ARGs

ARGs
  • 文章类型: Journal Article
    极地环境中微生物组和抗性组的研究,比如北极,对于了解环境中抗生素抗性基因(ARGs)的出现和传播至关重要。在这项研究中,土壤和驯鹿粪便样本从Ny-Alesund收集(斯瓦尔巴特群岛,高北极)进行了检查以分析微生物组,ARGs,和杀生物剂/金属抗性基因(BMRGs)。土壤和粪便中的优势门都是Pseudomonadota,放线菌,和拟杆菌。总共检测到2,618个包含抗生素抗性基因(ARG)的预测开放阅读框架(ORF)。这些ARGs属于17种抗生素类别的162种不同基因,利福霉素和多药耐药基因是最普遍的。我们通过分析抗性基因及其生物学途径,重点研究了Ny-Onlesund环境中的抗生素抗性机制。Procrustes分析表明,土壤和粪便样品中的细菌群落与ARG/BMRG剖面之间存在显着相关性。相关分析显示,假单胞菌对多药耐药和三氯生耐药的贡献最大,而放线菌是利福霉素和氨基糖苷类耐药的主要贡献者。地球化学因素,SiO42-和NH4+,被发现显著影响土壤样品中的微生物组成和ARG分布。ARGs分析,BMRGs,毒力因子(VFs),和病原体确定了与某些细菌相关的潜在健康风险,如低温细菌和假单胞菌,由于存在不同的遗传因素。这项研究为导致抗生素抗性的分子机制和地球化学因素提供了有价值的见解,并增强了我们对环境中抗生素抗性基因进化的理解。
    Research on the microbiome and resistome in polar environments, such as the Arctic, is crucial for understanding the emergence and spread of antibiotic resistance genes (ARGs) in the environment. In this study, soil and reindeer faeces samples collected from Ny-Ålesund (Svalbard, High Arctic) were examined to analyze the microbiome, ARGs, and biocide/metal resistance genes (BMRGs). The dominant phyla in both soil and faeces were Pseudomonadota, Actinomycetota, and Bacteroidota. A total of 2,618 predicted Open Reading Frames (ORFs) containing antibiotic resistance genes (ARGs) were detected. These ARGs belong to 162 different genes across 17 antibiotic classes, with rifamycin and multidrug resistance genes being the most prevalent. We focused on investigating antibiotic resistance mechanisms in the Ny-Ålesund environment by analyzing the resistance genes and their biological pathways. Procrustes analysis demonstrated a significant correlation between bacterial communities and ARG/BMRG profiles in soil and faeces samples. Correlation analysis revealed that Pseudomonadota contributed most to multidrug and triclosan resistance, while Actinomycetota were predominant contributors to rifamycin and aminoglycoside resistance. The geochemical factors, SiO42- and NH4+, were found to significantly influence the microbial composition and ARG distribution in the soil samples. Analysis of ARGs, BMRGs, virulence factors (VFs), and pathogens identified potential health risks associated with certain bacteria, such as Cryobacterium and Pseudomonas, due to the presence of different genetic elements. This study provided valuable insights into the molecular mechanisms and geochemical factors contributing to antibiotic resistance and enhanced our understanding of the evolution of antibiotic resistance genes in the environment.
