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

Keerthana Rajagopal, Sujith J. Chandy and Jay P. Graham
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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

IJERPH, 2021, vol. 18, issue 22, 1-15

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 .

Keywords: community-acquired; antimicrobial resistance; Escherichia coli; One Health; India (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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