AMEG

Classification by AntiMicrobial ad hoc Expert Group AMEG (European Public Health Organism):

• A) Avoid: Forbidden in Food Producing Species
  • Some substances are totally banned (Vancomycin, Linezolide, Piperacillin)
  • The allowed ones are only for non food producing animals (Rifampicin, Mupirocin)
• B) Restrict: Highest priority of the CIA group (of WHO nomenclature), most important Antibiotics in human medicine (mitigate the risk of selecting Resistant Bacteria by avoiding them in veterinary medicine)
  • Fluoroquinolones
  • 3rd Generation Cephalosporins and 4th Generation Cephalosporins
  • Colistin
• C) Caution: Antibiotics of this categories have alternatives in human medicine
  • Amoxicillin, Ampicillin when given with β-Lactamase Inhibitors
• D) Prudence: Should be used as first line treatment when possible
  • Amoxicillin, Ampicillin when given without β-Lactamase Inhibitors

Novobiocin (Aminocoumarins) has No AMEG classification

Drugs:

AMEG A: Banned for ALL animals	AMEG A: Companion animals only	AMEG B	AMEG C	AMEG D
β-Lactams Penicillins Penicillins Acting Against Pseudomonas spp Carbenicillin Piperacillin Ticarcillin Carbapenems Impenem Meropenem Ertapenem Doripenem Monobactams Aztreonam Tigemonam Glycopeptides Vancomycin Teicoplanin Phosphonic Acid Derivates Fosfomycin Oxazolidinones Linezolide	Rifamycins Rifampicin Rifabutin Pseudomonic Acids Mupirocin	β-Lactams Cephalosporins 3rd Generation Cephalosporins Cefixime Cefpodoxime Proxetil Cefoperazone Cefotaxime Cefovecin Ceftazidime Ceftiofur: Ceftiofur-Na Ceftiofur-Hydrochloride Ceftiofur Crystalline Free Acid Form CCFA Ceftriaxone 4th Generation Cephalosporins Cefquinome Fluoroquinolones 2nd Generation Fluoroquinolones Enrofloxacin Marbofloxacin Ciprofloxacin Difloxacin Orbifloxacin Ofloxacin 4th Generation Fluoroquinolones Pradofloxacin Polypeptide Antibiotics Polymyxins Colistin	β-Lactams Penicillins Extended Spectrum Penicillins-β-Lactamase Inhibitors Amoxicillin-Clavulanic Acid Ampicillin-Sulbactam Cephalosporins 1st Generation Cephalosporins Cefalexin Cefadroxil Cefapirin Cefalonium Cefazoline Cefalotin 2nd Generation Cephalosporins Cefaclor Cefuroxime Cefuroxime Axetil Cephamycins Cefotetan Cefoxitin Aminoglycosides Amikacin Apramycin Dihydrostreptomycin Framycetin Gentamicin Kanamycin Neomycin Paromomycin Streptomycin Tobramycin Amphenicols Chloramphenicol Tiamphenicol Florfenicol Macrolides Older Macrolides Erythromycin Tylosin Spiramycin Tilmicosin Newer Macrolides Tylvalosin Tildipirosin Tulathromycin Gamithromycin Human drugs Azithromycin Clarithromycin Roxithromycin Lincosamides Lincomycin Clindamycin Pirlimycin Pleuromutilins Tiamulin Valnemulin Rifamycins Rifaximin	β-Lactams Penicillins Narrow Spectrum Penicillins Benzylpenicillin-Na+ / K+ Benzylpenicillin-Procaine Benzylpenicillin-Benzathine Phenoxymethyl-Penicillin Penethamat Penicillinase Stable Penicillins Methicillin Oxacillin Cloxacillin Dicloxacillin Flucloxacillin Nafcillin Extended Spectrum Penicillins Amoxicillin Ampicillin Aminoglycosides Spectinomycin Tetracyclines Short Acting Tetracyclines Tetracycline Oxytetracycline Chlortetracycline Long Acting Tetracyclines Doxycycline Minocycline Nitroimidazoles: Forbidden in FPS Metronidazole Ronidazole Secnidazole Dimetridazole Tinidazole Nitrofurans: Forbidden in FPS Nitrofurantoine Nifuroxazide Nifurtimox Potentiated Sulfonamides (PSA) Sulfonamides Local: Sulfacetamide Sulfadimidine Systemic short acting: Sulfamethoxazole Sulfachloropyridazine Sulfadiazine Sulfaquinoxaline Sulfachloropyrazine Sulfasalazine Systemic long acting: Sulfadimethoxine Diaminopyrimidines Trimethoprim Ormetoprim Baquiloprim Pyrimethamine Diaveridine Polypeptide Antibiotics Cyclic Polypeptides Bacitracin Steroid Antibacterials: Companion animals only Fusidic Acid