Pathogen-Host-Environment Interactions: One-Health Perspectives and Solutions in Antimicrobial Resistance and Disease

A special issue of Tropical Medicine and Infectious Disease (ISSN 2414-6366). This special issue belongs to the section "One Health".

Deadline for manuscript submissions: closed (31 March 2024) | Viewed by 5939

Special Issue Editors


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Guest Editor
Pathogen-Host-Environment Interactions Research Laboratory, Institute of Biology, College of Science, University of the Philippines Diliman, Quezon City 1101, Philippines
Interests: antimicrobial resistance; bacterial pathogens; diagnosis and detection, environment; microbial source tracking; protozoan pathogens

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Guest Editor
Faculty of Infectious Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
Interests: antimicrobial resistance; host, vector and pathogen genomics; population genetics; transmission and outbreak investigations; bioinformatics

Special Issue Information

Dear Colleagues,

Antimicrobial resistance (AMR) and disease from bacterial infections pose an encompassing threat to human, animal, and environmental health worldwide. They are among the leading causes of global deaths with a growing incidence across the years. Bacterial pathogens are ubiquitous and can reside and circulate in residential and clinical sectors, agriculture and food animal industries and in environmental reservoirs such as soil and water, which have significant health implications. WHO estimated an annual 10 million AMR-related deaths worldwide by the year 2050. Meanwhile, resistant bacteria (ARBs) and resistance genes (ARGs) continue to emerge and disseminate. Their prevalence is further exacerbated by anthropogenic factors such as abuse and misuse of antimicrobials, and the generation and improper disposal of wastes in various sectors.

To prevent or lessen the burden and spread of AMR and pathogenic bacteria, multi-faceted strategies involving humans, animals and environments must be implemented. Studies involving the detection, surveillance, and tracking of contaminations from sources such as residential, clinical, agricultural and industrial settings to sinks such as soil and water bodies are important to understand transmission dynamics and interactions among pathogens, hosts, and environments. Advancements in efficient diagnostic and detection methods for diverse pathogenic and ARBs as well as ARGs are crucial to monitor their prevalence and diversity, which will help in formulating mitigation and control measures against their emergence, dissemination, and infection. With decreasing options for antimicrobials, the search for alternative therapeutics is crucial to combat bacterial infections and AMR.

This Special Issue, the “Pathogen-Host-Environment Interactions: One-Health Perspectives and Solutions in Antimicrobial Resistance and Disease”, aims to compile research on bacterial AMR and disease tackling the inter-relatedness and dependencies of human, animal, and environmental sectors with one-health perspectives. Recent developments in surveillance approaches such as advanced molecular tools like metagenomics are also critical in addressing the threat of underestimated AMR reservoirs.

Prof. Dr. Windell L. Rivera
Prof. Dr. Taane G. Clark
Guest Editors

Manuscript Submission Information

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Keywords

  • antimicrobial resistance
  • bacterial infection
  • diagnosis and detection
  • environment
  • human and animal health
  • microbial source tracking
  • one-health approach
  • surveillance

Published Papers (4 papers)

