1
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Shafaati M, Salehi M, Zare M. The twin challenges of longevity and climate change in controlling antimicrobial resistance. J Antibiot (Tokyo) 2024; 77:399-402. [PMID: 38724628 DOI: 10.1038/s41429-024-00730-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Revised: 03/30/2024] [Accepted: 04/07/2024] [Indexed: 06/28/2024]
Abstract
Antimicrobial resistance (AMR) is one of the global health challenges of the 21st century that is faced with the twin threats of global climate change and greater longevity, which pose a synergistic risk to the management of AMR. Antimicrobial agents are in high demand due to the challenges faced by increasing life expectancy and the dynamic changes in disease ecology prompted by climate change. In light of global aging and climate change, the complexity and importance of addressing antibiotic resistance are further highlighted by this interplay of issues.
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Affiliation(s)
- Maryam Shafaati
- Research Center for Antibiotic Stewardship and Antimicrobial Resistance, Infectious Diseases Department, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
| | - Mohammadreza Salehi
- Research Center for Antibiotic Stewardship and Antimicrobial Resistance, Infectious Diseases Department, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
| | - Maryam Zare
- Virology Department of Professor Alborzi Clinical Microbiology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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2
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Erhabor GE, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Mohammad Sharief W, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. JOURNAL OF COMMUNICATION IN HEALTHCARE 2024; 17:201-204. [PMID: 39011750 DOI: 10.1080/17538068.2023.2276979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2023]
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
| | - Chris Zielinski
- President-elect, World Association of Medical Editors, Winchester, UK
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3
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Amábile-Cuevas CF, Lund-Zaina S. Non-Canonical Aspects of Antibiotics and Antibiotic Resistance. Antibiotics (Basel) 2024; 13:565. [PMID: 38927231 PMCID: PMC11200725 DOI: 10.3390/antibiotics13060565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Revised: 05/09/2024] [Accepted: 05/29/2024] [Indexed: 06/28/2024] Open
Abstract
The understanding of antibiotic resistance, one of the major health threats of our time, is mostly based on dated and incomplete notions, especially in clinical contexts. The "canonical" mechanisms of action and pharmacodynamics of antibiotics, as well as the methods used to assess their activity upon bacteria, have not changed in decades; the same applies to the definition, acquisition, selective pressures, and drivers of resistance. As a consequence, the strategies to improve antibiotic usage and overcome resistance have ultimately failed. This review gathers most of the "non-canonical" notions on antibiotics and resistance: from the alternative mechanisms of action of antibiotics and the limitations of susceptibility testing to the wide variety of selective pressures, lateral gene transfer mechanisms, ubiquity, and societal factors maintaining resistance. Only by having a "big picture" view of the problem can adequate strategies to harness resistance be devised. These strategies must be global, addressing the many aspects that drive the increasing prevalence of resistant bacteria aside from the clinical use of antibiotics.
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Affiliation(s)
| | - Sofia Lund-Zaina
- Department of Public Health, University of Southern Denmark, Campusvej 55, 5230 Odense, Denmark
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4
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Raju R, Srinivas SC, Siddalingegowda SM, Vaidya R, Gharat M, Kumar TMP. Community pharmacists as antimicrobial resistance stewards: a narrative review on their contributions and challenges in low- and middle-income countries. JOURNAL OF PHARMACY & PHARMACEUTICAL SCIENCES : A PUBLICATION OF THE CANADIAN SOCIETY FOR PHARMACEUTICAL SCIENCES, SOCIETE CANADIENNE DES SCIENCES PHARMACEUTIQUES 2024; 27:12721. [PMID: 38939359 PMCID: PMC11208321 DOI: 10.3389/jpps.2024.12721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Accepted: 05/20/2024] [Indexed: 06/29/2024]
Abstract
Antimicrobial resistance (AMR) is a global public health crisis that impedes the therapeutic effectiveness of available antimicrobial agents. Due to the high burden of infectious diseases and limited resources, especially trained healthcare professionals, low- and middle-income countries (LMICs) are particularly susceptible to the detrimental effects of AMR. Sometimes, as the first and last point of contact for patients seeking treatment for infections, community pharmacists can play a pivotal role in the stewardship required for AMR. This review aims to highlight the contributions made by community pharmacists in LMICs as AMR stewards. The review considers the challenges from the perspectives of limited resources, inadequate training, a lack of policies and regulations, and issues related to patient behavior. Community pharmacists in LMICs could optimize their advocacy contributions by focusing on One Health AMR stewardship. Transformational and actionable patient and population-centric antimicrobial stewardship (AMS) is feasible with the synergy of policymakers and other healthcare providers in the implementation of AMS policies and programs that support community pharmacists in their efforts to promote rational antimicrobial use.
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Affiliation(s)
- Rosy Raju
- JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysore, India
| | | | | | | | | | - T. M. Pramod Kumar
- JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysore, India
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5
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Supuran CT. Fighting antibacterial drug resistance. Expert Opin Ther Pat 2024; 34:397-400. [PMID: 38866729 DOI: 10.1080/13543776.2024.2367940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2024] [Accepted: 06/12/2024] [Indexed: 06/14/2024]
Affiliation(s)
- Claudiu T Supuran
- Neurofarba Department, Pharmaceutical and Nutraceutical Section, University of Florence, Sesto Fiorentino, Italy
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6
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Karvanen M, Cars O. The language of antimicrobial and antibiotic resistance is blocking global collective action. Infect Dis (Lond) 2024; 56:487-495. [PMID: 38520678 DOI: 10.1080/23744235.2024.2332455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Accepted: 03/14/2024] [Indexed: 03/25/2024] Open
Abstract
Sustainable access to effective antibiotics is a foundational need for functioning health care that is increasingly threatened by antibiotic resistance. Although resistance has been known as long as antibiotics have been in clinical use, there are still multiple gaps in the global and local responses. One often cited cause for this complacency is the language that is used to describe the problem and its consequences. In this paper, we survey some examples of the current discussions around antibiotic resistance and seek to offer a path towards unified and understandable messaging that is relevant both to the public and policymakers by using narratives that highlight the individual and societal consequences of antibiotic resistance. Major shortcomings in the current language that hamper both the understanding of antibiotic resistance and needed behaviour change have been identified in scientific papers and special reports. These shortcomings range from terminology that is difficult to understand, through a lack of personal relevance, to a fragmented response in the policy field. We propose that scientists, including behaviour change experts, and other key stakeholders that are engaged in the issue take lead to agreement on the core scientific facts and to formulate a vision that can be a foundation for creation of consistent global narratives. These narratives must in turn be adapted to local contexts. Development of such narratives should be viewed as an essential component in national action plans on AMR to raise awareness, empower citizens and incentivise societal behaviour change, policy development and implementation of governance structures.
