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Summary
This summary is machine-generated.

Multiresistant pathogens like extended-spectrum-β-lactamase-producing (ESBL-E), carbapenemase-producing (CPE), and colistin-resistant Enterobacterales (Col-E) show varying zoonotic transmission. Animal contact impacts human colonization differently for each pathogen, necessitating One Health approaches.

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Area of Science:

  • Antimicrobial resistance
  • Zoonotic pathogens
  • One Health

Background:

  • Enterobacterales producing extended-spectrum β-lactamases (ESBL-E), carbapenemases (CPE), and colistin resistance (Col-E) are critical multiresistant pathogens.
  • These pathogens pose increasing challenges in both human and veterinary medicine.
  • Understanding zoonotic transmission between animals and humans is crucial for public health.

Purpose of the Study:

  • To review the frequency, sources, and significance of zoonotic transmission of ESBL-E, CPE, and Col-E.
  • To contextualize findings in Germany within a global perspective.
  • To inform prevention strategies for multiresistant Gram-negative pathogens.

Main Methods:

  • Selective literature search of pertinent publications.
  • Analysis of findings for Germany presented in a global context.

Main Results:

  • ESBL-E are common in Germany (6-10% human colonization), with human-to-human and zoonotic transmission significant.
  • CPE infections are rare in Germany, primarily due to nosocomial transmission in humans.
  • Col-E (mcr genes) found mainly in German food-producing animals; human colonization <2% in Europe, zoonotic relevance unclear.

Conclusions:

  • Livestock farming and animal contact influence human colonization with CPE, ESBL-E, and Col-E to varying degrees.
  • Multiresistant Gram-negative pathogens require integrated prevention strategies.
  • Joint efforts between human and veterinary medicine are essential for improved prevention.