Evidence map›Paper›PMID 23735422›Full record

ReviewEnvironmental health perspectives2013

Management options for reducing the release of antibiotics and antibiotic resistance genes to the environment.

Amy Pruden, D G Joakim Larsson, Alejandro Amézquita, Peter Collignon, Kristian K Brandt, David W Graham, James M Lazorchak, Satoru Suzuki, Peter Silley, Jason R Snape and 3 more

Abstract readReview
In one paragraph

Review in Environmental health perspectives, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 179 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
179citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

179 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Article
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  7. Article
  8. Harnessing Visible Light: MXene/g‑CPrecision chemistry · 2026
    Article
  9. Article
  10. Special Issue: "Microorganisms in the Environment".International journal of molecular sciences · 2026
    Article
  11. Article
  12. Antibiotic resistance dissemination in soil ecosystems: deep understanding for effective management and global health protection.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Review
  13. Article
  14. Plastics as vectors for pathogens and antibiotic resistance genes in aquatic systems.Water science and technology : a journal of the International Association on Water Pollution Research · 2026
    Review
  15. Article
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  17. Review
  18. Review
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  20. Review

119 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Amy PrudenDepartment of Civil and Environmental Engineering, Virginia Tech, Blacksburg, Virginia, USA.
D G Joakim Larsson
Alejandro Amézquita
Peter Collignon
Kristian K Brandt
David W Graham
James M Lazorchak
Satoru Suzuki
Peter Silley
Jason R Snape
Edward Topp
Tong Zhang
Yong-Guan Zhu

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is growing concern worldwide about the role of polluted soil and water environments in the development and dissemination of antibiotic resistance.

objectiveOur aim in this study was to identify management options for reducing the spread of antibiotics and antibiotic-resistance determinants via environmental pathways, with the ultimate goal of extending the useful life span of antibiotics. We also examined incentives and disincentives for action.

methodsWe focused on management options with respect to limiting agricultural sources; treatment of domestic, hospital, and industrial wastewater; and aquaculture. DISCUSSION: We identified several options, such as nutrient management, runoff control, and infrastructure upgrades. Where appropriate, a cross-section of examples from various regions of the world is provided. The importance of monitoring and validating effectiveness of management strategies is also highlighted. Finally, we describe a case study in Sweden that illustrates the critical role of communication to engage stakeholders and promote action.

conclusionsEnvironmental releases of antibiotics and antibiotic-resistant bacteria can in many cases be reduced at little or no cost. Some management options are synergistic with existing policies and goals. The anticipated benefit is an extended useful life span for current and future antibiotics. Although risk reductions are often difficult to quantify, the severity of accelerating worldwide morbidity and mortality rates associated with antibiotic resistance strongly indicate the need for action.

Indexed as

AgricultureWaste Disposal, FluidAnimal HusbandryAnti-Bacterial AgentsAquacultureDecision MakingDrug Resistance, MicrobialEnvironmental MonitoringIndustrial WasteMedical WasteWastewaterWater Pollutants, ChemicalWater Pollution, ChemicalAnti-Bacterial AgentsIndustrial WasteMedical WasteWastewaterWater Pollutants, Chemical

Identifiers

PMID23735422
PMCPMC3734499

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.