@article{fdi:010084252,
  title = {{F}easibility study of a field survey to measure antimicrobial usage in humans and animals in the {M}ekong {D}elta region of {V}ietnam},
  author = {{C}uong, {N}. {V}. and {L}y, {N}. {P}. {C}. and {V}an, {N}. {T}. {B}. and {P}hu, {D}. {H}. and {K}iet, {B}. {T}. and {H}ien, {V}. {B}. and {P}adungtod, {P}. and {T}hwaites, {G}. and {C}hoisy, {M}arc and {C}arrique-{M}as, {J}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {D}evelopment of antimicrobial use ({AMU}) surveillance systems in humans and animals is a priority for many low- and middle-income countries; however accurate estimations are hampered by a diversity of animal production systems and metrics. {T}he {M}ekong {D}elta region of {V}ietnam is a 'hotspot' of antimicrobial resistance and is home to a high density of humans and animal populations. {O}bjectives: {T}o measure and compare {AMU} using different metrics (standing population, biomass and population correction unit) in the {M}ekong {D}elta, and to explore the potential of field-based data collection methods in the design of {AMU} surveillance systems. {M}ethods: {W}e collected {AMU} data from humans and animals (chickens, ducks, {M}uscovy ducks, pigs) from 101 small-scale farms in the {M}ekong {D}elta over a fixed period (90 days in humans, 7 days in animals). {R}esults: {H}umans used 7.1{DDD}(kg), or 175.9mg of antimicrobial active ingredients ({AAI}s) per kg of standing body mass annually; animals consumed 60.9{ADD}(kg) or 1324 mg. {I}n the {M}ekong {D}elta humans represented 79.3% of the total body mass but consumed 29.6% of {AAI}s by weight. {AAI}s regarded of critical importance by {WHO} represented 56.9% and 50.2% of doses consumed by animals and humans, respectively. {C}onclusions: {U}sing a {O}ne {H}ealth approach, we show that {AMU} can potentially be estimated from cross-sectional surveys, although results are hypothetical due to small sample size and are sensitive to the chosen population denominator. {T}he methodology proposed here can potentially be scaled up be applied to design {AMU} surveillance in low-resource settings, allowing {AMU} reduction efforts to be focused on particular animal species.},
  keywords = {{VIET} {NAM} ; {MEKONG} {DELTA}},
  booktitle = {},
  journal = {{JAC} - {A}ntimicrobial {R}esistance},
  volume = {3},
  numero = {3},
  pages = {dlab107 [11 p.]},
  year = {2021},
  DOI = {10.1093/jacamr/dlab107},
  URL = {https://www.documentation.ird.fr/hor/fdi:010084252},
}