Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage

Antimicrobial resistance (AMR) is a serious threat to global public health, but obtaining representative data on AMR for healthy human populations is difficult. Here, we use metagenomic analysis of untreated sewage to characterize the bacterial resistome from 79 sites in 60 countries. We find system...

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Detalles Bibliográficos
Autores: Hendriksen, Rene S., Munk, Patrick|||0000-0001-8813-4019, Njage, Patrick, van Bunnik, Bram|||0000-0003-2177-7073, McNally, Luke, Lukjancenko, Oksana, Röder, Timo, Nieuwenhuijse, David, Pedersen, Susanne Karlsmose, Kjeldgaard, Jette, Kaas, Rolf S., Clausen, Philip Thomas Lanken Conradsen, Vogt, Josef Korbinian, Leekitcharoenphon, Pimlapas, van de Schans, Milou G. M., Zuidema, Tina, de Roda Husman, Ana Maria, Rasmussen, Simon|||0000-0001-6323-9041, Petersen, Bent|||0000-0002-2472-8317, Bego, Artan, Rees, Charlotte, Cassar, Susan, Coventry, Kris, Collignon, Peter, Allerberger, Franz, Rahube, Teddie O., Oliveira, Guilherme, Ivanov, Ivan, Vuthy, Yith, Sopheak, Thet, Yost, Christopher K., Ke, Changwen, Zheng, Huanying, Baisheng, Li, Jiao, Xiaoyang, Donado-Godoy, Pilar|||0000-0001-9839-9264, Coulibaly, Kalpy Julien, Jergović, Matijana, Hrenovic, Jasna, Karpíšková, Renáta, Villacis, Jose Eduardo, Legesse, Mengistu, Eguale, Tadesse, Heikinheimo, Annamari, Malania, Lile, Nitsche, Andreas, Brinkmann, Annika, Saba, Courage Kosi Setsoafia, Kocsis, Bela, Solymosi, Norbert, Thorsteinsdottir, Thorunn R., Hatha, Abdulla Mohamed, Alebouyeh, Masoud, Morris, Dearbhaile, Cormican, Martin, O'Connor, Louise, Moran-Gilad, Jacob, Alba, Patricia, Battisti, Antonio, Shakenova, Zeinegul, Kiiyukia, Ciira, Ng'eno, Eric, Raka, Lul, Avsejenko, Jeļena, Bērziņš, Aivars, Bartkevics, Vadims, Penny, Christian, Rajandas, Heraa, Parimannan, Sivachandran, Haber, Malcolm Vella, Pal, Pushkar, Jeunen, Gert-Jan, Gemmell, Neil, Fashae, Kayode, Holmstad, Rune, Hasan, Rumina, Shakoor, Sadia, Rojas, Maria Luz Zamudio, Wasyl, Dariusz, Bosevska, Golubinka, Kochubovski, Mihail, Radu, Cojocaru, Gassama, Amy, Radosavljevic, Vladimir, Wuertz, Stefan, Zuniga-Montanez, Rogelio, Tay, Moon Y. F., Gavačová, Dagmar, Pastuchova, Katarina, Truska, Peter, Trkov, Marija, Esterhuyse, Kerneels, Keddy, Karen, Cerdà-Cuéllar, Marta|||0000-0001-6842-1299, Pathirage, Sujatha, Norrgren, Leif, Örn, Stefan, Larsson, D. G. Joakim, Heijden, Tanja Van der, Kumburu, Happiness Houka, Sanneh, Bakary, Bidjada, Pawou, Njanpop-Lafourcade, Berthe-Marie, Nikiema-Pessinaba, Somtinda Christelle, Levent, Belkis, Meschke, John Scott, Beck, Nicola Koren, Van, Chinh Dang, Phuc, Nguyen Do, Tran, Doan Minh Nguyen, Kwenda, Geoffrey, Tabo, Djim-adjim, Wester, Astrid Louise, Cuadros-Orellana, Sara, Amid, Clara|||0000-0001-6534-7425, Cochrane, Guy|||0000-0001-7954-7057, Sicheritz-Ponten, Thomas|||0000-0001-6615-1141, Schmitt, Heike|||0000-0002-0139-1934, Alvarez, Jorge Raul Matheu, Aidara-Kane, Awa, Pamp, Sünje J., Lund, Ole, Hald, Tine, Woolhouse, Mark, Koopmans, Marion P., Vigre, Håkan, Petersen, Thomas Nordahl, Aarestrup, Frank|||0000-0002-7116-2723
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:222673
Acceso en línea:https://ddd.uab.cat/record/222673
https://dx.doi.org/urn:doi:10.1038/s41467-019-08853-3
Access Level:acceso abierto
Palabra clave:Africa
Asia
Bacteria
Drug Resistance
Epidemiological Monitoring
Europe
Genes
Humans
Metagenome
Metagenomics
Microbial Consortia
North America
Oceania
Population Health
Sewage
Socioeconomic Factors
South America
id ES_a5f6160f025ff7c7db9fbfbbf09957eb
oai_identifier_str oai:ddd.uab.cat:222673
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage
title Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage
spellingShingle Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage
Hendriksen, Rene S.
