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      Antibiotic Resistance: One Health One World Outlook

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          Abstract

          Antibiotic resistance (ABR) is a growing public health concern worldwide, and it is now regarded as a critical One Health issue. One Health’s interconnected domains contribute to the emergence, evolution, and spread of antibiotic-resistant microorganisms on a local and global scale, which is a significant risk factor for global health. The persistence and spread of resistant microbial species, and the association of determinants at the human-animal-environment interface can alter microbial genomes, resulting in resistant superbugs in various niches. ABR is motivated by a well-established link between three domains: human, animal, and environmental health. As a result, addressing ABR through the One Health approach makes sense. Several countries have implemented national action plans based on the One Health approach to combat antibiotic-resistant microbes, following the Tripartite’s Commitment Food and Agriculture Organization (FAO)-World Organization for Animal Health (OIE)-World Health Organization (WHO) guidelines. The ABR has been identified as a global health concern, and efforts are being made to mitigate this global health threat. To summarize, global interdisciplinary and unified approaches based on One Health principles are required to limit the ABR dissemination cycle, raise awareness and education about antibiotic use, and promote policy, advocacy, and antimicrobial stewardship.

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          Discovery, research, and development of new antibiotics: the WHO priority list of antibiotic-resistant bacteria and tuberculosis

          The spread of antibiotic-resistant bacteria poses a substantial threat to morbidity and mortality worldwide. Due to its large public health and societal implications, multidrug-resistant tuberculosis has been long regarded by WHO as a global priority for investment in new drugs. In 2016, WHO was requested by member states to create a priority list of other antibiotic-resistant bacteria to support research and development of effective drugs.
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            Antibiotic resistance-the need for global solutions.

            The causes of antibiotic resistance are complex and include human behaviour at many levels of society; the consequences affect everybody in the world. Similarities with climate change are evident. Many efforts have been made to describe the many different facets of antibiotic resistance and the interventions needed to meet the challenge. However, coordinated action is largely absent, especially at the political level, both nationally and internationally. Antibiotics paved the way for unprecedented medical and societal developments, and are today indispensible in all health systems. Achievements in modern medicine, such as major surgery, organ transplantation, treatment of preterm babies, and cancer chemotherapy, which we today take for granted, would not be possible without access to effective treatment for bacterial infections. Within just a few years, we might be faced with dire setbacks, medically, socially, and economically, unless real and unprecedented global coordinated actions are immediately taken. Here, we describe the global situation of antibiotic resistance, its major causes and consequences, and identify key areas in which action is urgently needed. Copyright © 2013 Elsevier Ltd. All rights reserved.
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              Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: a microbiological and molecular biological study.

              Until now, polymyxin resistance has involved chromosomal mutations but has never been reported via horizontal gene transfer. During a routine surveillance project on antimicrobial resistance in commensal Escherichia coli from food animals in China, a major increase of colistin resistance was observed. When an E coli strain, SHP45, possessing colistin resistance that could be transferred to another strain, was isolated from a pig, we conducted further analysis of possible plasmid-mediated polymyxin resistance. Herein, we report the emergence of the first plasmid-mediated polymyxin resistance mechanism, MCR-1, in Enterobacteriaceae.
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                Author and article information

                Contributors
                Journal
                Front Cell Infect Microbiol
                Front Cell Infect Microbiol
                Front. Cell. Infect. Microbiol.
                Frontiers in Cellular and Infection Microbiology
                Frontiers Media S.A.
                2235-2988
                25 November 2021
                2021
                : 11
                : 771510
                Affiliations
                [1] 1 Department of Microbiology, Government College University Faisalabad , Faisalabad, Pakistan
                [2] 2 Institute of Microbiology, University of Agriculture , Faisalabad, Pakistan
                [3] 3 College of Veterinary Medicine, South China Agricultural University , Guangzhou, China
                [4] 4 Faculty of Life Science and Technology, Kunming University of Life Science and Technology , Kunming, China
                [5] 5 Public Health Laboratories Division, National Institute of Health , Islamabad, Pakistan
                [6] 6 Faculty of Rehabilitation and Allied Health Sciences, Riphah International University , Faisalabad, Pakistan
                Author notes

                Edited by: Carlos Kiffer, Federal University of São Paul, Brazil

                Reviewed by: Rafael Franco-Cendejas, National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Mexico; Tushar Suhas Khare, Savitribai Phule Pune University, India

                *Correspondence: Zulqarnain Baloch, znbalooch@ 123456yahoo.com ; Xia Xueshan, oliverxia2000@ 123456aliyun.com

                This article was submitted to Clinical Microbiology, a section of the journal Frontiers in Cellular and Infection Microbiology

                Article
                10.3389/fcimb.2021.771510
                8656695
                34900756
                c8debae7-2b69-4ba6-a96b-499a4493f04d
                Copyright © 2021 Aslam, Khurshid, Arshad, Muzammil, Rasool, Yasmeen, Shah, Chaudhry, Rasool, Shahid, Xueshan and Baloch

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 06 September 2021
                : 29 October 2021
                Page count
                Figures: 4, Tables: 1, Equations: 0, References: 202, Pages: 20, Words: 10269
                Funding
                Funded by: National Natural Science Foundation of China , doi 10.13039/501100001809;
                Categories
                Cellular and Infection Microbiology
                Review

                Infectious disease & Microbiology
                one health,antibiotic resistance,human,animal,environment
                Infectious disease & Microbiology
                one health, antibiotic resistance, human, animal, environment

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