학술논문
Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study.
Document Type
Academic Journal
Author
Moura P; National Food Institute, Technical University of Denmark, Lyngby, Denmark.; Borck Høg B; National Food Institute, Technical University of Denmark, Lyngby, Denmark.; Alban L; Department for Food Safety, Veterinary Issues and Risk Analysis, Danish Agriculture and Food Council, Copenhagen, Denmark.; Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark.; Sönksen UW; Statens Serum Institut, Copenhagen, Denmark.; Ribeiro Duarte AS; National Food Institute, Technical University of Denmark, Lyngby, Denmark.; Sandberg M; National Food Institute, Technical University of Denmark, Lyngby, Denmark.
Source
Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
Subject
Language
English
Abstract
Antimicrobial resistance (AMR) is considered a One Health (OH) challenge, ideally demanding concerted efforts from the animal, human and environmental side. DANMAP, the Danish Integrated Antimicrobial Resistance Monitoring and Research Program, is monitoring AMR and antimicrobial use in animals and humans. OH-EpiCap is an evaluation tool, developed to address essential elements in OH surveillance systems, such as the dimensions of the organization, operational activities and the impact of the surveillance activities. We aimed to evaluate DANMAP using OH-EpiCap and hereby assessed the suitability of OH-EpiCap to evaluate integrated AMR surveillance systems. During the evaluation, the strengths and weaknesses of DANMAP concerning the "OH-ness" of the program were discussed. Furthermore, possible adaptations of the standard operating procedures and governance structure were addressed. Attention was paid to the ability and easiness of DANMAP to cope with current and future challenges connected to integrated AMR surveillance. It was concluded that DANMAP has a strong OH approach covering relevant aspects for humans and animals, whereas environmental aspects are missing. OH-EpiCap proved to be straightforward to use and provided valuable insights. The authors recommend OH-EpiCap to be used by health authorities and stakeholders. It is not suitable for the technical evaluation of a surveillance program.
Competing Interests: LA works for an organization that gives advice to farmers and meat-producing companies. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2023 Moura, Borck Høg, Alban, Sönksen, Ribeiro Duarte and Sandberg.)
Competing Interests: LA works for an organization that gives advice to farmers and meat-producing companies. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2023 Moura, Borck Høg, Alban, Sönksen, Ribeiro Duarte and Sandberg.)