Africa
Asia
Bacteria
Drug Resistance
Epidemiological Monitoring
Europe
Genes
Humans
Metagenome
Metagenomics
Microbial Consortia
North America
Oceania
Population Health
Sewage
Socioeconomic Factors
South America
title_short Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage
title_full Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage
title_fullStr Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage
title_full_unstemmed Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage
title_sort Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage
dc.creator.none.fl_str_mv Hendriksen, Rene S.
Munk, Patrick|||0000-0001-8813-4019
Njage, Patrick
van Bunnik, Bram|||0000-0003-2177-7073
McNally, Luke
Lukjancenko, Oksana
Röder, Timo
Nieuwenhuijse, David
Pedersen, Susanne Karlsmose
Kjeldgaard, Jette
Kaas, Rolf S.
Clausen, Philip Thomas Lanken Conradsen
Vogt, Josef Korbinian
Leekitcharoenphon, Pimlapas
van de Schans, Milou G. M.
Zuidema, Tina
de Roda Husman, Ana Maria
Rasmussen, Simon|||0000-0001-6323-9041
Petersen, Bent|||0000-0002-2472-8317
Bego, Artan
Rees, Charlotte
Cassar, Susan
Coventry, Kris
Collignon, Peter
Allerberger, Franz
Rahube, Teddie O.
Oliveira, Guilherme
Ivanov, Ivan
Vuthy, Yith
Sopheak, Thet
Yost, Christopher K.
Ke, Changwen
Zheng, Huanying
Baisheng, Li
Jiao, Xiaoyang
Donado-Godoy, Pilar|||0000-0001-9839-9264
Coulibaly, Kalpy Julien
Jergović, Matijana
Hrenovic, Jasna
Karpíšková, Renáta
Villacis, Jose Eduardo
Legesse, Mengistu
Eguale, Tadesse
Heikinheimo, Annamari
Malania, Lile
Nitsche, Andreas
Brinkmann, Annika
Saba, Courage Kosi Setsoafia
Kocsis, Bela
Solymosi, Norbert
Thorsteinsdottir, Thorunn R.
Hatha, Abdulla Mohamed
Alebouyeh, Masoud
Morris, Dearbhaile
Cormican, Martin
O'Connor, Louise
Moran-Gilad, Jacob
Alba, Patricia
Battisti, Antonio
Shakenova, Zeinegul
Kiiyukia, Ciira
Ng'eno, Eric
Raka, Lul
Avsejenko, Jeļena
Bērziņš, Aivars
Bartkevics, Vadims
Penny, Christian
Rajandas, Heraa
Parimannan, Sivachandran
Haber, Malcolm Vella
Pal, Pushkar
Jeunen, Gert-Jan
Gemmell, Neil
Fashae, Kayode
Holmstad, Rune
Hasan, Rumina
Shakoor, Sadia
Rojas, Maria Luz Zamudio
Wasyl, Dariusz
Bosevska, Golubinka
Kochubovski, Mihail
Radu, Cojocaru
Gassama, Amy
Radosavljevic, Vladimir
Wuertz, Stefan
Zuniga-Montanez, Rogelio
Tay, Moon Y. F.
