An estimation of total antimicrobial usage in humans and animals in Vietnam

The accurate assessment of antimicrobial use (AMU) requires relating quantities of active ingredients (AAIs) with population denominators. These data can be used to prioritize potential sources of selective pressure for antimicrobial resistance and to establish reduction targets. Here, we estimated...

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Bibliographic Details
Published in:Antimicrobial resistance & infection control 2020-01, Vol.9 (1), p.16-16, Article 16
Main Authors: Carrique-Mas, Juan J, Choisy, Marc, Van Cuong, Nguyen, Thwaites, Guy, Baker, Stephen
Format: Article
Language:English
Subjects:
Animal species
Animals
Antimicrobial agents
Antimicrobial use
Aquaculture
Aquaculture industry
Beef cattle
Biomass
Comparative analysis
Disease control
Drug resistance
Estimates
European Union
Hogs
Human medicine
Human populations
International economic relations
Life Sciences
Microbial drug resistance
Poultry
Santé publique et épidémiologie
Short Report
Surveillance
Veterinary medicine
Vietnam
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Summary:The accurate assessment of antimicrobial use (AMU) requires relating quantities of active ingredients (AAIs) with population denominators. These data can be used to prioritize potential sources of selective pressure for antimicrobial resistance and to establish reduction targets. Here, we estimated AMU in Vietnam (human population 93.4 M in 2015), and compared it with European Union (EU) data (population 511.5 M in 2014). We extrapolated AMU data on each key animal species and humans from different published sources to calculate overall AMU (in tonnes) in Vietnam. We then compared these data with published statistics on AMU in the European Union (EU). A total of 3838 t of antimicrobials were used in Vietnam, of which 2751 (71.7%) corresponded to animal use, and the remainder (1086 t; 28.3%) to human AMU. This equates to 261.7 mg and 247.3 mg per kg of human and animal biomass, compared with 122.0 mg and 151.5 mg in the EU. The greatest quantities of antimicrobials (in decreasing order) were used in pigs (41.7% of total use), humans (28.3%), aquaculture (21.9%) and chickens (4.8%). Combined AMU in other species accounted for
ISSN:2047-2994
2047-2994
DOI:10.1186/s13756-019-0671-7