旅游业和抗生素耐药性疾病的全球传播:哪些国家受到影响最大?
Peter Collignon1,2, John J Beggs3
1Canberra Hospital, Garran, ACT 2605, Australia.
Antibiotics (Basel, Switzerland)
|November 27, 2025
概括
游客可以在全球范围内传播抗菌素耐药性 (AMR) 细菌. 欧洲和加勒比地区的旅游影响最大,需要环境和公共卫生战略来控制.
科学领域:
- 微生物学 微生物学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 国际旅行者经常携带抗菌素耐药性 (AMR) 细菌.
- 环境因素,特别是水,在AMR细菌的传播中起着重要作用.
- 旅游业对AMR细菌传播的全球影响尚不清楚.
研究的目的:
- 为了量化与旅行者相关的AMR细菌传播的影响.
- 为了确定由于旅游业而受到AMR细菌影响最大的地区和国家.
- 为控制AMR的全球传播提供公共卫生政策的信息.
主要方法:
- 利用了2019年的旅行和抗菌素耐药性数据,比COVID-19中断更早.
- 使用世卫组织和出版物数据,估计大肠杆菌对第三代化素耐药性的流行率.
- 采用重力式旅行分布模型来估计全球旅行模式,并为241个国家计算区域/国家级AMR影响指数.
主要成果:
- 北欧和西欧显示出返回旅行者的AMR影响最高.
- 加勒比地区经历了来自访问旅行者的AMR影响最高,这与小岛屿国家的高访客人数有关.
- 在人口超过500万的地区,香港,丹麦,新西兰,匈牙利,挪威和瑞典面临AMR细菌传播影响最高.
结论:
- 在一些国家,旅行者中的抗菌素感染率明显高于当地人口.
- 旅行者在环境中获得AMR细菌必须在公共卫生战略中考虑.
- 将这些发现整合到"一个健康"的方法中,对于制全球AMR传播至关重要.
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