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In the fields of microbial, plant and animal sciencesEmergence of antimicrobial resistance (AMR) in cultured fishes is one of the major challenges faced in aquaculture. The high prevalence of bacterial infections in fishes leads to frequent use of antibiotics and thus their persistence in the aquatic environment, which in turn results in the proliferation of antibiotic resistant bacteria. The AMR in aquaculture can be transferred to clinically important strains of natural environment through horizontal gene transfer, thereby affecting the whole ecosystem. Most of the cultured fishes, including ornamental possess diverse pathogens exhibiting multiple antibiotic resistance. A thorough understanding of the gene transfer systems such as plasmids, transposons, integrons and gene cassettes can unravel the complexity of antimicrobial resistance in aquaculture. Continuous monitoring programmes, timely detections of the resistant bacteria and implementation of proper regulations are necessary to curb the dissemination of AMR in aquaculture. The present review summarises the antimicrobial use and AMR in cultured fishes, genetic mechanisms involved in the development of resistance, and the management strategies to restrict the spread of AMR in aquaculture.Department of Science and Technology (DST, SERB) for the Fellowship under National Postdoctoral Fellowship Scheme with Grant number PDF/2017/000378 and Director, National Bureau of Fish Genetic Resources and National Centre for Aquatic Animal Health, Cochin University of Science and Technology for the support