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A One Health Review of Community-Acquired Antimicrobial-Resistant Escherichia coli in India

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  • Keerthana Rajagopal

    (Berkeley School of Public Health, University of California, 2121 Berkeley Way, Room 5302, Berkeley, CA 94720, USA)

  • Sujith J. Chandy

    (Department of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore 632002, India)

  • Jay P. Graham

    (Berkeley School of Public Health, University of California, 2121 Berkeley Way, Room 5302, Berkeley, CA 94720, USA)

Abstract

Antimicrobial resistance (AMR) threatens to undermine nearly a century of progress since the first use of antimicrobial compounds. There is an increasing recognition of the links between antimicrobial use and AMR in humans, animals, and the environment (i.e., One Health) and the spread of AMR between these domains and around the globe. This systematic review applies a One Health approach—including humans, animals, and the environment—to characterize AMR in Escherichia coli in India. E. coli is an ideal species because it is readily shared between humans and animals, its transmission can be tracked more easily than anaerobes, it can survive and grow outside of the host environment, and it can mobilize AMR genes more easily than other intestinal bacteria. This review synthesized evidence from 38 studies examining antimicrobial-resistant E. coli (AR-E) across India. Studies of AR-E came from 18 states, isolated from different sample sources: Humans ( n = 7), animals ( n = 7), the environment ( n = 20), and combinations of these categories, defined as interdisciplinary ( n = 4). Several studies measured the prevalence of AMR in relation to last-line antimicrobials, including carbapenems ( n = 11), third-generation cephalosporins ( n = 18), and colistin ( n = 4). Most studies included only one dimension of the One Health framework, highlighting the need for more studies that aim to characterize the relationship of AMR across different reservoirs of E. coli .

Suggested Citation

  • Keerthana Rajagopal & Sujith J. Chandy & Jay P. Graham, 2021. "A One Health Review of Community-Acquired Antimicrobial-Resistant Escherichia coli in India," IJERPH, MDPI, vol. 18(22), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12089-:d:681584
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    References listed on IDEAS

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    1. Rutuja Dhawde & Ragini Macaden & Dhananjaya Saranath & Kayzad Nilgiriwala & Appasaheb Ghadge & Tannaz Birdi, 2018. "Antibiotic Resistance Characterization of Environmental E. coli Isolated from River Mula-Mutha, Pune District, India," IJERPH, MDPI, vol. 15(6), pages 1-15, June.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    3. Krushna Chandra Sahoo & Ashok J. Tamhankar & Soumyakanta Sahoo & Priyadarshi Soumyaranjan Sahu & Senia Rosales Klintz & Cecilia Stålsby Lundborg, 2012. "Geographical Variation in Antibiotic-Resistant Escherichia coli Isolates from Stool, Cow-Dung and Drinking Water," IJERPH, MDPI, vol. 9(3), pages 1-14, March.
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