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Applying systems thinking to analytical system development for managing the antimicrobial resistance crisis.
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Researchers outlined how antimicrobial resistance has grown into a cross-sectoral crisis complicated by environmental co-contaminants including microplastics and metals that confound detection, arguing that advances in portable diagnostics, standardized methodology, and real-time monitoring systems are essential to track and manage resistance across clinical, agricultural, and environmental matrices.
Antimicrobial resistance (AMR) is an issue with foundations in clinical and agricultural sectors that has become a cross-sectoral and global human, animal, and environmental health crisis. Advances in detection technology and data sharing will allow for quick diagnostics and treatment, real-time monitoring and analysis to prevent AMR exposure, and multi-variate spatiotemporal trend analysis on the dynamic issue that is AMR to make informed interventions and policy. AMR samples are widely diverse in their matrices including blood, urine, wastewater, environmental waters, and soils. Samples can contain many interferents, particularly other contaminants like metals, microplastics, and organic pollutants, that can influence the apparent AMR. Thus, there is a need to drive innovation in cost-effective, rapid, and portable detection technologies and standardized testing methodologies for monitoring, understanding, and managing the complex AMR crisis.
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Healthcare-Generated Co-pollutants as Environmental Determinants of Antimicrobial Resistance: Governance Challenges at the Healthcare–Environmental Interface
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This paper examines how healthcare systems generate co-pollutants including microplastics, PFAS, and antimicrobials that flow into the environment and contribute to antimicrobial resistance. Researchers argue that the traditional focus on individual antimicrobial stewardship overlooks the broader material conditions that healthcare waste creates for resistance to emerge and spread. The study calls for governance reforms that address the healthcare-environment interface as a critical pathway for antimicrobial resistance.
Healthcare-Generated Co-pollutants as Environmental Determinants of Antimicrobial Resistance: Governance Challenges at the Healthcare–Environmental Interface
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This paper examines how healthcare systems generate co-pollutants including microplastics, PFAS, and antimicrobials that flow into the environment and contribute to antimicrobial resistance. Researchers argue that the traditional focus on individual antimicrobial stewardship overlooks the broader material conditions that healthcare waste creates for resistance to emerge and spread. The study calls for governance reforms that address the healthcare-environment interface as a critical pathway for antimicrobial resistance.
Microplastics In The Environment Help Spread Antibiotic Resistance And Change Microbial Interactions
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Microplastics in soil and aquatic environments serve as selective surfaces where antibiotic-resistant bacteria and resistance genes accumulate at higher concentrations than in surrounding water, accelerating the spread of antibiotic resistance through ecosystems. This interaction between plastic pollution and antimicrobial resistance represents a compounding public health threat, as microplastics could help propagate resistant pathogens into drinking water and food supplies.
Environmental pollutants as modifiers of antimicrobial resistance risk across food systems: a One Health perspective
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Antibiotic resistant bacteria don't just come from overusing antibiotics, everyday pollutants like metals, pesticides, and microplastics in our food and water systems may also help resistant germs survive and spread. This review argues that just because pollution could theoretically boost resistance doesn't prove it's harming people, scientists need to trace the full path from pollution to your plate before sounding the alarm.
Microplastics and Antimicrobial Resistance: A Growing Threat to Aquatic Health, Food Safety, and the One Health Framework
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