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Towards One Health surveillance of antibiotic resistance: characterisation and mapping of existing programmes in humans, animals, food and the environment in France, 2021. | LitMetric

AI Article Synopsis

  • International organizations advocate for One Health approaches to combat antimicrobial resistance, but France's diverse surveillance programs complicate a comprehensive assessment of the current system.* -
  • This study aimed to map and evaluate 48 French surveillance programs related to antibiotic resistance (ABR), antibiotic use (ABU), and antibiotic residues across human, animal, food, and environmental sectors, identifying integration points and gaps.* -
  • Findings revealed extensive but fragmented surveillance with significant coverage of ABR programs, particularly in humans and animals, while highlighting underrepresented areas such as the environment and companion animals, aiming to inform policymakers and improve One Health strategies.*

Article Abstract

BackgroundInternational organisations are calling for One Health approaches to tackle antimicrobial resistance. In France, getting an overview of the current surveillance system and its level of integration is difficult due to the diversity of surveillance programmes.AimThis study aimed to map and describe all French surveillance programmes for antibiotic resistance (ABR), antibiotic use (ABU) and antibiotic residues, in humans, animals, food and the environment, in 2021. Another objective was to identify integration points, gaps and overlaps in the system.MethodsWe reviewed the literature for surveillance programmes and their descriptions. To further characterise programmes found, semi-directed interviews were conducted with their coordinators.ResultsIn total 48 programmes in the human (n = 35), animal (n = 12), food (n = 3) and/or the environment (n = 1) sectors were identified; 35 programmes focused on ABR, 14 on ABU and two on antibiotic residues. Two programmes were cross-sectoral. Among the 35 ABR programmes, 23 collected bacterial isolates. Bacteria most targeted were (n = 17 programmes), (n = 13), and (n = 12). Extended-spectrum beta-lactamase-producing was monitored by most ABR programmes (15 of 35) in humans, animals and food, and is a good candidate for integrated analyses. ABU indicators were highly variable. Areas poorly covered were the environmental sector, overseas territories, antibiotic-resistant-bacterial colonisation in humans and ABU in companion animals.ConclusionThe French surveillance system appears extensive but has gaps and is highly fragmented. We believe our mapping will interest policymakers and surveillance stakeholders. Our methodology may inspire other countries considering One Health surveillance of ABR.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10236929PMC
http://dx.doi.org/10.2807/1560-7917.ES.2023.28.22.2200804DOI Listing

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