Cited by 426Antibiotic Resistance in BacteriaAntibiotic Use and ResistanceAntimicrobial Resistance in Staphylococcus

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Avoparcin used as a growth promoter is associated with the occurrence of vancomycin-resistant Enterococcus faecium on Danish poultry and pig farms

Bager, F, Madsen, M, Christensen, J, Aarestrup, F.M·1997·Preventive Veterinary Medicine

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Abstract

We determined the association between the use of the glycopeptide antibiotic avoparcin as a growth promoter and the occurrence of Enterococcus faecium (VREF) with high-level resistance to vancomycin (MIC > or = 64 micrograms ml-1) on poultry and pig farms. The investigations were conducted as retrospective cohort studies, where groups of farms exposed or not exposed to avoparcin between September 1994 and April 1995 were compared. In poultry, the association between the use of avoparcin and the occurrence of VREF was confounded by the use of broad-spectrum antibiotics, and the adjusted relative risk was 2.9 (1.4-5.9). In pigs, the association had a similar magnitude with a non-adjusted relative risk of 3.3 (0.9-12.3). The similar findings in the two studies provide evidence in favour of a causal association between the use of avoparcin and the occurrence of VREF on farms, and suggest that food animals constitute a potential reservoir of infection for VREF in humans.

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Authors: Bager, F., Madsen, M., Christensen, J., & Aarestrup, F. M.
Affiliations: Technical University of Denmark (DK)
Corresponding author: Bager, F
ORCID: Bager, F
Aarestrup, F.M
Venue: Preventive Veterinary Medicine
Publisher: Elsevier BV
Published: 1997-07
Volume: 31
Issue: 1-2
Pages: 95-112
ISSN: 0167-5877 (ISSN-L)
DOI: 10.1016/s0167-5877(96)01119-1
OpenAlex: W2040630478
Cited by: 426
References: 34
Citations by year: 2026: 3 · 2025: 8 · 2024: 9 · 2023: 14 · 2022: 11 · 2021: 13 · 2020: 19 · 2019: 16 · 2018: 14 · 2017: 13 · 2016: 13 · 2015: 16 · 2014: 16 · 2013: 20 · 2012: 17
FWCI: 8.60
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Preventive Veterinary Medicine (publishedVersion)
PubMed (publishedVersion)
Technical University of Denmark, DTU Orbit (Technical University of Denmark, DTU) (submittedVersion)
Topics: Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
Keywords: avoparcin, growth promoters, vancomycin-resistant Enterococcus faecium, vancomycin resistance, poultry farms, pig farms, antibiotic use, broad-spectrum antibiotics, zoonotic reservoirs, food-producing animals, antimicrobial resistance
MeSH terms: Animals, Anti-Bacterial Agents, Antibodies, Bacterial, Chickens, Denmark, Disease Susceptibility, Drug Resistance, Microbial, Female, Glycopeptides, Growth Substances, Male, Poultry, Poultry Diseases, Retrospective Studies, Specific Pathogen-Free Organisms, Swine, Swine Diseases, Vancomycin, Cohort Studies, Gram-Positive Bacterial Infections, Enterococcus faecium

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Avoparcin used as a growth promoter is associated with the occurrence of vancomycin-resistant Enterococcus faecium on Danish poultry and pig farms

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