The AVMA's definitions of antimicrobial uses for prevention, control, and treatment of disease

David R. Smith 1(representing American Association of Bovine Practitioners), Starkville, Miss.

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Patricia S. Gaunt 2(representing American Association of Fish Veterinarians), Stoneville, Miss.

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Paul J. Plummer 3(representing American Association of Small Ruminant Practitioners), Boone, Iowa.

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Hector M. Cervantes 4(representing American Association of Avian Pathologists), Watkinsville, Ga.

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Peter Davies 5(representing American Association of Swine Veterinarians), Saint Paul, Minn.

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Virginia R. Fajt 6(representing American Association of Small Ruminant Practitioners), College Station, Tex.

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Erin Frey 7(representing American Animal Hospital Association), Raleigh, NC.

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Michele T. Jay-Russell 8(representing American Association of Food Safety and Public Health Veterinarians), Davis, Calif.

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Terry W. Lehenbauer 9(representing American Association of Bovine Practitioners), Tulare, Calif.

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Mark G. Papich 10(representing American Association of Equine Practitioners), Raleigh, NC.

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Tina M. Parker 11(at-large member), Gaithersburg, Md.

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Erin C. Phipps 12(at-large member), Albuquerque, NM.

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Joni M. Scheftel 13(representing American Association of Food Safety and Public Health Veterinarians), Mayer, Minn.

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Lauren V. Schnabel 14(representing American Association of Equine Practitioners), Holly Springs, NC.

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Randall S. Singer 15(representing American Association of Avian Pathologists), Saint Paul, Minn.

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Janet E. Whaley 16(representing American Association of Fish Veterinarians), Brookeville, Md.

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Jennifer K. Wishnie 17(representing American Association of Swine Veterinarians), San Luis Obispo, Calif.

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Lindsay R. Wright 18(representing American Animal Hospital Association), Salt Lake City, Utah.

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Michael Costin 19(AVMA staff consultant to the committee), Schaumburg, Ill.

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Abstract

Recent state and federal legislative actions and current recommendations from the World Health Organization seem to suggest that, when it comes to antimicrobial stewardship, use of antimicrobials for prevention, control, or treatment of disease can be ranked in order of appropriateness, which in turn has led, in some instances, to attempts to limit or specifically oppose the routine use of medically important antimicrobials for prevention of disease. In contrast, the AVMA Committee on Antimicrobials believes that attempts to evaluate the degree of antimicrobial stewardship on the basis of therapeutic intent are misguided and that use of antimicrobials for prevention, control, or treatment of disease may comply with the principles of antimicrobial stewardship. It is important that veterinarians and animal caretakers are clear about the reason they may be administering antimicrobials to animals in their care. Concise definitions of prevention, control, and treatment of individuals and populations are necessary to avoid confusion and to help veterinarians clearly communicate their intentions when prescribing or recommending antimicrobial use.

Abstract

Recent state and federal legislative actions and current recommendations from the World Health Organization seem to suggest that, when it comes to antimicrobial stewardship, use of antimicrobials for prevention, control, or treatment of disease can be ranked in order of appropriateness, which in turn has led, in some instances, to attempts to limit or specifically oppose the routine use of medically important antimicrobials for prevention of disease. In contrast, the AVMA Committee on Antimicrobials believes that attempts to evaluate the degree of antimicrobial stewardship on the basis of therapeutic intent are misguided and that use of antimicrobials for prevention, control, or treatment of disease may comply with the principles of antimicrobial stewardship. It is important that veterinarians and animal caretakers are clear about the reason they may be administering antimicrobials to animals in their care. Concise definitions of prevention, control, and treatment of individuals and populations are necessary to avoid confusion and to help veterinarians clearly communicate their intentions when prescribing or recommending antimicrobial use.

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