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Human, animal and environmental contributors to antibiotic resistance in low resource settings: integrating behavioural, epidemiological and One Health approaches

By Emily K Rousham, Leanne Unicomb, Mohammad Aminul Islam

Category Journal Articles
Abstract

Antibiotic resistance (ABR) is recognised as a One Health challenge because of the rapid emergence and dissemination of resistant bacteria and genes among humans, animals and the environment on a global scale. However, there is a paucity of research assessing ABR contemporaneously in humans, animals and the environment in low resource settings. This critical review seeks to identify the extent of One Health research on antibiotic resistance in low and middle income countries (LMICs). Existing research has highlighted hotspots for environmental contamination; food-animal production systems that are likely to harbour reservoirs or promote transmission of ABR as well as high and increasing human rates of colonisation with ABR commensal bacteria such as Escherichia coli. However, very few studies have integrated all three components of the One Health spectrum to understand the dynamics of transmission of AMR and the prevalence of community-acquired resistance in humans and animals. Microbiological, epidemiological and social science research is needed at community and population levels across the One Health spectrum in order to fill the large gaps in knowledge of ABR in low resource settings.

Submitter

Marcy Wilhelm-South

Purdue University

Date 2018
Publication Title Proceedings of the Royal Society B Biological Sciences
Volume 285
Issue 1876
Pages 29
DOI 10.1098/rspb.2018.0332
URL https://repository.lboro.ac.uk/articles/Human_animal_and_environmental_contributors_to_antibiotic_resistance_in_low_resource_settings_integrating_behavioural_epidemiological_and_One_Health_approaches/9617705
Language English
Additional Language English
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Tags
  1. Animal health and hygiene
  2. Animal welfare
  3. Antibiotics
  4. Health
  5. One Health
  6. open access
  7. peer-reviewed
Badges
  1. open access
  2. peer-reviewed