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家畜、环境和人类中的抗生素耐药性:“同一健康”视角

Antibiotic resistance in livestock, environment and humans: One Health perspective.

作者信息

Pandey Sriniwas, Doo Hyunok, Keum Gi Beom, Kim Eun Sol, Kwak Jinok, Ryu Sumin, Choi Yejin, Kang Juyoun, Kim Sheena, Lee Na Rae, Oh Kwang Kyo, Lee Ju-Hoon, Kim Hyeun Bum

机构信息

Department of Animal Biotechnology, Dankook University, Cheonan 31116, Korea.

Microbial Safety Division, National Institute of Agricultural Sciences, Rural Development Administration, Wanju 55365, Korea.

出版信息

J Anim Sci Technol. 2024 Mar;66(2):266-278. doi: 10.5187/jast.2023.e129. Epub 2024 Mar 31.

Abstract

Antibiotic resistance (AR) is a complex, multifaceted global health issue that poses a serious threat to livestock, humans, and the surrounding environment. It entails several elements and numerous potential transmission routes and vehicles that contribute to its development and spread, making it a challenging issue to address. AR is regarded as an One Health issue, as it has been found that livestock, human, and environmental components, all three domains are interconnected, opening up channels for transmission of antibiotic resistant bacteria (ARB). AR has turned out to be a critical problem mainly because of the overuse and misuse of antibiotics, with the anticipation of 10 million annual AR-associated deaths by 2050. The fact that infectious diseases induced by ARB are no longer treatable with antibiotics foreshadows an uncertain future in the context of health care. Hence, the One Health approach should be emphasized to reduce the impact of AR on livestock, humans, and the environment, ensuring the longevity of the efficacy of both current and prospective antibiotics.

摘要

抗生素耐药性(AR)是一个复杂、多层面的全球健康问题,对家畜、人类和周围环境构成严重威胁。它涉及多个因素以及众多潜在的传播途径和载体,这些都促使其产生和传播,使其成为一个难以解决的问题。AR被视为一个“同一健康”问题,因为研究发现家畜、人类和环境这三个领域相互关联,为抗生素耐药菌(ARB)的传播开辟了渠道。AR已成为一个关键问题,主要是由于抗生素的过度使用和滥用,预计到2050年每年将有1000万人死于与AR相关的疾病。由ARB引起的传染病不再能用抗生素治疗这一事实预示着医疗保健领域的未来充满不确定性。因此,应强调“同一健康”方法,以减少AR对家畜、人类和环境的影响,确保当前和未来抗生素疗效的持久性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbc/11016740/a17ef71897d4/jast-66-2-266-g1.jpg

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