Antimicrobial resistance (AMR)

抗菌素耐药性 (AMR)
  • 文章类型: Journal Article
    屠宰场中的几个步骤可以影响用于进一步肉类加工的动物尸体上微生物和相关抗性基因(ARG)的存在。我们调查了这些过程如何影响具有不同农场抗菌药物暴露状态的猪群体的耐药性-微生物组。从他们进入屠宰场的那一刻起,直到尸体加工结束。使用靶向富集宏基因组方法,我们确定了672个独特的ARGs赋予抗性43个不同的AMR类从汇集的皮肤(N=42)和car体拭子(N=63)顺序收集之前,during,在屠宰过程和食品安全干预之后。我们观察到屠宰前后猪的耐药性和微生物谱的显着变化,以及ARG计数的显著下降,多样性,屠宰和屠体加工过程中的微生物DNA负荷,不管以前在农场的抗菌治疗。这些结果表明,屠宰场现有的干预措施不仅有效地减少了病原体负荷,而且还减少了总的细菌负担,包括猪肉尸体上的ARGs。伴随着微生物和ARG计数的减少,我们观察到非药物特异性ARGs的相对丰度增加,比如那些赋予金属和杀生物剂抗性的人,特别是汞。使用严格的共定位程序,我们发现大多数汞ARGs与假单胞菌科和肠杆菌科的基因组相关。总的来说,这些发现表明,屠宰场内的屠宰和加工实践可以在从活肌肉到肉的过渡过程中塑造猪肉尸体的微生物和ARG特征。
    Several steps in the abattoir can influence the presence of microbes and associated resistance genes (ARGs) on the animal carcasses used for further meat processing. We investigated how these processes influence the resistome-microbiome of groups of pigs with different on-farm antimicrobial exposure status, from the moment they entered the abattoir until the end of carcass processing. Using a targeted enrichment metagenomic approach, we identified 672 unique ARGs conferring resistance to 43 distinct AMR classes from pooled skin (N = 42) and carcass swabs (N = 63) collected sequentially before, during, and after the slaughter process and food safety interventions. We observed significant variations in the resistome and microbial profiles of pigs before and after slaughter, as well as a significant decline in ARG counts, diversity, and microbial DNA load during slaughter and carcass processing, irrespective of prior antimicrobial treatments on the farm. These results suggest that existing interventions in the abattoir are effective in reducing not only the pathogen load but also the overall bacterial burden, including ARGs on pork carcasses. Concomitant with reductions in microbial and ARG counts, we observed an increase in the relative abundance of non-drug-specific ARGs, such as those conferring resistance to metals and biocides, and in particular mercury. Using a strict colocalization procedure, we found that most mercury ARGs were associated with genomes from the Pseudomonadaceae and Enterobacteriaceae families. Collectively, these findings demonstrate that slaughter and processing practices within the abattoir can shape the microbial and ARG profiles of pork carcasses during the transition from living muscle to meat.
