Contamination of Fresh Produce with Antibiotic-Resistant Bacteria and Associated Risks to Human Health: A Scoping Review.

Rahman, M; Alam, M-U; Luies, SK; Kamal, A; Ferdous, S; Lin, A; Sharior, F; Khan, R; Rahman, Z; Parvez, SM; Amin, N; Hasan, R; Tadesse, BT; Taneja, N; Islam, MA; Ercumen, A

Contamination of Fresh Produce with Antibiotic-Resistant Bacteria and Associated Risks to Human Health: A Scoping Review.

Rahman, M Alam, M-U Luies, SK Kamal, A Ferdous, S Lin, A Sharior, F Khan, R Rahman, Z Parvez, SM Amin, N Hasan, R Tadesse, BT Taneja, N Islam, MA Ercumen, A

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Publisher:: MDPI AG
Publication Type:: Journal Article
Citation:: Int J Environ Res Public Health, 2021, 19, (1), pp. 360
Issue Date:: 2021-12-30

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Field	Value	Language
dc.contributor.author	Rahman, M
dc.contributor.author	Alam, M-U
dc.contributor.author	Luies, SK
dc.contributor.author	Kamal, A
dc.contributor.author	Ferdous, S
dc.contributor.author	Lin, A
dc.contributor.author	Sharior, F
dc.contributor.author	Khan, R
dc.contributor.author	Rahman, Z
dc.contributor.author	Parvez, SM
dc.contributor.author	Amin, N
dc.contributor.author	Hasan, R
dc.contributor.author	Tadesse, BT
dc.contributor.author	Taneja, N
dc.contributor.author	Islam, MA
dc.contributor.author	Ercumen, A
dc.date.accessioned	2022-03-14T06:45:49Z
dc.date.available	2021-12-22
dc.date.available	2022-03-14T06:45:49Z
dc.date.issued	2021-12-30
dc.identifier.citation	Int J Environ Res Public Health, 2021, 19, (1), pp. 360
dc.identifier.issn	1661-7827
dc.identifier.issn	1660-4601
dc.identifier.uri	http://hdl.handle.net/10453/155207
dc.description.abstract	Fresh produce, when consumed raw, can be a source of exposure to antimicrobial residues, antimicrobial-resistant bacteria (ARB) and antimicrobial resistance genes (ARGs) of clinical importance. This review aims to determine: (1) the presence and abundance of antimicrobial residues, ARB and ARGs in fresh agricultural products sold in retail markets and consumed raw; (2) associated health risks in humans; and (3) pathways through which fresh produce becomes contaminated with ARB/ARGs. We searched the Ovid Medline, Web of Science and Hinari databases as well as grey literature, and identified 40 articles for inclusion. All studies investigated the occurrence of multidrug-resistant bacteria, and ten studies focused on ARGs in fresh produce, while none investigated antimicrobial residues. The most commonly observed ARB were E. coli (42.5%) followed by Klebsiella spp. (22.5%), and Salmonella spp. (20%), mainly detected on lettuce. Twenty-five articles mentioned health risks from consuming fresh produce but none quantified the risk. About half of the articles stated produce contamination occurred during pre- and post-harvest processes. Our review indicates that good agricultural and manufacturing practices, behavioural change communication and awareness-raising programs are required for all stakeholders along the food production and consumption supply chain to prevent ARB/ARG exposure through produce.
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI AG
dc.relation.ispartof	Int J Environ Res Public Health
dc.relation.isbasedon	10.3390/ijerph19010360
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	Toxicology
dc.subject.mesh	Angiotensin Receptor Antagonists
dc.subject.mesh	Angiotensin-Converting Enzyme Inhibitors
dc.subject.mesh	Anti-Bacterial Agents
dc.subject.mesh	Drug Resistance, Multiple, Bacterial
dc.subject.mesh	Escherichia coli
dc.subject.mesh	Humans
dc.subject.mesh	Humans
dc.subject.mesh	Escherichia coli
dc.subject.mesh	Angiotensin-Converting Enzyme Inhibitors
dc.subject.mesh	Anti-Bacterial Agents
dc.subject.mesh	Drug Resistance, Multiple, Bacterial
dc.subject.mesh	Angiotensin Receptor Antagonists
dc.title	Contamination of Fresh Produce with Antibiotic-Resistant Bacteria and Associated Risks to Human Health: A Scoping Review.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	Switzerland
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Research)
pubs.organisational-group	/University of Technology Sydney/DVC (Research)/Institute For Sustainable Futures
utslib.copyright.status	open_access	*
dc.date.updated	2022-03-14T06:45:46Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	19
utslib.citation.issue	1

Abstract:

Fresh produce, when consumed raw, can be a source of exposure to antimicrobial residues, antimicrobial-resistant bacteria (ARB) and antimicrobial resistance genes (ARGs) of clinical importance. This review aims to determine: (1) the presence and abundance of antimicrobial residues, ARB and ARGs in fresh agricultural products sold in retail markets and consumed raw; (2) associated health risks in humans; and (3) pathways through which fresh produce becomes contaminated with ARB/ARGs. We searched the Ovid Medline, Web of Science and Hinari databases as well as grey literature, and identified 40 articles for inclusion. All studies investigated the occurrence of multidrug-resistant bacteria, and ten studies focused on ARGs in fresh produce, while none investigated antimicrobial residues. The most commonly observed ARB were E. coli (42.5%) followed by Klebsiella spp. (22.5%), and Salmonella spp. (20%), mainly detected on lettuce. Twenty-five articles mentioned health risks from consuming fresh produce but none quantified the risk. About half of the articles stated produce contamination occurred during pre- and post-harvest processes. Our review indicates that good agricultural and manufacturing practices, behavioural change communication and awareness-raising programs are required for all stakeholders along the food production and consumption supply chain to prevent ARB/ARG exposure through produce.

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http://hdl.handle.net/10453/155207