2016
DOI: 10.1098/rsob.160236
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The antimicrobial resistance crisis: management through gene monitoring

Abstract: Antimicrobial resistance (AMR) is an acknowledged crisis for humanity. Its genetic origins and dire potential outcomes are increasingly well understood. However, diagnostic techniques for monitoring the crisis are currently largely limited to enumerating the increasing incidence of resistant pathogens. Being the end-stage of the evolutionary process that produces antimicrobial resistant pathogens, these measurements, while diagnostic, are not prognostic, and so are not optimal in managing this crisis. A better… Show more

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Cited by 7 publications
(4 citation statements)
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“…In agreement with Young pig accommodation Sow barn www.nature.com/scientificreports www.nature.com/scientificreports/ previous work, we showed high levels of all studied AMR genes in the non-medicated dry sows, presumably as a consequence of the strong selection pressure exerted by this farm's history of high antimicrobial usage. The levels of the five AMR genes studied in the young pigs reflected those of the sow population, whilst prolonged exposure to two different in-feed antibiotic regimens in the young pigs and a combined in-feed antibiotic regimen in the dry sows had no marked effect on AMR gene counts, potentially suggesting that they have reached saturation within the faecal bacterial populations 39 . Curiously, the antibiotics used (chlortetracycline and tylosin) were still clinically effective on this farm, suggesting that despite a high abundance of resistance genes within the faecal microbiome, that they were not present, or at least not active, within the organisms of clinical interest, i.e.…”
Section: Measured Amr Genes Consistently High Across the Unit Althoumentioning
confidence: 93%
See 1 more Smart Citation
“…In agreement with Young pig accommodation Sow barn www.nature.com/scientificreports www.nature.com/scientificreports/ previous work, we showed high levels of all studied AMR genes in the non-medicated dry sows, presumably as a consequence of the strong selection pressure exerted by this farm's history of high antimicrobial usage. The levels of the five AMR genes studied in the young pigs reflected those of the sow population, whilst prolonged exposure to two different in-feed antibiotic regimens in the young pigs and a combined in-feed antibiotic regimen in the dry sows had no marked effect on AMR gene counts, potentially suggesting that they have reached saturation within the faecal bacterial populations 39 . Curiously, the antibiotics used (chlortetracycline and tylosin) were still clinically effective on this farm, suggesting that despite a high abundance of resistance genes within the faecal microbiome, that they were not present, or at least not active, within the organisms of clinical interest, i.e.…”
Section: Measured Amr Genes Consistently High Across the Unit Althoumentioning
confidence: 93%
“…high baseline levels of specific AMR genes 36 and phenotypic resistance in Escherichia coli isolates 37,38 in unmedicated pigs, our initial expectation was that AMR gene abundances would markedly increase in response to antimicrobial administration as a result of selective pressure being exerted on specific genes 39 . In agreement with Young pig accommodation Sow barn www.nature.com/scientificreports www.nature.com/scientificreports/ previous work, we showed high levels of all studied AMR genes in the non-medicated dry sows, presumably as a consequence of the strong selection pressure exerted by this farm's history of high antimicrobial usage.…”
Section: Measured Amr Genes Consistently High Across the Unit Althoumentioning
confidence: 99%
“…In addition, the development of drug-resistant pathogens appeared quickly, while the emergence of multi-drug resistant strains has increased exponentially during the recent years [6].…”
Section: Introductionmentioning
confidence: 99%
“…Although previous work has demonstrated baseline high levels of specific AMR genes (63) and phenotypic resistance in E.coli isolates (33, 64) in unmedicated pigs, our initial expectation was that AMR gene abundances would markedly increase in response to antimicrobial administration as a result of selective pressure being exerted on specific gene subsets (65). In agreement with previous work, we showed high levels of all studied AMR genes in the non-medicated sow barn population, whilst prolonged exposure to three different in-feed antimicrobial regimens had no marked effect on AMR gene counts, potentially suggesting that they have reached saturation within the faecal bacterial populations (65). Curiously, the antimicrobials used (chlortetracycline and tylosin) were still clinically effective on this farm, suggesting that despite a high abundance of resistance genes within the faecal microbiome, that they were not present, or at least not active, within the organisms of clinical interest, i.e.…”
Section: Discussionmentioning
confidence: 95%