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Updated: May 12, 2026

Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
Country-specific antibiotic use practices impact the human gut resistome
Kristoffer Forslund1, Shinichi Sunagawa, Jens Roat Kultima
1European Molecular Biology Laboratory, 69117 Heidelberg, Germany.
Abstract:
Despite increasing concerns over inappropriate use of antibiotics in medicine and food production, population-level resistance transfer into the human gut microbiota has not been demonstrated beyond individual case studies. To determine the "antibiotic resistance potential" for entire microbial communities, we employ metagenomic data and quantify the totality of known resistance genes in each community (its resistome) for 68 classes and subclasses of antibiotics. In 252 fecal metagenomes from three countries, we show that the most abundant resistance determinants are those for antibiotics also used in animals and for antibiotics that have been available longer. Resistance genes are also more abundant in samples from Spain, Italy, and France than from Denmark, the United States, or Japan. Where comparable country-level data on antibiotic use in both humans and animals are available, differences in these statistics match the observed resistance potential differences. The results are robust over time as the antibiotic resistance determinants of individuals persist in the human gut flora for at least a year.
Insights
Antibiotic resistance genes are widespread in the human gut microbiome, influenced by antibiotic use in animals and older drugs. These resistance determinants persist in the gut flora for over a year.
Area of Science:
- Microbiology
- Genomics
- Public Health
Background:
- Concerns exist regarding antibiotic misuse in medicine and agriculture.
- Population-level transfer of antibiotic resistance to the human gut microbiota remains understudied.
Purpose of the Study:
- To quantify the "antibiotic resistance potential" of microbial communities.
- To investigate the relationship between antibiotic use and the gut resistome.
Main Methods:
- Analysis of 252 fecal metagenomes.
- Quantification of known resistance genes across 68 antibiotic classes and subclasses.
Main Results:
- Abundance of resistance determinants correlates with antibiotic use in animals and drug availability duration.
- Higher resistance gene abundance observed in samples from Spain, Italy, and France compared to Denmark, USA, and Japan.
- Antibiotic resistance determinants in individuals persist in gut flora for at least one year.
Conclusions:
- Metagenomic analysis reveals significant antibiotic resistance potential in the human gut microbiome.
- Antibiotic use patterns in human and animal populations are linked to observed resistance levels.
- Gut antibiotic resistance is a stable, long-term phenomenon within individuals.
Related Concept Videos
Clinical Significance of Antibiotic Resistance
Development of Antibiotic Resistance
Mechanism of Antibiotic Resistance in MRSA
Antibiotic Selection
Introduction to the Human Microbiota
Microbiota of the Stomach and Small Intestine

