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南美洲家畜生产中抗生素使用的相关规定:一项比较文献分析

Regulations on the Use of Antibiotics in Livestock Production in South America: A Comparative Literature Analysis.

作者信息

Da Silva Rafael Almeida, Arenas Nelson Enrique, Luiza Vera Lucia, Bermudez Jorge Antonio Zepeda, Clarke Sian E

机构信息

Pharmaceutical Assistance Department, Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro 21040-361, Brazil.

Faculty of Sciences, Universidad Antonio Nariño, Bogotá 110231, Colombia.

出版信息

Antibiotics (Basel). 2023 Aug 9;12(8):1303. doi: 10.3390/antibiotics12081303.

Abstract

As a global health problem, antimicrobial resistance (AMR) crosses national borders, leading UN (United Nations) multilateral agencies to call for all countries to improve the stewardship of antibiotics in humans and animals. South American countries have changed their regulations regarding antibiotic use in livestock production. This literature review examines how far the five largest meat-producing countries in South America (Argentina, Brazil, Chile, Colombia, and Uruguay) have come in terms of the relevant legislation. Rules on market entry (marketing authorization and official distribution systems) are already set in all countries examined. Four countries do not allow growth promoters based on critically important antibiotics, and countries have also begun to set guidelines and minimum welfare and biosecurity requirements to reduce the therapeutic demand for antibiotics. Nonetheless, there are aspects related to the distribution, use, and disposal of antibiotics that need to be developed further. In conclusion, legislation in South American countries is moving towards the goals set by UN multilateral agencies, but more can be done. Differences between countries' rules and the gold standards set by the World Organization for Animal Health (OIE), World Health Organization (WHO), and Food and Agriculture Organization of the United Nations (FAO) reveal possible adaptations to the countries' realities. Further studies must examine compliance with the legislation already set and investigate other tools that can be used alongside legislation as a driving force to change stakeholder behaviour.

摘要

作为一个全球性的健康问题,抗菌药物耐药性(AMR)跨越国界,促使联合国多边机构呼吁所有国家加强对人类和动物抗生素的管理。南美洲国家已更改了有关牲畜生产中抗生素使用的规定。本综述探讨了南美洲五个最大的肉类生产国(阿根廷、巴西、智利、哥伦比亚和乌拉圭)在相关立法方面取得的进展。所有被考察的国家都已制定了市场准入规则(销售许可和官方分销系统)。四个国家禁止使用基于极为重要的抗生素的生长促进剂,各国还开始制定指导方针以及最低福利和生物安全要求,以减少对抗生素的治疗需求。尽管如此,抗生素的分销、使用和处置等方面仍需进一步完善。总之,南美洲国家的立法正朝着联合国多边机构设定的目标迈进,但仍有更多工作要做。各国规则与世界动物卫生组织(OIE)、世界卫生组织(WHO)和联合国粮食及农业组织(FAO)设定的黄金标准之间的差异表明,可能需要根据各国实际情况进行调整。进一步的研究必须考察对已制定立法的遵守情况,并研究可与立法一起用作推动利益相关者行为改变的其他工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37c7/10451520/ac5cd31fcf26/antibiotics-12-01303-g001.jpg

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