Heavy metal toxicity in armed conflicts potentiates AMR in A. baumannii by selecting for antibiotic and heavy metal co-resistance mechanisms
Bazzi, Wael and Abou Fayad, Antoine G. and Nasser, Aya and Haraoui, Louis-Patrick and Dewachi, Omar and Abou-Sitta, Ghassan and Nguyen, Vinh-Kim and Abara, Aula and Karah, Nabil and Landecker, Hannah and Knapp, Charles and McEvoy, Megan M. and Zamman, Mohammad H. and Higgins, Paul G. and Matar, Ghassan M. (2020) Heavy metal toxicity in armed conflicts potentiates AMR in A. baumannii by selecting for antibiotic and heavy metal co-resistance mechanisms. Frontiers in Microbiology, 11. 68. ISSN 1664-302X (https://doi.org/10.3389/fmicb.2020.00068)
Preview |
Text.
Filename: Bazzi_etal_FM_2020_Heavy_metal_toxicity_in_armed_conflicts_potentiates_AMR_in.pdf
Final Published Version License: Download (2MB)| Preview |
Abstract
Acinetobacter baumannii has become increasingly resistant to leading antimicrobial agents since the 1970s. Increased resistance appears linked to armed conflicts, notably since widespread media stories amplified clinical reports in the wake of the American invasion of Iraq in 2003. Antimicrobial resistance is usually assumed to arise through selection pressure exerted by antimicrobial treatment, particularly where treatment is inadequate, as in the case of low dosing, substandard antimicrobial agents, or shortened treatment course. Recently attention has focused on an emerging pathogen, multi-drug resistant A. baumannii (MDRAb). MDRAb gained media attention after being identified in American soldiers returning from Iraq and treated in US military facilities, where it was termed “Iraqibacter.” However, MDRAb is strongly associated in the literature with war injuries that are heavily contaminated by both environmental debris and shrapnel from weapons. Both may harbor substantial amounts of toxic heavy metals. Interestingly, heavy metals are known to also select for antimicrobial resistance. In this review we highlight the potential causes of antimicrobial resistance by heavy metals, with a focus on its emergence in A. baumanni in war zones.
ORCID iDs
Bazzi, Wael, Abou Fayad, Antoine G., Nasser, Aya, Haraoui, Louis-Patrick, Dewachi, Omar, Abou-Sitta, Ghassan, Nguyen, Vinh-Kim, Abara, Aula, Karah, Nabil, Landecker, Hannah, Knapp, Charles ORCID: https://orcid.org/0000-0001-7997-8543, McEvoy, Megan M., Zamman, Mohammad H., Higgins, Paul G. and Matar, Ghassan M.;-
-
Item type: Article ID code: 71346 Dates: DateEvent3 February 2020Published14 January 2020Accepted9 July 2019SubmittedSubjects: Science > Microbiology Department: Faculty of Engineering > Civil and Environmental Engineering Depositing user: Pure Administrator Date deposited: 05 Feb 2020 12:00 Last modified: 20 Sep 2024 00:39 URI: https://strathprints.strath.ac.uk/id/eprint/71346