Centro Nacional de Biotecnología, Consejo Superior de Investigaciones Científicas (CSIC), Madrid, Spain.
Programa de Doctorado en Biociencias Moleculares, Universidad Autónoma de Madrid, Madrid, Spain.
Front Cell Infect Microbiol. 2022 May 11;12:873989. doi: 10.3389/fcimb.2022.873989. eCollection 2022.
Antibiotic resistance is a major human health problem. While health care facilities are main contributors to the emergence, evolution and spread of antibiotic resistance, other ecosystems are involved in such dissemination. Wastewater, farm animals and pets have been considered important contributors to the development of antibiotic resistance. Herein, we review the impact of wildlife in such problem. Current evidence supports that the presence of antibiotic resistance genes and/or antibiotic resistant bacteria in wild animals is a sign of anthropic pollution more than of selection of resistance. However, once antibiotic resistance is present in the wild, wildlife can contribute to its transmission across different ecosystems. Further, the finding that antibiotic resistance genes, currently causing problems at hospitals, might spread through horizontal gene transfer among the bacteria present in the microbiomes of ubiquitous animals as cockroaches, fleas or rats, supports the possibility that these organisms might be bioreactors for the horizontal transfer of antibiotic resistance genes among human pathogens. The contribution of wildlife in the spread of antibiotic resistance among different hosts and ecosystems occurs at two levels. Firstly, in the case of non-migrating animals, the transfer will take place locally; a One Health problem. Paradigmatic examples are the above mentioned animals that cohabit with humans and can be reservoirs and vehicles for antibiotic resistance dissemination. Secondly, migrating animals, such as gulls, fishes or turtles may participate in the dissemination of antibiotic resistance across different geographic areas, even between different continents, which constitutes a Global Health issue.
抗生素耐药性是一个主要的人类健康问题。虽然医疗机构是抗生素耐药性产生、进化和传播的主要贡献者,但其他生态系统也参与了这种传播。废水、农场动物和宠物被认为是抗生素耐药性发展的重要贡献者。在此,我们回顾了野生动物在这一问题中的作用。目前的证据表明,野生动物中存在抗生素耐药基因和/或抗生素耐药菌是人为污染的迹象,而不是耐药性选择的迹象。然而,一旦抗生素耐药性出现在野外,野生动物就可以在不同的生态系统中传播它。此外,发现目前在医院引起问题的抗生素耐药基因可能通过普遍存在的动物(如蟑螂、跳蚤或老鼠)的微生物组中存在的细菌的水平基因转移传播,这支持了这些生物体可能是人类病原体之间抗生素耐药基因水平转移的生物反应器的可能性。野生动物在不同宿主和生态系统之间传播抗生素耐药性的贡献发生在两个层面。首先,对于非迁徙动物,转移将在局部进行;这是一个涉及全人类健康的问题。有代表性的例子是上述与人类共同生活的动物,它们可以成为抗生素耐药性传播的储存库和载体。其次,像海鸥、鱼类或海龟这样的迁徙动物可能会参与抗生素耐药性在不同地理区域的传播,甚至在不同的大陆之间,这构成了全球健康问题。