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Cited by 678

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Antimicrobial resistance in humans, livestock and the wider environment

Open access
Woolhouse, Mark, Ward, Melissa, van Bunnik, Bram, Farrar, Jeremy·2015·Philosophical Transactions of the Royal Society B: Biological Sciences

Abstract

Antimicrobial resistance (AMR) in humans is inter-linked with AMR in other populations, especially farm animals, and in the wider environment. The relatively few bacterial species that cause disease in humans, and are the targets of antibiotic treatment, constitute a tiny subset of the overall diversity of bacteria that includes the gut microbiota and vast numbers in the soil. However, resistance can pass between these different populations; and homologous resistance genes have been found in pathogens, normal flora and soil bacteria. Farm animals are an important component of this complex system: they are exposed to enormous quantities of antibiotics (despite attempts at reduction) and act as another reservoir of resistance genes. Whole genome sequencing is revealing and beginning to quantify the two-way traffic of AMR bacteria between the farm and the clinic. Surveillance of bacterial disease, drug usage and resistance in livestock is still relatively poor, though improving, but achieving better antimicrobial stewardship on the farm is challenging: antibiotics are an integral part of industrial agriculture and there are very few alternatives. Human production and use of antibiotics either on the farm or in the clinic is but a recent addition to the natural and ancient process of antibiotic production and resistance evolution that occurs on a global scale in the soil. Viewed in this way, AMR is somewhat analogous to climate change, and that suggests that an intergovernmental panel, akin to the Intergovernmental Panel on Climate Change, could be an appropriate vehicle to actively address the problem.

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Crossref · 10.1098/rstb.2014.0083

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Metadata

Authors
Woolhouse, M., Ward, M., van Bunnik, B., & Farrar, J.
Venue
Philosophical Transactions of the Royal Society B: Biological Sciences
Published
2015-06-05
Volume
370
Issue
1670
Pages
20140083
ISSN
  • 0962-8436 (ISSN-L)
  • 1471-2970
OpenAlex
W2110053329
Cited by
678
References
10
FWCI
28.87
Type
journal article
Language
en
Open access
hybrid

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