Frontiers in Cellular and Infection Microbiology,
Год журнала:
2025,
Номер
14
Опубликована: Янв. 30, 2025
Background
The
COVID-19
pandemic
has
led
to
the
excessive
use
of
antimicrobials
in
critically
ill
patients.
Infections
caused
by
Acinetobacter
baumannii
have
increased
significantly
both
regionally
and
globally
during
pandemic,
posing
dramatic
challenges
for
intensive
care
unit
(ICU)
This
study
aimed
determine
prevalence,
antimicrobial
resistance
patterns,
presence
selected
genes,
genetic
diversity
A.
isolates
obtained
from
cases
admitted
ICU
at
University
Hospital
Iran.
Materials
methods
was
a
cross-sectional
single-center
comprising
patients
with
infections
between
April
November
2021.
demographic
clinical
data
were
collected.
Antimicrobial
susceptibility
testing
conducted
based
on
Clinical
Laboratory
Standards
Institute
guidelines.
used
PCR
multiplex
investigate
antibiotic
genes
(ARGs)
global
clones
(GC),
respectively.
Genetic
investigated
repetitive
element
sequence-based
(REP-PCR).
Results
prevalence
coinfection
8.1%
(43/528).
More
than
90%
(39/43)
resistant
cefepime,
ampicillin-sulbactam,
gentamicin,
trimethoprim-sulfamethoxazole
amikacin.
Furthermore,
44.2%
(19/43)
colistin.
There
91%
that
extensively
drug-resistant
(XDR).
most
carbapenem
encoding
bla
-OXA-23
65.1%
(29/43)
NDM
41.8%
(18/43).
common
aminoglycoside
aac(6’)-Ib
(28/43)
ant(2)-Ia
46.5%
(20/43).
Isolates
prominent
Global
clone
GCII
comprised
83.7%
(36/43)
total
isolates.
fingerprinting
using
REP-PCR
revealed
39
typeable
categorized
into
12
distinct
genotypes,
which
72%
(28/39)
belonged
one
genotype.
Conclusion
high
XDR
such
as
colistin-resistant
strains,
poses
significant
concern
treatment
patients,
heightening
risk
therapeutic
failure.
demonstrate
dissemination
single
carrying
multiple
ARGs
within
our
hospital.
Regarding
limited
options,
it
is
crucial
implement
effective
prevention
containment
policies
curb
spread
these
strains.
Journal of Medicine Surgery and Public Health,
Год журнала:
2024,
Номер
2, С. 100081 - 100081
Опубликована: Март 2, 2024
Antimicrobial
resistance
(AMR)
is
a
critical
global
health
issue
driven
by
antibiotic
misuse
and
overuse
in
various
sectors,
leading
to
the
emergence
of
resistant
microorganisms.
The
history
AMR
dates
back
discovery
penicillin,
with
rise
multidrug-resistant
pathogens
posing
significant
challenges
healthcare
systems
worldwide.
antibiotics
human
animal
health,
as
well
agriculture,
contributes
spread
genes,
creating
"Silent
Pandemic"
that
could
surpass
other
causes
mortality
2050.
affects
both
humans
animals,
treating
infections.
Various
mechanisms,
such
enzymatic
modification
biofilm
formation,
enable
microbes
withstand
effects
antibiotics.
lack
effective
threatens
routine
medical
procedures
lead
millions
deaths
annually
if
left
unchecked.
economic
impact
substantial,
projected
losses
trillions
dollars
financial
burdens
on
agriculture.
Artificial
intelligence
being
explored
tool
combat
improving
diagnostics
treatment
strategies,
although
data
quality
algorithmic
biases
exist.
To
address
effectively,
One
Health
approach
considers
human,
animal,
environmental
factors
crucial.
This
includes
enhancing
surveillance
systems,
promoting
stewardship
programs,
investing
research
development
for
new
antimicrobial
options.
