Universidad Nacional, Costa Rica. Instituto Regional de Estudios en Sustancias Tóxicas (IRET), Costa Rica.
Universidad Nacional, Costa Rica. Instituto Regional de Estudios en Sustancias Tóxicas (IRET), Costa Rica.
Environ Res. 2024 Jun 15;251(Pt 1):118549. doi: 10.1016/j.envres.2024.118549. Epub 2024 Feb 25.
Antimicrobial Resistance (AMR) poses a global threat to both human health and environmental well-being. Our study delved into Costa Rican wildlife reserves, uncovering a substantial human impact on these ecosystems and underscoring the imperative to pinpoint AMR hotspots. Embracing a One Health perspective, we advocated for a comprehensive landscape analysis that intricately intertwined geographic, climatic, forest, and human factors. This study illuminated the link between laboratory results and observed patterns of antimicrobial use, thereby paving the way for sustainable solutions. Our innovative methodology involved deploying open-ended questions to explore antimicrobial usage across livestock activities, contributing to establishing a comprehensive methodology. Non-invasive sampling in wildlife emerged as a critical aspect, shedding light on areas contaminated by AMR. Feline species, positioned at the apex of the food chain, acted as sentinels for environmental health due to heightened exposure to improperly disposed waste. Regarding laboratory findings, each sample revealed the presence of at least one antimicrobial resistance gene (ARG). Notably, genes encoding resistance to tetracyclines dominated (94.9%), followed by beta-lactams (75.6%), sulfonamides (53.8%), aminoglycosides (51.3%), quinolones (44.9%), phenicols (25.6%), and macrolides (20.5%). Genes encoding polymyxins were not detected. Moreover, 66% of samples carried a multi-resistant microbiome, with 15% exhibiting resistance to three antimicrobial families and 51% to four. The absence of a correlation between forest coverage and ARG presence underscored the profound human impact on wildlife reserves, surpassing previous estimations. This environmental pressure could potentially modify microbiomes and resistomes in unknown ways. As not all antimicrobial families encoding ARGs were utilized by farmers, our next step involved evaluating other human activities to identify the primary sources of contamination. This comprehensive study contributed crucial insights into the intricate dynamics of AMR in natural ecosystems, paving the way for targeted interventions and sustainable coexistence.
抗生素耐药性(AMR)对人类健康和环境福祉构成全球性威胁。我们的研究深入探讨了哥斯达黎加的野生动物保护区,揭示了人类活动对这些生态系统的重大影响,并强调了确定 AMR 热点的必要性。我们采取了一种“同一健康”的视角,倡导进行全面的景观分析,将地理、气候、森林和人类因素错综复杂地交织在一起。这项研究阐明了实验室结果与观察到的抗生素使用模式之间的联系,从而为可持续解决方案铺平了道路。我们的创新方法包括提出开放式问题,以探讨牲畜活动中的抗生素使用情况,从而有助于建立一种全面的方法。对野生动物进行非侵入性采样是一个关键方面,揭示了受 AMR 污染的区域。猫科动物处于食物链的顶端,由于暴露于处理不当的废物中,它们成为环境健康的哨兵。关于实验室发现,每个样本都显示至少存在一个抗生素耐药基因(ARG)。值得注意的是,编码对四环素类药物耐药的基因占主导地位(94.9%),其次是β-内酰胺类(75.6%)、磺胺类(53.8%)、氨基糖苷类(51.3%)、喹诺酮类(44.9%)、酚类(25.6%)和大环内酯类(20.5%)。未检测到编码多粘菌素的基因。此外,66%的样本携带多耐药微生物组,其中 15%表现出对三种抗生素家族的耐药性,51%对四种抗生素家族的耐药性。森林覆盖率与 ARG 存在之间缺乏相关性,这突显了人类对野生动物保护区的深远影响,超过了之前的估计。这种环境压力可能以未知的方式改变微生物组和耐药组。由于并非所有编码 ARG 的抗生素家族都被农民使用,因此我们的下一步是评估其他人类活动,以确定主要的污染来源。这项全面研究为自然生态系统中 AMR 的复杂动态提供了关键见解,为有针对性的干预措施和可持续共存铺平了道路。