Selective Pressure of Antibiotic Pollution on Bacteria of Importance to Public Health.

Background: Many bacteria of clinical importance survive and may grow in different environments. Antibiotic pollution may exert on them a selective pressure leading to an increase in the prevalence of resistance. Objectives: In this study we sought to determine whether environmental concentrations o...

Descripción completa

Detalles Bibliográficos
Publicado en:Environmental Health Perspectives Vol. 120; no. 8; pp. 1100 - 1107
Autores principales: Tello, Alfredo, Austin, Brian, Telfer, Trevor C.
Formato: research tables/charts Journal Article
Publicado: National Institute of Environmental Health Sciences Aug2012
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104493789&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 104493789
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        00916765
        3B5
      jtl: Environmental Health Perspectives
      issn: 00916765
      maglogo: N
    pubinfo:
      dt: Aug2012
      vid: 120
      iid: 8
      pid: 56539
      pub: National Institute of Environmental Health Sciences
      place: Research Triangle Park, North Carolina
    artinfo:
      ui:
        104493789
        78433162
        10.1289/ehp.1104650
        NLM22571927
        104493789
      ppf: 1100
      ppct: 7
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Selective Pressure of Antibiotic Pollution on Bacteria of Importance to Public Health.
      aug:
        au:
          Tello, Alfredo
          Austin, Brian
          Telfer, Trevor C.
        affil: Institute of Aquaculture, University of Stirling, Stirling, Scotland, United Kingdom
      sug:
        subj:
          Antibiotics
          Drug Resistance, Microbial
          Air Pollutants, Environmental
          Environmental Monitoring
          Bacteria
          Models, Statistical
          Descriptive Statistics
          Natural Environment
          Ciprofloxacin Analysis
          Erythromycin Analysis
          Tetracycline Analysis
          Genetics
          Evolution
          Prevalence
          Confidence Intervals
          Data Analysis Software
          Regression
          Maximum Likelihood
          Funding Source
      ab: Background: Many bacteria of clinical importance survive and may grow in different environments. Antibiotic pollution may exert on them a selective pressure leading to an increase in the prevalence of resistance. Objectives: In this study we sought to determine whether environmental concentrations of antibiotics and concentrations representing action limits used in environmental risk assessment may exert a selective pressure on clinically relevant bacteria in the environment. Methods: We used bacterial inhibition as an assessment end point to link antibiotic selective pressures to the prevalence of resistance in bacterial populations. Species sensitivity distributions were derived for three antibiotics by fitting log-logistic models to end points calculated from minimum inhibitory concentration (MIC) distributions based on worldwide data collated by the European Committee on Antimicrobial Susceptibility Testing (EUCAST). To place bacteria represented in these distributions in a broader context, we performed a brief phylogenetic analysis. The potentially affected fraction of bacterial genera at measured environmental concentrations of antibiotics and environmental risk assessment action limits was used as a proxy for antibiotic selective pressure. Measured environmental concentrations and environmental risk assessment action limits were also directly compared to wild-type cut-off values. Results: The potentially affected fraction of bacterial genera estimated based on antibiotic concentrations measured in water environments is ? 7%. We estimated that measured environmental concentrations in river sediments, swine feces lagoons, liquid manure, and farmed soil inhibit wild-type populations in up to 60%, 92%, 100%, and 30% of bacterial genera, respectively. At concentrations used as action limits in environmental risk assessment, erythromycin and ciprofloxacin were estimated to inhibit wild-type populations in up to 25% and 76% of bacterial genera. Conclusions: Measured environmental concentrations of antibiotics, as well as concentrations representing environmental risk assessment action limits, are high enough to exert a selective pressure on clinically relevant bacteria that may lead to an increase in the prevalence of resistance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N