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Audacious Hitchhikers: The Role of Travel and the International Food Trade in the Global Dissemination of Mobile Colistin-Resistance (mcr) Genes

机译:大胆的搭便车:旅游的作用和国际粮食贸易在全球传播移动乳突抗性(MCR)基因

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摘要

Colistin, a last-resort antibiotic, has been used in controlling infections caused by multidrug-resistant Gram-negative bacterial pathogens. However, recent reports showed a global dissemination of mobile colistin-resistance ) genes, genetic elements that encode resistance to colistin, which has raised public health concerns. These genes threaten the effectiveness of colistin and could limit therapy options for complicated infections. Despite global attention, many facets of the molecular epidemiology of remain poorly characterized. Here, we focus on the role of travel and the international food trade in the dissemination of to countries where these genetic elements and/or colistin resistance are relatively limited in prevalence. We present evidence from the literature on the acquisition of during travel, and the carriage of these genes back to travelers’ countries. We also highlight the potential transmission of via imported foods. These observations emphasize the magnitude of efforts that are needed to control the spread of and further highlight the challenge of antimicrobial resistance and the urgent need for coordinated global action.
机译:最后一位抗生素的Colistin已被用于控制由多药抗革兰阴性细菌病原体引起的感染。然而,最近的报告显示了移动菌落抗性的全球传播)基因,编码对Colistin抗性的遗传元件,这提高了公共卫生问题。这些基因威胁到山药的有效性,可以限制治疗方案的复杂感染。尽管全球关注,但分子流行病学的特征仍然很差。在这里,我们专注于旅行的作用和国际粮食贸易在传播这些遗传元素和/或菌炎抗性相对普遍的国家。我们提出了在旅行期间收购文献的证据,并将这些基因的运输回到旅行者的国家。我们还突出了通过进口食品的潜在传播。这些观察结果强调了控制扩散和进一步突出抗微生物抗性的挑战所需的努力的大小,并迫切需要协调的全球行动。

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