Evidence map›Paper›PMID 32776971›Full record

ArticlePloS one2020

Eight years of sales surveillance of antimicrobials for veterinary use in Germany-What are the perceptions?

Lydia M Köper, Christoph Bode, Alice Bender, Inke Reimer, Thomas Heberer, Jürgen Wallmann

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Genomic Evidence ofMicrobiology spectrum · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Antimicrobial and Biocide Resistance among Canine and FelineAntibiotics (Basel, Switzerland) · 2022
    Article
  10. Multiresistant Gram-Negative Pathogens—A Zoonotic Problem.Deutsches Arzteblatt international · 2021
    Review
  11. The First Report ofAntibiotics (Basel, Switzerland) · 2021
    Article
  12. Association of Antimicrobial Resistance inAntibiotics (Basel, Switzerland) · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lydia M KöperDepartment Veterinary Drugs, Federal Office of Consumer Protection and Food Safety (BVL), Berlin, Germany.ORCID 0000-0001-9547-2788
Christoph BodeDepartment Veterinary Drugs, Federal Office of Consumer Protection and Food Safety (BVL), Berlin, Germany.
Alice BenderDepartment Veterinary Drugs, Federal Office of Consumer Protection and Food Safety (BVL), Berlin, Germany.
Inke ReimerDepartment Veterinary Drugs, Federal Office of Consumer Protection and Food Safety (BVL), Berlin, Germany.
Thomas HebererDepartment Veterinary Drugs, Federal Office of Consumer Protection and Food Safety (BVL), Berlin, Germany.
Jürgen WallmannDepartment Veterinary Drugs, Federal Office of Consumer Protection and Food Safety (BVL), Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A surveillance system for sales volumes of antimicrobial agents for veterinary use was established in Germany in 2011. Since then, pharmaceutical companies and wholesalers have been legally obliged to report annual volumes of veterinary antimicrobial products sold to veterinary practices or clinics located in Germany. The evaluation of sales volumes for eight consecutive years resulted in a considerable total decrease by 58% from 1706 tons to 722 tons. During the investigation period, two legally binding measures to control the risk of antimicrobial resistance resulting from the veterinary use of antimicrobials were introduced, a) the German treatment frequencies benchmarking in 2014 and b) the obligation to conduct susceptibility testing for the use of cephalosporins of the 3rd and 4th generation and of fluoroquinolones in 2018. Both had a marked impact on sales volumes. Nonetheless, the category of Critically Important Antimicrobials as defined by the World Health Organization kept accounting for the highest share on sales volumes in Germany in 2018 with 403 tons, despite an overall reduction by 53%. Sales surveillance is considered essential for data retrieval on a global scale and inter-country comparison. However, the usability of a surveillance system based on sales data for risk management of antimicrobial resistance has limitations. The German system does not include off-label use of antimicrobial products authorized for human medicine and does not allow for identification of areas of high risk according to animal species, farm and production types and indications for treatment. For further reduction and enhanced promotion of a prudent use of antimicrobials, targeted measures would be required that could only be deducted from use data collected at farm or veterinary practice level. A surveillance system based on use data is currently lacking in Germany but will be established according to Regulation (EU) 2019/6 on veterinary medicinal products.

Indexed as

PerceptionProduct Surveillance, PostmarketingAnti-Infective AgentsCommerceGermanySocial Control, FormalTetracyclineVeterinary DrugsWorld Health OrganizationAnti-Infective AgentsTetracyclineVeterinary Drugs

Identifiers

PMID32776971
PMCPMC7416935

What OpenQuestion holds

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Registered trials

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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.