Some health challenges, such as the COVID pandemic, clearly demonstrate the importance of a considered, global response. Maintaining high levels of human and animal health is possible because we have access to highly effective antimicrobial products for the treatment of bacterial infections. However, rising levels of antimicrobial resistance (AMR) are amplifying concern over the long-term efficacy of antimicrobials. Through a growing understanding of the link between antimicrobial use and the level of AMR, the global farming industry has implemented various measures to reduce antimicrobial use. The success of these measures and efforts is proudly presented here.
Efforts by various European countries have resulted in the reduction of antimicrobial use. The third joint inter-agency report published in 2021 by the European Centre for Disease Prevention and Control provides an integrated analysis of antimicrobial agent consumption and the occurrence of AMR in bacteria from humans and food-producing animals. Data used in the report was gathered from 27 European countries between 2016 and 2018.
The report provides an integrated analysis of possible relationships between antimicrobial consumption in humans and food-producing animals and the occurrence of AMR in bacteria from humans and food-producing animals. It clearly demonstrates that, for the first time since 2011, overall antimicrobial consumption was lower in food-producing animals than in humans.
This change is the result of a significant decrease in antibiotic usage among food-producing animals, suggesting that the country-level measures implemented to reduce antimicrobial use in food-producing animals are effective.
In 2021, the FDA (Food and Drug Administration) also published a report indicating a reduction in sales of antibiotics to animals in the US. Domestic sales and distribution of medically important antimicrobials approved for use in food-producing animals decreased by 28% from 2016 to 2020 for all producing animals, and by 72% for chickens.
Large animal producing regions that do not monitor antibiotic use and resistance have successfully implemented regulatory restrictions for antibiotic use in farm animals. Additionally, the will of animal protein producers to satisfy customer desire for antibiotic-free production strongly contributed to the reduction of antibiotic use.
It is empowering to observe the success in reducing antibiotic use in farm animals. Regions using high levels of antimicrobials are motivated and confident to continue this reduction further. The main contribution to improving healthcare that these efforts provide is a reduction in AMR, ensuring antimicrobial activity remains effective.
Does reducing antimicrobial use lead to the reduction of AMR? The resistance of different antimicrobials has been monitored for many years in some countries. Data from the US demonstrates that the reduction of antimicrobial use in chickens leads to a reduction in AMR (Figure 2). Similar trends are observed for other countries.
Alexander Fleming presciently warned about the dangers of misusing antibiotics in his Nobel lecture in 1945: “It is not difficult to make microbes resistant to penicillin in the laboratory by exposing them to concentrations not sufficient to kill them, and the same thing has occasionally happened in the body.” After some years of extensive antibiotic use, surveillance of AMR in bacteria from human isolated bacteria provided very clear evidence of the AMR problem on a global scale.
In the past, the use of antibiotics was higher in animals than in humans. Therefore, the need to reduce antibiotic use in animal production was clearly recognized. Sweden banned the use of antibiotic growth promoters (AGPs) in 1986 and other countries have since followed.
The surveillance of antimicrobial use and resistance in farm animals was established in different countries and the success of reducing antimicrobial use and its impact on AMR in recent years has become evident. Clearly, measurements were contributing to the success, but the main success driver was the reduction of antimicrobial use on the farm. Animal protein producers were able to improve biosecurity, farm management, and nutritional strategies, and increase the use of alternatives to antibiotics to prevent diseases.
Antibiotics are used in three principal ways in animal production:
Further interventions to reduce antimicrobial use will continue to have a beneficial impact on the occurrence of AMR, which underlines the need to promote the prudent use of antimicrobial agents, infection control and prevention in both humans and food-producing animals.
The surveillance of AMR not only demonstrates the impressive success of animal producers to reduce antimicrobial consumption but also demonstrates the possibilities for further improvements. As shown in Figure 3, the prevalence of antibiotic-susceptible bacteria (those not resistant to antibiotics) can be as high as 80%, which is the current situation in Iceland, Finland, and Norway.
It will be very challenging or perhaps even impossible to achieve the antibiotic resistance prevalence of the pre-antibiotic era. However, a big reduction is surely possible for animal producers in many countries. Ensuring the efficacy of antimicrobials in the future and reducing AMR is possible and provides clear benefits for the health of animals and people.
22 November 2022
Nataliya Roth is a Global Portfolio Manager Microbial Modulation. She holds a PhD degree in the Antimicrobial Use and Resistance obtained from the University of Natural Resources and Applied Life Sciences in Vienna, Austria. Nataliya holds two MSc degrees in Food and Biotechnology and Veterinary Medicine obtained from the University of Natural Resources and Applied Life Sciences in Vienna and Academy of Veterinary Sciences in Lviv, Ukraine. Nataliya has more than 15 years of experience in the animal nutrition and health industry in different research and business positions at global level within Biomin® and dsm-firmenich Animal Nutrition and Health.
We detected that you are visitng this page from United States. Therefore we are redirecting you to the localized version.