Many studies on various infectious diseases have shown that roads impact the spread of disease, however this is the first known study to show that roads also impact the spread of antibiotic resistant bacteria, said Joe Eisenberg, co-author and professor at the University of Michigan School of Public Health.
Researchers at the U-M SPH and colleagues from Universidad San Francisco de Quito, and Trinity College studied a region in northwest Ecuador for five years, focusing on antibiotic resistant E. coli and the common antibiotic paring of ampicillin and sulfamethoxazole.
"Our results show it's not just the individual's antibiotic use that affects antibiotic resistance," Eisenberg said. "Other important factors that affect the spread of antibiotic resistance are the rates at which people introduce new strains due to movement in and out of the region, as well as poor water quality and sanitation that allow for the transmission of antibiotic resistant strains." Both of these factors are influenced by the presence of the roads.
"We focus so much on the individual, and if they do or don't take antibiotics, but we're learning more and more that there's a broader environmental and social context in which antibiotic resistance happens," Eisenberg said.
While increased antibiotic use over long periods of time can increase antibiotic resistance with bacteria such as E. coli, when antibiotics are taken for much shorter periods of time, they have a different effect on bacteria.
For those bacteria, taking antibiotics amplifies antibiotic resistant bacteria that already exists in the individual, by killing the non-resistant E. coli., which encourages the superbug strains to multiply and take over in the gut.
This superbug E. coli becomes the dominant strain, thus increasing the likelihood that it is transmitted from one person to another. A transmission event can occur when, for example, an infected person contaminates food they are preparing or a water source they are bathing in and an uninfected person subsequently is exposed to the contaminated food or water source. Thus, the road influences health not only through providing more access to antibiotics, but also through creating different levels of water sanitation and hygiene.
"If we want to think about how we deal with antibiotic resistance we have got to think about the broader environmental forces that cause the spread of antibiotic resistance, in addition to how doctors prescribe antibiotics to individuals," Eisenberg said.
The paper, "In-roads to the spread of antibiotic resistance: regional patterns of microbial transmission in northern coastal Ecuador," appears this month in the Journal of the Royal Society, Interface.
For more on Eisenberg: http://www.sph.umich.edu/iscr/faculty/profile.cfm?uniqname=jnse
For more on Department of Epidemiology: http://www.sph.umich.edu/epid/
The University of Michigan School of Public Health has been promoting health and preventing disease since 1941, and is ranked among the top public health schools in the nation. Whether making new discoveries in the lab or researching and educating in the field, our faculty, students, and alumni are deployed around the globe to promote and protect our health http://www.sph.umich.edu/
Laura Bailey | EurekAlert!
A novel socio-ecological approach helps identifying suitable wolf habitats
17.02.2017 | Universität Zürich
New, ultra-flexible probes form reliable, scar-free integration with the brain
16.02.2017 | University of Texas at Austin
In the field of nanoscience, an international team of physicists with participants from Konstanz has achieved a breakthrough in understanding heat transport
Cells need to repair damaged DNA in our genes to prevent the development of cancer and other diseases. Our cells therefore activate and send “repair-proteins”...
The Fraunhofer IWS Dresden and Technische Universität Dresden inaugurated their jointly operated Center for Additive Manufacturing Dresden (AMCD) with a festive ceremony on February 7, 2017. Scientists from various disciplines perform research on materials, additive manufacturing processes and innovative technologies, which build up components in a layer by layer process. This technology opens up new horizons for component design and combinations of functions. For example during fabrication, electrical conductors and sensors are already able to be additively manufactured into components. They provide information about stress conditions of a product during operation.
The 3D-printing technology, or additive manufacturing as it is often called, has long made the step out of scientific research laboratories into industrial...
Nature does amazing things with limited design materials. Grass, for example, can support its own weight, resist strong wind loads, and recover after being...
Nanometer-scale magnetic perforated grids could create new possibilities for computing. Together with international colleagues, scientists from the Helmholtz Zentrum Dresden-Rossendorf (HZDR) have shown how a cobalt grid can be reliably programmed at room temperature. In addition they discovered that for every hole ("antidot") three magnetic states can be configured. The results have been published in the journal "Scientific Reports".
Physicist Dr. Rantej Bali from the HZDR, together with scientists from Singapore and Australia, designed a special grid structure in a thin layer of cobalt in...
13.02.2017 | Event News
10.02.2017 | Event News
09.02.2017 | Event News
20.02.2017 | Materials Sciences
20.02.2017 | Health and Medicine
20.02.2017 | Health and Medicine