Dutch experiences with reduction of antibiotics and Management XLIII SIPAS 2017 R. Janssen DVM The Swinepractice and Vice-president EAPHM
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1 Dutch experiences with reduction of antibiotics and Management XLIII SIPAS 2017 R. Janssen DVM The Swinepractice and Vice-president EAPHM
2 Content The Swinepractice / De Varkenspraktijk Antibiotic reduction, rules and guidelines in the Netherlands. Herd health management Practical aspects The future in Europe
3 The Swinepractice De varkenspraktijk Netherlands: sows (south and east) De Varkenspraktijk: 11 vets 2 locations 13% of Swine production Consultancy (Germany / Hungary / Belgium) Someren Oss
4 History Within the EU: The Netherlands had the lowest use of antibiotics in human medicine and the highest use of antibiotics in veterinary medicine.
5 History From 2000 in Dutch hospitals more patients are found with multi-resistent bacteria (MRSA and ESBL s)
6 Situation till 2009 High use of antibiotics in animal production Zinc oxide level maximum 150 ppm Veterinary practices have a pharmacy Farmers have antibiotics in stock at the farm Farmers could have more vets delivering antibiotics Preventive medication is common
7 Use over kg antibiotics a year in 2006 til 2009!
8 November 2009 Report of Committee Antibiotic Resistance: Reduction of 20% in 2011 Reduction of 50% in 2013
9 November 2009 Ministery of Agriculture: 50 % reduction of antibiotic use in 2013 (compared to 2009) Preventive use of antibiotics is no longer allowed!
10 3 Basic principles TRANSPARENCY of antibiotic use REDUCTION of antibiotic use IMPROVEMENT of antibiotic use
11 Rules Quality System IKB 2010: Central database: registration of prescribed antibiotics on farm level. 2011: ban of in feed medication antibiotics (feed mills). (growth promotors were already banned in 2006). In pigs: no use of: 3 th /4 th generation cefalosporinen (ceftiofur) Quinolonen (Baytril)
12 Rules Quality system IKB : One-on-one contract between farmer and vet (prescribtion and delivery)! Annually Health-plan for each farm.
13 New leglislation March 2014 Only first choice antibiotics for individual treatment can be held in stock on the farm. Groupmedication only after farm-visit and prescription of the farm-vet. Second choice antibiotics only can be used after after lab-research and antibiogram. Tulathromycine Ampicillins, amoxicillins and colistin
14 New leglislation 2014 The use of third choice of antibiotics for herd treatment is prohibited by law for food producing animals 3 th /4 th generation cefalosporinen Quinolonen (some exceptions) Further restrictions on the use of Ampicillins, Amoxicillins and Colistin in 2017!?
15 Results (in DDD) sows Fattening pigs broilers veal calves Dairy cows
16 Effect of reductions on the occurrence of antimicrobial resistance in commensal E. coli
17 How can I stay healthy without antibiotics??
18 HERD HEALTH MANAGEMENT
19 15 Important steps (Madec) 1. all in all out 2. limited cross-fostering 3. improving colostrum intake 4. cleaning and disinfection (reduce the germs in de surrounding) 5. low stocking density 6. good access to clean water 7. good access to a good quality of feed 8. no mixing of pigs = Contact structure (reduce transmission of germs)
20 15 Important steps (Madec) 9. a good vaccination protocol (decrease susceptibility for germs) 10. parasites treatment 11. separated farrowing - post weaning - grow/finisher facilities 12. proper treatment of sick pigs 13. protocol to euthanize of sick pigs (Remove Infectious animals ) 14. strict hygiene in treatments of pigs 15. controlled temperature and a good air quality.
21 Practical aspects of Herd Health Management
22 Limited cross-fostering : Restrict mixing litters Newly borns 1 week of age Piglets after weaning Fatteners
23 Keeping litters together: Newly borns 1 week of age Piglets after weaning Fatteners
24 Cross-fostering Not the first hours (colostrum!) The first born piglets (mark them after birth) From 1 sow to 1 other sow
25 Improve Colostrum intake = improve resistance In 6 hours more than 50% reduction in IgG! Split suckling?
![ONDERWERP: Immunocrit Datum monstername : 2 september 2013 Uitslag: 4 september 2013 Gemiddelde [IgG] : 27,9](/docs-images/93/113756574/images/26-1.jpg "mg/ml Gemiddelde overige bedrijven: 35,2 mg/ml Waarden tov overige bedrijven: 79,25% Check IgG levels")
26 ONDERWERP: Immunocrit Datum monstername : 2 september 2013 Uitslag: 4 september 2013 Gemiddelde [IgG] : 27,9 mg/ml Gemiddelde overige bedrijven: 35,2 mg/ml Waarden tov overige bedrijven: 79,25% Check IgG levels piglets
27 Important before weaning Colostrum intake: > 250 ml/pig Weaning age: > 25 days Feed intake before weaning: > 450 gr/pig Learn to chew solid feed Water intake before weaning! (use the nipple) As a vet, you should check this!!!
28 Water intake after weaning! Extra water: Nippel bar / extra drink cup First 3 days extra water in water bowl
29 Feed intake Pigs like to eat together!
30 Use clothes and disposable gloves, materials in different colors: it works!
31 Internal biosecurity Different compartments for: Gilts/ Quarantaine Sows in gestation Farrowing units (one age/farrowing group /compartment) Weaner (same age /farrowing/litter/ group/pen) Fatteners (no mixing; keep litters /week groups / farrowing groups together)
32 Hygiëne (Cleaning and desinfection) Some aspects: Aerosols Spread of bacteria and viruses First desinfect! AND: No feed back!!
33 Climate Flap with roof ventilation! Less air flow Resting place for the piglets (dark no defecate area).
34 Diseased pigs need drugs, healthy pigs need a good manager!
35 The future in Europe Now: Differences in the use of antibiotics Differences in regulations Required: Uniform regulations within the EU Become member of the EAPHM:
36 Thank you for your attention! something wrong with the sphincter? DVM Rick Janssen De Varkenspraktijk - R.Janssen@DeVarkenspraktijk.nl
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