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  • 文章类型: Journal Article
    抗生素耐药性(AMR)是由环境中的抗生素残留引发的不断升级的公共卫生危机。特别是在土壤中,作为抗微生物药物抗性基因(ARGs)的储库。仅量化抗微生物剂的总可提取浓度,而不是生物可利用的部分,可能大大低估了它们传播ARGs的最小选择浓度。为了阐明生物有效性在土壤中ARG丰度中的作用,建立了系统的生物利用度评估方法,以准确地定量中国代表性土壤中多类抗微生物剂的分配。微观世界研究表明,在生物可利用部分中持续存在的抗菌剂可能会延长其选择压力持续时间以触发AMR。值得注意的是,农药或类固醇激素的共同出现影响了ARG亚型的发展趋势,与氟喹诺酮抗性基因(RGs)特别敏感。偏最小二乘路径模型(PLS-PM)分析揭示了抗菌药物的潜在不同诱导机制:可观察到的结果表明,可提取的残留浓度可能对ARGs的发展施加直接选择压力,而生物可利用浓度可能在影响可移动遗传元素的丰度和启动ARG传播方面发挥逐步作用。对土壤中生物可利用的抗微生物剂与ARG丰度之间相互作用的这种前所未有的审查为制定土壤修复的监管政策或指南提供了宝贵的见解。
    Antimicrobial resistance (AMR) stands as an escalating public health crisis fueled by antimicrobial residues in the environment, particularly in soil, which acts as a reservoir for antimicrobial resistance genes (ARGs). Merely quantifying the total extractable concentration of antimicrobials, instead of bioavailable fractions, may substantially underestimate their minimal selection concentration for propagating ARGs. To shed light on the role of bioavailability in ARG abundance within soil, a systematic bioavailability assessment method was established for accurately quantifying the partitioning of multi-class antimicrobials in representative Chinese soils. Microcosm studies unveiled that antimicrobials persisting in the bioavailable fraction could potentially prolong their selection pressure duration to trigger AMR. Notably, the co-occurrence of pesticide or steroid hormone influenced the development trends of ARG subtypes, with fluoroquinolone resistance genes (RGs) being particularly susceptible. Partial least squares path model (PLS-PM) analysis uncovered potentially distinct induction mechanisms of antimicrobials: observable results suggested that extractable residual concentration may exert a direct selection pressure on the development of ARGs, while bioavailable concentration could potentially play a stepwise role in affecting the abundance of mobile genetic elements and initiating ARG dissemination. Such unprecedented scrutinization of the interplay between bioavailable antimicrobials in soils and ARG abundance provides valuable insights into strategizing regulatory policy or guidelines for soil remediation.
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  • 文章类型: Journal Article
    抗菌素耐药性(AMR)的威胁不断升级,对全球公共卫生构成了严重关切。管道中有效抗生素的惊人短缺加剧了这种情况。生物膜,包裹在自产基质中的复杂细菌种群,对治疗构成重大挑战,因为它们增强了对抗生素的抵抗力,并有助于生物体的持久性。在这些挑战中,纳米技术成为对抗生物膜的一个有前途的领域。纳米材料,它们在纳米尺度上的独特特性,提供传统防御机制中不存在的创新抗菌方式。这篇全面的综述侧重于纳米技术在对抗生物膜方面的潜力,专注于绿色合成的纳米粒子及其相关的抗生物膜潜力。该综述涵盖了纳米颗粒介导的生物膜抑制的各个方面,包括行动机制。绿色合成纳米粒子的多种作用机制为其在解决AMR和改善治疗结果方面的潜在应用提供了有价值的见解。在与传染病的持续斗争中强调新的策略。
    The escalating threat of antimicrobial resistance (AMR) poses a grave concern to global public health, exacerbated by the alarming shortage of effective antibiotics in the pipeline. Biofilms, intricate populations of bacteria encased in self-produced matrices, pose a significant challenge to treatment, as they enhance resistance to antibiotics and contribute to the persistence of organisms. Amid these challenges, nanotechnology emerges as a promising domain in the fight against biofilms. Nanomaterials, with their unique properties at the nanoscale, offer innovative antibacterial modalities not present in traditional defensive mechanisms. This comprehensive review focuses on the potential of nanotechnology in combating biofilms, focusing on green-synthesized nanoparticles and their associated anti-biofilm potential. The review encompasses various aspects of nanoparticle-mediated biofilm inhibition, including mechanisms of action. The diverse mechanisms of action of green-synthesized nanoparticles offer valuable insights into their potential applications in addressing AMR and improving treatment outcomes, highlighting novel strategies in the ongoing battle against infectious diseases.