Literature DB >> 16288558

Did glycopeptide use in animals result in hospital infections of VRE?

Anthony Mudd.   

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Year:  2005        PMID: 16288558      PMCID: PMC1297545          DOI: 10.1371/journal.pmed.0020383

Source DB:  PubMed          Journal:  PLoS Med        ISSN: 1549-1277            Impact factor:   11.069


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As one of the persons involved with the development of avoparcin for farm animals, I have followed the discussion on vancomycin-resistant enterococci (VRE) and its potential transfer from animals to humans over the past decade. What a pity that the authors of this PLoS Medicine Policy Forum [1] did not reference a recent review by Wassenaar [2] that comprehensively discussed this topic. In this review, evidence is presented to show that VRE infections in humans have actually increased in the European Union since avoparcin was removed from the market. Other data show that whole-genome typing methods separate clinical VRE strains from animal or nonhospitalized human strains. The conclusion of the Smith et al. article [1] that a correct decision was made to adopt the EU “precautionary principle” and remove avoparcin from the market is surprising, as this is contrary to the opinion of the independent EU Scientific Committee for Animal Nutrition, and since a quantitative risk analysis, as suggested by the authors, could not conclude a relationship between glycopeptide use in animals and incidence of clinical infection in humans.
  2 in total

Review 1.  Use of antimicrobial agents in veterinary medicine and implications for human health.

Authors:  Trudy M Wassenaar
Journal:  Crit Rev Microbiol       Date:  2005       Impact factor: 7.624

2.  Agricultural antibiotics and human health.

Authors:  David L Smith; Jonathan Dushoff; J Glenn Morris
Journal:  PLoS Med       Date:  2005-07-05       Impact factor: 11.069

  2 in total

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