Stewardship / Resistance Scan for Jan 12, 2018

Online stewardship course
OIE report on animal antibiotics

Online antimicrobial stewardship course reaches 33,000 people

An "interactive massive open online course" (MOOC) on antimicrobial stewardship was taken by 32,944 people in 163 countries and was rated highly by its participants, most of whom were healthcare professionals, according to a report this week in the Journal of Antimicrobial Chemotherapy.

The course, "Antimicrobial Stewardship: Managing Antibiotic Resistance," was developed by scientists at the University of Dundee and the British Society for Antimicrobial Chemotherapy, which publishes the journal. It ran over four 6-week periods in 2015 and 2016 supported by educators and was evaluated via data on uptake and feedback from participants on the impact on their clinical practices.

Of the 32 944 learners, 70% were healthcare professionals, with regional breakdown as follows: Europe (49%), Asia (16%), Africa (13%), North America (9%), Australia (8%), and South America (5%). From 33% to 37% of participants in each session completed at least one step in any week of the course, and 219 participants responded to a post-course survey.

Of those, 208 (95%) rated the course as good or excellent, and 83 (38%) said they intended to implement stewardship interventions in their own workplace. A follow-up survey 6 months later suggested that 49% of the 83 had implemented those interventions.

The authors of the report conclude, "The MOOC has addressed a global learning need by providing education free at the point of access, and learning from its development will help others embarking upon similar educational solutions."
Jan 10 J Antimicrob Chemother report


OIE: Fewer nations saying no to any animal antimicrobials for growth

The percentage of countries worldwide that do not authorize the use of any antimicrobial agents for growth promotion in food animals fell from 2015 to 2016, according to the second annual report on the use of such drugs in animals from the World Organization for Animal Health (OIE), published last month.

In 2015, 96 of 130 OIE member countries, or 74%, reported no authorization for the use of antimicrobial agents like antibiotics for growth promotion. But in 2016, according to the new report, that percentage fell to 59% (86 of 146). The numbers are based on surveys sent to all 180 OIE member nations.

In the 2017 report, 107 of 146 countries (73%) reported quantitative data for 1 or more years from 2013 to 2016, an increase from 89 countries in the 2016 report. Sources of these data varied among OIE regions but were most commonly sales and import records.

The new report is the first from the OIE to include drug use per animal weight. Based on data from 60 nations, the OIE estimates animal antimicrobial consumption of 98.97 milligrams per kilogram (mg/kg), with an upper-level estimate of 134.31 mg/kg.

The executive summary of the report concludes, "The OIE remains strongly committed to supporting our Members in developing robust measurement and transparent reporting mechanisms for antimicrobial use, but the challenges for many of our Members must not be under-estimated. . . . While data collection systems further develop, this annual report will provide an essential global and regional analysis of antibiotic use in animals, and changes over time."
December 2017 OIE report

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