mBio · 2019 · 59 citations · 107 references
Life SciencesImmunologyMicrobiologyAntimicrobial ResistanceMedical MicrobiologyMicrobial GeneticsAcquired ResistanceAntibacterial ResistanceAntibiotic ResistanceAntibiotic Resistance MechanismsAntimicrobial Resistance PreventionBacterial SurvivalAntibiotic Resistance GenesAntimicrobial Resistance MitigationEscherichia Coli ResistanceHost Immune SuppressionImmune Suppression MechanismsMechanisms Of Acquired Antibiotic ResistanceMicrobial Contamination RiskMicrogravity Effects
Stress factors experienced during space include microgravity, sleep deprivation, radiation, isolation, and microbial contamination, all of which can promote immune suppression (1, 2). Under these conditions, the risk of infection from opportunistic pathogens increases significantly, particularly during long-term missions (3). If infection occurs, it is important that the infectious agent should not be antibiotic resistant. Minimizing the occurrence of antibiotic resistance is, therefore, highly desirable. To facilitate this, it is important to better understand the long-term response of bacteria to the microgravity environment. This study demonstrated that the use of antibiotics as a preventive measure could be counterproductive and would likely result in persistent resistance to that antibiotic. In addition, unintended resistance to other antimicrobials might also occur as well as permanent genome changes that might have other unanticipated and undesirable consequences.
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The antibiotic resistance crisis: part 1: causes and threats.
C Lee Ventola · PubMed · 2015 · 4.7K citations
Selection of Resistant Bacteria at Very Low Antibiotic Concentrations
Erik Gullberg, Sha Cao, Otto G. Berg et al. · PLoS Pathogens · 2011 · 1.7K citations · Full text