Center for Environmental Security, The Biodesign Institute, Arizona State University, 781 E. Terrace Mall, Tempe, Arizona, 85287, USA.
AAPS J. 2015 May;17(3):513-24. doi: 10.1208/s12248-015-9722-z. Epub 2015 Feb 21.
Important antibiotics in human medicine have been used for many decades in animal agriculture for growth promotion and disease treatment. Several publications have linked antibiotic resistance development and spread with animal production. Aquaculture, the newest and fastest growing food production sector, may promote similar or new resistance mechanisms. This review of 650+ papers from diverse sources examines parallels and differences between land-based agriculture of swine, beef, and poultry and aquaculture. Among three key findings was, first, that of 51 antibiotics commonly used in aquaculture and agriculture, 39 (or 76%) are also of importance in human medicine; furthermore, six classes of antibiotics commonly used in both agriculture and aquaculture are also included on the World Health Organization's (WHO) list of critically important/highly important/important antimicrobials. Second, various zoonotic pathogens isolated from meat and seafood were observed to feature resistance to multiple antibiotics on the WHO list, irrespective of their origin in either agriculture or aquaculture. Third, the data show that resistant bacteria isolated from both aquaculture and agriculture share the same resistance mechanisms, indicating that aquaculture is contributing to the same resistance issues established by terrestrial agriculture. More transparency in data collection and reporting is needed so the risks and benefits of antibiotic usage can be adequately assessed.
重要的人类医学抗生素已在动物农业中使用了数十年,用于促进生长和治疗疾病。有几篇出版物将抗生素耐药性的发展和传播与动物生产联系起来。水产养殖是最新和增长最快的食品生产部门,它可能会促进类似或新的耐药机制。本综述从多个来源审查了陆地农业(猪、牛和家禽)和水产养殖之间的相似之处和差异,共查阅了 650 多篇论文。三个关键发现之一是,在水产养殖和农业中常用的 51 种抗生素中,有 39 种(或 76%)也对人类医学很重要;此外,在农业和水产养殖中常用的六类抗生素也被世界卫生组织(WHO)列入了重要/高度重要/重要的抗菌药物清单。其次,从肉类和海鲜中分离出的各种人畜共患病原体被观察到对 WHO 清单上的多种抗生素具有耐药性,而不论其起源是农业还是水产养殖。第三,数据表明,从水产养殖和农业中分离出的耐药菌具有相同的耐药机制,表明水产养殖正在促成与陆地农业相同的耐药问题。需要提高数据收集和报告的透明度,以便能够充分评估抗生素使用的风险和益处。