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    幽门螺杆菌(H.pylori,Hp)影响全球数十亿人。然而,出现的Hp对抗生素的耐药性挑战了当前治疗的有效性.使用下一代测序研究Hp的基因型-表型连接可以增强我们对这种抗性的理解。
    在这项研究中,我们分析了从不同医院收集的52株Hp。使用琼脂稀释测定法评估这些菌株对五种抗生素的敏感性。然后进行全基因组测序以筛选这些Hp菌株的抗微生物抗性(AMR)基因型。为了建立耐药性与基因型之间的关系模型,我们采用单变量统计检验,无监督机器学习,和监督机器学习技术,包括支持向量机模型的开发。
    我们预测阿莫西林耐药性的模型显示出66%的敏感性和100%的特异性,而对克拉霉素耐药的患者表现出100%的敏感性和100%的特异性。这些结果优于阿莫西林(A1834G)和克拉霉素(A2147)的已知耐药位点,敏感度分别为22.2%和87%,100%和96%的特异性,分别。
    我们的研究表明,与依赖单个单核苷酸多态性(SNP)位点的模型相比,使用带有特征选择的监督学习算法进行预测建模可以产生具有更高预测能力的诊断模型。这种方法大大有助于提高Hp感染的抗生素治疗策略的准确性和有效性。在这种情况下,Hp全基因组测序的应用为推进个性化医疗提供了有希望的途径。
    Helicobacter pylori (H.pylori, Hp) affects billions of people worldwide. However, the emerging resistance of Hp to antibiotics challenges the effectiveness of current treatments. Investigating the genotype-phenotype connection for Hp using next-generation sequencing could enhance our understanding of this resistance.
    In this study, we analyzed 52 Hp strains collected from various hospitals. The susceptibility of these strains to five antibiotics was assessed using the agar dilution assay. Whole-genome sequencing was then performed to screen the antimicrobial resistance (AMR) genotypes of these Hp strains. To model the relationship between drug resistance and genotype, we employed univariate statistical tests, unsupervised machine learning, and supervised machine learning techniques, including the development of support vector machine models.
    Our models for predicting Amoxicillin resistance demonstrated 66% sensitivity and 100% specificity, while those for Clarithromycin resistance showed 100% sensitivity and 100% specificity. These results outperformed the known resistance sites for Amoxicillin (A1834G) and Clarithromycin (A2147), which had sensitivities of 22.2% and 87%, and specificities of 100% and 96%, respectively.
    Our study demonstrates that predictive modeling using supervised learning algorithms with feature selection can yield diagnostic models with higher predictive power compared to models relying on single single-nucleotide polymorphism (SNP) sites. This approach significantly contributes to enhancing the precision and effectiveness of antibiotic treatment strategies for Hp infections. The application of whole-genome sequencing for Hp presents a promising pathway for advancing personalized medicine in this context.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    几十年来的系统基础设施和监管弱点,在与动物非洲锥虫病(AAT)作斗争的社区中,预计将创造一个促进药物滥用和耐药性风险发展的环境。这里,我们探索农村社区牲畜饲养者的做法,牲畜推广人员和药店服务员,以确定是否在施用锥虫杀虫剂和其他药物时遵循适当的做法。
    2022年在乌干达西南部进行了一项问卷调查,涉及451名饲养牛的农民,绵羊或山羊和79名“专业人员”,他们要么是牲畜推广人员,要么是药店服务员。
    受访者报告说,在过去30天内,451个农场中有80.1%使用了一种或多种类型的杀锥虫药物。约有四分之三的农场使用了双咪唑烯醋酸盐,而氯化异金属胺的使用量约为五分之一。在不到1%的农场中使用了溴化铵。与绵羊或山羊相比,牛更有可能接受锥虫杀灭剂治疗。在大约三分之二的农场,杀锥虫剂是由农民准备和注射的,扩展人员在其他三分之一的大部分地区都使用这些药物,尤其是在养牛场。几乎所有毒品都是从私人拥有的毒品商店获得的。对于用锥虫灭杀剂治疗AAT,在没有专业监督和没有明确诊断的情况下,农民通常使用处方药。虽然比农民更多的专业人员接受了更好的教育,并接受了使用锥虫杀虫剂的培训,他们正确使用这些药物的能力差异相对较小。农民比专业人士更有可能仅使用DA来治疗锥虫病,并且更有可能使用抗生素和杀锥虫药物来治疗动物。此外,他们估计,平均而言,治疗假设的400公斤牛需要两倍的推荐剂量的醋酸二烯二嗪或氯化异金属胺。少数农民和专业人士报告说,他们观察到注射杀锥虫药物后的建议戒断时间,而这两组中很少有人知道牛奶或肉类的建议戒断时间。只有六分之一的农民报告使用了这种卫生对(交替使用乙酰丙酸二那嗪和氯化异甲苯),为了降低耐药锥虫菌株出现的风险,虽然这种方法被专业人士更广泛地使用。农民报告说使用抗生素比专业人士更普遍,尤其是绵羊和山羊,引起人们对过度使用和滥用这类关键药物的担忧。除了使用锥虫杀灭剂,大多数农民还报告说,使用外用兽用杀虫剂来控制蜱和采采蝇。平均而言,农民将其收入的12.2%从牲畜销售中用于锥虫杀药。
