The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, China; College of Public Health, Zhengzhou University, Zhengzhou, China.
College of Public Health, Zhengzhou University, Zhengzhou, China.
Ecotoxicol Environ Saf. 2023 Apr 1;254:114734. doi: 10.1016/j.ecoenv.2023.114734. Epub 2023 Mar 10.
Antibiotic resistance is currently one of the greatest threats to human health. Widespread use and residues of antibiotics in humans, animals, and the environment can exert selective pressure on antibiotic resistance bacteria (ARB) and antibiotic resistance gene (ARG), accelerating the flow of antibiotic resistance. As ARG spreads to the population, the burden of antibiotic resistance in humans increases, which may have potential health effects on people. Therefore, it is critical to mitigate the spread of antibiotic resistance to humans and reduce the load of antibiotic resistance in humans. This review briefly described the information of global antibiotic consumption information and national action plans (NAPs) to combat antibiotic resistance and provided a set of feasible control strategies for the transmission of ARB and ARG to humans in three areas including (a) Reducing the colonization capacity of exogenous ARB, (b) Enhancing human colonization resistance and mitigating the horizontal gene transfer (HGT) of ARG, (c) Reversing ARB antibiotic resistance. With the hope of achieving interdisciplinary one-health prevention and control of bacterial resistance.
抗生素耐药性目前是人类健康面临的最大威胁之一。抗生素在人类、动物和环境中的广泛使用和残留会对抗生素耐药菌(ARB)和抗生素耐药基因(ARG)施加选择压力,加速抗生素耐药性的传播。随着 ARG 传播到人群中,人类的抗生素耐药负担增加,这可能对人类健康产生潜在影响。因此,减轻抗生素耐药性向人类传播和降低人类抗生素耐药负担至关重要。本综述简要描述了全球抗生素消费信息和国家抗生素耐药性行动计划(NAPs)的信息,并为减少 ARB 和 ARG 向人类传播提供了一套可行的控制策略,包括(a)减少外源性 ARB 的定植能力,(b)增强人类定植抵抗力和减轻 ARG 的水平基因转移(HGT),(c)逆转 ARB 的抗生素耐药性。希望实现跨学科的“同一健康”细菌耐药防控。