Murray Laura May, Hayes April, Snape Jason, Kasprzyk-Hordern Barbara, Gaze William Hugo, Murray Aimee Kaye
European Centre for Environment and Human Health, University of Exeter Medical School, Faculty of Health and Life Sciences, Environment and Sustainability Institute, Penryn, Cornwall, UK.
Formerly AstraZeneca Global Environment, Alderley Park, Macclesfield, UK.
NPJ Antimicrob Resist. 2024 Apr 1;2(1):9. doi: 10.1038/s44259-024-00026-7.
The environment is increasingly recognised as a hotspot for the selection and dissemination of antibiotic resistant bacteria and antibiotic resistance genes. These can be selected for by antibiotics and non-antibiotic agents (such as metals and biocides), with the evidence to support this well established by observational and experimental studies. However, there is emerging evidence to suggest that plant protection products (such as herbicides), and non-antibiotic drugs (such as chemotherapeutic agents), can also co-select for antibiotic resistance. This review aims to provide an overview of four classes of non-antibiotic agents (metals, biocides, plant protection products, and non-antibiotic drugs) and how they may co-select for antibiotic resistance, with a particular focus on the environment. It also aims to identify key knowledge gaps that should be addressed in future work, to better understand these potential co-selective agents.
环境日益被视为抗生素耐药菌和抗生素耐药基因选择与传播的热点。抗生素和非抗生素剂(如金属和杀菌剂)均可对其进行选择,观察性研究和实验研究已充分证实了这一点。然而,新出现的证据表明,植物保护产品(如除草剂)和非抗生素药物(如化疗药物)也可能共同选择出抗生素耐药性。本综述旨在概述四类非抗生素剂(金属、杀菌剂、植物保护产品和非抗生素药物)以及它们如何共同选择出抗生素耐药性,特别关注环境方面。它还旨在确定未来工作中应解决的关键知识空白,以便更好地了解这些潜在的共同选择剂。
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