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Environment international v.110, 2018년, pp.160 - 172   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Review of antibiotic resistance in China and its environment

Qiao, Min (State Key Lab of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China ) ; Ying, Guang-Guo (State Key Laboratory of Organic Geochemistry, Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640, China ) ; Singer, Andrew C. (NERC Centre for Ecology & Hydrology, Wallingford OX10 8BB, United Kingdom ) ; Zhu, Yong-Guan (State Key Lab of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China ) ;
  • 초록  

    Abstract Antibiotic resistance is a global health crisis linked to increased, and often unrestricted, antibiotic use in humans and animals. As one of the world's largest producers and consumers of antibiotics, China is witness to some of the most acute symptoms of this crisis. Antibiotics and antibiotic resistance genes (ARGs) are widely distributed in surface water, sewage treatment plant effluent, soils and animal wastes. The emergence and increased prevalence of ARGs in the clinic/hospitals, especially carbapenem-resistant gram negative bacteria, has raised the concern of public health officials. It is important to understand the current state of antibiotic use in China and its relationship to ARG prevalence and diversity in the environment. Here we review these relationships and their relevance to antimicrobial resistance (AMR) trends witnessed in the clinical setting. This review highlights the issues of enrichment and dissemination of ARGs in the environment, and also future needs in mitigating the spread of antibiotic resistance in the environment, particularly under the ‘planetary health’ perspective, i.e., the systems that sustain or threaten human health. Highlights Antibiotics and ARGs are widely distributed in environment media in China. Antibiotic resistance varies geographically in China. Strategies to mitigate the spread of antibiotic resistance are suggested. Graphical abstract [DISPLAY OMISSION]


  • 주제어

    Antibiotics .   Antibiotic resistance gene .   Environment .   Clinical setting .   Planetary health.  

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