Animal Antibiotic Use Has an Early but Important Impact on the Emergence of Antibiotic Resistance in Human Commensal Bacteria

Antibiotic use is known to promote the development of antibiotic resistance, but substantial controversy exists about the impact of agricultural antibiotic use (AAU) on the subsequent emergence of antibiotic-resistant bacteria among humans. AAU for animal growth promotion or for treatment or control...

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Veröffentlicht in:Proceedings of the National Academy of Sciences - PNAS 2002-04, Vol.99 (9), p.6434-6439
Hauptverfasser: Smith, David L., Harris, Anthony D., Johnson, Judith A., Silbergeld, Ellen K., Morris, J. Glenn
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container_end_page 6439
container_issue 9
container_start_page 6434
container_title Proceedings of the National Academy of Sciences - PNAS
container_volume 99
creator Smith, David L.
Harris, Anthony D.
Johnson, Judith A.
Silbergeld, Ellen K.
Morris, J. Glenn
description Antibiotic use is known to promote the development of antibiotic resistance, but substantial controversy exists about the impact of agricultural antibiotic use (AAU) on the subsequent emergence of antibiotic-resistant bacteria among humans. AAU for animal growth promotion or for treatment or control of animal diseases generates reservoirs of antibiotic-resistant (AR) bacteria that contaminate animal food products. Mathematical models are an important tool for understanding the potential medical consequences of this increased exposure. We have developed a mathematical model to evaluate factors affecting the prevalence of human commensal AR bacteria that cause opportunistic infections (e.g., enterococci). Our analysis suggests that AAU hastens the appearance of AR bacteria in humans. Our model indicates that the greatest impact occurs very early in the emergence of resistance, when AR bacteria are rare, possibly below the detection limits of current surveillance methods.
doi_str_mv 10.1073/pnas.082188899
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subjects Agriculture
Algorithms
Animal Diseases - drug therapy
Animal Diseases - microbiology
Animals
Animals, Domestic - microbiology
Anti-Bacterial Agents - pharmacology
Antibiotics
Bacteria
Bacteria - metabolism
Bacterial Infections - microbiology
Biological Sciences
Commensals
Disease transmission
Drug resistance
Drug Resistance, Microbial
Drug Resistance, Multiple
Evolution
Health risk assessment
Human populations
Humans
Livestock
Mathematical models
Models, Theoretical
Population density
title Animal Antibiotic Use Has an Early but Important Impact on the Emergence of Antibiotic Resistance in Human Commensal Bacteria
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