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Antimicrobial resistant enteric bacteria are widely distributed amongst people, animals and the environment in Tanzania.


ABSTRACT: Antibiotic use and bacterial transmission are responsible for the emergence, spread and persistence of antimicrobial-resistant (AR) bacteria, but their relative contribution likely differs across varying socio-economic, cultural, and ecological contexts. To better understand this interaction in a multi-cultural and resource-limited context, we examine the distribution of antimicrobial-resistant enteric bacteria from three ethnic groups in Tanzania. Household-level data (n?=?425) was collected and bacteria isolated from people, livestock, dogs, wildlife and water sources (n?=?62,376 isolates). The relative prevalence of different resistance phenotypes is similar across all sources. Multi-locus tandem repeat analysis (n?=?719) and whole-genome sequencing (n?=?816) of Escherichia coli demonstrate no evidence for host-population subdivision. Multivariate models show no evidence that veterinary antibiotic use increased the odds of detecting AR bacteria, whereas there is a strong association with livelihood factors related to bacterial transmission, demonstrating that to be effective, interventions need to accommodate different cultural practices and resource limitations.

SUBMITTER: Subbiah M 

PROVIDER: S-EPMC6957491 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Antimicrobial resistant enteric bacteria are widely distributed amongst people, animals and the environment in Tanzania.

Subbiah Murugan M   Caudell Mark A MA   Mair Colette C   Davis Margaret A MA   Matthews Louise L   Quinlan Robert J RJ   Quinlan Marsha B MB   Lyimo Beatus B   Buza Joram J   Keyyu Julius J   Call Douglas R DR  

Nature communications 20200113 1


Antibiotic use and bacterial transmission are responsible for the emergence, spread and persistence of antimicrobial-resistant (AR) bacteria, but their relative contribution likely differs across varying socio-economic, cultural, and ecological contexts. To better understand this interaction in a multi-cultural and resource-limited context, we examine the distribution of antimicrobial-resistant enteric bacteria from three ethnic groups in Tanzania. Household-level data (n = 425) was collected an  ...[more]

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