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全国抗生素消费量与各细菌进化枝中的抗生素耐药性流行情况密切相关。

National antibiotic consumption is strongly related to the prevalence of antibiotic resistance across bacterial clades.

作者信息

Louca Stilianos

机构信息

Department of Biology, University of Oregon, Eugene, OR 97403, USA.

Institute of Ecology and Evolution, University of Oregon, Eugene, OR 97403, USA.

出版信息

iScience. 2025 Jan 6;28(2):111712. doi: 10.1016/j.isci.2024.111712. eCollection 2025 Feb 21.

Abstract

The impact of societal antibiotic consumption on the prevalence of antibiotic resistance across microbial taxa in natural environments has not yet been assessed at global scales. Here, I examine the prevalence of 155 antibiotic resistance genes (ARGs) in 300,209 bacterial genomes, from non-clinical non-human-associated terrestrial environments at over 9,600 locations in 44 countries. I then compare ARG prevalences to nationwide antibiotic consumption rates, distinguishing between different ARG types. I find that depending on country and ARG type, ARG prevalences can be extremely high; for example, the probability that a given quinolone resistance gene is present in a given strain in Thailand was estimated at 42%. Further, I find strong positive correlations between nationwide antibiotic consumption rates and mean ARG prevalences for nearly all ARG types. Thus, national antibiotic consumption leaves a signal on the prevalence of ARGs across the bacterial tree, even in non-clinical environments.

摘要

社会抗生素消费对自然环境中微生物类群抗生素耐药性流行的影响尚未在全球范围内进行评估。在此,我研究了来自44个国家9600多个地点的非临床、非人类相关陆地环境的300209个细菌基因组中155种抗生素抗性基因(ARG)的流行情况。然后,我将ARG流行率与全国抗生素消费率进行比较,区分不同的ARG类型。我发现,根据国家和ARG类型的不同,ARG流行率可能极高;例如,泰国某一喹诺酮抗性基因存在于某一菌株中的概率估计为42%。此外,我发现全国抗生素消费率与几乎所有ARG类型的平均ARG流行率之间存在强正相关。因此,即使在非临床环境中,国家抗生素消费也会在整个细菌谱系的ARG流行率上留下信号。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4935/11787492/33bfccea5761/fx1.jpg

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