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Research

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11 pages, 965 KiB  
Article
Phenotypic Investigation and Detection of Biofilm-Associated Genes in Acinetobacter baumannii Isolates, Obtained from Companion Animals
by Marios Lysitsas, Eleutherios Triantafillou, Irene Chatzipanagiotidou, Konstantina Antoniou, Vassiliki Spyrou, Charalambos Billinis and George Valiakos
Trop. Med. Infect. Dis. 2024, 9(5), 109; https://doi.org/10.3390/tropicalmed9050109 (registering DOI) - 11 May 2024
Abstract
Bacteria of the genus Acinetobacter, especially Acinetobacter baumannii (Ab), have emerged as pathogens of companion animals during the last two decades and are commonly associated with hospitalization and multidrug resistance. A critical factor for the distribution of relevant strains in [...] Read more.
Bacteria of the genus Acinetobacter, especially Acinetobacter baumannii (Ab), have emerged as pathogens of companion animals during the last two decades and are commonly associated with hospitalization and multidrug resistance. A critical factor for the distribution of relevant strains in healthcare facilities, including veterinary facilities, is their adherence to both biotic and abiotic surfaces and the production of biofilms. A group of 41 A. baumannii isolates obtained from canine and feline clinical samples in Greece was subjected to phenotypic investigation of their ability to produce biofilms using the tissue culture plate (TCP) method. All of them (100%) produced biofilms, while 23 isolates (56.1%) were classified as strong producers, 11 (26.8%) as moderate producers, and 7 (17.1%) as weak producers. A correlation between the MDR and XDR phenotypes and weak or moderate biofilm production was identified. Moreover, the presence of four biofilm-associated genes bap, blaPER, ompA, and csuE was examined by PCR, and they were detected in 100%, 65.9%, 97.6%, and 95.1% of the strains respectively. All isolates carried at least two of the investigated genes, whereas most of the strong biofilm producers carried all four genes. In conclusion, the spread and persistence of biofilm-producing Ab strains in veterinary facilities is a matter of concern, since they are regularly obtained from infected animals, indicating their potential as challenging pathogens for veterinarians due to multidrug resistance and tolerance in conventional eradication measures. Furthermore, considering that companion animals can act as reservoirs of relevant strains, public health concerns emerge. Full article
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14 pages, 2148 KiB  
Article
Genomic Analysis of Multidrug-Resistant Escherichia coli Strains Isolated in Tamaulipas, Mexico
by Jessica L. Ortega-Balleza, Abraham Guerrero, Graciela Castro-Escarpulli, Ana Verónica Martínez-Vázquez, María Antonia Cruz-Hernández, Erick de Jesús de Luna-Santillana, Erika Acosta-Cruz, Irám Pablo Rodríguez-Sánchez, Gildardo Rivera and Virgilio Bocanegra-García
Trop. Med. Infect. Dis. 2023, 8(10), 458; https://doi.org/10.3390/tropicalmed8100458 - 26 Sep 2023
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Abstract
The global spread of antimicrobial resistance genes (ARGs) is a major public health concern. Mobile genetic elements (MGEs) are the main drivers of this spread by horizontal gene transfer (HGT). Escherichia coli is widespread in various environments and serves as an indicator for [...] Read more.
The global spread of antimicrobial resistance genes (ARGs) is a major public health concern. Mobile genetic elements (MGEs) are the main drivers of this spread by horizontal gene transfer (HGT). Escherichia coli is widespread in various environments and serves as an indicator for monitoring antimicrobial resistance (AMR). Therefore, the objective of this work was to evaluate the whole genome of multidrug-resistant E. coli strains isolated from human clinical, animal, and environmental sources. Four E. coli strains previously isolated from human urine (n = 2), retail meat (n = 1), and water from the Rio Grande River (n = 1) collected in northern Tamaulipas, Mexico, were analyzed. E. coli strains were evaluated for antimicrobial susceptibility, followed by whole genome sequencing and bioinformatic analysis. Several ARGs were detected, including blaCTX-M-15, blaOXA-1, blaTEM-1B, blaCMY-2, qnrB, catB3, sul2, and sul3. Additionally, plasmid replicons (IncFIA, IncFIB, IncFII, IncY, IncR, and Col) and intact prophages were also found. Insertion sequences (ISs) were structurally linked with resistance and virulence genes. Finally, these findings indicate that E. coli strains have a large repertoire of resistance determinants, highlighting a high pathogenic potential and the need to monitor them. Full article
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11 pages, 1623 KiB  
Article
Single-Center Experience of Control of Ventilator-Circuit-Transmitted Burkholderia cepacia Outbreak in an Intensive Care Unit
by Bing-Jie Shen, Jann-Tay Wang, Hou-Tai Chang, Shan-Chwen Chang and Chun-Hsing Liao
Trop. Med. Infect. Dis. 2023, 8(7), 335; https://doi.org/10.3390/tropicalmed8070335 - 23 Jun 2023
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Abstract
Burkholderia cepacia is an emerging nosocomial pathogen frequently associated with outbreaks, but the exact transmission route of this pathogen can at times be elusive in spite of extensive environmental investigative cultures. Active surveillance for sputum cultures was performed for all patients from September [...] Read more.
Burkholderia cepacia is an emerging nosocomial pathogen frequently associated with outbreaks, but the exact transmission route of this pathogen can at times be elusive in spite of extensive environmental investigative cultures. Active surveillance for sputum cultures was performed for all patients from September 2008 to September 2009 in an intensive care unit (ICU) with B. cepacia outbreak. With evidence of persistent positive conversion of sputum cultures (colonization) and infections among patients, discontinuing re-usable ventilator circuits was introduced. A total of 689 patients were admitted to this unit for a mean duration of 8.7 ± 7.5 days. There were 489 patients (71.0%) with a stay for one to ten days; 161 (23.4%) patients for 11 to 20 days; and 39 (5.7%) with over 20 days. In the first group, 13.5% of patients had cultures converting from negative to positive, in contrast to 66.7% in the last group (p < 0.01). With intervention of using disposable ventilator circuits since June 2009, the incidence of isolated B. cepacia decreased gradually. The estimated 30-day isolation-free probabilities of the groups before, during, one month (August 2009) after, and two months (September 2009) after this intervention were 38.5%, 47.3%, 66.5%, and 96.0%, respectively (p < 0.01). Furthermore, the effect of discontinuing reusable ventilator circuit persisted in the following 6 years; both total isolates of B. cepacia and the infection caused by it were much lower compared to the outbreak period. In summary, this six-year outbreak in a medical ICU persisted until reusable ventilator circuits were discontinued in 2009. The effect of disposable circuits on the decreased incidence of B. cepacia infection maintained in the following years. Full article
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Review

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16 pages, 1193 KiB  
Review
Host Immune Responses to Clostridioides difficile Infection and Potential Novel Therapeutic Approaches
by Md Zahidul Alam, John E. Markantonis and John T. Fallon
Trop. Med. Infect. Dis. 2023, 8(12), 506; https://doi.org/10.3390/tropicalmed8120506 - 23 Nov 2023
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Abstract
Clostridioides difficile infection (CDI) is a leading nosocomial infection, posing a substantial public health challenge within the United States and globally. CDI typically occurs in hospitalized elderly patients who have been administered antibiotics; however, there has been a rise in the occurrence of [...] Read more.
Clostridioides difficile infection (CDI) is a leading nosocomial infection, posing a substantial public health challenge within the United States and globally. CDI typically occurs in hospitalized elderly patients who have been administered antibiotics; however, there has been a rise in the occurrence of CDI in the community among young adults who have not been exposed to antibiotics. C. difficile releases toxins, which damage large intestinal epithelium, leading to toxic megacolon, sepsis, and even death. Unfortunately, existing antibiotic therapies do not always prevent these consequences, with up to one-third of treated patients experiencing a recurrence of the infection. Host factors play a crucial role in the pathogenesis of CDI, and accumulating evidence shows that modulation of host immune responses may potentially alter the disease outcome. In this review, we provide an overview of our current knowledge regarding the role of innate and adaptive immune responses on CDI outcomes. Moreover, we present a summary of non-antibiotic microbiome-based therapies that can effectively influence host immune responses, along with immunization strategies that are intended to tackle both the treatment and prevention of CDI. Full article
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