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Comparison of Quantification Methods to Estimate Farm-Level Usage of Antimicrobials Other than in Medicated Feed in Dairy Farms from Québec, Canada

机译:比较QuébecQuébec乳制品饲料以外的抗菌药物水平使用的量化方法

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摘要

The objective of the study was to compare three quantification methods to a “garbage can audit” (reference method, REF) for monitoring antimicrobial usage (AMU) from products other than medicated feed over one year in 101 Québec dairy farms. Data were collected from veterinary invoices (VET method), from the “Amélioration de la Santé Animale au Québec” provincial program (GOV method), and from farm treatment records (FARM method). The AMU rate was reported in a number of Canadian Defined Course Doses for cattle (DCDbovCA) per 100 cow-years. Electronic veterinary sales data were obtained for all farms for VET and GOV methods. For the FARM method, a herd management software was used by 68% of producers whereas farm treatment records were handwritten for the others; records could not be retrieved in 4% of farms. Overall, agreement was almost perfect between REF and VET methods (concordance correlation coefficient (CCC) = 0.83), but moderate between REF and GOV (CCC = 0.44), and between REF and FARM (CCC = 0.51). Only a fair or slight agreement was obtained between any alternative method of quantification and REF for oral and intrauterine routes. The billing software used by most of Québec’s dairy veterinary practitioners seems promising in terms of surveillance and benchmarking of AMU in the province.
机译:这项研究的目的是三个量化方法比作“垃圾可以审计”(参考方法,REF),用于监控从高于101个魁北克奶牛场药饲料超过一年的其他产品的抗菌药物使用率(AMU)。数据来自兽医发票(VET方法)收集,从“改善德拉桑特安尼米尔AU魁北克省”省级计划(GOV方法),并从农场治疗记录(FARM方法)。阿木率据报道,每100头牛,牛年(DCDbovCA)一些加拿大定义课程剂量。对于职业教育和GOV方法均场得到电子兽药销售数据。对于FARM方法,使用由生产者,而农场的治疗记录进行了手写的其他68%的畜群管理软件;记录无法在农场的4%进行检索。总体来说,协议几乎REF和VET方法(一致性相关系数(CCC)= 0.83)之间的完美,但REF和GOV(CCC = 0.44)之间的中度和REF和农场之间(CCC = 0.51)。量化和REF的口腔和子宫内等途径任何其他方法之间仅得到一个公平的或轻微的协议。大多数魁北克省奶业兽医从业者所使用的计费软件很有前途的监控方面,并在全省AMU的标杆。

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