Stories of Antibiotic Use and Resistance: One Health Antibiotic Stewardship Collaborative

Stories of Antibiotic Use and Resistance

Jennifer Granick, DVM, PhD, Dipl. ACVIM (SAIM)

Jennifer Granick, DVM, PhD, Dipl. ACVIM (SAIM)

Associate Professor, Department of Veterinary Clinical Sciences, University of Minnesota

Cats and dogs get bacterial infections, such as urinary tract infections, just as humans do, so antibiotic prescribing is a common part of the work I do as a small animal internal medicine specialist.
In small animal medicine, most pets lack health insurance, so I try to do my best with often limited resources. This sometimes means that I can't do the work-up I would like to. Prescribing (or not prescribing) in the face of diagnostic uncertainty is challenging.
I see antibiotic-resistant infections very commonly now. When I first started veterinary practice, antibiotic-resistant infections were a rarity. In our hospital, we develop yearly antibiograms, and I have seen bacterial susceptibility to commonly used antibiotics decrease over time.
When pets are infected with an antibiotic-resistant bacterial infection, it can be challenging to find a therapy that can optimally treat the infection. Often I am left with choosing an antibiotic that may have an increased risk of side effects or is more costly for pet owners. I am sometimes confronted with the ethical dilemma of whether or not to use an antibiotic that is important for treating antibiotic-resistant infections in humans. There are few guidelines for veterinarians confronted with these situations.
Like everyone, I fear my loved ones and my patients will develop infections that cannot be treated.
In small animal medicine in the United States, we have very little information about overall antibiotic use. I am working with colleagues to change that and am anxious to see what we find. Additionally, there are still lots of unknowns regarding optimal antibiotic selection and duration of treatment for common infections in pets.
Irene Bueno Padilla, DVM, MPH, PhD

Irene Bueno Padilla, DVM, MPH, PhD

Postdoctoral Associate, Department of Veterinary and Biomedical Sciences, University of Minnesota



Park Nicollet Infection Prevention Team

Park Nicollet Infection Prevention Team

Infection Prevention Team





Lori Nicholson & Mr. Beebs

Lori Nicholson & Mr. Beebs

Pet owner & advocate for companion animal health





Elizabeth Hirsch, PharmD, RPh

Elizabeth Hirsch, PharmD, RPh

Clinical Pharmacist and Assistant Professor, University of Minnesota





Robert Jacobson, MD

Robert Jacobson, MD

Pediatrician and Medical Director for the Employee and Community Health Immunization Program, Mayo Clinic




Liz from Minnesota

Liz from Minnesota

Minnesota Resident





Peter Currie, MD

Peter Currie, MD

Emergency Physician, Emergency Physicians Professional Association





Melissa Anacker, PhD

Melissa Anacker, PhD

Research Scientist; Minnesota Department of Health – Public Health Laboratory





Spronk Brothers' pigs

Seth Spronk

Spronk Brothers III LLP





Kris Wammer, PhD

Kris Wammer, PhD

Associate Professor, University of St. Thomas





Stacie Urbanick, MSN, RN

Stacie Urbanick, MSN, RN

Director of Nursing, Essentia Health-Oak Crossing





Lauri Hicks, DO

Lauri Hicks, DO

Director, Office of Antibiotic Stewardship, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Diseases, Centers for Disease Control and Prevention



Medora Witwer, MPH, CIC

Medora Witwer, MPH, CIC

Epidemiologist, Minnesota Department of Health





Caitlin Eccles-Radtke, MD

Caitlin Eccles-Radtke, MD

Infectious Diseases Physician, Hennepin County Medical Center





Jonathan Alpern, MD

Jonathan Alpern, MD

Infectious Diseases and Travel Medicine Physician, HealthPartners





Alex Kallen, MD

Alex Kallen, MD

Medical Officer, Centers for Disease Control and Prevention (CDC)





Nathan Chomilo, MD

Nathan Chomilo, MD

Pediatric Internal Medicine Physician, Park Nicollet





Molly McCoy

Molly McCoy

Minnesota Resident and Mother





Craig Kohls

Craig Kohls

Kohls Land and Cattle





Candi Shearen, RN, BC, CIC

Candi Shearen, RN, BC, CIC

Family member impacted by C. difficile
President, APIC Minnesota





Ashley Suchomel, MPH

Ashley Suchomel, MPH

Environmental Research Scientist, Minnesota Department of Health





Updated Wednesday, 08-Jan-2020 16:12:20 CST