Comparison of different antimicrobial use indicators and antimicrobial resistance data in food-producing animals.
Pim SandersDik MeviusKees VeldmanInge van GeijlswijkJaap A WagenaarMarc BontenDick HeederikPublished in: JAC-antimicrobial resistance (2021)
Using different denominators in AMU indicators has a major impact on measured use. This might result in misinterpretation of effects of interventions on AMU and the associations of AMU with AMR across animal sectors. From an epidemiological perspective, indicators that take into account time at risk of exposure to antimicrobials are to be preferred and reflect the AMR risk most accurately.