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Updated: May 27, 2026

Testing the Role of Multicopy Plasmids in the Evolution of Antibiotic Resistance
Published on: May 2, 2018
[Selection and spreading of antibiotic resistance in bacteria]
Niels Frimodt-Møller1, Hans Jørn Kolmos
1Klinisk Mikrobiologisk Afdeling, Hvidovre Hospital, Kettegård Allé 30, 2650 Hvidovre, Denmark. niels.frimodt-moeller@hvh.regionh.dk
Abstract:
Use of an antibiotic may not only select for resistance against the agent itself, but may at the same time co-select for resistance against other antibiotics if resistance genes are linked on e.g. a plasmid. Resistance plasmids may also carry genes mediating resistance against metals and disinfectants. Therefore, abundant use of metals, e.g. copper and zinc for growth promotion in animals used for food, may also co-select for antibiotic resistance. The same applies to disinfectants, e.g. silver and chlorhexidine. Prudent use of antibiotics and these other agents is essential to control antibiotic resistance.
Insights
Antibiotic use can co-select for resistance to other drugs and agents like metals and disinfectants. Prudent use of all these substances is crucial for controlling antibiotic resistance.
Area of Science:
- Microbiology
- Molecular Biology
- Public Health
Context:
- Antibiotic resistance is a growing global health threat.
- Co-selection of resistance genes on mobile genetic elements like plasmids is a significant factor.
- Widespread use of metals and disinfectants in agriculture and healthcare is common.
Purpose:
- To highlight the phenomenon of co-selection in antibiotic resistance.
- To explain the role of plasmids in mediating co-selection.
- To emphasize the link between the use of antibiotics, metals, and disinfectants and the spread of resistance.
Summary:
- Antibiotic administration can inadvertently select for resistance to other antibiotics if resistance genes are linked on plasmids.
- These resistance plasmids can also confer resistance to heavy metals (e.g., copper, zinc) and disinfectants (e.g., silver, chlorhexidine).
- Consequently, the extensive use of metals for growth promotion in food animals and disinfectants in various settings can contribute to the co-selection of antibiotic resistance.
Impact:
- Understanding co-selection is vital for developing strategies to combat antibiotic resistance.
- Prudent use of antibiotics, metals, and disinfectants is essential to mitigate the spread of resistance.
- This research underscores the interconnectedness of antimicrobial use and the broader challenge of resistance.
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Published on: December 14, 2019
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