Critically Important Antibiotics (CIAs)

The WHO maintains a list of CIAs (Critically Important Antibiotics) for human health. As many of the same antibiotics are used in both humans and animals this list must be taken into consideration when choosing and using antibiotics in animals.

Of particular note Fluoroquinolones and 3rd and 4th generation Cephalosporins are given the very highest priority on the CIA list. This means that these antibiotics should never be used empirically and use should always be supported by culture and sensitivity data indicating no suitable alternatives.

For stewardship it is useful to think of 1st, 2nd and 3rd line antibiotic choices. To work out which antibiotic family a product belongs to, please go to the NOAH website.


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