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Association between antibiotic resistance and increasing ambient temperature in China: an ecological study with nationwide panel data

抗生素耐药性 鲍曼不动杆菌 生态学研究 抗生素 环境卫生 中国 医学 抗性(生态学) 人口学 生物 生态学 铜绿假单胞菌 地理 微生物学 细菌 人口 考古 社会学 遗传学
作者
Weibin Li,Chaojie Liu,Hung Chak Ho,Lin Shi,Yingchao Zeng,Xinyi Yang,Qixian Huang,Yi Pei,Cunrui Huang,Lianping Yang
出处
期刊:The Lancet Regional Health - Western Pacific [Elsevier BV]
卷期号:30: 100628-100628 被引量:86
标识
DOI:10.1016/j.lanwpc.2022.100628
摘要

Antibiotic resistance leads to longer hospital stays, higher medical costs, and increased mortality. However, research into the relationship between climate change and antibiotic resistance remains inconclusive. This study aims to address the gap in the literature by exploring the association of antibiotic resistance with regional ambient temperature and its changes over time.Data were obtained from the China Antimicrobial Surveillance Network (CHINET), monitoring the prevalence of carbapenem-resistant Acinetobacter baumannii (CRAB), Klebsiella pneumoniae (CRKP) and Pseudomonas aeruginosa (CRPA) in 28 provinces/regions over the period from 2005 to 2019. Log-linear regression models were established to determine the association between ambient temperature and antibiotic resistance after adjustment for variations in socioeconomic, health service, and environmental factors.A 1 °C increase in average ambient temperature was associated with 1.14-fold increase (95%-CI [1.07-1.23]) in CRKP prevalence and 1.06-fold increase (95%-CI [1.03-1.08]) in CRPA prevalence. There was an accumulative effect of year-by-year changes in ambient temperature, with the four-year sum showing the greatest effect on antibiotic resistance. Higher prevalence of antibiotic resistance was also associated with higher antibiotic consumption, lower density of health facilities, higher density of hospital beds and higher level of corruption.Higher prevalence of antibiotic resistance is associated with increased regional ambient temperature. The development of antibiotic resistance under rising ambient temperature differs across various strains of bacteria.The National Key R&D Program of China (grant number: 2018YFA0606200), National Natural Science Foundation of China (grant number: 72074234), Fundamental Scientific Research Funds for Central Universities, P.R. China (grant number: 22qntd4201), China Medical Board (grant number: CMB-OC-19-337).
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