Twenty-year trends in antimicrobial resistance from aquaculture and fisheries in Asia

被引:118
作者
Schar, Daniel [1 ]
Zhao, Cheng [2 ]
Wang, Yu [2 ]
Larsson, D. G. Joakim [3 ,4 ]
Gilbert, Marius [1 ,5 ]
Van Boeckel, Thomas P. [2 ,6 ]
机构
[1] Univ Libre Bruxelles, Spatial Epidemiol Lab, Brussels, Belgium
[2] Swiss Fed Inst Technol, Inst Environm Decis, Zurich, Switzerland
[3] Univ Gothenburg, Ctr Antibiot Resistance Res, Gothenburg, Sweden
[4] Univ Gothenburg, Inst Biomed, Dept Infect Dis, Gothenburg, Sweden
[5] Fonds Natl Rech Sci, Brussels, Belgium
[6] Ctr Dis Dynam Econ & Policy, New Delhi, India
基金
瑞士国家科学基金会;
关键词
ANTIBIOTIC-RESISTANCE; VIBRIO-PARAHAEMOLYTICUS; ESCHERICHIA-COLI; BACTERIA; QUALITY; GENES; FISH;
D O I
10.1038/s41467-021-25655-8
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Trends in antimicrobial resistance (AMR) in aquatic food animals are seldom documented, particularly in Asia. Here, Schar et al. review 749 point prevalence surveys, describing AMR trends in Asian aquaculture and fisheries over two decades, and identifying resistance hotspots as well as regions that would benefit most from future surveillance efforts. Antimicrobial resistance (AMR) is a growing threat to human and animal health. However, in aquatic animals-the fastest growing food animal sector globally-AMR trends are seldom documented, particularly in Asia, which contributes two-thirds of global food fish production. Here, we present a systematic review and meta-analysis of 749 point prevalence surveys reporting antibiotic-resistant bacteria from aquatic food animals in Asia, extracted from 343 articles published in 2000-2019. We find concerning levels of resistance to medically important antimicrobials in foodborne pathogens. In aquaculture, the percentage of antimicrobial compounds per survey with resistance exceeding 50% (P50) plateaued at 33% [95% confidence interval (CI) 28 to 37%] between 2000 and 2018. In fisheries, P50 decreased from 52% [95% CI 39 to 65%] to 22% [95% CI 14 to 30%]. We map AMR at 10-kilometer resolution, finding resistance hotspots along Asia's major river systems and coastal waters of China and India. Regions benefitting most from future surveillance efforts are eastern China and India. Scaling up surveillance to strengthen epidemiological evidence on AMR and inform aquaculture and fisheries interventions is needed to mitigate the impact of AMR globally.
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页数:10
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