Overuse of antibiotics in livestock is driving antimicrobial resistance that threatens human and animal health. Stewardship programs reduce antibiotic use while maintaining animal health through welfare-compatible practices.
The welfare dimension of antibiotic stewardship is often overlooked in the public health framing of this issue. When antibiotics are used as growth promoters or routinely for disease prevention without veterinary oversight, they may be masking welfare problems — poor housing conditions, crowding, and stress — that would otherwise be apparent as disease and require addressing. The reduction of routine antibiotic use requires compensating welfare improvements that actually prevent the disease that antibiotics previously managed. This means that antibiotic stewardship programs, when implemented correctly, drive welfare improvements as a mechanism for maintaining animal health. The countries that have most successfully reduced antibiotic use have done so partly by improving animal living conditions.