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  • 文章类型: Journal Article
    肠道菌群在维持动物健康方面发挥着至关重要的作用,受到多种因素的影响,包括曝光;然而,产蛋鸡肠道微生物群对间歇性光照的反应以及对抗生素抗性基因(ARGs)的相关影响仍然知之甚少。在这项研究中,我们将20周龄的蛋鸡分为两组。这些组暴露于连续正常光或间歇光8周。收集蛋鸡的粪便和盲肠内容物进行分析。粪便和盲肠内容物样品的宏基因组分析显示,与正常光暴露相比,间歇性光暴露下的微生物组成和ARG丰度发生了显着变化(P<0.05)。此外,对盲肠内容物的代谢组学分析显示,间歇性光照导致ARGs和可移动遗传元件(MGEs)的丰度和组成发生了实质性变化(P<0.05)。网络分析揭示了细菌群落之间复杂的共现模式,代谢物,和ARGs,突出拟杆菌物种之间的相关性,ARGs,和代谢物。尽管某些细菌物种显示出不同的关联,携带ARG或MGE的优势细菌数量相对较低,这表明其他细菌群落可能对ARG传播有更大的影响。此外,我们的观察强调了代谢物作为细菌群落和ARGs之间的介质的关键作用,提供对抗生素耐药性发展动态的新见解。我们的发现强调了间歇性光照对家禽养殖中ARG增殖的影响,并强调了ARG之间的相互联系。细菌群落,和代谢途径。结果强调了考虑微生物群落和代谢过程以了解农业环境中的抗生素抗性的重要性。
    The gut microbiome plays a crucial role in maintaining animal health and is influenced by various factors, including light exposure; however, the response in laying hens of the gut microbiome to intermittent light regimes and the related impact on antibiotic resistance genes (ARGs) remain poorly understood. In this study, we divided 20-week-old laying hens into two groups. These groups were exposed to either continuous normal light or intermittent light for 8 weeks. The feces and cecal contents of laying hens were collected for analysis. Metagenomic analysis of both feces and cecal content samples revealed significant shifts in the microbial composition and abundance of ARGs under intermittent light exposure compared to normal light exposure (P < 0.05). Furthermore, metabolomic analysis of the cecal contents revealed substantial alterations in the abundance and composition of ARGs and mobile genetic elements (MGEs) in response to intermittent light exposure (P < 0.05). Network analysis revealed intricate co-occurrence patterns among bacterial communities, metabolites, and ARGs, highlighting correlations between Bacteroidetes species, ARGs, and metabolites. Although certain bacterial species showed differential associations, the dominant bacteria carrying ARGs or MGEs had relatively low numbers, suggesting that other bacterial communities may have had a greater influence on ARG dissemination. Moreover, our observations highlight the crucial role of metabolites as mediators between bacterial communities and ARGs, providing novel insights into the dynamics of antibiotic resistance development. Our findings underscore the impact of intermittent light exposure on ARG proliferation in poultry farming and emphasize interconnections among ARGs, bacterial communities, and metabolic pathways. The results underscore the importance of considering both microbial communities and metabolic processes to understand antibiotic resistance in agricultural settings.
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  • 文章类型: Journal Article
    世界范围内越来越多地报道了野生动物的耐药性,即使他们通常不直接接触临床相关抗生素。Crestedibis,世界上最稀有的鸟类之一,通常在稻田中觅食,并且喜欢在受人为活动影响很大的村庄附近筑巢和繁殖。我们取样了朱雀的粪便,以及它们的栖息地环境样本,探索重金属的污染特征,抗生素和抗生素抗性基因(ARGs)。结果表明,重金属的污染特征,抗生素,朱雀的ARGs和肠道菌群与宿主生活方式和栖息地有关。与发酵和野生比斯相比,圈养比斯的总ARGs和四环素浓度的相对丰度更高,而重金属含量却表现出相反的结果。相应环境样品中污染物的特征与粪便样品的结果也表现出高度的相似性。圈养个体和野生个体的变形杆菌和放线菌的相对丰度存在显着差异,而野生种群中大多数细菌属的丰度普遍较高。土壤中重金属的浓度(Cd,Cu和Zn)和水(Cd,Cu,Zn和Cr)均超过背景土壤水平或地表水质量标准,表明栖息地存在多元素污染。Igeo和Er对土壤的生态风险评估表明,野生朱雀的栖息地受到Cd的严重和中度污染,这可能会对ibises的健康构成威胁。PLS-PM分析表明,微生物组成和残留抗生素对宜必思ARGs动态变化的影响最大。总的来说,这项工作提供了对特征的全面理解,这些污染的风险,以及它们对朱雀栖息地ARGs的影响。
    Antibacterial resistance in wild animals has been increasingly reported worldwide, even though they are usually not directly exposed to clinically relevant antibiotics. Crested ibis, one of the rarest birds in the world, usually forages in paddy fields and prefer to nest and breed near villages that is greatly influenced by anthropogenic activities. We sampled the feces of crested ibises, as well as their habitat environment samples, to explore the pollution characteristics of heavy metals, antibiotics and antibiotic resistance genes (ARGs). Results showed that the pollution characteristics of heavy metals, antibiotic, ARGs and gut microbiota of crested ibis were more related by host lifestyle and habitats. Captive ibises had higher relative abundances of the total ARGs and tetracycline concentrations compared with feralization and wild ibises, while the heavy metal contents had shown the opposite result. The Characteristics of pollutants in the corresponding environmental samples also exhibited high similarity with the results of fecal samples. The relative abundances of Proteobacteria and Actinobacteria were significantly different between captive and wild individuals, while the abundance of majority bacterial genera was generally higher in wild populations. The concentrations of heavy metals in soil (Cd, Cu and Zn) and water (Cd, Cu, Zn and Cr) were both exceeded the background soil levels or surface water quality standards, suggesting multi-element contamination in the habitat. Ecological risk assessments of soils by Igeo and Er showed that the habitats of wild ibises were heavily and moderately contaminated by Cd, which would possibly pose a threat to the health of ibises. PLS-PM analysis indicated that microbial compositions and residual antibiotics had the most substantial impact on the dynamic changes in ARGs of ibis. Overall, this work provides a comprehensive understanding of the characteristics, risks of those contaminations, and their effects on the ARGs in the habitat of crested ibis.
