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Updated: Jun 30, 2026

Application of the Intelligent High-Throughput Antimicrobial Sensitivity Testing/Phage Screening System and Lar Index of Antimicrobial Resistance
Published on: July 21, 2023
Apramycin resistance in bacteria isolated from animals: A systematic review and meta-analysis
J Scott Weese1, Heather E Weese1
1Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, Ontario (J. Weese); Moffat, Ontario (H. Weese).
Objective:
To identify and assess published data pertaining to apramycin resistance in bacteria isolated from animals, in order to inform discussions related to the potential repurposing of apramycin for use in humans.
Animals And Procedure:
We conducted a systematic review and meta-analysis of studies that reported apramycin susceptibility testing in bacteria from animals.
Results:
Seventy-three references were included. Apramycin resistance was uncommon in Escherichia coli and Salmonella from healthy pigs, poultry, and cattle, with overall pooled prevalences of 7% (95% confidence interval: 2 to 13%) for E. coli and 4% (1 to 17%) for Salmonella. In diseased animals, apramycin resistance was 27% (20 to 33%) in E. coli and 7% (4 to 11%) in Salmonella. Apramycin exposure was associated with a relative risk of apramycin resistance of 3.22 (95% confidence interval: 1.79 to 5.78).
Conclusion And Clinical Relevance:
The low overall resistance rates, despite decades of apramycin use, are encouraging. However, the apparent increase over time for E. coli and the limited available data regarding the effect of apramycin use on apramycin resistance highlight the gaps in evidence and challenges in interpreting the role of apramycin use in apramycin resistance of human or animal pathogens.
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