dr. mary torrence - narms – surveillance on the farm

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Mary. E. Torrence DVM, Ph.D., DACVPM National Program Leader, Food Safety

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NARMS – Surveillance On The Farm - Dr. Mary Torrence, USDA/ARS, from the 2012 NIAA One Health Approach to Antimicrobial Resistance and Use Symposium, October 26-27, 2012, Columbus, OH, USA. More presentations at: http://www.trufflemedia.com/agmedia/conference/2012-one-health-to-approach-antimicrobial-resistance-and-use

TRANSCRIPT

Page 1: Dr. Mary Torrence - NARMS – Surveillance On The Farm

Mary. E. Torrence DVM, Ph.D., DACVPMNational Program Leader, Food Safety

Page 2: Dr. Mary Torrence - NARMS – Surveillance On The Farm

In 2011- 2012, USDA, FDA, and university scientists initiated pilot studies to inform revisions to on-farm sampling designs within NARMS

Goals:o Pilot the “process” of sustainably collecting on-farm

samples, performing primary isolation, and shipping isolates to FDA for sensitivity testing

o Provide preliminary data in poultry, beef and dairy cattle to help define sources of variation in prevalence and AMR

o Bring in epidemiology expertise to collaborate with microbiologists

Page 3: Dr. Mary Torrence - NARMS – Surveillance On The Farm

Broilers and turkeys for Campylobacter and Salmonella using bootsock sampling

Feedlot cattle for E. coli and Salmonella using fresh fecal pats and cecals

Dairy cattle for Salmonella and E. coli using 1) on-farm and 2) longitudinal (on-farm to buying station to slaughter plant)

Swine conducted in collaboration with Russell Research Center and OSU

Page 4: Dr. Mary Torrence - NARMS – Surveillance On The Farm

Convenience sample based on higher production regions

Mix of cross-sectional and longitudinal to capture variation between animals and between farms

Primary isolation and culture- Isolates sent to FDA for sensitivity analysis

Test coding scheme (blinded)

Page 5: Dr. Mary Torrence - NARMS – Surveillance On The Farm

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Dairy (~2.5%)

Broilers (~43%)

Turkey (~40%)

Feedlot (~66%)

Page 6: Dr. Mary Torrence - NARMS – Surveillance On The Farm

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Page 7: Dr. Mary Torrence - NARMS – Surveillance On The Farm

Dairy Sampling Scheme 2

cross-sectional: 320 samples/period(2 periods = 640 samples)

longitudinal: 400 samples total

Page 8: Dr. Mary Torrence - NARMS – Surveillance On The Farm
Page 9: Dr. Mary Torrence - NARMS – Surveillance On The Farm

Poultry- 20% Salmonella and 65% Campylobacter. Feedlot- E. coli, almost 100%, Salmonella varied by

region- Salmonella was around 60% in south. Close to 60% pan-susceptible, Range of 1 up to 9

antibiotics that are resistant

Page 10: Dr. Mary Torrence - NARMS – Surveillance On The Farm

“Process” still needs work to facilitate rapid exchange of samples, isolates and data

On-farm sampling is labor intensive but offers a mechanism for sporadic animal monitoring

Long term collaboration with industry is critical

Consortia take energy and coordination

Page 11: Dr. Mary Torrence - NARMS – Surveillance On The Farm

Final analysis of AMR data will allow us to design sampling scheme focused on most relevant sources of variation and the question to be answeredoAmount of variation directly informs sample size

On-farm sampling enables the implementation of focused, short-term research questions

Consortia provide support and collaboration for future projects

Page 12: Dr. Mary Torrence - NARMS – Surveillance On The Farm

Finalize animal sampling plan and solicit stakeholder input

Refine and expand consortium Pilot antibiotic use survey on-farm Developing a research component into NARMS

(e.g. prevalence of ESBL, intervention) Assess sources of variation at the slaughter

(matched pair design)

Page 13: Dr. Mary Torrence - NARMS – Surveillance On The Farm

Pilot studies have provided data to contribute to the future NARMS plan

A “consortium” of expertise will enable interactions among industry, academia, and government and future research

Voluntary AMR monitoring on-farm is complicated and resource intensive