Evidence map›Paper›PMID 29375825›Full record

ArticleAntimicrobial resistance and infection control2018

World Health Organization (WHO) guidelines on use of medically important antimicrobials in food-producing animals.

Awa Aidara-Kane, Frederick J Angulo, John M Conly, Yuki Minato, Ellen K Silbergeld, Scott A McEwen, Peter J Collignon, WHO Guideline Development Group

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Impact of lactic acid bacteria andVeterinary and animal science · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Evaluation of recombinase polymerase amplification assays for targeted detection of bovine respiratory disease bacterial pathogens and antimicrobial-resistance genes in feedlot calves.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Occurrence and Antimicrobial Resistance Profiles ofInternational journal of veterinary science and medicine · 2026
    Article
  19. Nutritional Impacts ofAquaculture nutrition · 2026
    Article
  20. Review

86 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Awa Aidara-Kane1Department of Food Safety and Zoonoses (NMH/FOS), World Health Organization, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland.
Frederick J Angulo2Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, 1600 Clifton Road, MS D-63, Atlanta, GA 30033 USA.
John M Conly3Departments of Medicine, Microbiology, Immunology & Infectious Diseases, and Pathology & Laboratory Medicine, Synder Institute for Chronic Diseases and O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, Canada.
Yuki Minato1Department of Food Safety and Zoonoses (NMH/FOS), World Health Organization, 20 Avenue Appia, CH-1211 Geneva 27, Switzerland.ORCID 0000-0003-1246-901X
Ellen K Silbergeld4Department of Environmental Health, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21218 USA.
Scott A McEwen5Department of Population Medicine, University of Guelph, Guelph, N1G 2W1 Canada.
Peter J Collignon6Infectious Diseases and Microbiology, Canberra Hospital, Canberra, Australia and Medical School, Australian National University, PO Box 11, Woden, ACT 2606 Australia.
WHO Guideline Development Group

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: Antimicrobial use in food-producing animals selects for antimicrobial resistance that can be transmitted to humans via food or other transmission routes. The World Health Organization (WHO) in 2005 ranked the medical importance of antimicrobials used in humans. In late 2017, to preserve the effectiveness of medically important antimicrobials for humans, WHO released guidelines on use of antimicrobials in food-producing animals that incorporated the latest WHO rankings. Methods: WHO commissioned systematic reviews and literature reviews, and convened a Guideline Development Group (GDG) of external experts free of unacceptable conflicts-of-interest. The GDG assessed the evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, and formulated recommendations using a structured evidence-to-decision approach that considered the balance of benefits and harms, feasibility, resource implications, and impact on equity. The resulting guidelines were peer-reviewed by an independent External Review Group and approved by the WHO Guidelines Review Committee. Results: These guidelines recommend reductions in the overall use of medically important antimicrobials in food-producing animals, including complete restriction of use of antimicrobials for growth promotion and for disease prevention (i.e., in healthy animals considered at risk of infection). These guidelines also recommend that antimicrobials identified as critically important for humans not be used in food-producing animals for treatment or disease control unless susceptibility testing demonstrates the drug to be the only treatment option. Conclusions: To preserve the effectiveness of medically important antimicrobials, veterinarians, farmers, regulatory agencies, and all other stakeholders are urged to adopt these recommendations and work towards implementation of these guidelines.

Indexed as

Animal HusbandryWorld Health OrganizationAnimalsAnti-Infective AgentsDrug Resistance, MicrobialEnvironmentFarmersFoodFood AnalysisFood SafetyGuidelines as TopicHumansVeterinariansZoonosesAnti-Infective AgentsAgricultureAntimicrobial resistanceAntimicrobial useFood safetyGuidelinesHealth consequencesZoonoses

Identifiers

PMID29375825
PMCPMC5772708

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.