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Updated: Aug 24, 2025

Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
Antimicrobial Resistance and Its Drivers-A Review
Mohammad Irfan1, Alhomidi Almotiri1, Zeyad Abdullah AlZeyadi1
1Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, Shaqra University, Ad Dawadmi 17464, Saudi Arabia.
Antimicrobial resistance (AMR) is a growing global threat impacting human health, livestock, agriculture, and ecosystems. Addressing AMR requires understanding its environmental spread and implementing comprehensive mitigation strategies.
Area of Science:
- Environmental science
- Public health
- Microbiology
Background:
- Antimicrobial resistance (AMR) poses significant risks to healthcare, including mortality and financial burdens.
- The spread of AMR is influenced by human, livestock, agricultural, and ecosystem factors.
- Sociocultural and financial practices complicate AMR management globally.
Purpose of the Study:
- To review the development processes of AMR.
- To examine the global burden and drivers of AMR.
- To identify knowledge gaps, monitoring methods, and mitigation strategies for AMR in the environment.
Main Methods:
- Literature review of AMR development, spread, and control.
- Analysis of environmental pathways for AMR transmission (e.g., hospital effluent, agricultural waste).
- Examination of antibiotic overuse and wastewater management's role.
Main Results:
- Identified multiple environmental pathways contributing to AMR spread.
- Highlighted the role of uncontrolled antibiotic use and wastewater.
- Noted that healthcare organizations are in early stages of addressing AMR.
Conclusions:
- Effective AMR management necessitates a One Health approach considering all four domains.
- Environmental surveillance and integrated mitigation strategies are crucial.
- Further research is needed to fill knowledge gaps in AMR monitoring and control.
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