Karabasil Nedjeljko, Mirković Milica, Vićić Ivan, Perić Ivana, Zlatković Nevena, Luković Bojana, Gajić Ina
Department of Food Hygiene and Technology, Faculty of Veterinary Medicine, University of Belgrade, Bulevar Oslobodjenja 18, 11000 Belgrade, Serbia.
Department of Industrial Microbiology, Faculty of Agriculture, University of Belgrade, Nemanjina 6, 11000 Belgrade, Serbia.
Antibiotics (Basel). 2025 Apr 28;14(5):443. doi: 10.3390/antibiotics14050443.
Antimicrobial resistance (AMR) is a multi-sectoral, systemic, and global issue worldwide. Antimicrobial use (AMU) is a key factor in the selection of resistant bacteria within different ecological niches, from agriculture to food-producing animals to humans. There is a question regarding the extent to which the use of antibiotics in livestock production and the primary food production sector influences the selection and transmission of resistant bacteria and/or resistant genes throughout the food chain and thus contributes to the complexity in the development of AMR in humans. Although the trends in the prevalence of foodborne pathogens have changed over time, the burden of ecological niches with resistance genes, primarily in commensal microorganisms, is of concern. The implementation of the harmonized surveillance of AMU and AMR would provide comprehensive insights into the actual status of resistance and further interventions leading to its reduction. Tracking AMR in different ecological niches by applying advanced genome-based techniques and developing shared AMR data repositories would strengthen the One Health concept.
抗菌药物耐药性(AMR)是一个全球性的多部门、系统性问题。抗菌药物使用(AMU)是在从农业到食用动物再到人类等不同生态位中选择耐药细菌的关键因素。关于畜牧生产和初级食品生产部门中抗生素的使用在多大程度上影响耐药细菌和/或耐药基因在整个食物链中的选择和传播,进而导致人类抗菌药物耐药性发展的复杂性,存在一个问题。尽管食源性病原体的流行趋势随时间发生了变化,但携带耐药基因的生态位负担,主要存在于共生微生物中,令人担忧。实施抗菌药物使用和抗菌药物耐药性的统一监测将提供有关耐药性实际状况的全面见解,并为进一步减少耐药性的干预措施提供依据。通过应用先进的基于基因组的技术追踪不同生态位中的抗菌药物耐药性,并开发共享的抗菌药物耐药性数据存储库,将强化“同一健康”理念。