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Review of antibiotic resistance in China and its environment

Open access
Qiao, Min, Ying, Guang-Guo, Singer, Andrew C., Zhu, Yong-Guan·2018·Environment International

Abstract

Antibiotic resistance is a global health crisis linked to increased, and often unrestricted, antibiotic use in humans and animals. As one of the world's largest producers and consumers of antibiotics, China is witness to some of the most acute symptoms of this crisis. Antibiotics and antibiotic resistance genes (ARGs) are widely distributed in surface water, sewage treatment plant effluent, soils and animal wastes. The emergence and increased prevalence of ARGs in the clinic/hospitals, especially carbapenem-resistant gram negative bacteria, has raised the concern of public health officials. It is important to understand the current state of antibiotic use in China and its relationship to ARG prevalence and diversity in the environment. Here we review these relationships and their relevance to antimicrobial resistance (AMR) trends witnessed in the clinical setting. This review highlights the issues of enrichment and dissemination of ARGs in the environment, and also future needs in mitigating the spread of antibiotic resistance in the environment, particularly under the 'planetary health' perspective, i.e., the systems that sustain or threaten human health.

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Metadata

Authors
Qiao, M., Ying, G.-G., Singer, A. C., & Zhu, Y.-G.
Venue
Environment International
Publisher
Elsevier BV
Published
2018-01
Volume
110
Pages
160-172
ISSN
0160-4120 (ISSN-L)
OpenAlex
W2766499163
Cited by
1,494
References
3
FWCI
42.45
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Review of antibiotic resistance in China and its environment. https://app.cochat.ai/papers/10.1016/j.envint.2017.10.016
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Qiao, M., Ying, G.-G., Singer, A. C., & Zhu, Y.-G. (2018). Review of antibiotic resistance in China and its environment. Environment International. https://doi.org/10.1016/j.envint.2017.10.016

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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