“…Of note, the presence of heavy metals such as arsenic, chrome, cadmium, lead, mercury or zinc, and other toxics such as polycyclic aromatic hydrocarbon has been widely described in different Peruvian areas [113,114,115,116]. The presence of ESBLs was reported in 3 studies [62,65,66], which were not considered in the analysis of AMR because the samples were directly screened for ESBL-producing Enterobacteriaceae. These studies showed the presence of ESBLs in samples from chickens, cows and pigs, reporting the presence of bla CTX-M-14 , bla CTX-M-15 and bla CTX-M-26 [62,65,66].…”