Gavačová, Dagmar
Pastuchova, Katarina
Truska, Peter
Trkov, Marija
Esterhuyse, Kerneels
Keddy, Karen
Cerdà-Cuéllar, Marta|||0000-0001-6842-1299
Pathirage, Sujatha
Norrgren, Leif
Örn, Stefan
Larsson, D. G. Joakim
Heijden, Tanja Van der
Kumburu, Happiness Houka
Sanneh, Bakary
Bidjada, Pawou
Njanpop-Lafourcade, Berthe-Marie
Nikiema-Pessinaba, Somtinda Christelle
Levent, Belkis
Meschke, John Scott
Beck, Nicola Koren
Van, Chinh Dang
Phuc, Nguyen Do
Tran, Doan Minh Nguyen
Kwenda, Geoffrey
Tabo, Djim-adjim
Wester, Astrid Louise
Cuadros-Orellana, Sara
Amid, Clara|||0000-0001-6534-7425
Cochrane, Guy|||0000-0001-7954-7057
Sicheritz-Ponten, Thomas|||0000-0001-6615-1141
Schmitt, Heike|||0000-0002-0139-1934
Alvarez, Jorge Raul Matheu
Aidara-Kane, Awa
Pamp, Sünje J.
Lund, Ole
Hald, Tine
Woolhouse, Mark
Koopmans, Marion P.
Vigre, Håkan
Petersen, Thomas Nordahl
Aarestrup, Frank|||0000-0002-7116-2723
author Hendriksen, Rene S.
author_facet Hendriksen, Rene S.
Munk, Patrick|||0000-0001-8813-4019
Njage, Patrick
van Bunnik, Bram|||0000-0003-2177-7073
McNally, Luke
Lukjancenko, Oksana
Röder, Timo
Nieuwenhuijse, David
Pedersen, Susanne Karlsmose
Kjeldgaard, Jette
Kaas, Rolf S.
Clausen, Philip Thomas Lanken Conradsen
Vogt, Josef Korbinian
Leekitcharoenphon, Pimlapas
van de Schans, Milou G. M.
Zuidema, Tina
de Roda Husman, Ana Maria
Rasmussen, Simon|||0000-0001-6323-9041
Petersen, Bent|||0000-0002-2472-8317
Bego, Artan
Rees, Charlotte
Cassar, Susan
Coventry, Kris
Collignon, Peter
Allerberger, Franz
Rahube, Teddie O.
Oliveira, Guilherme
Ivanov, Ivan
Vuthy, Yith
Sopheak, Thet
Yost, Christopher K.
Ke, Changwen
Zheng, Huanying
Baisheng, Li
Jiao, Xiaoyang
Donado-Godoy, Pilar|||0000-0001-9839-9264
Coulibaly, Kalpy Julien
Jergović, Matijana
Hrenovic, Jasna
Karpíšková, Renáta
Villacis, Jose Eduardo
Legesse, Mengistu
Eguale, Tadesse
Heikinheimo, Annamari
Malania, Lile
Nitsche, Andreas
Brinkmann, Annika
Saba, Courage Kosi Setsoafia
Kocsis, Bela
Solymosi, Norbert
Thorsteinsdottir, Thorunn R.
Hatha, Abdulla Mohamed
Alebouyeh, Masoud
Morris, Dearbhaile
Cormican, Martin
O'Connor, Louise
Moran-Gilad, Jacob
Alba, Patricia
Battisti, Antonio
Shakenova, Zeinegul
Kiiyukia, Ciira
Ng'eno, Eric
Raka, Lul
Avsejenko, Jeļena
Bērziņš, Aivars
Bartkevics, Vadims
Penny, Christian
Rajandas, Heraa
Parimannan, Sivachandran
Haber, Malcolm Vella
Pal, Pushkar
Jeunen, Gert-Jan
Gemmell, Neil
Fashae, Kayode
Holmstad, Rune
Hasan, Rumina
Shakoor, Sadia
Rojas, Maria Luz Zamudio
Wasyl, Dariusz
Bosevska, Golubinka
Kochubovski, Mihail
Radu, Cojocaru
Gassama, Amy
Radosavljevic, Vladimir
Wuertz, Stefan
Zuniga-Montanez, Rogelio
Tay, Moon Y. F.