    这项研究强调了使用药物治疗对抗AAT的复杂性。多方利益相关者运动,以提高农民的认识,药店服务员,和推广人员坚持推荐的药物剂量的重要性,使用卫生对并遵循推荐的停药指导将促进最佳实践,降低锥虫耐药菌株出现的风险,支持加强食品安全。
    UNASSIGNED: Systematic infrastructure and regulatory weaknesses over many decades, in communities struggling with animal African trypanosomiasis (AAT) would be expected to create an environment that would promote drug misuse and risk development of drug resistance. Here, we explore rural community practices of livestock keepers, livestock extension officers and drug shop attendants to determine whether appropriate practice was being followed in administration of trypanocides and other drugs.
    UNASSIGNED: A questionnaire-based survey was undertaken in southwestern Uganda in 2022 involving 451 farmers who kept cattle, sheep or goats and 79 \"professionals\" who were either livestock extension officers or drug shop attendants.
    UNASSIGNED: Respondents reported using one or more type of trypanocidal drug on 80.1% of the 451 farms in the last 30 days. Diminazene aceturate was used on around three-quarters of farms, while isometamidium chloride was used on around one-fifth. Homidium bromide was used on less than 1% of farms. Cattle were significantly more likely to be treated with trypanocides than sheep or goats. On around two-thirds of farms, trypanocides were prepared and injected by farmers, with extension officers administering these drugs on most of the other third, especially on cattle farms. Almost all drugs were obtained from privately-owned drug shops. For treatment of AAT with trypanocides, prescription-only medicines were routinely used by farmers without professional supervision and in the absence of a definitive diagnosis. While a far greater proportion of professionals had a better education and had received training on the use of trypanocides than farmers, there was relatively little difference in their ability to use these drugs correctly. Farmers were more likely than professionals to use only DA to treat trypanosomiasis and were more likely to use antibiotics as well as trypanocidal drugs to treat the animal. Furthermore, they estimated, on average, that twice the recommended dose of either diminazene aceturate or isometamidium chloride was needed to treat a hypothetical 400 kg bovine. A minority of both farmers and professionals reported that they observed the recommended withdrawal times following injection of trypanocidal drugs and very few of either group knew the recommended withdrawal times for milk or meat. Only one in six farmers reported using the sanative pair (alternating use of diminazene aceturate and isometamidium chloride), to reduce the risk of drug resistant trypanosome strains emerging, while this approach was more widely used by professionals. Farmers reported using antibiotics more commonly than the professionals, especially in sheep and goats, raising concerns as to overuse and misuse of this critical class of drugs. In addition to using trypanocides, most farmers also reported using a topical veterinary pesticide for the control of ticks and tsetse. On average, farmers spent 12.2% of their income from livestock sales on trypanocides.
