneous assessment of AMU and AMR trends, (5) exploration of analytic options for studying associations between AMU and AMR, and (6) interpretation and visualization. The multi-species integration was also completed using the above approach. In addition, summarized reporting of internationally-recognized indicators of AMR (i.e., AMR adjusted for animal biomass) and AMU (mg/population correction unit, mg/kg animal biomass) is explored. It is envisaged that this approach for species and multi-species AMU–AMR data integration will be applied to the annual CIPARS farm-level data and progressively developed over time to inform AMU–AMR integrated surveillance best practices for further enhancement of AMU stewardship actions.
format	article
author	Agnes Agunos Sheryl P. Gow Anne E. Deckert Grace Kuiper David F. Léger
author_facet	Agnes Agunos Sheryl P. Gow Anne E. Deckert Grace Kuiper David F. Léger
author_sort	Agnes Agunos
title	Informing Stewardship Measures in Canadian Food Animal Species through Integrated Reporting of Antimicrobial Use and Antimicrobial Resistance Surveillance Data—Part I, Methodology Development
title_short	Informing Stewardship Measures in Canadian Food Animal Species through Integrated Reporting of Antimicrobial Use and Antimicrobial Resistance Surveillance Data—Part I, Methodology Development
title_full	Informing Stewardship Measures in Canadian Food Animal Species through Integrated Reporting of Antimicrobial Use and Antimicrobial Resistance Surveillance Data—Part I, Methodology Development
title_fullStr	Informing Stewardship Measures in Canadian Food Animal Species through Integrated Reporting of Antimicrobial Use and Antimicrobial Resistance Surveillance Data—Part I, Methodology Development
title_full_unstemmed	Informing Stewardship Measures in Canadian Food Animal Species through Integrated Reporting of Antimicrobial Use and Antimicrobial Resistance Surveillance Data—Part I, Methodology Development
title_sort	informing stewardship measures in canadian food animal species through integrated reporting of antimicrobial use and antimicrobial resistance surveillance data—part i, methodology development
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ecda325800d84702b710a2245420df85
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Informing Stewardship Measures in Canadian Food Animal Species through Integrated Reporting of Antimicrobial Use and Antimicrobial Resistance Surveillance Data—Part I, Methodology Development

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