Advice for vets: summary position of the Veterinary Medicines Directorate (VMD) on responsible antibiotic use under the prescribing cascade.
The VMD supports and encourages the responsible use of antibiotics and has produced a summary position statement on.
Responsible antibiotic use under the cascade requires vets to take into consideration not only the most appropriate active substance(s) but also;
- the most appropriate formulation
- the posology
- the current pattern of resistance in their locality
- an awareness of how to reduce selection pressure, and
- related factors eg good biosecurity and husbandry/hygiene, avoiding surgical sepsis etc
If a vet can demonstrate that these steps have been taken, then cascade use of antibiotics is supported.