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Cited by 1,122

The DOI matches its Crossref record; 100 of the 100 references it cites were found in a registry or an index.

The role of the natural environment in the emergence of antibiotic resistance in Gram-negative bacteria

Wellington, Elizabeth MH, Boxall, Alistair BA, Cross, Paul, Feil, Edward J, Gaze, William H, Hawkey, Peter M, Johnson-Rollings, Ashley S, Jones, Davey L, Lee, Nicholas M, Otten, Wilfred, Thomas, Christopher M, Williams, A Prysor·2013·The Lancet Infectious Diseases

Abstract

During the past 10 years, multidrug-resistant Gram-negative Enterobacteriaceae have become a substantial challenge to infection control. It has been suggested by clinicians that the effectiveness of antibiotics is in such rapid decline that, depending on the pathogen concerned, their future utility can be measured in decades or even years. Unless the rise in antibiotic resistance can be reversed, we can expect to see a substantial rise in incurable infection and fatality in both developed and developing regions. Antibiotic resistance develops through complex interactions, with resistance arising by de-novo mutation under clinical antibiotic selection or frequently by acquisition of mobile genes that have evolved over time in bacteria in the environment. The reservoir of resistance genes in the environment is due to a mix of naturally occurring resistance and those present in animal and human waste and the selective effects of pollutants, which can co-select for mobile genetic elements carrying multiple resistant genes. Less attention has been given to how anthropogenic activity might be causing evolution of antibiotic resistance in the environment. Although the economics of the pharmaceutical industry continue to restrict investment in novel biomedical responses, action must be taken to avoid the conjunction of factors that promote evolution and spread of antibiotic resistance.

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Metadata

Authors
Wellington, E. M., Boxall, A. B., Cross, P., Feil, E. J., Gaze, W. H., Hawkey, P. M., Johnson-Rollings, A. S., Jones, D. L., Lee, N. M., Otten, W., Thomas, C. M., & Williams, A. P.
Venue
The Lancet Infectious Diseases
Publisher
Elsevier BV
Published
2013-02
Volume
13
Issue
2
Pages
155-165
ISSN
1473-3099 (ISSN-L)
OpenAlex
W2165991316
Cited by
1,122
References
100
FWCI
59.71
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The role of the natural environment in the emergence of antibiotic resistance in Gram-negative bacteria. https://app.cochat.ai/papers/10.1016/s1473-3099(12)70317-1
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Wellington, E. M., Boxall, A. B., Cross, P., Feil, E. J., Gaze, W. H., Hawkey, P. M., Johnson-Rollings, A. S., Jones, D. L., Lee, N. M., Otten, W., Thomas, C. M., & Williams, A. P. (2013). The role of the natural environment in the emergence of antibiotic resistance in Gram-negative bacteria. The Lancet Infectious Diseases. https://doi.org/10.1016/s1473-3099(12)70317-1

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

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

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.