FDA Antimicrobial Stewardship Blueprint Coming

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FDA commissioner Scott Gottlieb says the agency will soon implement a new five-year blueprint for how it will build on existing programs to advance antimicrobial stewardship in veterinary settings. “We’ll expand on FDA’s existing actions, and launch some new programs,” he writes in a statement. “Our aim is to reduce overuse of antimicrobial drugs and combat the rising threat of resistance.”

Gottlieb says the blueprint will be a five-year plan for the Center for Veterinary Medicine (CVM) and will include key goals, objectives, and actions that CVM will focus on during FY 2019-2023. He writes that the new agency activities will be aimed at addressing three goals: 

  •          aligning antimicrobial drug product use with the principles of antimicrobial stewardship;
  •          supporting efforts to foster better stewardship of antimicrobials in veterinary settings; and
  •          enhancing the monitoring of antimicrobial resistance and antimicrobial drug use in animals.

Specific objectives and actions will be outlined in the plan, he says. “Some of the important issues to be addressed in this new plan include establishing appropriate durations of use of medically important antimicrobials, and bringing all dosage forms of medically important antimicrobials under veterinary oversight,” Gottlieb says. “We are also developing and advancing new strategies for promoting antimicrobial stewardship in companion animals.” The goals will be advanced in new guidance that FDA says it will develop with broad stakeholder input.

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