Public
awareness,
education,
international
collaboration
are
essential
combating
preserving
efficacy
future
generations.
Computational and Structural Biotechnology Journal,
Год журнала:
2025,
Номер
27, С. 423 - 439
Опубликована: Янв. 1, 2025
Antimicrobial
resistance
(AMR)
is
a
major
threat
to
global
public
health.
The
current
review
synthesizes
address
the
possible
role
of
Artificial
Intelligence
and
Machine
Learning
(AI/ML)
in
mitigating
AMR.
Supervised
learning,
unsupervised
deep
reinforcement
natural
language
processing
are
some
main
tools
used
this
domain.
AI/ML
models
can
use
various
data
sources,
such
as
clinical
information,
genomic
sequences,
microbiome
insights,
epidemiological
for
predicting
AMR
outbreaks.
Although
relatively
new
fields,
numerous
case
studies
offer
substantial
evidence
their
successful
application
outbreaks
with
greater
accuracy.
These
provide
insights
into
discovery
novel
antimicrobials,
repurposing
existing
drugs,
combination
therapy
through
analysis
molecular
structures.
In
addition,
AI-based
decision
support
systems
real-time
guide
healthcare
professionals
improve
prescribing
antibiotics.
also
outlines
how
AI
surveillance,
analyze
trends,
enable
early
outbreak
identification.
Challenges,
ethical
considerations,
privacy,
model
biases
exist,
however,
continuous
development
methodologies
enables
play
significant
combating
Microorganisms,
Год журнала:
2025,
Номер
13(3), С. 557 - 557
Опубликована: Март 1, 2025
Antimicrobial
resistance
(AMR)
is
a
growing
global
health
crisis
that
threatens
the
efficacy
of
antibiotics
and
modern
medical
interventions.
The
emergence
multidrug-resistant
(MDR)
pathogens,
exacerbated
by
misuse
in
healthcare
agriculture,
underscores
urgent
need
for
innovative
solutions.
(1)
Background:
AMR
arises
from
complex
interactions
between
human,
animal,
environmental
health,
further
aggravated
overuse
inadequate
regulation
antibiotics.
Conventional
treatments
are
increasingly
ineffective,
necessitating
alternative
strategies.
Emerging
approaches,
including
bacteriophage
therapy,
antimicrobial
peptides
(AMPs),
nanotechnology,
microbial
extracellular
vesicles
(EVs),
CRISPR-based
antimicrobials,
provide
novel
mechanisms
complement
traditional
combating
resistant
pathogens.
(2)
Methods:
This
review
critically
analyzes
advanced
antibacterial
strategies
conjunction
with
systemic
reforms
such
as
stewardship
programs,
One
Health
framework,
surveillance
tools.
These
methods
can
enhance
detection,
guide
interventions,
promote
sustainable
practices.
Additionally,
economic,
logistical,
regulatory
challenges
impeding
their
implementation
evaluated.
(3)
Results:
technologies,
CRISPR
exhibit
promising
potential
targeting
mechanisms.
However,
disparities
resource
distribution
barriers
hinder
widespread
adoption.
Public–private
partnerships
agriculture
practices
critical
to
overcoming
these
obstacles.
(4)
Conclusions:
A
holistic
integrated
approach
essential
mitigating
impact
AMR.
By
aligning
therapeutic
policies,
fostering
interdisciplinary
collaboration,
ensuring
equitable
distribution,
we
develop
response
this
21st-century
challenge.
Antibiotics,
Год журнала:
2025,
Номер
14(2), С. 137 - 137
Опубликована: Фев. 1, 2025
Background/Objectives:
The
increasing
threat
of
antimicrobial
resistance
(AMR)
to
global
public
health
urgently
needs
attention.
Misuse
antimicrobials
in
sectors
such
as
dairy
farming
has
led
the
emergence
and
spread
resistant
bacteria
genes.
This
study
investigated
AMR
patterns
profiles
Escherichia
coli
(E.
coli)
from
various
sources,
including
soil,
effluent,
cow
dung,
milk.
