Risk assessment of antimicrobial resistance along the food chain through culture-independent methodologies

Insights

Antimicrobial resistance (AMR) is a global threat driven by antibiotic misuse. Advanced genomic surveillance methods like whole genome sequencing (WGS) and whole metagenome sequencing (WMS) are crucial for tracking AMR spread and informing public health strategies.

Area of Science:

  • Public Health
  • Microbiology
  • Genomics

Background:

  • Antimicrobial resistance (AMR) poses a significant global public health challenge, compromising the efficacy of life-saving treatments.
  • The emergence and spread of AMR are linked to the extensive use and misuse of antibiotics in human, animal, and plant health, as well as in agriculture.
  • Food processing environments are potential hotspots for AMR acquisition and dissemination, with factors like biocide use and food-related stresses acting as selection pressures.

Purpose of the Study:

  • To highlight the critical need for global antimicrobial resistance (AMR) surveillance.
  • To emphasize the limitations of traditional phenotypic methods in understanding AMR mechanisms and gene spread.
  • To introduce advanced genomic sequencing techniques as powerful tools for AMR surveillance and risk assessment.

Main Methods:

  • Review of current antimicrobial resistance (AMR) surveillance strategies.
  • Discussion of the limitations of phenotypic characterization of indicator microorganisms.
  • Introduction of whole genome sequencing (WGS) for bacterial pathogen surveillance and whole metagenome sequencing (WMS) for culture-independent analysis of microbial communities.

Main Results:

  • Traditional AMR surveillance methods provide limited insights into the genetic basis and spread of resistance.
  • Whole genome sequencing (WGS) offers powerful capabilities for epidemiological surveillance, outbreak detection, and infection control.
  • Whole metagenome sequencing (WMS) enables the detection of AMR genes in complex microbial communities without culturing.

Conclusions:

  • Genomic surveillance approaches, including WGS and WMS, are essential for comprehensive understanding and control of antimicrobial resistance (AMR).
  • These advanced methods provide critical data for quantitative risk assessment of AMR transmission routes, particularly along the food chain.
  • Implementing robust global AMR surveillance using genomic tools is vital for developing effective public health interventions and combating emerging threats.