Papers

61,005 results
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Article Tier 2

Climate warming, environmental degradation and pollution as drivers of antibiotic resistance

This review summarizes existing research showing that environmental degradation -- including climate change, pesticide and metal pollution, and microplastics -- is helping drive the spread of antibiotic resistance, one of the biggest threats to modern medicine. Microplastics are specifically highlighted as surfaces where antibiotic-resistant bacteria thrive and spread, meaning plastic pollution may be making infections harder to treat.

2024 Environmental Pollution 50 citations
Article Tier 2

Microplastics and antibiotic resistance genes as rising threats: Their interaction represents an urgent environmental concern

This review examines how microplastics interact with antibiotics and antibiotic-resistant bacteria in the environment, creating a combined pollution threat. Microplastics can absorb antibiotics onto their surface and serve as platforms where bacteria exchange resistance genes. This interaction could accelerate the spread of antibiotic resistance, making infections harder to treat and posing a growing public health risk.

2025 Current Research in Microbial Sciences 6 citations
Article Tier 2

How Antimicrobial Resistance Is Linked to Climate Change: An Overview of Two Intertwined Global Challenges

This review explores how climate change and antibiotic resistance are connected health emergencies, with microplastics playing a role as carriers that help spread resistant bacteria through waterways. The findings suggest that rising plastic pollution in water systems may contribute to the spread of drug-resistant infections, which is a growing threat to human health.

2023 International Journal of Environmental Research and Public Health 417 citations
Article Tier 2

Insight into combined pollution of antibiotics and microplastics in aquatic and soil environment: Environmental behavior, interaction mechanism and associated impact of resistant genes

This review examines the combined pollution created when microplastics absorb antibiotics in water and soil environments. Researchers found that microplastics can concentrate antibiotics on their surfaces, and this combination promotes the spread of antibiotic-resistant genes in microbial communities. The study highlights that the interaction between these two emerging pollutants may pose greater environmental and health risks than either one alone.

2023 TrAC Trends in Analytical Chemistry 69 citations
Article Tier 2

The Microplastic-Antibiotic Resistance Connection

This review examined the link between microplastic pollution and antibiotic resistance, finding that microplastic surfaces in the environment selectively enrich antibiotic-resistant bacteria and resistance genes, creating hotspots that may amplify the spread of resistance far beyond clinical settings.

2021 Environmental contamination remediation and management 24 citations
Article Tier 2

The interplay between antimicrobial resistance, heavy metal pollution, and the role of microplastics

This review explores the three-way connection between microplastics, heavy metals, and antibiotic resistance in the environment. Microplastics serve as surfaces where bacteria form biofilms and exchange resistance genes, while heavy metals have been driving bacterial resistance for billions of years through similar genetic mechanisms. Together, these pollutants create hotspots where dangerous antibiotic-resistant bacteria can develop and spread.

2025 Frontiers in Microbiology 39 citations
Article Tier 2

A review on the effect of micro- and nano-plastics pollution on the emergence of antimicrobial resistance

This review highlights how microplastics serve as breeding grounds for antimicrobial resistance genes, examining the overlooked interaction between plastic pollution and antibiotic resistance that poses combined threats to environmental and human health.

2022 Chemosphere 34 citations
Article Tier 2

The nexus of microplastics, food and antimicrobial resistance in the context of aquatic environment: Interdisciplinary linkages of pathways

This review examines how microplastics in aquatic environments serve as surfaces where bacteria can grow, share antibiotic resistance genes, and then enter the food chain through contaminated seafood. The combination of microplastic pollution and antimicrobial resistance creates a compounding threat, as resistant bacteria riding on plastic particles can survive water treatment and reach humans. The authors call for interdisciplinary research connecting environmental science and public health to address this growing risk.

2025 Journal of Contaminant Hydrology 7 citations
Article Tier 2

How microplastics and nanoplastics shape antibiotic resistance?

This review examines how micro- and nanoplastics act as vectors for antibiotic resistance genes, facilitating their spread through environmental and biological systems by creating selective pressure and hosting microbial communities that exchange resistance determinants.

2022 Water Emerging Contaminants & Nanoplastics 5 citations
Article Tier 2

Determining the Contribution of Micro/Nanoplastics to Antimicrobial Resistance: Challenges and Perspectives

This review examines how microplastics in the environment serve as surfaces where antibiotic-resistant bacteria can grow and exchange resistance genes, potentially worsening the global antimicrobial resistance crisis. Researchers found that the unique surface properties of micro- and nanoplastics create favorable conditions for the spread of antibiotic resistance genes among microorganisms. The study highlights that microplastic pollution and antibiotic resistance are interconnected environmental health challenges that may need to be addressed together.

2023 Environmental Science & Technology 64 citations
Article Tier 2

The Role of the Environment (Water, Air, Soil) in the Emergence and Dissemination of Antimicrobial Resistance: A One Health Perspective

This review examines how water, soil, and air act as reservoirs for antibiotic-resistant bacteria, with microplastics highlighted as one of several agents that help spread drug-resistant genes across environments. The findings matter for human health because microplastics can carry antibiotic-resistant bacteria from wastewater and agricultural runoff into water supplies and food systems.

2025 Antibiotics 16 citations
Article Tier 2

Interplay Between Antimicrobial Resistance and Global Environmental Change

This review explores how global environmental changes, including pollution, climate change, and habitat destruction, are accelerating the spread of antimicrobial resistance. Researchers found that factors like microplastic pollution, heavy metals, and pharmaceutical waste create conditions that promote the evolution of resistant bacteria. The study suggests that addressing antimicrobial resistance requires considering it as an environmental problem, not just a medical one.

