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Antimicrobial resistance in the environment: The Indian scenario
Antimicrobial resistance (AMR) continues to pose a significant public health problem in terms of mortality and economic loss. Health authorities of several countries including India have formulated action plans for its containment. In this fight against AMR, it is important to realize the contributi...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6563737/ https://www.ncbi.nlm.nih.gov/pubmed/31219076 http://dx.doi.org/10.4103/ijmr.IJMR_331_18 |
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author | Taneja, Neelam Sharma, Megha |
author_facet | Taneja, Neelam Sharma, Megha |
author_sort | Taneja, Neelam |
collection | PubMed |
description | Antimicrobial resistance (AMR) continues to pose a significant public health problem in terms of mortality and economic loss. Health authorities of several countries including India have formulated action plans for its containment. In this fight against AMR, it is important to realize the contribution by all the following four spheres: humans, animals, food and environment. This review incorporates all the spheres of One Health concept from the Indian perspective. India has one of the highest rates of resistance to antimicrobial agents used both in humans and food animals. The environment, especially the water bodies, have also reported the presence of resistant organisms or their genes. Specific socio-economic and cultural factors prevalent in India make the containment of resistance more challenging. Injudicious use of antimicrobials and inadequate treatment of waste waters are important drivers of AMR in India. Use of sludge in agriculture, improper discard of livestock animals and aquaculture industry are considered AMR contributors in other countries but Indian data regarding these are lacking. Efforts to combat AMR have been initiated by the Indian health authorities but are still at preliminary stages. Keeping in view the challenges unique to India, future directions are proposed. |
format | Online Article Text |
id | pubmed-6563737 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-65637372019-06-14 Antimicrobial resistance in the environment: The Indian scenario Taneja, Neelam Sharma, Megha Indian J Med Res Review Article Antimicrobial resistance (AMR) continues to pose a significant public health problem in terms of mortality and economic loss. Health authorities of several countries including India have formulated action plans for its containment. In this fight against AMR, it is important to realize the contribution by all the following four spheres: humans, animals, food and environment. This review incorporates all the spheres of One Health concept from the Indian perspective. India has one of the highest rates of resistance to antimicrobial agents used both in humans and food animals. The environment, especially the water bodies, have also reported the presence of resistant organisms or their genes. Specific socio-economic and cultural factors prevalent in India make the containment of resistance more challenging. Injudicious use of antimicrobials and inadequate treatment of waste waters are important drivers of AMR in India. Use of sludge in agriculture, improper discard of livestock animals and aquaculture industry are considered AMR contributors in other countries but Indian data regarding these are lacking. Efforts to combat AMR have been initiated by the Indian health authorities but are still at preliminary stages. Keeping in view the challenges unique to India, future directions are proposed. Wolters Kluwer - Medknow 2019-02 /pmc/articles/PMC6563737/ /pubmed/31219076 http://dx.doi.org/10.4103/ijmr.IJMR_331_18 Text en Copyright: © 2019 Indian Journal of Medical Research http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Taneja, Neelam Sharma, Megha Antimicrobial resistance in the environment: The Indian scenario |
title | Antimicrobial resistance in the environment: The Indian scenario |
title_full | Antimicrobial resistance in the environment: The Indian scenario |
title_fullStr | Antimicrobial resistance in the environment: The Indian scenario |
title_full_unstemmed | Antimicrobial resistance in the environment: The Indian scenario |
title_short | Antimicrobial resistance in the environment: The Indian scenario |
title_sort | antimicrobial resistance in the environment: the indian scenario |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6563737/ https://www.ncbi.nlm.nih.gov/pubmed/31219076 http://dx.doi.org/10.4103/ijmr.IJMR_331_18 |
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