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Assessment of Human Exposure Pathways to Antimicrobial Resistance in the Environment

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Environmental Health".

Deadline for manuscript submissions: closed (1 April 2023) | Viewed by 15506

Special Issue Editors

Dr. Jay Graham

E-Mail Website
Collection Editor
Berkeley School of Public Health, University of California, 2121 Berkeley Way, Room 5302, Berkeley, CA 94720-7360, USA
Interests: community-acquired antimicrobial resistance; zoonotic infectious diseases; environmental determinants of infectious diseases; exposure assessment
Dr. Ayse Ercumen

E-Mail Website
Collection Editor
Department of Forestry and Environmental Resources, Global Water, Sanitation and Hygiene Cluster, North Carolina State University, 2820 Faucette Dr., Campus Box 8001, Raleigh, NC 27695, USA
Interests: environmental disease transmission; waterborne illness; global water, sanitation and hygiene; child enteric infections; health impact evaluation
Dr. Beth J. Feingold

E-Mail Website
Collection Editor
School of Public Health, University at Albany (State University of New York), 1 University Pl, Rensselaer, NY 12144, USA
Interests: global environmental health; diet and environment interactions; land use, climate change and health; food-agriculture-environment-health nexus; mercury exposure in the Amazon

Special Issue Information

Dear Colleagues,

The rapid evolution of antimicrobial resistance (AMR) in bacteria is one of the most dangerous trends in public health. This topic is of critical importance to both health and development. There are a number of knowledge gaps related to the dynamics of AMR spread and transmission, especially from environmental reservoirs to humans. This Special Issue seeks studies that address the role of the environment as a source of clinically relevant antimicrobial resistance in humans. The issue will give priority to high quality research studies that combine the use of molecular methods (e.g., next generation sequencing) with advanced epidemiologic methods to examine how non-healthcare settings contribute to the dissemination of AMR in humans. We are seeking submissions of original research including empirical studies, systematic reviews, and meta-analyses. Debates and policy articles will also be considered. 

We welcome the direct submission of any original research for review for this Special Issue. Please indicate in your cover letter that you would like the article to be considered for the “Assessment of Human Exposure Pathways to Antimicrobial Resistance in the Environment” Special Issue.  If you would like to inquire about the suitability of a study for consideration, please email a pre-submission inquiry to Professor Jay Graham ([email protected]).

Thank you for your consideration, and we look forward to hearing from you.

Dr. Jay Graham
Dr. Ayse Ercumen
Dr. Beth J. Feingold
Collection Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • antimicrobial resistance
  • environmental microbiology
  • bioaerosols
  • wastewater
  • surface water
  • ground water
  • sediments
  • soils
  • edible crops
  • food-animals

Published Papers (3 papers)

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Review

18 pages, 815 KiB  
Review
Antimicrobial Resistance in Rural Settings in Latin America: A Scoping Review with a One Health Lens
by Maria Luisa Medina-Pizzali, Stella M. Hartinger, Gabriela Salmon-Mulanovich, Anika Larson, Maribel Riveros and Daniel Mäusezahl
Int. J. Environ. Res. Public Health 2021, 18(18), 9837; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18189837 - 18 Sep 2021
Cited by 8 | Viewed by 4623
Abstract
Antimicrobial resistance (AMR) in rural Latin America is not fully understood. The transmission pathways are partially known since research predominantly focuses on the urban hospital setting. The contribution to AMR from environmental factors is usually only mentioned in large-scale animal production. To understand [...] Read more.
Antimicrobial resistance (AMR) in rural Latin America is not fully understood. The transmission pathways are partially known since research predominantly focuses on the urban hospital setting. The contribution to AMR from environmental factors is usually only mentioned in large-scale animal production. To understand the state of the literature on AMR in rural LA, we carried out a scoping review using the One Health (OH) perspective. OH recognises the concomitant contributions and interconnectedness of humans, animal, and the environment, thus, we used the OH perspective to select those articles adopting a holistic view of the problem. We searched original articles in English, Spanish, and Portuguese in four peer-reviewed databases and included 21 publications in the analysis. We charted data on bibliometrics, design, data collection sources, and instruments. We identified the human, animal, and environmental contributions to AMR in rural locations, and information gaps on AMR transmission routes and AMR drivers. Intensive and non-intensive animal production systems and agricultural practices were the most frequently found human contributions to AMR. Poultry, swine, cattle, and fish were the most frequent livestock mentioned as sources of AMR bacteria. Animal carriage and/or transfer of AMR determinants or bacteria was recognised as the primary contribution of livestock to the problem, while water, soil, and farming were predominant environmental contributions. We found that only 1 article out of 21 considered the OH approach as a framework for their sampling scheme, whereas 5 out 21 discussed all the three OH components. There were hardly any descriptions of humans or human waste as reservoirs for AMR in rural locations, and rural health centres or hospitals and wildlife were not represented. No studies identified mining as an anthropogenic activity driving AMR. More OH-oriented studies, with emphasis on molecular approaches—for identification and comparison of AMR genes—are sorely needed to understand better the existence of a network of interconnected transmission routes in rural Latin America and provide efficient strategies to prevent further AMR emergence. Full article
(This article belongs to the Special Issue Assessment of Human Exposure Pathways to Antimicrobial Resistance in the Environment)
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Graphical abstract

