Exploring the Prevalence of Antimicrobial Resistance in the Environment Through Bonelli's Eagles () as Sentinels.

Increasing levels of antimicrobial resistance (AMR) have recently been observed at the human-domestic animal-wildlife interface. Wild birds have been identified as carriers of antimicrobial-resistant bacteria and serve as excellent biomarkers for epidemiological studies. This study assessed the current AMR presence in Eastern Spain's commensal isolated from free-ranging Bonelli's eagles (). : Nestlings and their nests were intensively sampled between 2022 and 2024 to determine their AMR profile and characterize . AMR testing was conducted using the broth microdilution method, following the European Committee on Antimicrobial Susceptibility Testing guidelines. Additionally, the presence of A (intimin gene) and -1 and -2 (shiga toxins) was analyzed by real-time PCR to classify strains into enteropathogenic (EPEC) and Shiga-toxigenic (STEC) pathotypes. : Of all isolates, 41.7% were resistant to at least one antimicrobial, and 30% were multidrug-resistant. Only two strains were classified as EPEC and none as STEC. The highest resistance rates were observed for amoxicillin and tetracycline (19.6% each). Alarmingly, resistance to colistin and meropenem, last-resort antibiotics in human medicine, was also detected. : Although the mechanisms of resistance acquisition remain unclear, transmission is likely to occur through the food chain, with synanthropic prey acting as intermediary vectors. These results highlight the role of Bonelli's eagles as essential sentinels of environmental AMR dissemination, even in remote ecosystems. Strengthening One Health-based surveillance is necessary to address AMR's ecological and public health risks in wildlife.