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Affiliation(s)
- Matti Karvanen
- Department of Medical Sciences, Uppsala University, Uppsala, Sweden
| | - Otto Cars
- Department of Medical Sciences, Uppsala University, Uppsala, Sweden
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7
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Alkorta I, Garbisu C. Expanding the focus of the One Health concept: links between the Earth-system processes of the planetary boundaries framework and antibiotic resistance. REVIEWS ON ENVIRONMENTAL HEALTH 2024; 0:reveh-2024-0013. [PMID: 38815132 DOI: 10.1515/reveh-2024-0013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Accepted: 03/26/2024] [Indexed: 06/01/2024]
Abstract
The scientific community warns that our impact on planet Earth is so acute that we are crossing several of the planetary boundaries that demarcate the safe operating space for humankind. Besides, there is mounting evidence of serious effects on people's health derived from the ongoing environmental degradation. Regarding human health, the spread of antibiotic resistant bacteria is one of the most critical public health issues worldwide. Relevantly, antibiotic resistance has been claimed to be the quintessential One Health issue. The One Health concept links human, animal, and environmental health, but it is frequently only focused on the risk of zoonotic pathogens to public health or, to a lesser extent, the impact of contaminants on human health, i.e., adverse effects on human health coming from the other two One Health "compartments". It is recurrently claimed that antibiotic resistance must be approached from a One Health perspective, but such statement often only refers to the connection between the use of antibiotics in veterinary practice and the antibiotic resistance crisis, or the impact of contaminants (antibiotics, heavy metals, disinfectants, etc.) on antibiotic resistance. Nonetheless, the nine Earth-system processes considered in the planetary boundaries framework can be directly or indirectly linked to antibiotic resistance. Here, some of the main links between those processes and the dissemination of antibiotic resistance are described. The ultimate goal is to expand the focus of the One Health concept by pointing out the links between critical Earth-system processes and the One Health quintessential issue, i.e., antibiotic resistance.
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Affiliation(s)
- Itziar Alkorta
- Department of Biochemistry and Molecular Biology, 16402 University of the Basque Country (UPV/EHU) , Bilbao, Spain
| | - Carlos Garbisu
- NEIKER - Basque Institute for Agricultural Research and Development, Basque Research and Technology Alliance (BRTA), Derio, Spain
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8
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Aguiar R, Keil R, Wiktorowicz M. The urban political ecology of antimicrobial resistance: A critical lens on integrative governance. Soc Sci Med 2024; 348:116689. [PMID: 38564956 DOI: 10.1016/j.socscimed.2024.116689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 09/07/2023] [Accepted: 02/09/2024] [Indexed: 04/04/2024]
Abstract
The objective of this paper is to integrate Urban Political Ecology (UPE) as a theory for identifying under-exposed urban dimensions of Antimicrobial Resistance (AMR). A UPE lens allows us to conceptualize urbanization as a ubiquitous socio-ecological process and an interpretive frame that could inform AMR governance strategies across related contexts by: a) situating AMR risks in relation to urbanization processes shaping social and political co-determinants of such systemic threats as climate change; b) aligning UPE scholarship with One Health (OH) approaches that address AMR to reveal the under-exposed link of AMR to environmental threats and broader structural dimensions that influence these threats; and c) identifying shared AMR and environmental governance pathways that inform the rationale for more equitable governance arrangements. We delineate a context in which the speed and scale of human activity in the larger context of urbanization, driven by global market integration strategies, impacts human-animal-environmental health threats such as AMR. We demonstrate how UPE scholarship can be leveraged to offer theoretical depth to approaches considering the interdependencies of AMR and climate change threats. We then propose a strategic approach focused on identifying shared governance pathways and intersectoral accountability frameworks to address upstream structural drivers of AM-Environmental threats. The co-benefits of a UPE-informed framework to human-animal-environmental health that leverages enabling policy environments to foster a more collaborative, equitable and sustainable approach to address systemic global health threats are clarified. Just as the concept of "health in all policies" emphasized taking health implications into account in all public policy development, the integration of UPE in AMR governance arrangements would emphasize the need to take other sectors into account through an intersectoral whole-of-government approach that fosters shared AMR - climate change governance pathways.
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Affiliation(s)
- Raphael Aguiar
- Dahdaleh Institute for Global Health Research, York University, Toronto, Canada; Faculty of Health, York University, Toronto, Canada.
| | - Roger Keil
- Dahdaleh Institute for Global Health Research, York University, Toronto, Canada; Faculty of Environmental and Urban Change, York University, Toronto, Canada.
| | - Mary Wiktorowicz
- Dahdaleh Institute for Global Health Research, York University, Toronto, Canada; Faculty of Health, York University, Toronto, Canada.
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9
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Tulloch CL, Bargiela R, Williams GB, Chernikova TN, Cotterell BM, Wellington EMH, Christie-Oleza J, Thomas DN, Jones DL, Golyshin PN. Microbial communities colonising plastics during transition from the wastewater treatment plant to marine waters. ENVIRONMENTAL MICROBIOME 2024; 19:27. [PMID: 38685074 PMCID: PMC11057073 DOI: 10.1186/s40793-024-00569-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Accepted: 04/18/2024] [Indexed: 05/02/2024]
Abstract
BACKGROUND Plastics pollution and antimicrobial resistance (AMR) are two major environmental threats, but potential connections between plastic associated biofilms, the 'plastisphere', and dissemination of AMR genes are not well explored. RESULTS We conducted mesocosm experiments tracking microbial community changes on plastic surfaces transitioning from wastewater effluent to marine environments over 16 weeks. Commonly used plastics, polypropylene (PP), high density polyethylene (HDPE), low density polyethylene (LDPE) and polyethylene terephthalate (PET) incubated in wastewater effluent, river water, estuarine water, and in the seawater for 16 weeks, were analysed via 16S rRNA gene amplicon and shotgun metagenome sequencing. Within one week, plastic-colonizing communities shifted from wastewater effluent-associated microorganisms to marine taxa, some members of which (e.g. Oleibacter-Thalassolituus and Sphingomonas spp., on PET, Alcanivoracaceae on PET and PP, or Oleiphilaceae, on all polymers), were selectively enriched from levels undetectable in the starting communities. Remarkably, microbial biofilms were also susceptible to parasitism, with Saprospiraceae feeding on biofilms at late colonisation stages (from week 6 onwards), while Bdellovibrionaceae were prominently present on HDPE from week 2 and LDPE from day 1. Relative AMR gene abundance declined over time, and plastics did not become enriched for key AMR genes after wastewater exposure. CONCLUSION Although some resistance genes occurred during the mesocosm transition on plastic substrata, those originated from the seawater organisms. Overall, plastic surfaces incubated in wastewater did not act as hotspots for AMR proliferation in simulated marine environments.
