2019
DOI: 10.1111/nyas.14036
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Complexities in understanding antimicrobial resistance across domesticated animal, human, and environmental systems

Abstract: Antimicrobial resistance (AMR) is a significant threat to both human and animal health. The spread of AMR bacteria and genes across systems can occur through a myriad of pathways, both related and unrelated to agriculture, including via wastewater, soils, manure applications, direct exchange between humans and animals, and food exposure. Tracing origins and drivers of AMR bacteria and genes is challenging due to the array of contexts and the complexity of interactions overlapping health practice, microbiology,… Show more

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Cited by 120 publications
(81 citation statements)
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References 90 publications
(186 reference statements)
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“…possess efflux pumps which contribute to the multidrug resistance phenotype and might explain the mutant phenotypes observed (Okamoto et al, 2002;Aeschlimann, 2003). Even though efflux pumps can be also associated with other functions in the cell, the responsible genes can be transferred to other environments and into other species where the resistance phenotype becomes of clinical relevance (Graham et al, 2019).…”
Section: Arctic Environmental Strains Show Widespread Resistance To Cmentioning
confidence: 99%
“…possess efflux pumps which contribute to the multidrug resistance phenotype and might explain the mutant phenotypes observed (Okamoto et al, 2002;Aeschlimann, 2003). Even though efflux pumps can be also associated with other functions in the cell, the responsible genes can be transferred to other environments and into other species where the resistance phenotype becomes of clinical relevance (Graham et al, 2019).…”
Section: Arctic Environmental Strains Show Widespread Resistance To Cmentioning
confidence: 99%
“…As in humans, use of antimicrobials in veterinary practice contributes to the rise and spread of AMR all over the world [19,41,42]. Besides AMU in food animals, pet animals could transfer resistant bacteria and resistance genes to humans [43][44][45][46].…”
Section: Plos Onementioning
confidence: 99%
“…For example, time in the field with animal producers in largely agricultural communities often reveals that discussions of how to improve the welfare of animals in agricultural systems simultaneously intersect with a number of different factors. These factors include the economic structure of food production, how scientific controversies over how 'animal welfare' are conceived [34], day-to-day economic and moral constraints on producers [51,52], technological capacities of the local agricultural systems [48,50], and tradeoffs between improving animal welfare and benefits to environmental sustainability and planetary health [53][54][55]. Heavy and unfortunate focus on whether animals have rights or are moral persons (narrowly conceived) tends to overshadow inquiry into the welfare of animals and initiatives that can produce real-world solutions regarding how best to improve animals' welfare [56]; see also https://speakingofresearch.com/about/).…”
Section: Veterinary Medicine and Animal Welfare: Shifting Priorities mentioning
confidence: 99%