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  • 文章类型: Journal Article
    城市公园在城市生态系统中发挥着重要作用,与人类健康密切相关。然而,城市公园的生物污染-机会病原体和抗生素抗性基因(ARGs)-报道甚少。这里,利用宏基因组和16SrRNA测序方法研究了兰州市9个公园土壤和水体中条件致病菌和ARGs的分布和组装,并进一步将它们与当地人类肠道微生物组进行比较,以调查潜在的传播风险。我们的结果表明,城市公园中最重要的耐药类型是多重耐药,具有各种抗性机制。大约一半的ARG在人类肠道和公园环境之间共享,值得注意的是,一些高风险的ARG之间可能存在跨物种传播,比如mepA和mdtE,在人类肠道中有显著的富集。宏基因组分级发现了几个携带相邻ARGs的细菌基因组,MGEs,和毒力基因,表明这些基因可能在不同的环境中共同转移,特别是从公园环境到人类。我们的研究结果为城市公园环境污染物的管理提供了参考。
    Urban parks play a significant role in urban ecosystems and are strongly associated with human health. Nevertheless, the biological contamination of urban parks - opportunistic pathogens and antibiotic resistance genes (ARGs) - has been poorly reported. Here, metagenomic and 16 S rRNA sequencing methods were used to study the distribution and assembly of opportunistic pathogens and ARGs in soil and water from nine parks in Lanzhou city, and further compared them with local human gut microbiomes to investigate the potential transmission risk. Our results revealed that the most important type of drug resistance in urban parks was multidrug resistance, with various resistance mechanisms. Approximately half of ARGs were shared between human gut and park environment, and it was noteworthy that cross-species transmission might exist among some high-risk ARGs, such as mepA and mdtE, with a significant enrichment in human gut. Metagenomic binning uncovered several bacterial genomes carrying adjacent ARGs, MGEs, and virulence genes, indicating a possibility that these genes may jointly transfer among different environments, particularly from park environment to human. Our results provided a reference point for the management of environmental pollutants in urban parks.
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  • 文章类型: Journal Article
    具有抗生素抗性基因(ARGs)的病原微生物对公共卫生和土壤生态构成严重威胁。虽然新的药物和可用的抗菌材料可以杀死ARG载体,但意外杀死有益的微生物。因此,从土壤中快速富集和分离ARGs及其载体正成为控制ARGs扩散的重要策略。羟肟酸铁载体(HDS)因其参与土壤环境中微生物之间的微量元素转移而受到广泛关注。因此,我们通过荧光假单胞菌HMP01分泌的小分子HDS探索了ARGs及其载体的原位捕获富集方法。在这项研究中,我们证明了HDS显著地原位捕获和富集了某些ARGs,包括氯霉素,MLS,利福霉素,和土壤环境中的四环素抗性基因。富集效率为1473倍,38折,17倍,和5倍,分别,高于对照组。具体来说,初级富集ARGs是rpoB,mphl,catB2和tetA(60),和芽孢杆菌,根瘤菌,Rossellomorea,农杆菌是这些ARGs的宿主。这种富集是由趋化性基因的上调引起的(例如,chew,chec,和cheD)和富集细菌种群内的快速生物膜形成。值得注意的是,代表性的ARG,如猫,macB,rpoB显着降低了36%,85.7%,72%,分别,HDS富集后的水稻土中。我们的研究揭示了铁载体作为敲打剂在土壤环境中生态友好地减少ARGs及其载体的潜在应用。
    Pathogenic microorganisms with antibiotic resistance genes (ARGs) pose a serious threat to public health and soil ecology. Although new drugs and available antibacterial materials can kill ARG carriers but accidentally kill beneficial microorganisms. Therefore, the rapid enrichment and separation of ARGs and their carriers from soil is becoming an important strategy for controlling the diffusion of ARGs. Hydroxamate siderophore (HDS) has gained widespread attentions for its involvement in trace element transfer among microorganisms in the soil environment, we thus explored an in-situ trapping-enrichment method for ARGs and their carriers via a small molecular HDS secreted by Pseudomonas fluorescens HMP01. In this study, we demonstrate that HDS significantly in-situ traps and enriches certain ARGs, including chloramphenicol, MLS, rifamycin, and tetracycline resistance genes in the soil environment. The enrichment efficiencies were 