Scoping Review of Factors Affecting Antimicrobial Use and the Spread of Antimicrobial Resistance in the Poultry Production Chain.

Antimicrobial resistance (AMR) is a critical global health concern, with the food production sector, particularly poultry production, playing a significant role in the spread of resistant bacteria. This study aims to identify and analyze the key factors influencing antimicrobial use (AMU) and thereby/or the spread of AMR within the poultry production chain, spanning from farm to consumer. A scoping literature review was conducted to investigate factors influencing AMU and/or the emergence and dissemination of AMR in poultry production. Knowledge synthesis was conducted from 69 relevant publications covering data from 41 countries. A total of 327 factors were identified from the various studies. Most factors (221) were related to knowledge, attitudes, and practices (KAPs) concerning farms. The other significant group, with 57 factors, involved intentional misuse or poor practices related to antimicrobials. The findings highlight the complexity of factors influencing AMR in poultry production, including financial pressures on farmers and varied training effectiveness. Integrated and tailored interventions are essential. Drug/feed sellers' practices require stronger regulations, while economic motivations and policy gaps must be addressed. Systematic management of these interactions and further research on environmental and genetic influences are crucial for effective strategies to combat this pressing public health challenge.