2013
DOI: 10.3390/ijerph10010278
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Transfer of Multidrug-Resistant Bacteria Between Intermingled Ecological Niches: The Interface Between Humans, Animals and the Environment

Abstract: The use of antimicrobial agents has been claimed to be the driving force for the emergence and spread of microbial resistance. However, several studies have reported the presence of multidrug-resistant bacteria in populations exposed to low levels of antimicrobial drugs or even never exposed. For many pathogens, especially those organisms for which asymptomatic colonization typically precedes infection (e.g., Enterococcus spp. and Escherichia coli), the selective effects of antimicrobial use can only be unders… Show more

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Cited by 259 publications
(200 citation statements)
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References 108 publications
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“…8,9 E. coli may acquire other antibiotic resistance traits from surroundings bacteria and conversely it can spread its resistance genes to different potential pathogens. 10 The aims of this study were to determine the prevalence of uropathogenic E. coli among people, of both genders aged nine months to 63 years, referring to Zakho emergency hospital and private laboratories in Zakho city/Kurdistan Region, Iraq. Also, to study their resistance against antimicrobials used to treat urinary tract infections (UTIs) to provide data to help direct empirical therapy.…”
Section: Introductionmentioning
confidence: 99%
“…8,9 E. coli may acquire other antibiotic resistance traits from surroundings bacteria and conversely it can spread its resistance genes to different potential pathogens. 10 The aims of this study were to determine the prevalence of uropathogenic E. coli among people, of both genders aged nine months to 63 years, referring to Zakho emergency hospital and private laboratories in Zakho city/Kurdistan Region, Iraq. Also, to study their resistance against antimicrobials used to treat urinary tract infections (UTIs) to provide data to help direct empirical therapy.…”
Section: Introductionmentioning
confidence: 99%
“…Interestingly, the current study suggested that the FEC isolates exhibit more diversity in their resistance profiles than CEC isolates. It has been previously suggested that commensal E. coli flora are a source of emerging and developing E. coli resistant strains and/or resistance genes (da Costa et al, 2013).…”
Section: Discussionmentioning
confidence: 99%
“…The genetic flexibility of bacteria enables them to adapt, evolve and survive in their environment by developing different resistance mechanisms (Acar et al, 2012). The emergence, selection and the spread of strains also occurs due to selection pressure and antimicrobial consumption in animals, as well as, humans (Boerlin and Reid-Smith, 2008;Boerlin and White, 2013;da Costa et al, 2013;Guardabassi and Kruse, 2008). The complexity of AMR in veterinary medicine is due to different animal species, variations in bacterial species and the diversity of rearing environments (Wasyl et al, 2012;Wasyl et al, 2013).…”
Section: Antimicrobial Resistancementioning
confidence: 99%
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