The relationship between animal welfare and antibiotic use is complex. Better welfare reduces disease burden and antibiotic need, while antibiotic stewardship should never come at the cost of treating sick animals.
Animal welfare and antibiotic stewardship are often aligned but sometimes in tension. Better welfare conditions reduce the disease burden that drives antibiotic use. However, pressure to reduce antibiotic use must never prevent necessary treatment of sick individuals — withholding antibiotics from animals that need them is both a welfare failure and poor veterinary practice. The most effective approach combines genuine welfare improvement that reduces disease incidence with responsible therapeutic antibiotic use when needed.