Department of Medicine, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, MN, USA.
Undergraduate Studies, Department of Biology, Department of Exercise Science, St. Olaf College, Northfield, MN, USA.
Travel Med Infect Dis. 2021 May-Jun;41:102045. doi: 10.1016/j.tmaid.2021.102045. Epub 2021 Mar 30.
Although the relationship between human mobility and global dissemination of antimicrobial resistance (AMR) is well established, there are important aspects regarding dynamics and character of this spread that have not been well described such as the decreasing time from emergence to global dissemination. In addition, AMR spread through migrants is increasingly being discussed and examined. We believe caution should be exercised to not overly focus on this population since we believe migrants play a minor role and there is a history of stigmatizing and blaming migrants for emerging infections and disease outbreaks. International travelers are proportionately much more likely to perpetuate AMR spread due to the vastly greater volume combined with the increasing efficiency and speed at which they travel. Research, infection prevention measures, and policy development are likely to have the greatest impact if focused on the international traveler rather than on migrant populations.
尽管人类流动性与抗菌药物耐药性（AMR）的全球传播之间的关系已得到充分证实，但仍有一些关于这种传播的动态和特征的重要方面尚未得到充分描述，例如从出现到全球传播的时间缩短。此外，移民传播 AMR 的问题越来越受到关注和研究。我们认为，应该谨慎行事，不要过分关注这一人群，因为我们认为移民的作用较小，而且一直存在将移民污名化和归咎于新出现的感染和疾病爆发的历史。国际旅行者由于数量庞大，加上旅行效率和速度不断提高，更有可能使 AMR 传播持续下去。如果将研究、感染预防措施和政策制定的重点放在国际旅行者身上，而不是移民群体上，那么可能会产生最大的影响。
