World Health Organization Ranking of Antimicrobials According to Their Importance in Human Medicine: A Critical Step for Developing Risk Management Strategies for the Use of Antimicrobials in Food Production Animals

Criteria, and content of these lists in this paper

Peter Collignon; John H. Powers; Tom M. Chiller; Awa Aidara‐Kane; Frank M. Aarestrup

2009

Scholarcy highlights

  • The use of antimicrobials in food animals creates an important source of antimicrobial-resistant bacteria that can spread to humans through the food supply
  • The consultants considered drugs to be of greatest priority if: there are relatively large absolute numbers of people affected by diseases for which the drug is the sole alternative or one of few alternative therapies; the overall frequency of use of the drugs in human medicine for any reason is relatively large; and the drug is used to treat disease due to pathogens for which there is evidence regarding transmission of bacteria or their genes from nonhuman sources to humans
  • Reducing the use of critically important antimicrobials in food animals will reduce the amount of resistant bacteria that can develop and spread
  • This will help mitigate a threat to human health and decrease morbidity and mortality in humans, by preserving effective treatments for use in the case of serious disease caused by these bacteria
  • We should strive to reduce the use of antimicrobials everywhere, including reduction of inappropriate use in humans for treatment of viral and fungal diseases, as well as for treatment of diseases in which the benefit of antibacterials is unclear
  • These lists allow us to focus initially on those agents that are critically important to human medicine

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