The European Medicines Agency’s (EMA) list of highest priority “critically important antibiotics” (CIAs) has been officially adopted by the Responsible Use of Medicines in Agriculture Alliance (RUMA).

pig injection
RUMA’s decision to adopt the EMA list was made after discussions with its members and the VMD. Image © Budimir Jevtic / Fotolia.

Slightly different lists of highest priority CIAs are published by the World Health Organization, the US Food and Drug Agency, and the EMA, generating keen debate within farming and the food chain about which list should be observed.


The decision for RUMA to adopt the EMA list was made after discussions with its members and with the VMD, which itself follows the EMA’s recommendations.

The decision means, under the one health banner, the UK farming industry should be aiming to reduce its use of fluoroquinolones, third and fourth generation cephalosporins and colistin, and only be using these antibiotics where no other product will be effective for the condition being treated.

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