Skip to main content

Governing the Consumption of Antimicrobials: The Danish Model for Using Antimicrobials in a Comparative Perspective

  • Chapter
  • First Online:
Book cover Risking Antimicrobial Resistance

Abstract

This chapter presents different national government structures and regulative frameworks, as well as the World Health Organization’s (WHO’s) international initiatives towards current and future risks of human health related to antimicrobial resistance (AMR), and analyzes how those structures and frameworks influence the use of antibiotics in different countries. This chapter zooms in on Denmark as an interesting case for two reasons: relatively strong regulations and governance both in the human and the veterinarian sectors and a relatively low use of antibiotics both on humans and animals.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aarestrup, F. M. (1999). Association between the consumption of antimicrobial agents in animal husbandry and the occurrence of resistant bacteria among food animals. International Journal of Antimicrobial Agents, 12, 279–285.

    Article  Google Scholar 

  • Aulakh, P. S., & Gencturk, E. F. (2000). International principal–agent relationships: Control, governance and performance. Industrial Marketing Management, 29, 521–538.

    Article  Google Scholar 

  • DANMAP. (2016). DANMAP (2015)—Use of antimicrobial agents and occurrence of antimicrobial resistance in bacteria from food animals, food and humans in Denmark. Retrieved from http://www.danmap.org/Downloads/Reports.aspx

  • Elgie, R. (2002). The politics of the European Central Bank: Principal-agent theory and the democratic deficit. Journal of European Public Policy, 9, 186–200. https://doi.org/10.1080/13501760110120219

    Article  Google Scholar 

  • European Centre for Disease Prevention and Control. (2015). Antimicrobial resistance surveillance in Europe 2014. Annual Report of the European Antimicrobial Resistance Surveillance Network (EARS-Net), Stockholm.

    Google Scholar 

  • European Centre for Disease Prevention and Control, European Food Safety Authority, European Medicines Agency. (2015). ECDC/EFSA/EMA first joint report on the integrated analysis of the consumption of antimicrobial agents and occurrence of antimicrobial resistance in bacteria from humans and food-producing animals: Joint Interagency Antimicrobial Consumption and Resistance Analysis (JIACRA). Report of EFSA Journal, 13, 4006. https://doi.org/10.2903/j.efsa.2015.4006

    Article  Google Scholar 

  • European Commission. (2015). ECDC/EFSA/EMA first joint report on the integrated analysis of the consumption of antimicrobial agents and occurrence of antimicrobial resistance in bacteria from humans and food-producing animals. European Food Safety Authority.

    Google Scholar 

  • European Medicines Agency. (2014). Sales of veterinary antimicrobial agents in 26 EU/EEA countries in 2012. Fourth ESVAC report, London.

    Google Scholar 

  • Eurostat. (2014). Pig farming in the European Union: Considerable variations from one Member State to another. Statistics in Focus 15/2014.

    Google Scholar 

  • Gelband, H., Miller-Petrie, M., Pant, S., Gandra, S., Levinson, J., White, A., & Laxminarayan, R. (2015). The state of the world’s antibiotics 2015. Washington, DC: The Center for Disease Dynamics, Economics & Policy.

    Google Scholar 

  • OECD. (2015). Health at a glance 2015: OECD indicator. Paris: OECD Publishing.

    Book  Google Scholar 

  • Stivers, T. (2007). Prescribing under pressure: Parent-physician conversations and antibiotics. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Weber, M. (1968). Economy and society: An outline of interpretive sociology. New York: Bedminster Press.

    Google Scholar 

  • WHO. (2017). Critically important antimicrobials for human medicine, 5th revision. Geneva: WHO.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Carsten Strøby Jensen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 The Author(s)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Jensen, C.S. (2019). Governing the Consumption of Antimicrobials: The Danish Model for Using Antimicrobials in a Comparative Perspective. In: Jensen, C.S., Nielsen, S.B., Fynbo, L. (eds) Risking Antimicrobial Resistance. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-90656-0_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-90656-0_6

  • Published:

  • Publisher Name: Palgrave Macmillan, Cham

  • Print ISBN: 978-3-319-90655-3

  • Online ISBN: 978-3-319-90656-0

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics