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article · Infection Ecology & Epidemiology

Review of antibiotic-resistant bacteria and antibiotic resistance genes within the one health framework

202438 citationsOpen accessAfe Babalola University

In plain language

This review examines antibiotic resistance (AR) within the One Health framework, which recognises the interconnectedness of human, animal, and environmental health. The objective was to provide an overview of antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) across these settings. The research highlights that AR is not solely a human health issue but also an environmental and animal health concern. Antibiotics used in animal husbandry contribute to ARB development in animals, which can then transfer to humans through food and environmental exposure. The environment plays a critical role in the circulation and persistence of ARB and ARGs, with genetic material transfer between bacteria facilitating their spread. This spread is influenced by both natural processes and human activities, such as agricultural antibiotic use and waste management. The review concludes that integrating the One Health approach into public health systems is essential to effectively manage the emergence and spread of ARB and ARGs.

Key takeaways

  • Antibiotic resistance is a complex issue involving human, animal, and environmental health, requiring a One Health approach.
  • Antibiotic use in animal husbandry contributes to the development of antibiotic-resistant bacteria in animals.
  • Antibiotic-resistant bacteria can be transmitted from animals to humans through food and environmental exposure.
  • The environment is a critical reservoir for the circulation and persistence of antibiotic-resistant bacteria and their resistance genes.
  • The spread of antibiotic resistance genes is facilitated by genetic transfer between bacteria, influenced by both natural processes and human activities.

Why it matters

Antibiotic resistance is a growing global health threat. Understanding its spread across humans, animals, and the environment is crucial for effective control. This research highlights how our actions in one area, like agriculture, can impact health in others, emphasising the need for a unified approach to protect public health.

Commercialisation angle

This review synthesises existing knowledge to inform public health strategies and policy development rather than presenting a direct commercial application. It highlights the interconnectedness of antibiotic resistance across human, animal, and environmental sectors, suggesting a need for integrated solutions in areas like agricultural practices, waste management, and healthcare. The work is foundational, informing future research and policy, and does not describe a near-market product or service.

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Abstract

<b>Background:</b> The interdisciplinary One Health (OH) approach recognizes that human, animal, and environmental health are all interconnected. Its ultimate goal is to promote optimal health for all through the exploration of these relationships. Antibiotic resistance (AR) is a public health challenge that has been primarily addressed within the context of human health and clinical settings. However, it has become increasingly evident that antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARGs) that confer resistance are transmitted and circulated within humans, animals, and the environment. Therefore, to effectively address this issue, antibiotic resistance must also be considered an environmental and livestock/wildlife problem. <b>Objective:</b> This review was carried out to provide a broad overview of the existence of ARB and ARGs in One Health settings. <b>Methods:</b> Relevant studies that placed emphasis on ARB and ARGs were reviewed and key findings were accessed that illustrate the importance of One Health as a measure to tackle growing public and environmental threats. <b>Results:</b> In this review, we delve into the complex interplay of the three components of OH in relation to ARB and ARGs. Antibiotics used in animal husbandry and plants to promote growth, treat, and prevent infectious diseases lead to the development of antibiotic-resistant bacteria in animals. These bacteria are transmitted from animals to humans through food and environmental exposure. The environment plays a critical role in the circulation and persistence of antibiotic-resistant bacteria and genes, posing a significant threat to human and animal health. This article also highlights how ARGs are spread in the environment through the transfer of genetic material between bacteria. This transfer can occur naturally or through human activities such as the use of antibiotics in agriculture and waste management practices. <b>Conclusion:</b> It is important to integrate the One Health approach into the public health system to effectively tackle the emergence and spread of ARB and genes that code for resistance to different antibiotics.

Research topics

  • Pharmaceutical and Antibiotic Environmental Impacts
  • Antibiotic Resistance in Bacteria
  • Zoonotic diseases and public health

Sustainable Development Goals

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DOI: 10.1080/20008686.2024.2312953

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