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Affiliation(s)
- Constance L Tulloch
- Centre for Environmental Biotechnology, School of Environmental and Natural Sciences, Bangor University, Bangor, LL57 2UW, UK
| | - Rafael Bargiela
- Centre for Environmental Biotechnology, School of Environmental and Natural Sciences, Bangor University, Bangor, LL57 2UW, UK
| | - Gwion B Williams
- Centre for Environmental Biotechnology, School of Environmental and Natural Sciences, Bangor University, Bangor, LL57 2UW, UK
| | - Tatyana N Chernikova
- Centre for Environmental Biotechnology, School of Environmental and Natural Sciences, Bangor University, Bangor, LL57 2UW, UK
| | - Benjamin M Cotterell
- Centre for Environmental Biotechnology, School of Environmental and Natural Sciences, Bangor University, Bangor, LL57 2UW, UK
| | | | - Joseph Christie-Oleza
- School of Life Sciences, University of Warwick, Coventry, CV4 7AL, UK
- Department of Biology, University of the Balearic Islands, 07122, Palma, Spain
| | - David N Thomas
- Faculty of Biological and Environmental Sciences, University of Helsinki, 00014, Helsinki, Finland
| | - Davey L Jones
- Centre for Environmental Biotechnology, School of Environmental and Natural Sciences, Bangor University, Bangor, LL57 2UW, UK
| | - Peter N Golyshin
- Centre for Environmental Biotechnology, School of Environmental and Natural Sciences, Bangor University, Bangor, LL57 2UW, UK.
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10
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Pant S, Corwin A, Adhikari P, Acharya SP, Acharya U, Silwal S, Dawadi P, Poudyal A, Paudyal V, Bhumiratana A. Evaluating Antibiotic Treatment Guideline Adherence to Ongoing Antibiotic Stewardship in a Tertiary Care Setting: A Retrospective Observational Study. THE CANADIAN JOURNAL OF INFECTIOUS DISEASES & MEDICAL MICROBIOLOGY = JOURNAL CANADIEN DES MALADIES INFECTIEUSES ET DE LA MICROBIOLOGIE MEDICALE 2024; 2024:6663119. [PMID: 38660495 PMCID: PMC11042908 DOI: 10.1155/2024/6663119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 03/27/2024] [Accepted: 03/30/2024] [Indexed: 04/26/2024]
Abstract
Antimicrobial resistance (AMR) is widely regarded as an increasing threat to global public health. Antibiotic treatment guidelines have been increasingly recognized as an effective tool to guide appropriate prescriptions and help curtail antibiotic resistance. The present study aimed to assess physician's adherence to hospital antibiotic treatment guideline recommendations in Nepal and determine predictive variables with a significant association. This was a retrospective, monocentric observational review to investigate the adherence to endorsed guidelines using the medical records of adults admitted to the hospital with a diagnosis of urinary tract infection (UTI), pneumonia, or skin and soft tissue infection (SSTI) from January 2018 to December 2019. Of the 2,077 medical records that were reviewed (954 UTI, 754 pneumonia, and 369 SSTI), 354 (17%) met the study inclusion criteria, which included 87 UTI, 180 pneumonia, and 87 SSTI patients. Among eligible patients with antibiotic prescriptions, the following were adherent to guideline recommendations: 33 (37.9%) UTI, 78 (43.3%) pneumonia, and 23 (26.4%) SSTI. The overall extent of adherence to hospital antibiotic treatment guidelines for the use of antibiotics among adult inpatients diagnosed with these common infections was 37.9%. Patients who received ceftriaxone (OR = 2.09, 95% CI = 1.18-3.71, p=0.012) and levofloxacin (OR = 4.63, 95% CI = 1.30-16.53, p=0.018) had significantly higher adherence to treatment guidelines. This study revealed a low adherence rate despite the availability of updated guidelines for antibiotic prescriptions. The findings confer an urgent need to confront antibiotic prescription patterns in such tertiary care centers for tailored interventions to improve adherence to antibiotic guidelines.