    UNASSIGNED: This study highlights the complexity of issues involved in the fight against AAT using drug treatment. A multistakeholder campaign to increase awareness among farmers, drug shop attendants, and extension workers of the importance of adherence to recommended drug dosing, using the sanative pair and following recommended drug withdrawal guidance would promote best practice, reduce the risk of emergence of resistant strains of trypanosomes, and support enhanced food safety.
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  • 文章类型: Journal Article
    已经做出了许多努力来提高厌氧消化(AD)的性能,以加速可再生能源的产生,然而,目前尚不清楚强化措施是否能增强抗生素抗性基因(ARGs)在系统中的增殖和传播.这项研究评估了创新的猪粪AD过程的影响,其中包括水热预处理(HTP)和具有分离的产酸和产甲烷阶段的两阶段配置,生物甲烷(CH4)生产和ARGs动态。结果表明,HTP可将常规单级AD中的CH4产量从0.65至0.75L/L/d显着提高到两级AD中的0.82和0.91L/L/d。这种改善与甲烷的相对丰度增加有关,一种关键的产甲烷微生物。在两阶段广告中,产甲烷阶段为产甲烷菌的生长提供了理想的环境,导致显著更快和更高的CH4生产约10%相比,单级AD。总的来说,与传统的单级AD相比,HTP和两级AD配置的结合使用使CH4的产量提高了40%。在HTP后的产酸反应器中,ARGs的丰度和多样性显着降低。然而,在随后的产甲烷阶段,ARGs水平增加了约两倍,并且达到了与单阶段AD相似或更高的水平。erm(F),erm(G),ant(6)-Ia,tet(W),mef(A)和erm(B)是六种主要的ARG,在各种处理中相对丰度存在显着差异。两阶段AD模式可以更好地去除sul2,但也有反弹,这增加了ARGs对环境和人类健康的风险。网络分析确定pH和TVFAs是新AD过程中驱动微生物群落和ARG增殖的关键因素。有了结果,这项研究为AD性能增强和ARG相关风险之间的权衡提供了有价值的见解,确定未来研究和实际改进的重要领域。
    Numerous efforts have been made to enhance the performance of anaerobic digestion (AD) for accelerating renewable energy generation, however, it remains unclear whether the intensified measures could enhance the proliferation and transmissions of antibiotic resistance genes (ARGs) in the system. This study assessed the impact of an innovative pig manure AD process, which includes hydrothermal pretreatment (HTP) and a two-stage configuration with separated acidogenic and methanogenic phases, on biomethane (CH4) production and ARGs dynamics. Results showed that HTP significantly increase CH4 production from 0.65 to 0.75 L/L/d in conventional single-stage AD to 0.82 and 0.91 L/L/d in two-stage AD. This improvement correlated with a rise in the relative abundance of Methanosarcina, a key methanogenesis microorganism. In the two-stage AD, the methanogenic stage offered an ideal environment for methanogens growth, resulting in substantially faster and higher CH4 production by about 10% compared to single-stage AD. Overall, the combined use of HTP and the two-stage AD configuration enhanced CH4 production by 40% compared to traditional single-stage AD. The abundance and diversity of ARGs were significantly reduced in the acidogenic reactors after HTP. However, the ARGs levels increased by about two times in the following methanogenesis stage and reached similar or higher levels than in single stage AD. The erm(F), erm(G), ant(6)-Ia, tet(W), mef(A) and erm(B) were the six main ARGs with significant differences in relative abundances in various treatments. The two-stage AD mode could better remove sul2, but it also had a rebound which elevated the risk of ARGs to the environment and human health. Network analysis identified pH and TVFAs as critical factors driving microbial communities and ARG proliferation in the new AD process. With the results, this study offers valuable insights into the trade-offs between AD performance enhancement and ARG-related risks, pinpointing essential areas for future research and practical improvements.
