Cited by 636Pharmaceutical and Antibiotic Environmental ImpactsAntibiotic Resistance in BacteriaAntibiotic Use and Resistance

The Scourge of Antibiotic Resistance: The Important Role of the Environment

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Finley, R. L., Collignon, P., Larsson, D. G. J., McEwen, S. A., Li, X.-Z., Gaze, W. H., Reid-Smith, R., Timinouni, M. +2 more·2013·Clinical Infectious Diseases

Abstract

Antibiotic resistance and associated genes are ubiquitous and ancient, with most genes that encode resistance in human pathogens having originated in bacteria from the natural environment (eg, β-lactamases and fluoroquinolones resistance genes, such as qnr). The rapid evolution and spread of "new" antibiotic resistance genes has been enhanced by modern human activity and its influence on the environmental resistome. This highlights the importance of including the role of the environmental vectors, such as bacterial genetic diversity within soil and water, in resistance risk management. We need to take more steps to decrease the spread of resistance genes in environmental bacteria into human pathogens, to decrease the spread of resistant bacteria to people and animals via foodstuffs, wastes and water, and to minimize the levels of antibiotics and antibiotic-resistant bacteria introduced into the environment. Reducing this risk must include improved management of waste containing antibiotic residues and antibiotic-resistant microorganisms.

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Authors
Finley, R. L., Collignon, P., Larsson, D. G. J., McEwen, S. A., Li, X.-Z., Gaze, W. H., Reid-Smith, R., Timinouni, M., Graham, D. W., & Topp, E.
Affiliations
  • Public Health Agency of Canada (CA)
  • Australian National University (AU)
  • University of Gothenburg (SE)
  • Ontario Veterinary College (CA)
  • Health Canada (CA)
  • Royal Cornwall Hospital (GB)
  • Institut Pasteur du Maroc (MA)
  • Newcastle University (GB)
  • Agriculture and Agri-Food Canada (CA)
Corresponding author
Finley, R. L.
Venue
Clinical Infectious Diseases
Published
2013-05-30
Volume
57
Issue
5
Pages
704-710
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2165853813
Cited by
636
References
70
Citations by year
2026: 22 · 2025: 44 · 2024: 55 · 2023: 46 · 2022: 65 · 2021: 67 · 2020: 60 · 2019: 54 · 2018: 61 · 2017: 47 · 2016: 33 · 2015: 43 · 2014: 34 · 2013: 5
FWCI
2.94
Type
journal article
Language
en
Open access
Locations
  • Clinical Infectious Diseases (publishedVersion)
  • PubMed (publishedVersion)
  • ANU Open Research (Australian National University) (submittedVersion)
  • Newcastle University ePrints (Newcastle Univesity)
Topics
  • Physical Sciences › Environmental Science › Pollution › Pharmaceutical and Antibiotic Environmental Impacts
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
  • Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
Keywords
antibiotic resistance, environmental resistome, antibiotic resistance genes, horizontal gene transfer, soil bacteria, waterborne bacteria, beta-lactamase, qnr genes, foodborne transmission, waste management, antibiotic residues, human pathogens
MeSH terms
Animals, Anti-Bacterial Agents, Bacteria, Bacterial Infections, Drug Utilization, Humans, Selection, Genetic, Water Purification, Gene Transfer, Horizontal, Drug Resistance, Bacterial

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