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Affiliation(s)
- Suman Pant
- Government of Nepal, Nepal Health Research Council, Kathmandu, Nepal
- Faculty of Public Health, Thammasat University, Rangsit Campus, Khlong Nueng, Pathum Thani 12121, Thailand
| | - Andrew Corwin
- Faculty of Public Health, Thammasat University, Rangsit Campus, Khlong Nueng, Pathum Thani 12121, Thailand
| | - Prabhat Adhikari
- Department of Infection Prevention and Control, Grande International Hospital, Kathmandu, Nepal
| | - Subhash Prasad Acharya
- Department of Infection Prevention and Control, Grande International Hospital, Kathmandu, Nepal
| | - Upasana Acharya
- Department of Infection Prevention and Control, Grande International Hospital, Kathmandu, Nepal
| | - Sashi Silwal
- Government of Nepal, Nepal Health Research Council, Kathmandu, Nepal
| | - Pratima Dawadi
- Government of Nepal, Nepal Health Research Council, Kathmandu, Nepal
| | | | - Vibhu Paudyal
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK
| | - Adisak Bhumiratana
- Faculty of Public Health, Thammasat University, Rangsit Campus, Khlong Nueng, Pathum Thani 12121, Thailand
- Thammasat University Research Unit in One Health and EcoHealth, Rangsit Campus, Khlong Nueng, Pathum Thani 12121, Thailand
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11
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Abriouel H, Caballero Gómez N, Manetsberger J, Benomar N. Dual effects of a bacteriocin-producing Lactiplantibacillus pentosus CF-6HA, isolated from fermented aloreña table olives, as potential probiotic and antimicrobial agent. Heliyon 2024; 10:e28408. [PMID: 38560111 PMCID: PMC10981101 DOI: 10.1016/j.heliyon.2024.e28408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Revised: 03/15/2024] [Accepted: 03/18/2024] [Indexed: 04/04/2024] Open
Abstract
The probiotic potential of Lactiplantibacillus pentosus CF-6HA isolated from traditionally fermented Aloreña table olives was analyzed in vitro and in silico. Results obtained suggested that this strain can be catalogued as "talented" bacterium exhibiting bacteriocin production with antimicrobial activity against human/animal and plant pathogens, such as Pseudomonas syringae and Verticillium dahliae. The robustness, safety and probiotic potential of L. pentosus CF-6HA was confirmed by in silico analysis. In addition, a plethora of coding genes for defense and adaptability to different life styles besides functional properties were identified. In this sense, defense mechanisms of L. pentosus CF-6HA consist of 17 ISI elements, 98 transposases and 13 temperate phage regions as well as a CRISPR (clustered regularly interspaced short palindromic repeats)/cas system. Moreover, the functionality of this strain was confirmed by the presence of genes coding for secondary metabolites, exopolysaccharides and other bioactive molecules. Finally, we demonstrated the ability of L. pentosus CF-6HA to biotransform selenite to nanoparticles (SeNPs) highlighting its potential role in selenium bioremediation to be exploited in foods, agriculture and the environment; but also for the bio-enrichment of fermented foods with selenium.
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Affiliation(s)
- Hikmate Abriouel
- Área de Microbiología, Departamento de Ciencias de La Salud, Facultad de Ciencias Experimentales, Universidad de Jaén, 23071-Jaén, Spain
| | - Natacha Caballero Gómez
- Área de Microbiología, Departamento de Ciencias de La Salud, Facultad de Ciencias Experimentales, Universidad de Jaén, 23071-Jaén, Spain
| | - Julia Manetsberger
- Área de Microbiología, Departamento de Ciencias de La Salud, Facultad de Ciencias Experimentales, Universidad de Jaén, 23071-Jaén, Spain
| | - Nabil Benomar
- Área de Microbiología, Departamento de Ciencias de La Salud, Facultad de Ciencias Experimentales, Universidad de Jaén, 23071-Jaén, Spain
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12
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to Treat the Climate and Nature Crisis as One Indivisible Global Health Emergency. Public Health Ethics 2024; 17:1-4. [PMID: 39005525 PMCID: PMC11245690 DOI: 10.1093/phe/phad022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/16/2024] Open
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review
| | | | | | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India
| | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal
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13
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Erhabor GE, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to Treat the Climate and Nature Crisis as One Indivisible Global Health Emergency. HEALTH COMMUNICATION 2024; 39:1-3. [PMID: 37906038 DOI: 10.1080/10410236.2023.2276396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/02/2023]
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
| | - Chris Zielinski
- President-elect, World Association of Medical Editors, Winchester, UK
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14
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Abdelaziz Abdelmoneim S, Mohamed Ghazy R, Anwar Sultan E, Hassaan MA, Anwar Mahgoub M. Antimicrobial resistance burden pre and post-COVID-19 pandemic with mapping the multidrug resistance in Egypt: a comparative cross-sectional study. Sci Rep 2024; 14:7176. [PMID: 38531847 DOI: 10.1038/s41598-024-56254-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2023] [Accepted: 03/04/2024] [Indexed: 03/28/2024] Open
Abstract
Overuse of antibiotics during coronavirus disease 2019 (COVID-19) in an attempt to reduce COVID-19 mortality in the short term may have contributed to long-term mortality from antimicrobial resistance (AMR). The aim of this study was to evaluate the impact of the COVID-19 pandemic on AMR in Egypt and map the distribution of multidrug-resistant (MDR) and extensive drug-resistant (XDR) across Egypt. Through a multicenter cross-sectional study 2430 culture results were collected in 2019 and 2022 pre and post-COVID-19 pandemic in Egypt, including 400 Klebsiella pneumoniae, 760 Escherichia coli, 650 Acinetobacter baumannii, and 620 Methicillin-resistant staphylococcus aureus (MRSA) culture results. MDR and XDR culture results distribution across Egypt was highlighted through the geographic information system. Mixed effect logistic regression models and sub-group analysis were performed according to the type of specimens to test the impact of COVID-19 on resistance. Adjusted analysis demonstrated K. pneumoniae resistance has increased against quinolones and carbapenems (P < 0.001). Resistance of E. coli has increased significantly against imipenem and meropenem. While E.coli susceptibility has increased to cefoxitin, levofloxacin, and ciprofloxacin. A. baumannii resistance has increased more than double against ceftazidime, cefepime, and piperacillin-tazobactam (P < 0.001). MRSA reserved its susceptibility to vancomycin and linezolid. MDR K. pneumoniae and A. baumannii have increased post-COVID-19 from 67% to 94% and from 79% to 98%, respectively (P < 0.001). XDR K. pneumoniae and A. baumannii have increased from 6% to 46%, and from 47% to 69%, respectively (P < 0.001). COVID-19 has changed the profile of AMR in Egypt so that urgent action is required to mitigate this threat and preserve our capacity to face infections in future decades.
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Affiliation(s)
- Shaimaa Abdelaziz Abdelmoneim
- Medical Research Institute, Alexandria University, Alexandria, Egypt.