Gavačová, Dagmar
Pastuchova, Katarina
Truska, Peter
Trkov, Marija
Esterhuyse, Kerneels
Keddy, Karen
Cerdà-Cuéllar, Marta|||0000-0001-6842-1299
Pathirage, Sujatha
Norrgren, Leif
Örn, Stefan
Larsson, D. G. Joakim
Heijden, Tanja Van der
Kumburu, Happiness Houka
Sanneh, Bakary
Bidjada, Pawou
Njanpop-Lafourcade, Berthe-Marie
Nikiema-Pessinaba, Somtinda Christelle
Levent, Belkis
Meschke, John Scott
Beck, Nicola Koren
Van, Chinh Dang
Phuc, Nguyen Do
Tran, Doan Minh Nguyen
Kwenda, Geoffrey
Tabo, Djim-adjim
Wester, Astrid Louise
Cuadros-Orellana, Sara
Amid, Clara|||0000-0001-6534-7425
Cochrane, Guy|||0000-0001-7954-7057
Sicheritz-Ponten, Thomas|||0000-0001-6615-1141
Schmitt, Heike|||0000-0002-0139-1934
Alvarez, Jorge Raul Matheu
Aidara-Kane, Awa
Pamp, Sünje J.
Lund, Ole
Hald, Tine
Woolhouse, Mark
Koopmans, Marion P.
Vigre, Håkan
Petersen, Thomas Nordahl
Aarestrup, Frank|||0000-0002-7116-2723
author_role author
author2 Munk, Patrick|||0000-0001-8813-4019
Njage, Patrick
van Bunnik, Bram|||0000-0003-2177-7073
McNally, Luke
Lukjancenko, Oksana
Röder, Timo
Nieuwenhuijse, David
Pedersen, Susanne Karlsmose
Kjeldgaard, Jette
Kaas, Rolf S.
Clausen, Philip Thomas Lanken Conradsen
Vogt, Josef Korbinian
Leekitcharoenphon, Pimlapas
van de Schans, Milou G. M.
Zuidema, Tina
de Roda Husman, Ana Maria
Rasmussen, Simon|||0000-0001-6323-9041
Petersen, Bent|||0000-0002-2472-8317
Bego, Artan
Rees, Charlotte
Cassar, Susan
Coventry, Kris
Collignon, Peter
Allerberger, Franz
Rahube, Teddie O.
Oliveira, Guilherme
Ivanov, Ivan
Vuthy, Yith
Sopheak, Thet
Yost, Christopher K.
Ke, Changwen
Zheng, Huanying
Baisheng, Li
Jiao, Xiaoyang
Donado-Godoy, Pilar|||0000-0001-9839-9264
Coulibaly, Kalpy Julien
Jergović, Matijana
Hrenovic, Jasna
Karpíšková, Renáta
Villacis, Jose Eduardo
Legesse, Mengistu
Eguale, Tadesse
Heikinheimo, Annamari
Malania, Lile
Nitsche, Andreas
Brinkmann, Annika
Saba, Courage Kosi Setsoafia
Kocsis, Bela
Solymosi, Norbert
Thorsteinsdottir, Thorunn R.
Hatha, Abdulla Mohamed
Alebouyeh, Masoud
Morris, Dearbhaile
Cormican, Martin
O'Connor, Louise
Moran-Gilad, Jacob
Alba, Patricia
Battisti, Antonio
Shakenova, Zeinegul
Kiiyukia, Ciira
Ng'eno, Eric
Raka, Lul
Avsejenko, Jeļena
Bērziņš, Aivars
Bartkevics, Vadims
Penny, Christian
Rajandas, Heraa
Parimannan, Sivachandran
Haber, Malcolm Vella
Pal, Pushkar
Jeunen, Gert-Jan
Gemmell, Neil
Fashae, Kayode
Holmstad, Rune
Hasan, Rumina
Shakoor, Sadia
Rojas, Maria Luz Zamudio
Wasyl, Dariusz
Bosevska, Golubinka
Kochubovski, Mihail
Radu, Cojocaru
Gassama, Amy
Radosavljevic, Vladimir
Wuertz, Stefan
Zuniga-Montanez, Rogelio
Tay, Moon Y. F.
