摘要

细菌耐药性出现与临床环境的关联是常见的; 然而，水生环境，特别是污染环境，在这方面也起着关键作用。 水生环境可作为便携式元素交换的促进者，负责抵抗抗生素。 它们甚至可能通过污染物或细菌门之间的自然竞争刺激这些元素的出现和选择。 目前在水生环境中选择了大量高度可靠的抗性基因，主要是由于几种污染类型，例如市场上可得到的导致对抗生素之一产生抗性的mcr-1基因，即粘菌素。 因此，本评价旨在展示一系列能够选择环境中细菌耐药性的影响因素，从而阐明这种环境在抗性分散中的作用。

The association of the emergence of bacterial resistance to clinical environments is common; however, aquatic environments, especially the polluted ones, also play a key role in this regard. Aquatic environments can act as facilitator for the exchange of mobile elements, responsible for resisting antibiotics. They even may stimulate the emergence and selection of these elements through contaminants or the natural competition between bacterial phyla. Currently there is a large number of highly-reliable resistance genes, which is selected in aquatic environments, mostly due to several types of pollution, such as the mcr-1 gene that causes resistance to one of the antibiotics, available in the market, namely colistin. Thus, the present review aims to show a range of impacts capable of selecting bacterial resistance in the environment, thus clarifying this environment's role in dispersion of resistance.

https://jpoll.ut.ac.ir/article_65046.html