- Clinical Research Administration, Alexandria Directorate of Health Affairs, Egyptian Ministry of Health and Population, Alexandria, Egypt.
| | - Ramy Mohamed Ghazy
- Family and Community Medicine Department, College of Medicine, King Khalid University, Abha, Saudi Arabia
- Tropical Health Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt
| | - Eman Anwar Sultan
- Community Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Mahmoud A Hassaan
- Institute of Graduate Studies and Research, Alexandria University, Alexandria, Egypt
| | - Mohamed Anwar Mahgoub
- Department of Microbiology, High Institute of Public Health, Alexandria University, Alexandria, Egypt
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15
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Editorial: Time to Treat the Climate and Nature Crisis as One Indivisible Global Health Emergency. J Gen Intern Med 2024:10.1007/s11606-024-08634-9. [PMID: 38528234 DOI: 10.1007/s11606-024-08634-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/27/2024]
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review, Sheffield, England
| | - Virginia Barbour
- Editor-in-Chief, Medical Journal of Australia, Strawberry Hills, Australia
| | - Thomas Benfield
- Editor-in-Chief, Danish Medical Journal, Copenhagen, Denmark
| | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine, Cape Town, South Africa
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal, Nairobi, Kenya
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16
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Muhummed AM, Alemu A, Maidane YO, Tschopp R, Hattendorf J, Vonaesch P, Zinsstag J, Cissé G. Knowledge, Attitudes, and Practices of Rural Communities Regarding Antimicrobial Resistance and Climate Change in Adadle District, Somali Region, Ethiopia: A Mixed-Methods Study. Antibiotics (Basel) 2024; 13:292. [PMID: 38666968 PMCID: PMC11047595 DOI: 10.3390/antibiotics13040292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2024] [Revised: 03/15/2024] [Accepted: 03/19/2024] [Indexed: 04/29/2024] Open
Abstract
There is an urgent need for interventions in addressing the rapid and disproportionate impact of antimicrobial resistance (AMR) and climate change (CC) on low- and middle-income countries. Within this context, it is important to understand indigenous knowledge in rural communities, which are highly affected. This study examined knowledge, attitude, and practices (KAP) regarding AMR and CC in the Adadle district, Somali region, Ethiopia, utilizing mixed methods, including 362 surveys and 12 focus group discussions among rural communities. Findings showed that 39% and 63% of participants were familiar with AMR and CC, respectively. Of those surveyed, 57% attributed AMR to inappropriate antimicrobial use in animals and humans, while CC was often associated with Allah/God. Multivariable analysis indicated that males exhibited superior knowledge and a positive attitude towards AMR and CC. Additionally, individuals aged 26-35 and 36-45 years showed heightened awareness of AMR and CC, respectively. Moreover, participants who were government employees, pastoralists, and business owners showed better knowledge on CC compared to family caretaker. Religious education and households with more than six members were linked to lower AMR knowledge. This study underlines a greater awareness of CC than AMR and highlights gender-based disparities, recommending integrated educational AMR programs targeting different demographics through a One Health lens, actively involving females, and incorporating local beliefs and practices.
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Affiliation(s)
- Abdifatah Muktar Muhummed
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
- Institute of Health Science, Jigjiga University, Jigjiga P.O. Box 1020, Ethiopia
| | - Ashenafi Alemu
- Armauer Hansen Research Institute, Addis Ababa P.O. Box 1005, Ethiopia
| | - Yahya Osman Maidane
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
- Institute of Health Science, Jigjiga University, Jigjiga P.O. Box 1020, Ethiopia
| | - Rea Tschopp
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
- Armauer Hansen Research Institute, Addis Ababa P.O. Box 1005, Ethiopia
| | - Jan Hattendorf
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Pascale Vonaesch
- Department of Fundamental Microbiology, University of Lausanne, UNIL-Sorge, 1015 Lausanne, Switzerland
| | - Jakob Zinsstag
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Guéladio Cissé
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
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17
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Erhabor GE, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Cutan Ocul Toxicol 2024; 43:1-4. [PMID: 38452360 DOI: 10.1080/15569527.2023.2276593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2023]
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
| | - Chris Zielinski
- President-elect, World Association of Medical Editors, Winchester, UK
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18
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Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Frontline Gastroenterol 2024; 15:e2. [PMID: 38486667 PMCID: PMC10935517 DOI: 10.1136/flgastro-2023-102569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 10/13/2023] [Indexed: 03/17/2024] Open
Affiliation(s)
- Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
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19
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Erhabor GE, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to Treat the Climate and Nature Crisis as One Indivisible Global Health Emergency. New Bioeth 2024; 30:4-9. [PMID: 38842137 DOI: 10.1080/20502877.2023.2276508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
| | - Chris Zielinski
- President-elect, World Association of Medical Editors, Winchester, UK
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20
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. J Public Health Policy 2024:10.1057/s41271-023-00453-2. [PMID: 38378835 DOI: 10.1057/s41271-023-00453-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Affiliation(s)
| | | | | | | | | | | | | | | | - Robert Mash
- Division of Family Medicine and Primary Care, Stellenbosch University, Stellenbosch, South Africa
| | | | | | - Paul Yonga
- CA Medlynks Medical Centre and Laboratory, Nairobi, Kenya
| | - Chris Zielinski
- University of Winchester, Winchester, UK.
- World Association of Medical Editors, Bellagio, Italy.
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21
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McDougall FK, Speight N, Funnell O, Boardman WSJ, Power ML. Dynamics of Antimicrobial Resistance Carriage in Koalas (Phascolarctos Cinereus) and Pteropid Bats (Pteropus Poliocephalus) Before, During and After Wildfires. MICROBIAL ECOLOGY 2024; 87:39. [PMID: 38332161 PMCID: PMC10853082 DOI: 10.1007/s00248-024-02351-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 01/18/2024] [Indexed: 02/10/2024]
Abstract
In the 2019-2020 summer, wildfires decimated the Australian bush environment and impacted wildlife species, including koalas (Phascolarctos cinereus) and grey headed flying fox pups (Pteropid bats, Pteropus poliocephalus). Consequently, hundreds of koalas and thousands of bat pups entered wildlife hospitals with fire-related injuries/illness, where some individuals received antimicrobial therapy. This study investigated the dynamics of antimicrobial resistance (AMR) in pre-fire, fire-affected and post-fire koalas and Pteropid bat pups. PCR and DNA sequencing were used to screen DNA samples extracted from faeces (koalas and bats) and cloacal swabs (koalas) for class 1 integrons, a genetic determinant of AMR, and to identify integron-associated antibiotic resistance genes. Class 1 integrons were detected in 25.5% of koalas (68 of 267) and 59.4% of bats (92 of 155). Integrons contained genes conferring resistance to aminoglycosides, trimethoprim and beta-lactams. Samples were also screened for blaTEM (beta-lactam) resistance genes, which were detected in 2.6% of koalas (7 of 267) and 25.2% of bats (39 of 155). Integron occurrence was significantly higher in fire-affected koalas in-care compared to wild pre-fire koalas (P < 0.0001). Integron and blaTEM occurrence were not significantly different in fire-affected bats compared to pre-fire bats (P > 0.05), however, their occurrence was significantly higher in fire-affected bats in-care compared to wild fire-affected bats (P < 0.0001 and P = 0.0488 respectively). The observed shifts of AMR dynamics in wildfire-impacted species flags the need for judicious antibiotic use when treating fire-affected wildlife to minimise unwanted selective pressure and negative treatment outcomes associated with carriage of resistance genes and antibiotic resistant bacteria.