Gavačová, Dagmar
Pastuchova, Katarina
Truska, Peter
Trkov, Marija
Esterhuyse, Kerneels
Keddy, Karen
Cerdà-Cuéllar, Marta|||0000-0001-6842-1299
Pathirage, Sujatha
Norrgren, Leif
Örn, Stefan
Larsson, D. G. Joakim
Heijden, Tanja Van der
Kumburu, Happiness Houka
Sanneh, Bakary
Bidjada, Pawou
Njanpop-Lafourcade, Berthe-Marie
Nikiema-Pessinaba, Somtinda Christelle
Levent, Belkis
Meschke, John Scott
Beck, Nicola Koren
Van, Chinh Dang
Phuc, Nguyen Do
Tran, Doan Minh Nguyen
Kwenda, Geoffrey
Tabo, Djim-adjim
Wester, Astrid Louise
Cuadros-Orellana, Sara
Amid, Clara|||0000-0001-6534-7425
Cochrane, Guy|||0000-0001-7954-7057
Sicheritz-Ponten, Thomas|||0000-0001-6615-1141
Schmitt, Heike|||0000-0002-0139-1934
Alvarez, Jorge Raul Matheu
Aidara-Kane, Awa
Pamp, Sünje J.
Lund, Ole
Hald, Tine
Woolhouse, Mark
Koopmans, Marion P.
Vigre, Håkan
Petersen, Thomas Nordahl
Aarestrup, Frank|||0000-0002-7116-2723
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dc.subject.none.fl_str_mv Africa
Asia
Bacteria
Drug Resistance
Epidemiological Monitoring
Europe
Genes
Humans
Metagenome
Metagenomics
Microbial Consortia
North America
Oceania
Population Health
Sewage
Socioeconomic Factors
South America
topic Africa
Asia
Bacteria
Drug Resistance
Epidemiological Monitoring
Europe
Genes
Humans
Metagenome
Metagenomics
Microbial Consortia
North America
Oceania
Population Health
Sewage
Socioeconomic Factors
South America
description Antimicrobial resistance (AMR) is a serious threat to global public health, but obtaining representative data on AMR for healthy human populations is difficult. Here, we use metagenomic analysis of untreated sewage to characterize the bacterial resistome from 79 sites in 60 countries. We find systematic differences in abundance and diversity of AMR genes between Europe/North-America/Oceania and Africa/Asia/South-America. Antimicrobial use data and bacterial taxonomy only explains a minor part of the AMR variation that we observe. We find no evidence for cross-selection between antimicrobial classes, or for effect of air travel between sites. However, AMR gene abundance strongly correlates with socio-economic, health and environmental factors, which we use to predict AMR gene abundances in all countries in the world. Our findings suggest that global AMR gene diversity and abundance vary by region, and that improving sanitation and health could potentially limit the global burden of AMR. We propose metagenomic analysis of sewage as an ethically acceptable and economically feasible approach for continuous global surveillance and prediction of AMR.
publishDate 2019
dc.date.none.fl_str_mv 2
2019-01-01
2019
2019-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/222673
https://dx.doi.org/urn:doi:10.1038/s41467-019-08853-3
url https://ddd.uab.cat/record/222673
https://dx.doi.org/urn:doi:10.1038/s41467-019-08853-3
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv European Commission https://doi.org/10.13039/501100000780 643476
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewageHendriksen, Rene S.Munk, Patrick|||0000-0001-8813-4019Njage, Patrickvan Bunnik, Bram|||0000-0003-2177-7073McNally, LukeLukjancenko, OksanaRöder, TimoNieuwenhuijse, DavidPedersen, Susanne KarlsmoseKjeldgaard, JetteKaas, Rolf S.Clausen, Philip Thomas Lanken ConradsenVogt, Josef KorbinianLeekitcharoenphon, Pimlapasvan de Schans, Milou G. M.Zuidema, Tinade Roda Husman, Ana MariaRasmussen, Simon|||0000-0001-6323-9041Petersen, Bent|||0000-0002-2472-8317Bego, ArtanRees, CharlotteCassar, SusanCoventry, KrisCollignon, PeterAllerberger, FranzRahube, Teddie