Abstract
Antimicrobial resistance (AMR) is a growing threat in veterinary medicine, and although there is an expanding body of literature of the AMR prevalence in food animal and companion animal populations, little data on AMR exists in primate veterinary medicine. The monkey-human interface is extensive, especially in biomedical research and zoos, and these monkeys are frequently infected with bacteria that can be transmitted between monkeys and humans. The prevalence of antimicrobial resistant zoonotic bacteria has the potential to impact animal, human, and environmental health worldwide. Primate veterinarians frequently treat bidirectional zoonotic infections with antimicrobials classified as “critically important” by the World Health Organization, and such antimicrobial use (AMU) can influence AMR in humans and the environment. Consequently, medical primatologists have a public health obligation to use antimicrobials judiciously. Antimicrobial stewardship is especially important because the selective pressure of repeated AMU can promote the spread of AMR within and between monkeys and to humans with zoonotic transmission. Effective antimicrobial stewardship programs utilize a multi-modal approach involving a coordinated team with protocols for appropriate antimicrobial selection and practice and ongoing monitoring strategies for antimicrobial use, AMR, and patient outcomes. This multi-modal tactic is necessary to contest AMR on a One Health scale. Veterinarians are in a position to create comprehensive antimicrobial stewardship programs and reduce the threats of AMR on monkey and human health.
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Glossary
- Anthropozoonosis
-
transmissibility of infectious pathogens from human to vertebrate animal. Also known as “reverse zoonosis”
- Antimicrobial resistance
-
also known as antibiotic resistance or drug resistance, it is the ability of microbes to resist the effects of drugs
- Antimicrobial susceptibility test
-
a diagnostic test measuring the degree of bacterial resistance to antimicrobials
- Antimicrobial selective pressure
-
an influence exerted by the presence of an antimicrobial, killing susceptible bacteria and promoting the growth and spread of bacteria resistant to the antimicrobial present
- Commensal organism
-
a microbe that benefits from the presence of another organism, which is unaffected by the microbe
- Competitive exclusion
-
the elimination of an organism by another that shares identical resources
- Empiric antimicrobial therapy
-
initiation of antimicrobial treatment prior to microbial test results
- Fomite
-
object or material that can carry infectious pathogens
- Horizontal transmission
-
spread of an infectious agent among individuals of the same generation
- Mean inhibitory concentration
-
lowest concentration of antimicrobial that prevents bacterial growth
- Medical primatology
-
the study of the medical management and care of nonhuman primates with the purpose to maximize their well-being, conserve their species, and research comparative knowledge for human pathology and biology
- Nosocomial
-
infection or disease contracted from a hospital setting
- Reverse zoonosis
-
see anthropozoonosis
- Resistome
-
the collection of all antimicrobial resistance genes and the precursors
- Shedding
-
the act of expelling pathogens from the body
- Zoonosis
-
transmissibility of infectious pathogens from vertebrate animal to human
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Kim, J., Habing, G.G., Salyards, G.W., Coble, D.J. (2020). Antimicrobial Stewardship in Captive Monkeys. In: Knauf, S., Jones-Engel, L. (eds) Neglected Diseases in Monkeys. Springer, Cham. https://doi.org/10.1007/978-3-030-52283-4_7
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DOI: https://doi.org/10.1007/978-3-030-52283-4_7
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Publisher Name: Springer, Cham
Print ISBN: 978-3-030-52282-7
Online ISBN: 978-3-030-52283-4
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