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Policy implications for awareness gaps in antimicrobial resistance(AMR)and antimicrobial use among commercial Nepalese poultry producers

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Global Health Research and Policy 2021年第1期6卷 447-455页

作者： Anastasia S.Lambrou Gabriel K.Innes Laura O’Sullivan Himal Luitel Rebanta K.Bhattarai Hom *** Christopher D.Heaney Department of International Health Johns Hopkins Bloomberg School of Public HealthBaltimoreMDUSA Department of Epidemiology Rutgers School of Public HealthPiscatawayNJUSA Department of Environmental Health&Engineering Johns Hopkins Bloomberg School of Public HealthBaltimoreMDUSA Center for Biotechnology Agriculture and Forestry UniversityRampurChitwanNepal Department of Veterinary Microbiology and Parasitology Agriculture and Forestry UniversityRampurChitwanNepal Department of Epidemiology Johns Hopkins Bloomberg School of Public HealthBaltimoreMDUSA

Background:Nepal’s poultry industry has increased with a growing middle class,which has translated to an increase in antimicrobial consumption and thus a rise in antimicrobial resistance(AMR).Describing and understanding antimicrobial use practices among commercial poultry producers in Nepal may help minimize the risks of AMR development in both humans and animals and determine the effectiveness of relevant ***:From July to August 2018,poultry farmers were randomly recruited from Nepal’s Chitwan District to participate in a cross-sectional *** lead producer in each poultry operation was administered a quantitative structured-survey via a 30-min *** were asked to provide demographics,production practices,and knowledge about their antimicrobial use *** data analysis was performed to obtain frequencies and compare ***:In total,150 commercial poultry producers of whom raised between 300 and 40,000 birds completed the *** 33%(n=49)of producers reported knowing what AMR was,and among them only 50%(n=25)consulted a veterinarian for treatment *** administration for growth promotion was still employed by 13%of poultry ***,critically important antimicrobial drugs,specifically colistin,were identified at 35%of participating *** reported low overall understanding and compliance of withdrawal periods(n=41;27%),which may result in both AMR development and adverse health reactions among consumers who ingest antimicrobial *** Nepal has publicized antimicrobial use policies and awareness campaigns to instill healthy production practices,most producers(82%)were unaware of ***:Many Nepalese poultry producers lack overall antimicrobial use and AMR awareness,which is evidenced by low antimicrobial withdrawal period compliance,use of antimicrobials for growth promotion,and the sustained use of critically important ***

关键词： Antimicrobial resistance withdrawal period Poultry Nepal One health Health policy

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