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  • 文章类型: Journal Article
    COVID-19(2019年冠状病毒病)大流行不仅激发了人们对研究其造成的技术经济危机的兴趣,还激发了人们对研究这种医疗紧急情况对我们环境造成的影响的兴趣。已尝试严格审查环境问题的不同方面的详细概述,例如药品和个人护理产品(PPCP)水平升高,增加抗菌素耐药性(AMR),大量的废物和微塑料,越来越多的共感染微生物,以及潜在的内分泌干扰(ED)效应,以了解后COVID-19时代我们环境的当前健康状况。大流行导致环境中这些污染物的水平升高,进一步充当AMR增强的载体。作为疾病的预防,病人护理,自我卫生优先,抗菌药物管理(AMS)的努力已被推迟。人们注意到,在COVID-19患者中,细菌的流行,真菌,其他病毒,原生动物,蠕虫占0.2-51%,0.3-49%,1-22%,2-15%,&0.4-15%,分别。这样的共感染微生物可以对残留的PPCP具有抗性。Further,许多新化合物的临床和其他实验证据非常缺乏,需要进一步研究。我们的综述简要表明:i)合并感染的误诊,恐惧驱动的PPCP库存加剧了这个问题。ii)COVID-19后,抗菌素耐药性和内分泌破坏性化学物质有所增加。iii)生活方式的变化,例如增加在线购物,包装食品导致了更多的塑料垃圾。iv)AI/ML的使用对于预测COVID相关废物即将到来的威胁建模是必要的。and,v)需要对与AMR峰值相关的未来伤亡进行新的估计,EDC,和PPCPs。我们推荐AMS,有效的废物管理,政府和监管框架,加强科学研究,以尽量减少影响,并为COVID-19等事件做好准备。
    The COVID-19 (coronavirus disease 2019) pandemic\'s steady condition coupled with predominance of emerging contaminants in the environment and its synergistic implications in recent times has stoked interest in combating medical emergencies in this dynamic environment. In this context, high concentrations of pharmaceutical and personal care products (PPCPs), microplastics (MPs), antimicrobial resistance (AMR), and soaring coinfecting microbes, tied with potential endocrine disruptive (ED) are critical environmental concerns that requires a detailed documentation and analysis. During the pandemic, the identification, enumeration, and assessment of potential hazards of PPCPs and MPs and (used as anti-COVID-19 agents/applications) in aquatic habitats have been attempted globally. Albeit receding threats in the magnitude of COVID-19 infections, both these pollutants have still posed serious consequences to aquatic ecosystems and the very health and hygiene of the population in the vicinity. The surge in the contaminants post-COVID also renders them to be potent vectors to harbor and amplify AMR. Pertinently, the present work attempts to critically review such instances to understand the underlying mechanism, interactions swaying the current health of our environment during this post-COVID-19 era. During this juncture, although prevention of diseases, patient care, and self-hygiene have taken precedence, nevertheless antimicrobial stewardship (AMS) efforts have been overlooked. Unnecessary usage of PPCPs and plastics during the pandemic has resulted in increased emerging contaminants (i.e., active pharmaceutical ingredients and MPs) in various environmental matrices. It was also noticed that among COVID-19 patients, while the bacterial co-infection prevalence was 0.2-51%, the fungi, viral, protozoan and helminth were 0.3-49, 1-22, 2-15, 0.4-15% respectively, rendering them resistant to residual PPCPs. There are inevitable chances of ED effects from PPCPs and MPs applied previously, that could pose far-reaching health concerns. Furthermore, clinical and other experimental evidence for many newer compounds is very scarce and demands further research. Pro-active measures targeting effective waste management, evolved environmental policies aiding strict regulatory measures, and scientific research would be crucial in minimizing the impact and creating better preparedness towards such events among the masses fostering sustainability.
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