<strong>Antibiotic</strong> <strong>Awareness</strong> Week, November 2011Rita Finley, Lynora Saxinger, Daniel ThirionTranscription: Marjolaine HébertRenéeRitawonderful collaborating relationship with o<strong>the</strong>r governmentagencies, and provincial, and academic, and industry levels.So this slide is just to acknowledge everyone that makes this programpossible and that provides information for us just to keep a goodsense of what is happening across <strong>the</strong> animal and human sectors, interms of Enteric disease and resistance.And if you need more information on CIPARS, we have our reportsavailable in both English and French at our phac website. And itincludes annual reports, short reports, and certain issue papers thatwe put out based on issues that we have identified as a public healthconcern among our surveillance system. And I don’t know if <strong>the</strong>re’sanyone with any questions, or if I’ve run out of time.We, we’re a bit pressed for time, Rita, but <strong>the</strong>re is one question about,how does Canada’s antimicrobial use compare to use in o<strong>the</strong>rcountries?That’s a really good question, and we are able to compare ourinformation with that of <strong>the</strong> European countries. I’m just gonna pullthat out for you in just a second. So, <strong>the</strong> European Surveillance andAntimicrobial Consumption puts out information, and I think <strong>the</strong>y’rea year behind so I can speak to 2008 data that we have for Canada to<strong>the</strong> European countries. So we’re very similar in levels ofconsumption with Finland and <strong>the</strong> Czech Republic. The ... I’m tryingto think. We have half <strong>the</strong> level of consumption that was estimated inGreece. Overall, in 2008 we ranked 14 th out of 31 European countriesthat were able to provide information. And this is in terms ofincreasing levels of consumption. We’re really low compared to <strong>the</strong>secountries in terms of consumption of Macrolides, Lincosamides , andStreptogramins; similar for Quinolones. And we were 18 th for ourlevel of Tetracycline consumption and Penicillin consumption. So Ithink we’re, if we compare ourselves to <strong>the</strong> data that’s available for<strong>the</strong> European countries, we’re kind of in <strong>the</strong> middle of <strong>the</strong> 31countries that provide information on an annual basis.And I just noticed today that <strong>the</strong>re is a group now that’s gonna beposting data for <strong>the</strong> United States on levels of prescriptionsdispensed by pharmacies, so we’ll be connecting with <strong>the</strong>m to try toget a sense of, how do we compare for <strong>the</strong> United States? LatinPUBLIC HEALTH AGENCY of CANADA//AGENCE DE LA SANTÉ PUBLIQUE du CANADA 10
<strong>Antibiotic</strong> <strong>Awareness</strong> Week, November 2011Rita Finley, Lynora Saxinger, Daniel ThirionTranscription: Marjolaine HébertRenéeAmerican countries, as far as I know, don’t put out any informationon antimicrobial use, as in <strong>the</strong> majority of <strong>the</strong> countries <strong>the</strong>y don’trequire prescriptions for getting access to antimicrobials, so it’sharder to compare ourselves to those countries at this time.Okay. Great! Thank you very much, Rita. We appreciate yourpresentation. And we will now be hearing from Doctor LynoraSaxinger, who is gonna be speaking about reducing antibioticoveruse in hospitals. She is <strong>the</strong> Associate Professor and Chair of<strong>Antibiotic</strong> Stewardship committee at <strong>the</strong> division of InfectiousDiseases at <strong>the</strong> University of Alberta. Thank you for joining us, Dr.Saxinger.Lynora My pleasure. Is this coming through okay.It sounds okay to me, yeah.Okay, great. And just to remind people, <strong>the</strong>re’s been a poll put up on<strong>the</strong> screen. In my screen it’s in <strong>the</strong> lower right-hand corner. I’m justcurious as to <strong>the</strong> audience that I’m addressing because my talk isfairly clinical, and so we’re going from agricultural and veterinary useall <strong>the</strong> way up to kind of very high-end hospital use. And so I wouldask everyone to go ahead and vote in that poll.And, as mentioned, I have this kind of provocative title ... Oh no. Now<strong>the</strong> poll is in <strong>the</strong> middle of my screen...and I can’t see my own slides.(laughs) So we’ll wait for a second for <strong>the</strong> poll to disappear, perhaps.So next slide. How am I advancing here? Okay, <strong>the</strong>re we go.So starting at <strong>the</strong> beginning, antibiotic use creates antibiotic resistantorganisms. I’ll point out that antibiotic resistance existed well beforepeople did, because microbes have had genetic arsenals to battleo<strong>the</strong>r in <strong>the</strong> field, so to speak. But certainly, using antibiotics is <strong>the</strong>biggest driver of antimicrobial resistance today. And <strong>the</strong> littlepictogram on <strong>the</strong> right just shows how <strong>the</strong> population will havesome, potentially have some resistant organisms within <strong>the</strong> pool,exposing <strong>the</strong> organisms to <strong>the</strong> antimicrobials, <strong>the</strong>n result in a finalpopulation that is highly resistant.And, again I can’t see my own slides. I don’t know how to make <strong>the</strong>poll go away. [RENEE: Um...I’ll try to get <strong>the</strong> poll off to <strong>the</strong> side foryou...<strong>the</strong>re.] That’s somewhat better.So, <strong>the</strong> collateral damage, of course, of use of antimicrobials isPUBLIC HEALTH AGENCY of CANADA//AGENCE DE LA SANTÉ PUBLIQUE du CANADA 11
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