Abstract

Surveillance of antimicrobial use (AMU) and antimicrobial resistance (AMR) is a core component of the 2017 Pan-Canadian Framework for Action. There are existing AMU and AMR surveillance systems in Canada, but some stakeholders are interested in developing their own AMU monitoring/surveillance systems. It was recognized that the establishment of core (minimum) AMU data elements, as is necessary for policy or intervention development, would inform the development of practical and sustainable AMU surveillance capacity across food animal sectors in Canada. The Canadian Animal Health Surveillance System (CAHSS) AMU Network was established as a multisectoral working group to explore the possibility of harmonizing data inputs and outputs. There was a consensus that a minimum AMU dataset for AMU surveillance (MDS-AMU-surv) should be developed to guide interested parties in initiating AMU data collection. This multisectoral collaboration is an example of how consultative consensus building across relevant sectors can contribute to the development of harmonized approaches to AMU data collection and reporting and ultimately improve AMU stewardship. The MDS-AMU-surv could be used as a starting point for the progressive development or strengthening of AMU surveillance programs, and the collaborative work could serve as a model for addressing AMR and other shared threats at the human–animal–environment interface.

Highlights

  • Surveillance is a vital component of the Global Action Plan for antimicrobial resistance (AMR) published by the World Health Organization (WHO) [1], the Food and AgricultureOrganization of the United Nations’ (FAO) action plan for AMR 2021-2025 [2] and its predecessor [3], and the World Organisation for Animal Health’s (OIE) strategy for AMR and the prudent use of antimicrobials [4]

  • Surveillance data on antimicrobial use (AMU) and AMR are essential for informed decision making to direct other components of the action plan being developed based on this framework, including infection prevention and control, stewardship, and research and innovation

  • This paper aims to describe the AMU distribution pathway for antimicrobials intended for use in animals in Canada, identify points in the distribution chain where data could be collected to describe the multisectoral collaboration that facilitated the development of the MDS-AMUsurv, and to provide examples of the utility of the MDS-AMU-surv for AMU monitoring and research

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Summary

Introduction

Surveillance is a vital component of the Global Action Plan for antimicrobial resistance (AMR) published by the World Health Organization (WHO) [1], the Food and Agriculture. Organization of the United Nations’ (FAO) action plan for AMR 2021-2025 [2] and its predecessor [3], and the World Organisation for Animal Health’s (OIE) strategy for AMR and the prudent use of antimicrobials [4]. Surveillance of antimicrobial use (AMU) and AMR is a component of the Canadian plan for “Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian. Surveillance data on AMU and AMR are essential for informed decision making to direct other components of the action plan being developed based on this framework, including infection prevention and control, stewardship, and research and innovation.

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