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Affiliation(s)
- Fiona K McDougall
- School of Natural Sciences, Faculty of Science and Engineering, Macquarie University, Sydney, NSW, 2109, Australia.
| | - Natasha Speight
- School of Animal and Veterinary Sciences, Faculty of Sciences, Engineering and Technology, University of Adelaide, Roseworthy, SA, 5371, Australia
| | - Oliver Funnell
- Zoos South Australia, Frome Rd, Adelaide, SA, 5001, Australia
| | - Wayne S J Boardman
- School of Animal and Veterinary Sciences, Faculty of Sciences, Engineering and Technology, University of Adelaide, Roseworthy, SA, 5371, Australia
| | - Michelle L Power
- School of Natural Sciences, Faculty of Science and Engineering, Macquarie University, Sydney, NSW, 2109, Australia
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22
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Erhabor GE, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Acta Clin Belg 2024; 79:1-4. [PMID: 38166708 DOI: 10.1080/17843286.2023.2276496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2023]
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
| | - Chris Zielinski
- President-elect, World Association of Medical Editors, Winchester, UK
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23
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Contraception 2024; 130:110326. [PMID: 38164949 DOI: 10.1016/j.contraception.2023.110326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2023]
Affiliation(s)
| | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine
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24
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Fieldman T, Mossialos E, Anderson M. Enhancing global insight into AMR spread and generation: prospects and limitations of the WHO and quadripartite research agendas. J Antimicrob Chemother 2024; 79:207-210. [PMID: 38153237 DOI: 10.1093/jac/dkad393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2023] Open
Abstract
In Summer 2023, the World Health Organisation (WHO) and the Food and Agriculture Organization of the United Nations (FAO)-United Nations Environment Programme (UNEP) WHO-World Organisation for Animal Health (OIE) Quadripartite published two separate research agendas on antimicrobial resistance (AMR). While the publication of these research agendas on AMR creates a significant opportunity to align research priorities internationally, we emphasize a number of limitations. Firstly, the production of two separate AMR research agendas, in human health and One Health, rather than one integrated research agenda, risks the continued deprioritization of the One Health agenda. Furthermore, neither research agenda addressed the need to study the relationship between climate change and AMR despite growing evidence to suggest this may be significant. Finally, there are also missed opportunities in directing the study of appropriate treatment regimens and in clarifying the overall most resource-efficient path to combatting AMR. Moving forward, the international research agenda for AMR needs to be continually redefined in an inclusive, transparent and independent manner. This could be the task of the proposed, but so far not realized, Independent Panel on Evidence for Action against AMR.
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Affiliation(s)
- Thomas Fieldman
- Department of Clinical Microbiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK
- Department of Health Policy, London School of Economics and Political Science, London WC2A 2AE, UK
| | - Elias Mossialos
- Department of Health Policy, London School of Economics and Political Science, London WC2A 2AE, UK
| | - Michael Anderson
- Department of Health Policy, London School of Economics and Political Science, London WC2A 2AE, UK
- Health Organisation, Policy, Economics (HOPE), Centre for Primary Care & Health Services Research, The University of Manchester, Manchester M13 9PL, UK
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25
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to Treat the Climate and Nature Crisis as One Indivisible Global Health Emergency. Curr Environ Health Rep 2024:10.1007/s40572-023-00426-3. [PMID: 38280132 DOI: 10.1007/s40572-023-00426-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2024]
Affiliation(s)
| | - Parveen Ali
- Division of Nursing and Midwifery Health Sciences School, Sheffield, UK
| | | | | | | | | | | | | | - Robert Mash
- Division of Family Medicine and Primary Care, Stellenbosch University, Stellenbosch, South Africa
| | - Peush Sahni
- All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | | | - Paul Yonga
- CA Medlynks Medical Centre and Laboratory, Nairobi, Kenya
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26
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Desai A, Mahajan V, Ramabhadran RO, Mukherjee R. Binding order of substrate and cofactor in sulfonamide monooxygenase during sulfa drug degradation: in silico studies. J Biomol Struct Dyn 2024:1-15. [PMID: 38263732 DOI: 10.1080/07391102.2024.2306495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 01/10/2024] [Indexed: 01/25/2024]
Abstract
For decades, sulfonamide antibiotics have been used across industries such as agriculture and animal husbandry. However, the use and inadvertent misuse of these antibiotics have resulted in the advent of sulfonamide-drug-resistant strains due to antibiotic pollution. Enzymatic bioremediation of antibiotics remains a potential emerging solution to combat antibiotic pollution. Here, we propose an enzymatic model for the degradation of sulfonamides by Microbacterium sp. We have employed a multi-pronged computational strategy involving - protein structure modelling, ligand docking and molecular dynamics simulations to decipher a plausible binding order for the enzymatic degradation of sulfonamides by the bacterial sulfonamide monooxygenase, SulX. Our results enable us to predict that this degradation is achieved through the sequential binding of the antibiotic sulfonamide followed by the reduced flavin cofactor FMNH2, thereby laying the computational foundation for further advancements in enzyme-mediated degradation of the antibiotic. We also provide a list of experiments which may be performed to verify and follow-up on our in-silico studies.Communicated by Ramaswamy H. Sarma.