2023 Annual Review of Genetics 25 citations
Article Tier 2

Microplastics and their role in the emergence of antibiotic resistance in bacteria as a threat for the environment

Researchers reviewed how microplastics act as breeding grounds for antibiotic-resistant bacteria by providing surfaces where bacteria can swap resistance genes with each other — a process called horizontal gene transfer. This dual threat of plastic pollution and antibiotic resistance is compounding into a significant global public health crisis.

2025 Environmental Chemistry and Ecotoxicology 7 citations
Article Tier 2

Microplastics in fresh- and wastewater are potential contributors to antibiotic resistance - A minireview

Researchers reviewed the link between microplastic pollution and the spread of antibiotic resistance in freshwater environments, finding that microplastic surfaces host unique bacterial communities enriched in antibiotic-resistant bacteria and the resistance genes they can share with other microbes. The close packing of bacteria in these plastic-surface biofilms may accelerate the spread of drug-resistant pathogens through drinking water sources, though the full health implications remain poorly understood.

2022 Journal of Hazardous Materials Advances 31 citations
Article Tier 2

Unraveling the effect of micro/nanoplastics on the occurrence and horizontal transfer of environmental antibiotic resistance genes: Advances, mechanisms and future prospects

This review examines how micro- and nanoplastics promote the spread of antibiotic resistance genes in the environment. The tiny plastic particles create conditions that help bacteria exchange resistance genes more easily by generating oxidative stress, making cell membranes more permeable, and providing surfaces where resistant bacteria can form communities. This is a growing public health concern because antibiotic-resistant infections are increasingly difficult to treat.

2024 The Science of The Total Environment 20 citations
Article Tier 2

The Role of Environmental and Climatic Factors in Accelerating Antibiotic Resistance in the Mediterranean Region

This review examines how climate change and environmental factors accelerate antibiotic resistance in the Mediterranean region, including the role of microplastics as environmental reservoirs. The study suggests that rising temperatures and altered precipitation create conditions favoring bacterial growth and horizontal gene transfer of resistance genes, with microplastics among the environmental surfaces that can harbor and spread resistant organisms.

2026 Acta Microbiologica Hellenica
Article Tier 2

Interaction of Microplastics with Antibiotics in Aquatic Environment: Distribution, Adsorption, and Toxicity

This review examines how microplastics and antibiotics interact in waterways, finding that microplastics can absorb antibiotics from the water and change their availability and toxicity to aquatic organisms. Critically, microplastics also provide surfaces where antibiotic resistance genes can accumulate and spread among bacteria. This is concerning for human health because it means microplastics in water could be accelerating the spread of antibiotic-resistant infections.

2021 Environmental Science & Technology 415 citations
Systematic Review Tier 1

Co-occurence of antibiotics and micro(nano)plastics: a systematic review between 2016-2021

This systematic review examines how microplastics and antibiotics interact in the environment. It finds that microplastics can absorb and carry antibiotics, potentially spreading antibiotic resistance and creating combined health risks that are greater than either pollutant alone.

2022 Journal of Environmental Science and Health Part A 22 citations
Article Tier 2

Microplastic-associated pathogens and antimicrobial resistance in environment

This review examines how microplastics in the environment act as surfaces for disease-causing bacteria and antibiotic-resistant microbes to colonize and spread. Researchers found that microplastics can carry pathogens and facilitate the transfer of antimicrobial resistance genes between bacteria in water systems. The findings raise concerns that microplastic pollution may be contributing to the growing global challenge of antibiotic resistance.

2021 Chemosphere 175 citations
Article Tier 2

Understanding the Interplay between Antimicrobial Resistance, Microplastics and Xenobiotic Contaminants: A Leap towards One Health?

This review examines the interplay between antimicrobial resistance, microplastics, and xenobiotic contaminants in the environment, highlighting how microplastics can serve as vectors for antibiotic-resistant bacteria and genes, posing combined threats to ecosystem and human health.

2022 International Journal of Environmental Research and Public Health 21 citations
Article Tier 2

Microplastics as emerging reservoirs of antimicrobial resistance: Clinical relevance and environmental mechanisms

This review examines how microplastics act as environmental reservoirs for antibiotic resistance genes, creating selective microenvironments through antibiotic and metal adsorption, biofilm formation, and horizontal gene transfer, with potential pathways to clinical human exposure.

2025 Journal of Clinical and Experimental Investigations
Article Tier 2

Microplastics are a hotspot for antibiotic resistance genes: Progress and perspective

This review examines growing evidence that microplastics serve as hotspots for antibiotic resistance genes in the environment. Researchers found that microplastics selectively accumulate antibiotic-resistant bacteria and resistance genes on their surfaces across wastewater, aquatic, and terrestrial environments. The dense bacterial communities and concentrated pollutants on microplastic surfaces create favorable conditions for the spread and evolution of antibiotic resistance, raising concerns about potential risks to human health.

2021 The Science of The Total Environment 244 citations
Article Tier 2

Microplastics pollution in the ocean: Potential carrier of resistant bacteria and resistance genes

This review examined microplastics in marine environments as carriers of antibiotic-resistant bacteria and resistance genes, finding that plastic surfaces selectively enrich resistance genes through horizontal gene transfer and co-selection pressure, making ocean microplastics a vector for resistance dissemination across ecosystems.

2021 Environmental Pollution 96 citations
Article Tier 2

Selection for antimicrobial resistance in the plastisphere

This review examines how microplastics in the environment may contribute to the spread of antimicrobial resistance by providing surfaces where bacteria, antibiotics, and resistant genes converge. Researchers describe several mechanisms by which the microbial communities living on microplastics, known as the plastisphere, could accelerate horizontal gene transfer of resistance traits. The study highlights an emerging concern at the intersection of plastic pollution and the global antimicrobial resistance crisis.

2023 The Science of The Total Environment 24 citations