Risk categorisation for antibiotics
The European Medicines Agency’s (EMA’s) list of highest priority ‘critically important antibiotics’ (CIAs) – identified because of degree of risk to human health should antimicrobial resistance develop after use in animals – has been officially adopted by RUMA.
Slightly different lists of highest priority CIAs are published by the World Health Organisation, the US Food and Drug Agency and the EMA, generating keen debate within farming and the food chain about which should be observed. The decision for RUMA to adopt the EMA list was made after discussions with its members and with the Veterinary Medicines Directorate, which itself follows the EMA’s recommendations.
This means that under the One Health banner, the UK farming industry should be aiming to reduce use of fluoroquinolones, 3rd and 4th generation cephalosporins, and colistin, and only be using these antibiotics where no other product will be effective for the condition being treated.