1473-fold, 38-fold, 17-fold, and 5-fold, respectively, higher than those in the control group. Specifically, the primary enriched ARGs were rpoB, mphL, catB2, and tetA(60), and Bacillus, Rhizobium, Rossellomorea, and Agrobacterium were hosts for these ARGs. This enrichment was caused by the upregulation of chemotaxis genes (e.g., cheW, cheC, and cheD) and rapid biofilm formation within the enriched bacterial population. Notably, representative ARGs such as cat, macB, and rpoB were significantly reduced by 36%, 85.7%, and 72%, respectively, in the paddy soil after HDS enrichment. Our research sheds light on the potential application of siderophore as a rapping agent for the eco-friendly reduction of ARGs and their carriers in soil environments.
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  • 文章类型: Journal Article
    我们在这里介绍CLUES2,这是一种从序列数据中推断自然选择的完全似然方法,是CLUES方法的扩展。我们对CLUES方法进行了一些实质性改进,大大提高了其适用性和速度。我们将使用古代数据上的ARG作为排放的能力添加到底层HMM中,这使得CLUES2能够同时使用时间和链接信息来估计选择系数。我们还完全实现了在不同时期估计不同选择系数的能力,它允许分析选择性压力随时间的变化,以及具有优势的选择。此外,我们使用前向后向算法的几种近似方法大大提高了CLUES2的计算效率,并开发了一种新方法,通过对选择系数估计的不确定性进行积分来重建历史等位基因频率。我们通过广泛的模拟说明了CLUES2的准确性,并验证了用于整合基因树推断不确定性的重要性采样框架。我们还通过显示在零假设下,CLUES2得到了很好的校准,对数似然比的分布遵循具有适当自由度的卡方分布。我们对一组最近发布的来自欧亚大陆西部的古代人类数据运行CLUES2,并测试选择系数随时间变化的证据。我们发现了重要的证据,表明与将农业引入欧洲以及随后的饮食和人口结构变化相关的几个基因中的选择性压力发生变化。特别是,我们的分析支持先前的假设,即在古代饥荒时期对乳糖酶的持久性进行强烈选择,而在更现代的时期则进行减弱的选择。
    We here present CLUES2, a full-likelihood method to infer natural selection from sequence data that is an extension of the method CLUES. We make several substantial improvements to the CLUES method that greatly increases both its applicability and its speed. We add the ability to use ancestral recombination graphs on ancient data as emissions to the underlying hidden Markov model, which enables CLUES2 to use both temporal and linkage information to make estimates of selection coefficients. We also fully implement the ability to estimate distinct selection coefficients in different epochs, which allows for the analysis of changes in selective pressures through time, as well as selection with dominance. In addition, we greatly increase the computational efficiency of CLUES2 over CLUES using several approximations to the forward-backward algorithms and develop a new way to reconstruct historic allele frequencies by integrating over the uncertainty in the estimation of the selection coefficients. We illustrate the accuracy of CLUES2 through extensive simulations and validate the importance sampling framework for integrating over the uncertainty in the inference of gene trees. We also show that CLUES2 is well-calibrated by showing that under the null hypothesis, the distribution of log-likelihood ratios follows a χ2 distribution with the appropriate degrees of freedom. We run CLUES2 on a set of recently published ancient human data from Western Eurasia and test for evidence of changing selection coefficients through time. We find significant evidence of changing selective pressures in several genes correlated with the introduction of agriculture to Europe and the ensuing dietary and demographic shifts of that time. In particular, our analysis supports previous hypotheses of strong selection on lactase persistence during periods of ancient famines and attenuated selection in more modern periods.
