Antibiotic pollution and associated antimicrobial resistance in the environment

The widespread and injudicious usage of antibiotics to contain pathogenic microbial infections, coupled with inadequate treatment of wastes containing non-metabolized antibiotics and their residues is resulting in rising environmental antibiotic concentrations, leading to ‘antibiotic pollution’. Antibiotic pollution is an emerging global challenge as it is proving a major driver for antibiotic- or antimicrobial-resistance (ABR/ AMR) with escalating ramifications worldwide, precipitating a surge in human morbidity. The extensive administration of antibiotics across domains such as human healthcare settings, agriculture, and aquaculture farming endangers the presence of antibiotics in diverse matrices including water, soil, and air. As a result, this dissemination significantly leads to the development of antibiotic resistance in the profuse sectors of the environment further provoking consequential health implications at different trophic levels. Owing to its significance, and to mitigate antibiotic pollution and its subsequential AMR, governmental guidelines and regulations are implemented across the globe to cultivate public awareness as concerted efforts for addressing this global predicament. Given the insufficient attention to the growing antibiotic pollution issues, prompt efforts must be taken to contemplate current circumstances and the rigor of the ongoing research. In this review, we endeavor to elucidate the escalation of antibiotic concentration and antibiotic-driven AMR in water, air, and soil environments with potential public health threats. Further, it focuses on various strategies and interventions to attenuate antibiotic pollution and mitigate its adverse impacts on the healthcare infrastructure, highlighting the success stories, challenges, and future directions

Microplastic-associated pathogens and antimicrobial resistance in environment

The ubiquitous use of microplastics and their release into the environment especially the water bodies by anthropogenic/industrial activities are the major resources for microplastic contamination. The widespread and often injudicious use of antimicrobial drugs or antibiotics in various sectors including human health and hygiene, agriculture, animal husbandry and food industries are leading to the release of antibiotics into the wastewater/sewage and other water bodies, particularly in urban setups and thus leads to the antimicrobial resistance (AMR) in the microbes. Microplastics are emerging as the hubs as well as effective carriers of these microbial pathogens beside their AMR-genes (ARGs) in marine, freshwater, sewage/wastewater, and urban river ecosystems. These drug resistant bacteria interact with microplastics forming synthetic plastispheres, the ideal niche for biofilm formations which in turn facilitates the transfer of ARGs via horizontal gene transfer and further escalates the occurrence and levels of AMR. Microplastic-associated AMR is an emerging threat for human health and healthcare besides being a challenge for the research community for effective management/address of this menace. In this review, we encompass the increasing prevalence of microplastics in environment, emphasizing mainly on water environments, how they act as centers and vectors of microbial pathogens with their associated bacterial assemblage compositions and ultimately lead to AMR. It further discusses the mechanistic insights on how microplastics act as hosts of biofilms (creating the plastisphere). We have also presented the modern toolbox used for microplastic-biofilm analyses. A review on potential strategies for addressing microplastic-associated AMR is given with recent success stories, challenges and future prospects