antimicrobial stewardship in mastitis treatment · 4.lincosamides 5. potentiated sulphonamides red...

GREEN Antimicrobials for first line therapy under therapeutic conditions. 1. Procaine penicillin 2. Penethemate hydriodide 3. Oxytetracycline ORANGE Antimicrobials restricted to specific indications or used as second line therapy under therapeutic conditions. 1. Aminoglycosides 2. Semi-synthetic penicillins (ampicillin, amoxicillin/clavulanic acid, cloxacillin) 3. 1st and 2nd generation cephalosporins 4. Lincosamides 5. Potentiated sulphonamides RED Antimicrobials considered important in treating refractory conditions in human and veterinary medicine. These will only be used following veterinary diagnosis on a case by case basis with sufficient evidence to indicate need. 1. 3rd and 4th generation cephalosporins 2. Fluoroquinolones 3. Macrolides The NZ Veterinary Association (NZVA) created the “traffic light” system to divide antimicrobials into three groups (green, orange and red). Green light antibiotics are less important to human health, and should therefore be used in preference to orange or red rated antibiotics, where practical. Red light products include the Critically Important Antibiotics which are important for human health. The NZVA recommendation is that they should be used only after veterinary diagnosis and on a case by case basis. *Products with multiple active ingredients have been classified based on the highest rating. Restricted Veterinary Medicines. Available only under Veterinary Authorisation. ACVM Nos. A5945, A8116, A7787, A8146, A7712, A829, A11329, A9887, A10279, A3664, A10884, A5270, A10792, A8163, A593, A8037, A9423, A10920, A907, A6340, A10772, A9713, A10807. Reference: NZVA, Antibiotic Judicious Use Guidelines. ANTIMICROBIAL STEWARDSHIP IN MASTITIS TREATMENT NZ MASTITIS TREATMENTS AND THEIR CLASSIFICATIONS * THE TRAFFIC LIGHT CLASSIFICATION SYSTEM INTRAMAMMARIES PRODUCT CLASSIFICATION Clavulox ® LC Cobactan ® LC Intracillin ® 1000 MC Lactaclox ® LC Lincocin ® Forte Mastalone ® Mastiplan ® Maxalac ® LC Nitroclox™ LA Orbenin ® LA Penclox ® 1200 Spectrazol ® MC Ultraclox ® 24 INJECTABLES PRODUCT CLASSIFICATION Cobactan ® 2.5% Injection Mamyzin ® Masticillin™ Penethaject ® Penethaject ® RTU Tylan™ 200 Tylo 200 Tylofen™ Tyloguard ® RTU TyloVet Injection ® For more about responsible antibiotic use visit nzva.org.nz/amr

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$Page 1: ANTIMICROBIAL STEWARDSHIP IN MASTITIS TREATMENT · 4.Lincosamides 5. Potentiated sulphonamides RED Antimicrobials considered important in treating refractory conditions in human and$

GREEN Antimicrobials for first line therapy under therapeutic conditions. 1. Procaine penicillin2. Penethemate hydriodide3. Oxytetracycline

ORANGE Antimicrobials restricted to specific indications or used as second line therapy under therapeutic conditions.1. Aminoglycosides2. Semi-synthetic penicillins (ampicillin,

amoxicillin/clavulanic acid, cloxacillin)3. 1st and 2nd generation cephalosporins4. Lincosamides5. Potentiated sulphonamides

RED Antimicrobials considered important in treating refractory conditions in human and veterinary medicine. These will only be used following veterinary diagnosis on a case by case basis with sufficient evidence to indicate need.

1. 3rd and 4th generation cephalosporins2. Fluoroquinolones3. Macrolides

The NZ Veterinary Association (NZVA) created the “traffic light” system to divide antimicrobials into three groups (green, orange and red). Green light antibiotics are less important to human health, and should therefore be used in preference to orange or red rated antibiotics, where practical. Red light products include the Critically Important Antibiotics which are important for human health. The NZVA recommendation is that they should be used only after veterinary diagnosis and on a case by case basis.

*Products with multiple active ingredients have been classified based on the highest rating.

Restricted Veterinary Medicines. Available only under Veterinary Authorisation. ACVM Nos. A5945, A8116, A7787, A8146, A7712, A829, A11329, A9887, A10279, A3664, A10884, A5270, A10792, A8163, A593, A8037, A9423, A10920, A907, A6340, A10772, A9713, A10807.

Reference: NZVA, Antibiotic Judicious Use Guidelines.

ANTIMICROBIAL STEWARDSHIP

IN MASTITIS TREATMENT

NZ MASTITIS TREATMENTS AND THEIR CLASSIFICATIONS*

THE TRAFFIC LIGHT CLASSIFICATION SYSTEM

INTRAMAMMARIESPRODUCT CLASSIFICATION

Clavulox® LC

Cobactan® LC

Intracillin® 1000 MC

Lactaclox® LC

Lincocin® Forte

Mastalone®