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Etablierung von definierten Tages­dosierungen und definierten Gesamt­behandlungsdosierungen zur Messung des Antibiotikaverbrauchs in der ­Schweizer Schweineproduktion


Echtermann, Thomas; Müntener, Cedric R; Torgerson, Paul R; Sidler, X; Kümmerlen, Dolf (2018). Etablierung von definierten Tages­dosierungen und definierten Gesamt­behandlungsdosierungen zur Messung des Antibiotikaverbrauchs in der ­Schweizer Schweineproduktion. Schweizer Archiv für Tierheilkunde, 160(10):597-605.

Abstract

A significant Antibiotic-Monitoring-System is essential to analyse the use of antibiotics and to a better understanding of trends in resistance development. In human and veterinary medicine, for example, a system based on defined daily and treatment doses (Defined Daily Dose: DDD and Defined Course Dose: DCD) is applied. These definitions can be used to estimate the number of treatment days and treatments with antimicrobial agents in a population. For veterinary medicine, the European Medicines Agency (EMA) has published the European values DDDvet and DCDvet in the farm animal sector. The aim of this study was to define Swiss daily and treatment doses (DDDch and DCDch) for the treatment of pigs and to compare them with the EMA values in order to investigate the differences between individually collected national doses and average international doses. For the comparison, the quotient of Swiss and European values was calculated and the influence of the application form of an active substance and the number of active substances contained in a preparation was investigated. One hundred and three veterinary preparations with 138 active substances were assigned a DDDch and DCDch value. A comparison with EMA values was possible for 118 active substances. The comparison showed median values of 0.91 for the daily doses and 0.90 for the treatment doses, so that the daily and treatment doses in Switzerland are lower than the corresponding EMA doses. Both the form of application (injection solutions: 1.00; premixes: 0.76; P=0.02) and the number of active substances in the preparation (one active substance: 1.00; two active substances: 0.76; three active substances: 0.43; each P.

Abstract

A significant Antibiotic-Monitoring-System is essential to analyse the use of antibiotics and to a better understanding of trends in resistance development. In human and veterinary medicine, for example, a system based on defined daily and treatment doses (Defined Daily Dose: DDD and Defined Course Dose: DCD) is applied. These definitions can be used to estimate the number of treatment days and treatments with antimicrobial agents in a population. For veterinary medicine, the European Medicines Agency (EMA) has published the European values DDDvet and DCDvet in the farm animal sector. The aim of this study was to define Swiss daily and treatment doses (DDDch and DCDch) for the treatment of pigs and to compare them with the EMA values in order to investigate the differences between individually collected national doses and average international doses. For the comparison, the quotient of Swiss and European values was calculated and the influence of the application form of an active substance and the number of active substances contained in a preparation was investigated. One hundred and three veterinary preparations with 138 active substances were assigned a DDDch and DCDch value. A comparison with EMA values was possible for 118 active substances. The comparison showed median values of 0.91 for the daily doses and 0.90 for the treatment doses, so that the daily and treatment doses in Switzerland are lower than the corresponding EMA doses. Both the form of application (injection solutions: 1.00; premixes: 0.76; P=0.02) and the number of active substances in the preparation (one active substance: 1.00; two active substances: 0.76; three active substances: 0.43; each P.

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Other titles:Defining daily doses and total doses for the measurement of antibiotic usage in Swiss pig production
Item Type:Journal Article, refereed, original work
Communities & Collections:05 Vetsuisse Faculty > Institute of Veterinary Pharmacology and Toxicology
05 Vetsuisse Faculty > Veterinary Clinic > Department of Farm Animals
05 Vetsuisse Faculty > Chair in Veterinary Epidemiology
Dewey Decimal Classification:570 Life sciences; biology
Uncontrolled Keywords:General Veterinary, Agenzia europea per i medicinali (EMA); Antibiotic-Monitoring-System; Antibiotika-Monitoring-System; Compendium des médicaments vétérinaires; Defined Course Dose (DCD); Defined Course dosis (DCD); Defined Daily Dose (DDD); Defined Daily Dosis (DDD); European Medicines Agency (EMA); European Medicines Agency; European ­Medicines Agency (EMA); Schwein; Sistema di monitoraggio degli antibiotici; Système de surveillance des antibiotiques; Tierarzneimittelkompendium; compendio dei medicamenti veterinari.; pig; port; suini; veterinary medicinal product compendium; ­Defined Daily Dose (DDD)
Language:German
Date:5 October 2018
Deposited On:22 Jan 2019 11:50
Last Modified:25 Sep 2019 00:08
Publisher:Gesellschaft Schweizer Tierärztinnen und Tierärzte
ISSN:0036-7281
OA Status:Green
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.17236/sat00179
PubMed ID:30301713

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