Global Emergence of Colistin-Resistant in Food Chains and Associated Food Safety Implications: A Review.

Antimicrobial resistance in bacteria represents one of the most important challenges for public health worldwide. Human infections from antimicrobial-resistant bacteria can be transmitted from person to person, via the environment (especially in the hospital environment), or via handling or eating contaminated foods. Colistin is well known as a last-resort antibiotic for the treatment of human infections; a recent study performed in the People's Republic of China has revealed that colistin resistance is also conferred by the plasmid-mediated gene in . After that discovery, further plasmid-mediated, colistin resistance genes have been detected. However, to date, only reports on carrying the gene () in foodstuff are available. has been isolated from food of animal origin and vegetables; this discovery has opened a debate among food safety experts. This review aims to provide a critical overview of the currently available scientific literature on the presence of the plasmid-mediated, colistin resistance gene in foodstuffs, focusing on the main implications and future perspectives for food safety.