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  • 文章类型: Journal Article
    在当代社会,抗生素使用不当导致其在生态环境中的持续存在。由于抗生素的理化性质多样,它们在环境中的时空分布各不相同。此外,抗生素可以刺激抗生素抗性基因(ARGs)的出现,这使得抗生素的监测和监管复杂化,并对水生和陆地环境构成重大威胁。本研究调查了武汉市19个饮用水水源地的15种抗生素和11种典型ARGs在四类中的分布情况。中国。结果表明,旱季抗生素浓度(nd〜61,883ng/L)明显高于正常水季(nd〜49,883ng/L)和雨季(nd〜28,686ng/L)。磺胺甲恶唑(SMX),磺胺甲恶唑(SMD),磺胺嘧啶(SD),罗红霉素(RTM)是目标水环境中的主要抗生素。研究表明,分析的大多数抗生素对水生生物几乎没有风险。在研究区地表水中检测到的主要ARGs为sul1、qnrD、还有teto.此外,一些ARGs与各自的抗生素呈负相关。需要进一步的研究来评估这些新兴污染物(抗生素和ARGs)对武汉市居民优质饮用水安全的影响。
    In contemporary society, the improper use of antibiotics leads to their persistent presence in the ecological environment. Due to the diverse physical and chemical properties of antibiotics, their spatial and temporal distribution in the environment varies. Moreover, antibiotics can stimulate the emergence of antibiotic resistance genes (ARGs), which complicates the monitoring and regulation of antibiotics and poses a significant threat to both aquatic and terrestrial environments. This study investigated the distribution of 15 antibiotics and 11 typical ARGs across four categories at 19 sites of drinking water sources in Wuhan, China. The findings revealed that the concentration of antibiotics during the dry season (nd~61,883 ng/L) was significantly higher compared to both the normal water season (nd~49,883 ng/L) and the wet season (nd~28,686 ng/L). Sulfamethoxazole (SMX), sulfamethoxazole (SMD), sulfadiazine (SD), and roxithromycin (RTM) were the predominant antibiotics in the target water environments. The study indicated that most of the antibiotics analyzed posed little to no risk to aquatic organisms. The primary ARGs detected in the surface water of the study area were sul1, qnrD, and tetO. Furthermore, some ARGs showed a negative correlation with their respective antibiotics. Additional research is necessary to evaluate the impact of these emerging pollutants (antibiotics and ARGs) on the safety of high-quality drinking water for residents in Wuhan City.
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  • 文章类型: Journal Article
    抗生素的过度使用和误用加速了耐抗生素细菌的筛选,对人类有重大影响,动物,和环境健康。由于水生环境容易受到抗生素耐药性的影响,应采取适当的管理措施来解决这一现象。这里我们展示了一种有效的,基于自然的解决方案,用于减少实际废水中的抗生素耐药性。我们利用依靠底栖(生物膜)和浮游微生物群落的生物反应器来处理小型城市污水处理厂(<10,000人口当量)的二级废水。这种处理过的废水最终被释放到当地的水生生态系统中。我们观察到对常用抗生素家族提供抗性的基因的高去除效率,以及可能有助于传播的可移动遗传元素。重要的是,我们注意到磺胺(sul1和sul2)和四环素(tet(C),tet(G),和tetR)特异于生物膜中的抗性基因。这一进步标志着将这种生物反应器视为基于自然的初始步骤,面临抗生素耐药性挑战的小型UWWTP的具有成本效益的三级治疗方案。
    The overuse and misuse of antibiotics have accelerated the selection of antibiotic-resistant bacteria, significantly impacting human, animal, and environmental health. As aquatic environments are vulnerable to antibiotic resistance, suitable management practices should be adopted to tackle this phenomenon. Here we show an effective, nature-based solution for reducing antibiotic resistance from actual wastewater. We utilize a bioreactor that relies on benthic (biofilms) and planktonic microbial communities to treat secondary effluent from a small urban wastewater treatment plant (<10,000 population equivalent). This treated effluent is eventually released into the local aquatic ecosystem. We observe high removal efficiency for genes that provide resistance to commonly used antibiotic families, as well as for mobile genetic elements that could potentially aid in their spread. Importantly, we notice a buildup of sulfonamide (sul1 and sul2) and tetracycline (tet(C), tet(G), and tetR) resistance genes specifically in biofilms. This advancement marks the initial step in considering this bioreactor as a nature-based, cost-effective tertiary treatment option for small UWWTPs facing antibiotic resistance challenges.