O.Oliveira, GuilhermeIvanov, IvanVuthy, YithSopheak, ThetYost, Christopher K.Ke, ChangwenZheng, HuanyingBaisheng, LiJiao, XiaoyangDonado-Godoy, Pilar|||0000-0001-9839-9264Coulibaly, Kalpy JulienJergović, MatijanaHrenovic, JasnaKarpíšková, RenátaVillacis, Jose EduardoLegesse, MengistuEguale, TadesseHeikinheimo, AnnamariMalania, LileNitsche, AndreasBrinkmann, AnnikaSaba, Courage Kosi SetsoafiaKocsis, BelaSolymosi, NorbertThorsteinsdottir, Thorunn R.Hatha, Abdulla MohamedAlebouyeh, MasoudMorris, DearbhaileCormican, MartinO'Connor, LouiseMoran-Gilad, JacobAlba, PatriciaBattisti, AntonioShakenova, ZeinegulKiiyukia, CiiraNg'eno, EricRaka, LulAvsejenko, JeļenaBērziņš, AivarsBartkevics, VadimsPenny, ChristianRajandas, HeraaParimannan, SivachandranHaber, Malcolm VellaPal, PushkarJeunen, Gert-JanGemmell, NeilFashae, KayodeHolmstad, RuneHasan, RuminaShakoor, SadiaRojas, Maria Luz ZamudioWasyl, DariuszBosevska, GolubinkaKochubovski, MihailRadu, CojocaruGassama, AmyRadosavljevic, VladimirWuertz, StefanZuniga-Montanez, RogelioTay, Moon Y. F.Gavačová, DagmarPastuchova, KatarinaTruska, PeterTrkov, MarijaEsterhuyse, KerneelsKeddy, KarenCerdà-Cuéllar, Marta|||0000-0001-6842-1299Pathirage, SujathaNorrgren, LeifÖrn, StefanLarsson, D. G. JoakimHeijden, Tanja Van derKumburu, Happiness HoukaSanneh, BakaryBidjada, PawouNjanpop-Lafourcade, Berthe-MarieNikiema-Pessinaba, Somtinda ChristelleLevent, BelkisMeschke, John ScottBeck, Nicola KorenVan, Chinh DangPhuc, Nguyen DoTran, Doan Minh NguyenKwenda, GeoffreyTabo, Djim-adjimWester, Astrid LouiseCuadros-Orellana, SaraAmid, Clara|||0000-0001-6534-7425Cochrane, Guy|||0000-0001-7954-7057Sicheritz-Ponten, Thomas|||0000-0001-6615-1141Schmitt, Heike|||0000-0002-0139-1934Alvarez, Jorge Raul MatheuAidara-Kane, AwaPamp, Sünje J.Lund, OleHald, TineWoolhouse, MarkKoopmans, Marion P.Vigre, HåkanPetersen, Thomas NordahlAarestrup, Frank|||0000-0002-7116-2723AfricaAsiaBacteriaDrug ResistanceEpidemiological MonitoringEuropeGenesHumansMetagenomeMetagenomicsMicrobial ConsortiaNorth AmericaOceaniaPopulation HealthSewageSocioeconomic FactorsSouth AmericaAntimicrobial resistance (AMR) is a serious threat to global public health, but obtaining representative data on AMR for healthy human populations is difficult. Here, we use metagenomic analysis of untreated sewage to characterize the bacterial resistome from 79 sites in 60 countries. We find systematic differences in abundance and diversity of AMR genes between Europe/North-America/Oceania and Africa/Asia/South-America. Antimicrobial use data and bacterial taxonomy only explains a minor part of the AMR variation that we observe. We find no evidence for cross-selection between antimicrobial classes, or for effect of air travel between sites. However, AMR gene abundance strongly correlates with socio-economic, health and environmental factors, which we use to predict AMR gene abundances in all countries in the world. Our findings suggest that global AMR gene diversity and abundance vary by region, and that improving sanitation and health could potentially limit the global burden of AMR. We propose metagenomic analysis of sewage as an ethically acceptable and economically feasible approach for continuous global surveillance and prediction of AMR. 22019-01-0120192019-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/222673https://dx.doi.org/urn:doi:10.1038/s41467-019-08853-3reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengEuropean Commission https://doi.org/10.13039/501100000780 643476open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2226732026-06-06T12:50:31Z
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