Antimicrobial resistance in the environment

Maggie R. Williams, Robert D. Stedtfeld, Xueping Guo, Syed A. Hashsham

Research output: Contribution to journalReview articlepeer-review

33 Scopus citations


This review summarizes important publications from 2015 pertaining to the occurrence of antimicrobial resistance (AMR) in the environment. Emphasis is placed on sources of antibiotic resistance in the aquatic environment including wastewater treatment plants, hospitals, and agriculture, treatment and mitigation techniques, and surveillance and analysis methodologies for characterizing abundance data. As such, this review is organized into the following sections: i) occurrence of AMR in the environment, including surface waters, aquaculture, and wastewater ii) treatment technologies, and iii) technologies for rapid surveillance of AMR, iv) transmission between matrices, v) databases and analysis methods, and vi) gaps in AMR understanding.

Original languageEnglish
Pages (from-to)1951-1967
Number of pages17
JournalWater Environment Research
Issue number10
StatePublished - 2016


  • Antimicrobial resistance
  • Antimicrobial resistance genes
  • Antimicrobial stewardship
  • Resistome
  • Treatment technologies


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