Methods:
A
total
192
samples
were
collected,
comprising
environmental
(soil
effluent),
dung
samples,
milk
eight
farms
Selangor,
Malaysia.
plate
method
was
employed
isolate
E.
coli,
all
isolates
subjected
Gram
staining
identify
Gram-negative,
rod-shaped
bacteria.
Vitek®
2
system
used
for
identification
susceptibility
testing.
Results:
prevalence
identified
66.1%.
360
successfully
isolated,
19.7%
presented
with
ampicillin
exhibiting
highest
(18.3%),
followed
by
trimethoprim–sulfamethoxazole
(8.9%).
Additionally,
8.9%
them
multidrug
resistant,
which
could
be
divided
into
16
patterns.
For
extended
spectrum
beta-lactamase
screening,
nine
positive.
Conclusions:
finding
emphasizes
rise
growing
industry
underscores
urgency
addressing
potential
reservoir
AMR.
Therefore,
essential
measures
continuous
surveillance
effective
stewardship
programs
are
crucial
regulating
veterinary
use.
Research
on
mechanisms
driving
development
dissemination
is
imperative
One
Health
concerns.
JAC-Antimicrobial Resistance,
Год журнала:
2025,
Номер
7(2)
Опубликована: Март 4, 2025
There
are
concerns
globally
with
rising
rates
of
antimicrobial
resistance
(AMR),
particularly
in
low-
and
middle-income
countries
(LMICs).
AMR
is
driven
by
high
inappropriate
prescribing
dispensing
antibiotics,
Watch
antibiotics.
To
develop
future
interventions,
it
important
to
document
current
knowledge,
attitudes
practices
(KAP)
among
key
stakeholder
groups
LMICs.
We
undertook
a
narrative
review
published
papers
four
WHO
Regions
including
African
Asian
countries.
Relevant
were
sourced
from
2018
2024
synthesized
group,
country,
Region,
income
level
year.
The
findings
summarized
identify
pertinent
activities
for
all
groups.
459
papers,
large
number
coming
Africa
(42.7%).
An
appreciable
dealt
patients'
KAP
(33.1%),
reflecting
their
influence
on
the
was
marked
consistency
across
Regions,
showing
antibiotics
viral
infections
despite
professed
knowledge
AMR.
similar
issues
dispensers.
Patients'
beliefs
regarding
effectiveness
self-limiting
infectious
diseases
major
challenge,
although
educational
programmes
did
improve
knowledge.
development
AWaRe
(Access,
Reserve)
system,
practical
guidance,
provides
opportunity
standardization
inputs.
Similar
LMICs
presents
clear
opportunities
input
training
based
system.
Frontiers in Microbiology,
Год журнала:
2025,
Номер
16
Опубликована: Апрель 28, 2025
Antimicrobial
resistance
(AMR)
poses
an
escalating
global
threat
that
demands
comprehensive
surveillance
approaches
beyond
traditional
clinical
contexts.
Although
next-generation
sequencing
(NGS),
particularly
whole-genome
(WGS),
has
revolutionized
AMR
surveillance,
current
implementation
predominantly
targets
isolates,
largely
neglecting
critical
environmental
and
animal
reservoirs.
Consequently,
significant
gaps
persist
in
our
understanding
of
dynamics
across
diverse
ecosystems.
This
Perspective
emphasizes
the
urgent
need
to
adopt
integrated
genomic
framework,
combining
isolate-based
WGS
with
shotgun
metagenomics
within
a
cohesive
One
Health
strategy.
Such
approach
would
significantly
enhance
detection,
tracking,
containment
determinants,
facilitating
proactive
rather
than
reactive
management.
Achieving
this
vision
requires
standardization
methods,
harmonization
bioinformatics
pipelines,
strengthened
cross-sectoral
collaboration
ensure
timely
interventions
against
threats
worldwide.