Animal health practices | Implications | |
---|---|---|
Farm practices (with potential to cause AMR) Chauhan et al. [23]; Kumar and Gupta [24] | Selling of milk from cows given antibiotics | In cases where withdrawal periods have not been observed and residue levels are beyond the recommended levels, consumers can be exposed to low antibiotic doses, which can result to resistant bacteria. |
Inadequate disease-control practices including vaccination | Disease control is important as new infections are avoided and the need to use antimicrobials is reduced. The risk of AMR is minimized. | |
Not aware about antibiotic withdrawal periods, for those aware, considering it impractical given the loss implications | Farmers are likely to sell antibiotic-contaminated milk, and this has serious health implications | |
Unrestricted access to antibiotics Chauhan et al. [23]; Kumar and Gupta Bhushan et al. [27] | Direct marketing of drugs to farmers | The strategy may encourage farmers to use antibiotics in cases where they are not required. Prudent use of drugs is important in addressing the problem of AMR. |
Over-the-counter access (informal prescribers, with or without prescription, and through re-use of old prescriptions). | Inappropriate use is promoted. | |
Use of low-cost antibiotics by small- scale farmers (how much is used depends on the severity of infection) | A problem if these are of poor quality or are easily available over- the-counter as there is tendency to use them inappropriately. Exposure to low doses over a long period of time may encourage selection of resistant bacterial strains. | |
Farmers administer antibiotic to animals irrespective of whether the disease is infectious or not | This implies misuse of antibiotics and may trigger AMR. | |
Use of antibiotics labelled for humans (and those for other livestock species) | Appropriate dosages and withdrawal period cannot be determined. Use of last-resort antibiotics would have serious health implications. | |
Consultation when an animal is sick. Garg and Mohanta [28]; Chauhan et al. [23]; Kumar and Gupta [24] | Consulting veterinarians after the case has become serious, and often after sick animals have been treated by unqualified individuals | Chronic cases are less likely to be successful, and the infection may have become resistant, making the veterinarians unable to save the animal, and the farmer loses confidence. |
Consulting with unprofessional groups (e.g. milk vendors and the para-veterinarians) | They are not trained and therefore not aware of the right medication to use. They are also not knowledgeable about AMR. | |
Lack of operational laboratory facilities (lack of microbiologists, equipment etc.). | Quality tests allow for confirmation of specific pathogens and will inform the choice of antibiotics to use. Tests are also important in surveillance of AMR. |