Stewardship describes the careful and responsible management of something entrusted to one’s care. With the slow development of antimicrobials, accelerated emergence, and spread of resistant organisms, antimicrobial stewardship is of utmost importance to optimize the use of existing antimicrobials. The likely reason behind this is that the development of antibiotics is risky, expensive, and less profitable than the drugs to treat chronic diseases. They include vaborbactam+meropenem and lefamulin. Only two of them represent a new class and have a new target of action. According to the World Health Organization(WHO), antibiotic pipeline data report 2021, and eleven new antibiotics have been approved since 2017. Since 1998, only ten new antibiotics were approved, of which only linezolid and daptomycin have new targets of action. The antimicrobial effect that saves lives also exerts selective pressure on replicating bacteria, leading to the emergence of drug resistance.īetween 19, fourteen new classes of antibiotics were introduced. They are unique in that both the individual patient and the broader society bear the consequences of their use with each prescription. Good stewardship is, after all, the result of good, conscious decision making.With the discovery of penicillin, antibiotics are a critical part of global health, including cancer chemotherapy and advanced surgical procedures. Antimicrobial agents are not like other drugs. The good thing is, unlike a rotten apple, a human being can change for the better. I don’t think anyone wants to be thought of as the bad apple in the barrel, but it is as good of an analogy as I can make. And, while no one can afford to adopt all the best management practices in a short period of time, it is something we need to plan for to become the best we can possibly be. In fact, I believe that being a poor steward of the land will eventually lead to issues that may reduce the productivity and value of the land, which in turn will affect the financial health of the farm family. The obligation to be a good steward of the land does not in any way make it impossible to make a comfortable living on the farm. This type of behavior is not only against the laws of man, it is against the very fabric of who we are as people of faith and how we should treat our fellow man. We cannot spray herbicides when the wind is blowing 10 mph or towards a sensitive crop. We cannot keep hooking our septic tanks directly to field tile. We cannot keep allowing our livestock waste to flow down the creek. Yet year after year, the problem gets ignored.įolks, we all have to work together. We have a couple of creeks in the community that have high levels of nutrients and fecal bacteria, and I am sure a few farmers in those neighborhoods know why it is there. Last spring’s situation in the mid-South, where a handful of farmers in that region chose to use a non-labeled version of dicamba on dicamba resistant soybeans and caused widespread injury to non-target plants, is a perfect example of how a few bad apples can spoil the whole barrel.ĭon’t be fooled into thinking that sort of behavior does not happen right here at home. It saddens me when I hear of situations where a farmer may not act as a good steward to the land. They often state that it is not only a personal responsibility to them, it is also a matter of expressing their faith in their Creator, to care for the land that was given to them. Most farmers take that responsibility very seriously. This responsibility is not only for themselves and their families, but for their neighbors, for the land, the life on that land, for the environment and for future generations. Farmers are entrusted with the land they farm to produce food and fibers in a manner that is responsible. The Merriam-Webster Dictionary defines stewardship as the careful and responsible management of something entrusted to one’s care.įor me, that definition should have a lot of meaning to farmers.
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