Natural recreational waters and the risk that exposure to antibiotic resistant bacteria poses to human health.
Natural recreational waters and the risk that exposure to antibiotic resistant bacteria poses to human health.
复制标题
天然休闲水域以及接触抗生素耐药细菌对人类健康造成的风险。
DOI：
10.1016/j.mib.2021.10.004
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发表时间：
2022
影响因子：
5.4
通讯作者：
Leonard AF
中科院分区：
文献类型：
--
作者：
Leonard AF
重点介绍沐浴沃茨中的抗生素耐药性细菌对人类健康构成威胁。目前的监测方法没有测试细菌的耐药性特征。建议在全球范围内采取协调一致的监测方法。抗生素耐药性（AMR）被广泛认为是对人类健康、福祉和繁荣的重大威胁。许多临床上重要的抗生素抗性基因被认为起源于自然环境。然而，人类、动物和环境之间复杂的相互作用使得环境AMR对健康的影响难以量化。这种叙述性审查的重点是目前的知识状态有关抗生素耐药菌（ARB）在自然洗澡沃茨和人类健康的影响。它考虑了最新的研究重点是ARB从洗澡沃茨传播到人类。讨论了现有证据的局限性以及研究优先事项。作者认为，未来的研究应包括粪便污染的洗澡沃茨和暴露于这些环境的人，以准确地参数化环境到人的传播。
HighlightsAntibiotic resistant bacteria in bathing waters pose a threat to human health.Current surveillance approaches do not test bacteria for resistance characteristics.A harmonised approach to surveillance globally is recommended.Antimicrobial resistance (AMR) is widely recognised as a considerable threat to human health, wellbeing and prosperity. Many clinically important antibiotic resistance genes are understood to have originated in the natural environment. However, the complex interactions between humans, animals and the environment makes the health implications of environmental AMR difficult to quantify. This narrative review focuses on the current state of knowledge regarding antibiotic resistant bacteria (ARB) in natural bathing waters and implications for human health. It considers the latest research focusing on the transmission of ARB from bathing waters to humans. The limitations of existing evidence are discussed, as well as research priorities. The authors are of the opinion that future studies should include faecally contaminated bathing waters and people exposed to these environments to accurately parameterise environment-to-human transmission.
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影响因子：
7.7
作者：
Leonard AFC;Singer A;Ukoumunne OC;Gaze WH;Garside R
通讯作者：
Garside R
影响因子：
3.3
作者：
Amos, G. C. A.;Zhang, L.;Wellington, E. M.
通讯作者：
Wellington, E. M.
影响因子：
4.4
作者：
Levison ME;Levison JH
通讯作者：
Levison JH
影响因子：
30.7
作者：
MacFadden DR;McGough SF;Fisman D;Santillana M;Brownstein JS
通讯作者：
Brownstein JS
一项关于英格兰和威尔士沿海泳客与非泳客疾病患病率的横断面研究：海滩用户健康调查的结果。
影响因子：
12.8
作者：
Leonard AFC
通讯作者：
Leonard AFC