Cited by 317Pharmaceutical and Antibiotic Environmental ImpactsAntibiotic Use and ResistanceAntibiotic Resistance in Bacteria

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Antimicrobial resistance in the environment: The Indian scenario

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Taneja, Neelam, Sharma, Megha·2019·Indian Journal of Medical Research

DOI 10.4103/ijmr.ijmr_331_18PMC PMC6563737

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Abstract

Antimicrobial resistance (AMR) continues to pose a significant public health problem in terms of mortality and economic loss. Health authorities of several countries including India have formulated action plans for its containment. In this fight against AMR, it is important to realize the contribution by all the following four spheres: humans, animals, food and environment. This review incorporates all the spheres of One Health concept from the Indian perspective. India has one of the highest rates of resistance to antimicrobial agents used both in humans and food animals. The environment, especially the water bodies, have also reported the presence of resistant organisms or their genes. Specific socio-economic and cultural factors prevalent in India make the containment of resistance more challenging. Injudicious use of antimicrobials and inadequate treatment of waste waters are important drivers of AMR in India. Use of sludge in agriculture, improper discard of livestock animals and aquaculture industry are considered AMR contributors in other countries but Indian data regarding these are lacking. Efforts to combat AMR have been initiated by the Indian health authorities but are still at preliminary stages. Keeping in view the challenges unique to India, future directions are proposed.

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Authors: Taneja, N., & Sharma, M.
Affiliations: Post Graduate Institute of Medical Education and Research (IN)
Corresponding author: Taneja, Neelam
ORCID: Taneja, Neelam
Sharma, Megha
Venue: Indian Journal of Medical Research
Publisher: Scientific Scholar
Published: 2019-02
Volume: 149
Issue: 2
Pages: 119-128
ISSN: 0971-5916 (ISSN-L)
DOI: 10.4103/ijmr.ijmr_331_18
PMC: PMC6563737
OpenAlex: W2949052137
Cited by: 317
References: 56
Citations by year: 2026: 39 · 2025: 65 · 2024: 67 · 2023: 51 · 2022: 33 · 2021: 43 · 2020: 16 · 2019: 3
FWCI: 1.00
Type: journal article
Language: en
Open access: diamond
doi.org
Locations: The Indian Journal of Medical Research (publishedVersion)
PubMed Central (publishedVersion, cc-by-nc-sa)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics: Physical Sciences › Environmental Science › Pollution › Pharmaceutical and Antibiotic Environmental Impacts
Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
Keywords: antimicrobial resistance, environmental resistance, One Health, water bodies, drug-resistant bacteria, antimicrobial use, wastewater treatment, livestock waste, aquaculture, sociocultural factors, India
MeSH terms: Animals, Anti-Bacterial Agents, Bacteria, Bacterial Infections, Humans, India, Public Health, World Health Organization, Drug Resistance, Bacterial, Livestock

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Antimicrobial resistance in the environment: The Indian scenario

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