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The spread of antibiotic resistance to humans and potential protection strategies

Journal

ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY
Volume 254, Issue -, Pages -

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ecoenv.2023.114734

Keywords

Antibiotic consumption; Antibiotic resistance bacteria; Antibiotic resistance gene; Colonization resistance

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Antibiotic resistance poses a significant threat to human health, and reducing the spread and burden of antibiotic resistance requires implementing control strategies.
Antibiotic resistance is currently one of the greatest threats to human health. Widespread use and residues of antibiotics in humans, animals, and the environment can exert selective pressure on antibiotic resistance bacteria (ARB) and antibiotic resistance gene (ARG), accelerating the flow of antibiotic resistance. As ARG spreads to the population, the burden of antibiotic resistance in humans increases, which may have potential health effects on people. Therefore, it is critical to mitigate the spread of antibiotic resistance to humans and reduce the load of antibiotic resistance in humans. This review briefly described the information of global antibiotic consumption information and national action plans (NAPs) to combat antibiotic resistance and provided a set of feasible control strategies for the transmission of ARB and ARG to humans in three areas including (a) Reducing the colonization capacity of exogenous ARB, (b) Enhancing human colonization resistance and mitigating the hor-izontal gene transfer (HGT) of ARG, (c) Reversing ARB antibiotic resistance. With the hope of achieving inter-disciplinary one-health prevention and control of bacterial resistance.

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