Vidovic Nikola, Vidovic Sinisa
College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, S7K 4H3, Canada.
Department of Veterinary and Biomedical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN 55108, USA.
Antibiotics (Basel). 2020 Jan 31;9(2):52. doi: 10.3390/antibiotics9020052.
The emergence and dissemination of antimicrobial resistance among human, animal and zoonotic pathogens pose an enormous threat to human health worldwide. The use of antibiotics in human and veterinary medicine, and especially the use of large quantities of antibiotics in livestock for the purpose of growth promotion of food animals is believed to be contributing to the modern trend of the emergence and spread of bacteria with antibiotic resistant traits. To better control the emergence and spread of antimicrobial resistance several countries from Western Europe implemented a ban for antibiotic use in livestock, specifically the use of antibiotics for growth promotion of food animals. This review article summarizes the recent knowledge of molecular acquisition of antimicrobial resistance and the effects of implementation of antibiotic growth promoter bans on the spread of antimicrobial resistant bacteria in animals and humans. In this article, we also discuss the main zoonotic transmission routes of antimicrobial resistance and novel approaches designed to prevent or slow down the emergence and spread of antimicrobial resistance worldwide. Finally, we provide future perspectives associated with the control and management of the emergence and spread of antimicrobial resistant bacteria.
人类、动物和人畜共患病原体中抗菌药物耐药性的出现和传播对全球人类健康构成了巨大威胁。在人类医学和兽医学中使用抗生素,尤其是在牲畜中大量使用抗生素以促进食用动物生长,被认为是导致具有抗生素耐药特性的细菌出现和传播这一现代趋势的原因之一。为了更好地控制抗菌药物耐药性的出现和传播,西欧的几个国家实施了牲畜抗生素使用禁令,特别是禁止将抗生素用于促进食用动物生长。这篇综述文章总结了抗菌药物耐药性分子获得的最新知识,以及实施抗生素生长促进剂禁令对动物和人类中抗菌药物耐药细菌传播的影响。在本文中,我们还讨论了抗菌药物耐药性的主要人畜共患传播途径以及旨在预防或减缓全球抗菌药物耐药性出现和传播的新方法。最后,我们提供了与控制和管理抗菌药物耐药细菌的出现和传播相关的未来展望。