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

Stories of Antibiotic Use and Resistance

Irene Bueno Padilla, DVM, MPH, PhD

Irene Bueno Padilla, DVM, MPH, PhD

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

As a researcher, I study the environmental dimension of antibiotics and antibiotic resistance; and as an avian veterinarian, I use antibiotics to treat animals undergoing rehabilitation when needed.
In wildlife rehabilitation, one of the most challenging aspects is the lack of diagnostic tools, which makes it difficult to determine what specific bacterium affects the animal and what antibiotic might be more appropriate to use each time.
For my PhD, I studied the role of point sources on the dissemination [spread] of antibiotic resistance in the environment. Now, as a postdoctoral scientist, I am working on a project to map the environmental presence of antibiotics and antibiotic resistance in Minnesota. As a clinical veterinarian, I've seen cases where treatments failed due to antibiotic resistance.
Through my research, we are trying to advance our understanding of how antibiotics and antibiotic resistance disseminate into the natural environment, how to attribute what we find to specific sources, and what the risks are to human and animal health. In wildlife rehabilitation, we are also aiming to improve antibiotic stewardship, as it is an area that is lacking at the moment.
As a veterinarian, I find treatment failure in wildlife rehabilitation, and potential dissemination of antibiotic resistance from rehabilitated animals into the wild, very concerning. As a person, I am concerned about treatment failure for common infections in the human population. I feel that I hear about more family and friend cases lately having problems with antibiotic treatment in terms of the antibiotics not working.
In order to understand and map antibiotic use and resistance for the state of Minnesota so that we can ultimately establish mitigation strategies in environmental hotspot areas, it would be great to have representative quantitative data on antibiotic use in humans and all animal species .
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 Friday, 22-Nov-2019 10:35:12 CST