28 pages, 602 KiB  
Review
Antibiotic Resistance in Recreational Waters: State of the Science
by Sharon P. Nappier, Krista Liguori, Audrey M. Ichida, Jill R. Stewart and Kaedra R. Jones
Int. J. Environ. Res. Public Health 2020, 17(21), 8034; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17218034 - 31 Oct 2020
Cited by 41 | Viewed by 5996
Abstract
Ambient recreational waters can act as both recipients and natural reservoirs for antimicrobial resistant (AMR) bacteria and antimicrobial resistant genes (ARGs), where they may persist and replicate. Contact with AMR bacteria and ARGs potentially puts recreators at risk, which can thus decrease their [...] Read more.
Ambient recreational waters can act as both recipients and natural reservoirs for antimicrobial resistant (AMR) bacteria and antimicrobial resistant genes (ARGs), where they may persist and replicate. Contact with AMR bacteria and ARGs potentially puts recreators at risk, which can thus decrease their ability to fight infections. A variety of point and nonpoint sources, including contaminated wastewater effluents, runoff from animal feeding operations, and sewer overflow events, can contribute to environmental loading of AMR bacteria and ARGs. The overall goal of this article is to provide the state of the science related to recreational exposure and AMR, which has been an area of increasing interest. Specific objectives of the review include (1) a description of potential sources of antibiotics, AMR bacteria, and ARGs in recreational waters, as documented in the available literature; (2) a discussion of what is known about human recreational exposures to AMR bacteria and ARGs, using findings from health studies and exposure assessments; and (3) identification of knowledge gaps and future research needs. To better understand the dynamics related to AMR and associated recreational water risks, future research should focus on source contribution, fate and transport—across treatment and in the environment; human health risk assessment; and standardized methods. Full article
(This article belongs to the Special Issue Assessment of Human Exposure Pathways to Antimicrobial Resistance in the Environment)
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Figure 1

12 pages, 466 KiB  
Review
Factors Obscuring the Role of E. coli from Domestic Animals in the Global Antimicrobial Resistance Crisis: An Evidence-Based Review
by Fernanda Loayza, Jay P. Graham and Gabriel Trueba
Int. J. Environ. Res. Public Health 2020, 17(9), 3061; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17093061 - 28 Apr 2020
Cited by 31 | Viewed by 3926
Abstract
Recent studies have found limited associations between antimicrobial resistance (AMR) in domestic animals (and animal products), and AMR in human clinical settings. These studies have primarily used Escherichia coli, a critically important bacterial species associated with significant human morbidity and mortality. E. [...] Read more.
Recent studies have found limited associations between antimicrobial resistance (AMR) in domestic animals (and animal products), and AMR in human clinical settings. These studies have primarily used Escherichia coli, a critically important bacterial species associated with significant human morbidity and mortality. E. coli is found in domestic animals and the environment, and it can be easily transmitted between these compartments. Additionally, the World Health Organization has highlighted E. coli as a “highly relevant and representative indicator of the magnitude and the leading edge of the global antimicrobial resistance (AMR) problem”. In this paper, we discuss the weaknesses of current research that aims to link E. coli from domestic animals to the current AMR crisis in humans. Fundamental gaps remain in our understanding the complexities of E. coli population genetics and the magnitude of phenomena such as horizontal gene transfer (HGT) or DNA rearrangements (transposition and recombination). The dynamic and intricate interplay between bacterial clones, plasmids, transposons, and genes likely blur the evidence of AMR transmission from E. coli in domestic animals to human microbiota and vice versa. We describe key factors that are frequently neglected when carrying out studies of AMR sources and transmission dynamics. Full article
(This article belongs to the Special Issue Assessment of Human Exposure Pathways to Antimicrobial Resistance in the Environment)
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