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Affiliation(s)
- Amogh Desai
- Department of Biology, Indian Institute of Science Education and Research Tirupati, Tirupati, India
| | - Ved Mahajan
- Department of Chemistry, Indian Institute of Science Education and Research Tirupati, Tirupati, India
| | - Raghunath O Ramabhadran
- Department of Chemistry, Indian Institute of Science Education and Research Tirupati, Tirupati, India
| | - Raju Mukherjee
- Department of Biology, Indian Institute of Science Education and Research Tirupati, Tirupati, India
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27
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. BMC Public Health 2024; 24:141. [PMID: 38200499 DOI: 10.1186/s12889-023-17225-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2024] Open
Affiliation(s)
| | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
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28
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Saibu S, Uhanie Perera I, Suzuki S, Rodó X, Fujiyoshi S, Maruyama F. Resistomes in freshwater bioaerosols and their impact on drinking and recreational water safety: A perspective. ENVIRONMENT INTERNATIONAL 2024; 183:108377. [PMID: 38103344 DOI: 10.1016/j.envint.2023.108377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Revised: 12/07/2023] [Accepted: 12/07/2023] [Indexed: 12/19/2023]
Abstract
Antibiotic resistance genes (ARGs) are widespread environmental pollutants of biological origin that pose a significant threat to human, animal, and plant health, as well as to ecosystems. ARGs are found in soil, water, air, and waste, and several pathways for global dissemination in the environment have been described. However, studies on airborne ARG transport through atmospheric particles are limited. The ARGs in microorganisms inhabiting an environment are referred to as the "resistome". A global search was conducted of air-resistome studies by retrieving bioaerosol ARG-related papers published in the last 30 years from PubMed. We found that there is no dedicated methodology for isolating ARGs in bioaerosols; instead, conventional methods for microbial culture and metagenomic analysis are used in combination with standard aerosol sampling techniques. There is a dearth of information on the bioaerosol resistomes of freshwater environments and their impact on freshwater sources used for drinking and recreational activities. More studies of aerobiome freshwater environments are needed to ensure the safe use of water and sanitation. In this review we outline and synthesize the few studies that address the freshwater air microbiome (from tap water, bathroom showers, rivers, lakes, and swimming pools) and their resistomes, as well as the likely impacts on drinking and recreational waters. We also discuss current knowledge gaps for the freshwater airborne resistome. This review will stimulate new investigations of the atmospheric microbiome, particularly in areas where both air and water quality are of public health concern.
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Affiliation(s)
- Salametu Saibu
- Department of Microbiology, Lagos State University of Ojo, Lagos, Nigeria
| | - Ishara Uhanie Perera
- Section of Microbial Genomics and Ecology, Planetary Health and Innovation Science Center (PHIS), The IDEC Institute, Hiroshima University, Japan
| | - Satoru Suzuki
- Graduate School of Science and Engineering, Center for Marine Environmental Studies, Ehime University, Japan
| | - Xavier Rodó
- ICREA and CLIMA Program, Barcelona Institute for Global Health (-ISGlobal), Barcelona, Spain
| | - So Fujiyoshi
- Section of Microbial Genomics and Ecology, Planetary Health and Innovation Science Center (PHIS), The IDEC Institute, Hiroshima University, Japan
| | - Fumito Maruyama
- Section of Microbial Genomics and Ecology, Planetary Health and Innovation Science Center (PHIS), The IDEC Institute, Hiroshima University, Japan.
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29
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Int J Gynaecol Obstet 2024; 164:3-5. [PMID: 37969028 DOI: 10.1002/ijgo.15251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2023]
Affiliation(s)
| | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
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30
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Shehab A, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Equine Vet J 2024; 56:9-11. [PMID: 37935455 DOI: 10.1111/evj.14025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 10/24/2023] [Indexed: 11/09/2023]
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review
| | | | | | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India
| | | | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal
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31
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Erhabor GE, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to Treat the Climate and Nature Crisis as One Indivisible Global Health Emergency. Ecol Food Nutr 2024; 63:1-7. [PMID: 38265035 DOI: 10.1080/03670244.2023.2276982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2023]
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
| | - Chris Zielinski
- President-elect, World Association of Medical Editors, Winchester, UK
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32
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Aust J Rural Health 2023. [PMID: 38160445 DOI: 10.1111/ajr.13074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 11/22/2023] [Indexed: 01/03/2024] Open
Affiliation(s)
| | - Parveen Ali
- Gender Based Violence, Sheffield, UK
- Health Sciences School, University of Sheffield, Sheffield, UK
- Doncaster and Bassetlaw Teaching Hospitals, Doncaster, UK
- Sheffield University Interpersonal Violence Research Group, Sheffield, UK
| | - Virginia Barbour
- Medical Journal of Australia Lead, Sheffield Medical Journal of Australia, Brisbane, Queensland, Australia
| | | | | | | | | | | | - Robert Mash
- Division of Family Medicine and Primary Care, Stellenbosch University, Stellenbosch, South Africa
- African Journal of Primary Health Care and Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- MBBS (All India Institute of Medical Sciences [AIIMS], New Delhi), New Delhi, India
| | - Wadeia Mohammad Sharief
- Medical Education & Research Department, Dubai Health Authority, Dubai, United Arab Emirates
- Emirates Family Medicine Society, Dubai, United Arab Emirates
- Family Medicine Scientific Council, Arab Board of Health Specialization, Dubai, United Arab Emirates
| | - Paul Yonga
- CA Medlynks Medical Centre and Laboratory; East African Medical Journal, Nairobi, Kenya
| | - Chris Zielinski
- University of Winchester, Winchester, UK
- World Association of Medical Editors, Winchester, UK
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33
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency†. J Am Med Inform Assoc 2023; 31:10-12. [PMID: 37880188 PMCID: PMC10746306 DOI: 10.1093/jamia/ocad206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2023] [Indexed: 10/27/2023] Open
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review
| | | | | | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India
| | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal
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34
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency†. Eur Heart J Cardiovasc Imaging 2023; 25:6-7. [PMID: 37880858 PMCID: PMC10735277 DOI: 10.1093/ehjci/jead256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2023] Open
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review
| | | | | | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India
| | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal
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35
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency †. EUROPEAN HEART JOURNAL. ACUTE CARDIOVASCULAR CARE 2023; 12:807-808. [PMID: 37880824 PMCID: PMC10734671 DOI: 10.1093/ehjacc/zuad124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review
| | | | | | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India
| | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal
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36
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Editorial: Time to treat the climate and nature crisis as one indivisible global health emergency. Nutr Diet 2023. [PMID: 38126581 DOI: 10.1111/1747-0080.12854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 10/26/2023] [Indexed: 12/23/2023]
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review
| | | | | | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India
| | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal
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37
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Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. BMJ LEADER 2023; 7:237-238. [PMID: 37863643 DOI: 10.1136/leader-2023-000926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 10/13/2023] [Indexed: 10/22/2023]
Affiliation(s)
- Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
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38
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Erhabor GE, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Proc AMIA Symp 2023; 37:169-171. [PMID: 38173999 PMCID: PMC10761043 DOI: 10.1080/08998280.2023.2276499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2024] Open
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
| | - Chris Zielinski
- resident-elect, World Association of Medical Editors, Winchester, UK
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39
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. mSphere 2023; 8:e0062323. [PMID: 38064426 DOI: 10.1128/msphere.00623-23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2023] Open
Affiliation(s)
| | - Parveen Ali
- International Nursing Review, Sheffield, United Kingdom
| | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care & Family Medicine, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal, Nairobi, Kenya
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40
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Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. J Neurointerv Surg 2023; 16:e1. [PMID: 37880143 DOI: 10.1136/jnis-2023-021135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2023] [Indexed: 10/27/2023]
Affiliation(s)
- Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
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41
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Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. MEDICAL HUMANITIES 2023; 49:563-564. [PMID: 37880084 DOI: 10.1136/medhum-2023-012832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/13/2023] [Indexed: 10/27/2023]
Affiliation(s)
- Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
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42
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency†. INTERNATIONAL JOURNAL OF PHARMACY PRACTICE 2023; 31:571-573. [PMID: 37880163 DOI: 10.1093/ijpp/riad069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review
| | | | | | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India
| | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal
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43
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Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Br J Ophthalmol 2023; 108:3-4. [PMID: 37879959 DOI: 10.1136/bjo-2023-324764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Affiliation(s)
- Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
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44
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Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Thorax 2023; 79:1-2. [PMID: 37879903 DOI: 10.1136/thorax-2023-221080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2023] [Indexed: 10/27/2023]
Affiliation(s)
- Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
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45
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Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. J Neurol Neurosurg Psychiatry 2023; 95:e1. [PMID: 37879896 DOI: 10.1136/jnnp-2023-332812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 10/16/2023] [Indexed: 10/27/2023]
Affiliation(s)
- Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
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46
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Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Arch Dis Child 2023; 109:e1. [PMID: 37879854 DOI: 10.1136/archdischild-2023-326466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Affiliation(s)
- Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
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47
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton RC, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency. Med J Aust 2023; 219:530-532. [PMID: 37885092 DOI: 10.5694/mja2.52148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 10/10/2023] [Indexed: 10/28/2023]
Affiliation(s)
| | - Parveen Ali
- International Nursing Review , Sheffield, UK
- University of Sheffield, Sheffield, UK
| | | | | | | | | | | | | | - Robert Mash
- African Journal of Primary Health Care and Family Medicine , Cape Town, South Africa
- Stellenbosch University, Stellenbosch, South Africa
| | - Peush Sahni
- National Medical Journal of India , New Delhi, India
- All India Institute of Medical Sciences, New Delhi, India
| | | | - Paul Yonga
- East African Medical Journal , Nairobi, Kenya
- CA Medlynks Medical Centre and Laboratory, Nairobi, Kenya
| | - Chris Zielinski
- Centre for Global Health, University of Winchester, Winchester, UK
- World Association of Medical Editors, Winchester, UK
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48
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency†. J Pharm Pharmacol 2023; 75:1493-1495. [PMID: 37880162 DOI: 10.1093/jpp/rgad092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review
| | | | | | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India
| | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal
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49
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Abbasi K, Ali P, Barbour V, Benfield T, Bibbins-Domingo K, Hancocks S, Horton R, Laybourn-Langton L, Mash R, Sahni P, Sharief WM, Yonga P, Zielinski C. Time to treat the climate and nature crisis as one indivisible global health emergency†. Neuro Oncol 2023; 25:2111-2113. [PMID: 37880192 PMCID: PMC10708929 DOI: 10.1093/neuonc/noad196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023] Open
Affiliation(s)
| | - Parveen Ali
- Editor-in-Chief, International Nursing Review
| | | | | | | | | | | | | | - Robert Mash
- Editor-in-Chief, African Journal of Primary Health Care & Family Medicine
| | - Peush Sahni
- Editor-in-Chief, National Medical Journal of India
| | | | - Paul Yonga
- Editor-in-Chief, East African Medical Journal
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50
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Vitale M. Antibiotic Resistance: Do We Need Only Cutting-Edge Methods, or Can New Visions Such as One Health Be More Useful for Learning from Nature? Antibiotics (Basel) 2023; 12:1694. [PMID: 38136728 PMCID: PMC10740918 DOI: 10.3390/antibiotics12121694] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 11/30/2023] [Accepted: 12/01/2023] [Indexed: 12/24/2023] Open
Abstract
Antibiotic resistance is an increasing global problem for public health, and focusing on biofilms has provided further insights into resistance evolution in bacteria. Resistance is innate in many bacterial species, and many antibiotics are derived from natural molecules of soil microorganisms. Is it possible that nature can help control AMR diffusion? In this review, an analysis of resistance mechanisms is summarized, and an excursus of the different approaches to challenging resistance spread based on natural processes is presented as "lessons from Nature". On the "host side", immunotherapy strategies for bacterial infections have a long history before antibiotics, but continuous new inputs through biotechnology advances are enlarging their applications, efficacy, and safety. Antimicrobial peptides and monoclonal antibodies are considered for controlling antibiotic resistance. Understanding the biology of natural predators is providing new, effective, and safe ways to combat resistant bacteria. As natural enemies, bacteriophages were used to treat severe infections before the discovery of antibiotics, marginalized during the antibiotic era, and revitalized upon the diffusion of multi-resistance. Finally, sociopolitical aspects such as education, global action, and climate change are also considered as important tools for tackling antibiotic resistance from the One Health perspective.
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Affiliation(s)
- Maria Vitale
- Genetics of Microorganisms Laboratory, Molecular Biology Department, Istituto Zooprofilattico Sperimentale della Sicilia "A. Mirri", 90129 Palermo, Italy
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