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    <titleInfo>
      <title>An estimation of total antimicrobial usage in humans and animals in Vietnam</title>
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      <namePart type="family">Carrique-Mas</namePart>
      <namePart type="given">J. J.</namePart>
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    <name type="personnal">
      <namePart type="family">Choisy</namePart>
      <namePart type="given">Marc</namePart>
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    <name type="personnal">
      <namePart type="family">Cuong</namePart>
      <namePart type="given">N. V.</namePart>
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    <name type="personnal">
      <namePart type="family">Thwaites</namePart>
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    <abstract>The accurate assessment of antimicrobial use (AMU) requires relating quantities of active ingredients (AAIs) with population denominators. These data can be used to prioritize potential sources of selective pressure for antimicrobial resistance and to establish reduction targets. Here, we estimated AMU in Vietnam (human population 93.4 M in 2015), and compared it with European Union (EU) data (population 511.5 M in 2014). We extrapolated AMU data on each key animal species and humans from different published sources to calculate overall AMU (in tonnes) in Vietnam. We then compared these data with published statistics on AMU in the European Union (EU). A total of 3838 t of antimicrobials were used in Vietnam, of which 2751 (71.7%) corresponded to animal use, and the remainder (1086 t; 28.3%) to human AMU. This equates to 261.7 mg and 247.3 mg per kg of human and animal biomass, compared with 122.0 mg and 151.5 mg in the EU. The greatest quantities of antimicrobials (in decreasing order) were used in pigs (41.7% of total use), humans (28.3%), aquaculture (21.9%) and chickens (4.8%). Combined AMU in other species accounted for &lt; 1.5%. These results are approximate and highlight the need to conduct targeted surveys to improve country-level estimates of AMU.</abstract>
    <targetAudience authority="marctarget">specialized</targetAudience>
    <subject>
      <topic>Antimicrobial use</topic>
      <topic>Surveillance</topic>
      <topic>Human medicine</topic>
      <topic>Veterinary medicine</topic>
      <topic>Vietnam</topic>
      <topic>European Union</topic>
    </subject>
    <subject authority="local">
      <geographic>VIET NAM</geographic>
      <geographic>EUROPE</geographic>
    </subject>
    <classification authority="local">050</classification>
    <classification authority="local">084</classification>
    <relatedItem type="host">
      <titleInfo>
        <title>Antimicrobial Resistance and Infection Control</title>
      </titleInfo>
      <part>
        <detail type="volume">
          <number>9</number>
        </detail>
        <detail type="volume">
          <number>1</number>
        </detail>
        <extent unit="pages">
          <list>16 [6 ]</list>
        </extent>
      </part>
      <originInfo>
        <dateIssued>2020</dateIssued>
      </originInfo>
      <identifier type="issn">2047-2994</identifier>
    </relatedItem>
    <identifier type="uri">https://www.documentation.ird.fr/hor/fdi:010077912</identifier>
    <identifier type="doi">10.1186/s13756-019-0671-7</identifier>
    <identifier type="issn">2047-2994</identifier>
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      <url access="row object">https://horizon.documentation.ird.fr/exl-doc/pleins_textes/divers20-04/010077912.pdf</url>
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      <recordCreationDate encoding="w3cdtf">2020-05-18</recordCreationDate>
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