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What are the best metrics to monitor antibiotic use?
  1. David Barrett,
  2. Elizabeth Berry,
  3. Tim Brigstocke and
  4. Fraser Broadfoot
  1. British Cattle Veterinary Association, 17 The Glenmore Centre, Waterwells Business Park, Quedgeley, Gloucestershire, GL2 2AP
  2. Responsible Use of Medicines in Agriculture Alliance (RUMA) Targets Taskforce, RUMA, Brick House, Risbury, Leominster, Herefordshire HR6 0NQ
  3. CHAWG, c/o Stoneleigh Park, Kenilworth, Warwickshire CV8 2TL
  4. Veterinary Medicines Directorate, Woodham Lane, Addlestone, Surrey KT15 3LS
  1. email: office{at}

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In response to the letter from James More (VR, 16 February 2019, vol 184, p 226), we are in agreement that, whichever metrics are used for monitoring antibiotic use, when interpreting these data it is vital to focus on encouraging responsible antibiotic use and that welfare should never be compromised. …

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