1
|
Muloi DM, Jauneikaite E, Anjum MF, Essack SY, Singleton DA, Kasudi MR, Wade MJ, Egyir B, Nunn JG, Midega JT, Peacock SJ, Feasey NA, Baker KS, Zadoks RN. Exploiting genomics for antimicrobial resistance surveillance at One Health interfaces. THE LANCET. MICROBE 2023; 4:e1056-e1062. [PMID: 37977165 DOI: 10.1016/s2666-5247(23)00284-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 08/16/2023] [Accepted: 08/22/2023] [Indexed: 11/19/2023]
Abstract
The intersection of human, animal, and ecosystem health at One Health interfaces is recognised as being of key importance in the evolution and spread of antimicrobial resistance (AMR) and represents an important, and yet rarely realised opportunity to undertake vital AMR surveillance. A working group of international experts in pathogen genomics, AMR, and One Health convened to take part in a workshop series and online consultation focused on the opportunities and challenges facing genomic AMR surveillance in a range of settings. Here we outline the working group's discussion of the potential utility, advantages of, and barriers to, the implementation of genomic AMR surveillance at One Health interfaces and propose a series of recommendations for addressing these challenges. Embedding AMR surveillance at One Health interfaces will require the development of clear beneficial use cases, especially in low-income and middle-income countries. Evidence of directionality, risks to human and animal health, and potential trade implications were also identified by the working group as key issues. Addressing these challenges will be vital to enable genomic surveillance technology to reach its full potential for assessing the risk of transmission of AMR between the environment, animals, and humans at One Health interfaces.
Collapse
Affiliation(s)
- Dishon M Muloi
- Animal and Human Health Department, International Livestock Research Institute, Nairobi, Kenya; Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
| | - Elita Jauneikaite
- Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, UK; NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Department of Infectious Disease, Imperial College London, Hammersmith Hospital, London, UK
| | - Muna F Anjum
- Department of Bacteriology, Animal and Plant Health Agency, New Haw, UK
| | - Sabiha Y Essack
- Antimicrobial Research Unit, University of KwaZulu-Natal, Durban, South Africa
| | - David A Singleton
- Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, UK
| | - Mitchelle R Kasudi
- Animal and Human Health Department, International Livestock Research Institute, Nairobi, Kenya
| | - Matthew J Wade
- Data Analytics and Surveillance Group, UK Health Security Agency, London, UK; School of Engineering, Newcastle University, Newcastle-upon-Tyne, UK
| | - Beverly Egyir
- Department of Bacteriology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon-Accra, Ghana
| | - Jamie G Nunn
- Infectious Disease Challenge Area, Wellcome Trust, London, UK
| | | | | | - Nicholas A Feasey
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK; Malawi Liverpool Wellcome Research Programme, Chichiri, Blantyre, Malawi
| | - Kate S Baker
- Clinical Infection, Microbiology, and Immunology, University of Liverpool, Liverpool, UK; Department of Genetics, University of Cambridge, Cambridge, UK.
| | - Ruth N Zadoks
- Sydney School of Veterinary Science, Faculty of Science, University of Sydney, Camden, NSW, Australia; School of Biodiversity, One Health and Veterinary Medicine, University of Glasgow, Glasgow, UK
| |
Collapse
|
2
|
Tîrziu E, Bulucea AV, Imre K, Nichita I, Muselin F, Dumitrescu E, Tîrziu A, Mederle NG, Moza A, Bucur IM, Cristina RT. The Behavior of Some Bacterial Strains Isolated from Fallow Deer Compared to Antimicrobial Substances in Western Romania. Antibiotics (Basel) 2023; 12:antibiotics12040743. [PMID: 37107105 PMCID: PMC10134966 DOI: 10.3390/antibiotics12040743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 04/10/2023] [Accepted: 04/11/2023] [Indexed: 04/29/2023] Open
Abstract
(1) Background: The resistance levels of Escherichia coli, Salmonella spp., Pseudomonas spp., Staphylococcus spp., etc., isolated from the nasal cavity and the rectum of Dama dama deer from three hunting grounds in Western Romania were assessed. (2) Methods: The analysis was completed using the diffusimetric method, compliant with CLSI reference standards, and with Vitek-2 (BioMérieux, France), on 240 samples. (3) Results: The results were statistically analyzed (by one-way ANOVA) revealing that in four of the ten E. coli strains isolated from animals, 87.5% (p < 0.001) resistance was found. E. coli strains were resistant to cephalexin (100%); seven strains were resistant to cephalothin and ampicillin; six were resistant to cefquinome and cefoperazone; five were resistant to amoxicillin/clavulanic acid; and four were resistant to ceftiofur. However, E. coli was sensitive to amikacin (100%). The most efficient structures were beta-lactams, amikacin, and imipenem, to which all 47 strains studied (100%) were sensitive, followed by nitrofurantoin, to which 45 strains (95.7%) were sensitive, neomycin, to which 44 strains (93.6%) were sensitive, ceftiofur, to which 43 strains (91.5%) were sensitive, and trimethoprim/sulfamethoxazole and marbofloxacin, to which 42 strains (89.4%) were sensitive. (4) Conclusions: In wild animal populations, where a human presence is frequently reported, including a constant presence of domestic animals, despite the perceived low risk of emerging resistance to antimicrobials, resistance is likely to develop frequently.
Collapse
Affiliation(s)
- Emil Tîrziu
- Faculty of Veterinary Medicine, Calea Aradului 119, 300645 Timisoara, Romania
| | | | - Kalman Imre
- Faculty of Veterinary Medicine, Calea Aradului 119, 300645 Timisoara, Romania
| | - Ileana Nichita
- Faculty of Veterinary Medicine, Calea Aradului 119, 300645 Timisoara, Romania
| | - Florin Muselin
- Faculty of Veterinary Medicine, Calea Aradului 119, 300645 Timisoara, Romania
| | - Eugenia Dumitrescu
- Faculty of Veterinary Medicine, Calea Aradului 119, 300645 Timisoara, Romania
| | - Andreea Tîrziu
- Faculty of Medicine, University of Medicine and Farmacy "Victor Babes", Piata Eftimie Murgu No. 2, 300041 Timisoara, Romania
| | - Narcisa G Mederle
- Faculty of Veterinary Medicine, Calea Aradului 119, 300645 Timisoara, Romania
| | - Alexandru Moza
- Faculty of Veterinary Medicine, Calea Aradului 119, 300645 Timisoara, Romania
| | - Iulia M Bucur
- Faculty of Veterinary Medicine, Calea Aradului 119, 300645 Timisoara, Romania
| | - Romeo T Cristina
- Faculty of Veterinary Medicine, Calea Aradului 119, 300645 Timisoara, Romania
| |
Collapse
|