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  • 文章类型: Journal Article
    过度使用抗生素,消毒剂,和畜禽养殖中的药物导致抗生素抗性基因(ARGs)的存在增加。抗生素抗性细菌(ARB)和ARGs已广泛存在于动物粪便中,农场废水,农场空气。ARGs不仅可以通过吸附和迁移在介质中传播,而且还通过水平基因转移在细菌属之间转移抗性。家畜育种已成为环境中固定且不可避免的ARGs来源。控制ARG的现有技术,如堆肥,消毒,和污水处理,不能有效地从废物中去除ARB和ARGs。此外,其余的ARGs仍然具有很强的传播能力。目前,畜牧业使用的抗生素很难在短时间内更换。接收环境中畜禽养殖源抗性基因的生长和潜在风险尚不清楚。在本文中,总结了ARGs在畜禽养殖环境中的应用现状。我们还解释了关键的环境过程,主要影响因素,以及该环境中与ARGs相关的相应生态风险。主要讨论了目前去除ARGs技术的优缺点。特别强调阐明ARGs的时空演化模式和环境过程机制,并强调发展高效污染控制技术的重要性和紧迫性。
    The excessive use of antibiotics, disinfectants, and drugs in livestock and poultry breeding has resulted in a rise in the presence of antibiotic resistance genes (ARGs). Antibiotic-resistant bacteria (ARB) and ARGs have been widely found in animal feces, farm wastewater, and farm air. ARGs can not only spread across media through adsorption and migration, but also transfer resistance across bacterial genera through horizontal gene transfer. Livestock breeding has become a fixed and unavoidable source of ARGs in the environment. Existing technologies for controlling ARGs, such as composting, disinfection, and sewage treatment, are not efficient in removing ARB and ARGs from waste. Furthermore, the remaining ARGs still possess a strong capacity for dissemination. At present, antibiotics used in animal husbandry are difficult to replace in a short period of time. The growth and potential risks of resistance genes in livestock and poultry breeding sources in the receiving environment are not yet clear. In this paper, we summarize the current situation of ARGs in the livestock and poultry breeding environment. We also explain the key environmental processes, main influencing factors, and corresponding ecological risks associated with ARGs in this environment. The advantages and disadvantages of current technologies for the removal of ARGs are primarily discussed. There is a particular emphasis on clarifying the spatiotemporal evolution patterns and environmental process mechanisms of ARGs, as well as highlighting the importance and urgency of developing efficient pollution control technologies.
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  • 文章类型: Journal Article
    耐碳青霉烯类革兰阴性菌的患病率增加,特别是鲍曼不动杆菌(CRAB)和铜绿假单胞菌(CRPA),对全球公共卫生构成严重威胁。本文回顾了由CRAB和CRPA病原体引起的感染流行及其在医院和市政废水中的存在的惊人数据,它强调了抗生素耐药性对环境的影响。本文介绍了抗生素抗性基因(ARGs)在碳青霉烯抗性获得中的关键作用,并阐明了细菌的抗性机制。主要重点不仅放在临床环境中的ARGs转移上,而且在环境中,包括水,土壤,和食物。这篇综述的目的是扩大我们对医院和市政废水中与CRAB和CRPA相关的全球健康风险的理解,并分析这些微污染物在环境中的传播。对过去十年发表的文献的回顾将指导对碳青霉烯类耐药病原体的研究,支持实施有效的预防措施和干预措施,并有助于开发改进的策略来管理这个问题。
    The increase in the prevalence of carbapenem-resistant Gram-negative bacteria, in particular Acinetobacter baumannii (CRAB) and Pseudomonas aeruginosa (CRPA), poses a serious threat for public health worldwide. This article reviews the alarming data on the prevalence of infections caused by CRAB and CRPA pathogens and their presence in hospital and municipal wastewater, and it highlights the environmental impact of antibiotic resistance. The article describes the key role of antibiotic resistance genes (ARGs) in the acquisition of carbapenem resistance and sheds light on bacterial resistance mechanisms. The main emphasis was placed on the transfer of ARGs not only in the clinical setting, but also in the environment, including water, soil, and food. The aim of this review was to expand our understanding of the global health risks associated with CRAB and CRPA in hospital and municipal wastewater and to analyze the spread of these micropollutants in the environment. A review of the literature published in the last decade will direct research on carbapenem-resistant pathogens, support the implementation of effective preventive measures and interventions, and contribute to the development of improved strategies for managing this problem.
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