Working across the veterinary and human health sectors

Antibiotics are widely used in human and veterinary medicine for the prevention and treatment of infectious diseases. This practice has led to the emergence of antimicrobial-resistant bacteria in both humans and animals. The potential role that animals, particularly livestock, might play as potentia...

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Bibliographic Details
Published in:Journal of antimicrobial chemotherapy 2012-07, Vol.67 Suppl 1 (suppl 1), p.i37-i49
Main Authors: Garcia-Alvarez, Laura, Dawson, Susan, Cookson, Barry, Hawkey, Peter
Format: Article
Language:English
Subjects:
Animals
Antibiotics
Disease Vectors
Drug resistance
Drug Resistance, Multiple, Bacterial
Food Microbiology
Gram-Negative Bacteria - pathogenicity
Gram-Negative Bacterial Infections - microbiology
Gram-Negative Bacterial Infections - prevention & control
Gram-Negative Bacterial Infections - transmission
Health Personnel
Humans
Interdisciplinary Communication
Livestock - microbiology
Methicillin-Resistant Staphylococcus aureus - pathogenicity
Multidrug resistant organisms
Occupational Exposure - prevention & control
Occupational safety
Staphylococcal Infections - microbiology
Staphylococcal Infections - prevention & control
Staphylococcal Infections - transmission
Staphylococcus infections
United Kingdom
Veterinary medicine
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Summary:Antibiotics are widely used in human and veterinary medicine for the prevention and treatment of infectious diseases. This practice has led to the emergence of antimicrobial-resistant bacteria in both humans and animals. The potential role that animals, particularly livestock, might play as potential reservoirs of antibiotic resistance genes has been recognized, and it is currently a cause of public health concern. The impact of animal and human antibiotic usage on the emergence and persistence of resistant bacteria and the precise transfer pathways for resistance genes between humans and animals are not currently fully understood. As part of the remit of the UK Advisory Committee on Antimicrobial Resistance and Healthcare-Associated Infection (ARHAI), two main areas were addressed, namely methicillin-resistant Staphylococcus aureus (MRSA) and multidrug-resistant Gram-negative bacteria, where both the human and veterinary health sectors share interests. We review the current knowledge of MRSA and resistant Gram-negative bacteria, and provide guidance on occupational risks for veterinary healthcare workers relating to animals infected or colonized with MRSA. Findings and recommendations for further work across disciplines and future research in multidrug-resistant Gram-negative bacteria are also presented. Working collaboratively across disciplines is essential in order to better understand and challenge an important human and animal health problem: antimicrobial resistance.
ISSN:0305-7453
1460-2091
DOI:10.1093/jac/dks206