Towards monitoring of antimicrobial resistance in the environment: For what reasons, how to implement it, and what are the data needs?

Publikation: Beitrag in FachzeitschriftÜbersichtsartikel (Review)BeigetragenBegutachtung

Beitragende

  • Johan Bengtsson-Palme - , University of Gothenburg (Autor:in)
  • Anna Abramova - , University of Gothenburg (Autor:in)
  • Thomas U Berendonk - , Institut für Hydrobiologie, Professur für Limnologie (Gewässerökologie) (Autor:in)
  • Luis Pedro Coelho - , Fudan University (Autor:in)
  • Sofia K Forslund - , Experimental and Clinical Research Center (ECRC) (Autor:in)
  • Rémi Gschwind - , Université Sorbonne Paris Nord, Université Paris Cité (Autor:in)
  • Annamari Heikinheimo - , University of Helsinki (Autor:in)
  • Víctor Hugo Jarquín-Díaz - , Experimental and Clinical Research Center (ECRC) (Autor:in)
  • Ayaz Ali Khan - , University of Malakand (Autor:in)
  • Uli Klümper - , Institut für Hydrobiologie, Professur für Limnologie (Gewässerökologie) (Autor:in)
  • Ulrike Löber - , Experimental and Clinical Research Center (ECRC) (Autor:in)
  • Marmar Nekoro - , Swedish Medical Products Agency (Autor:in)
  • Adriana D Osińska - , Norwegian University of Life Sciences (Autor:in)
  • Svetlana Ugarcina Perovic - , Fudan University (Autor:in)
  • Tarja Pitkänen - , University of Helsinki (Autor:in)
  • Ernst Kristian Rødland - , Norwegian Institute of Public Health (Autor:in)
  • Etienne Ruppé - , Université Sorbonne Paris Nord, Université Paris Cité (Autor:in)
  • Yngvild Wasteson - , Norwegian University of Life Sciences (Autor:in)
  • Astrid Louise Wester - , Norwegian Institute of Public Health (Autor:in)
  • Rabaab Zahra - , Quaid-I-Azam University (Autor:in)

Abstract

Antimicrobial resistance (AMR) is a global threat to human and animal health and well-being. To understand AMR dynamics, it is important to monitor resistant bacteria and resistance genes in all relevant settings. However, while monitoring of AMR has been implemented in clinical and veterinary settings, comprehensive monitoring of AMR in the environment is almost completely lacking. Yet, the environmental dimension of AMR is critical for understanding the dissemination routes and selection of resistant microorganisms, as well as the human health risks related to environmental AMR. Here, we outline important knowledge gaps that impede implementation of environmental AMR monitoring. These include lack of knowledge of the 'normal' background levels of environmental AMR, definition of high-risk environments for transmission, and a poor understanding of the concentrations of antibiotics and other chemical agents that promote resistance selection. Furthermore, there is a lack of methods to detect resistance genes that are not already circulating among pathogens. We conclude that these knowledge gaps need to be addressed before routine monitoring for AMR in the environment can be implemented on a large scale. Yet, AMR monitoring data bridging different sectors is needed in order to fill these knowledge gaps, which means that some level of national, regional and global AMR surveillance in the environment must happen even without all scientific questions answered. With the possibilities opened up by rapidly advancing technologies, it is time to fill these knowledge gaps. Doing so will allow for specific actions against environmental AMR development and spread to pathogens and thereby safeguard the health and wellbeing of humans and animals.

Details

OriginalspracheEnglisch
Aufsatznummer108089
FachzeitschriftEnvironment international
Jahrgang178
Frühes Online-Datum5 Juli 2023
PublikationsstatusVeröffentlicht - Aug. 2023
Peer-Review-StatusJa

Externe IDs

Scopus 85164730937
Mendeley 1b74081a-7594-3e0d-8bf0-20634c28b3ef
ORCID /0000-0002-4169-6548/work/142247390
ORCID /0000-0002-9301-1803/work/161409834

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

Schlagwörter

  • AMR, Antibiotic resistance, Infectious diseases, One-health, Surveillance, Transmission, Environmental Monitoring, Animals, Bacteria/genetics, Humans, Drug Resistance, Bacterial/genetics, Anti-Bacterial Agents/pharmacology