Evidence map›Paper›PMID 40727444›Full record

ArticleOne health (Amsterdam, Netherlands)2025

The surveillance of antimicrobial resistance in wastewater from a one health perspective: A global scoping and temporal review (2014-2024).

Rhiannon Punch, Rayane Azani, Claire Ellison, Anna Majury, Paul D Hynds, Sarah Jane Payne, R Stephen Brown

Abstract read
In one paragraph

Article in One health (Amsterdam, Netherlands), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Molecular Insights into Carbapenem Resistance inInternational journal of molecular sciences · 2026
    Review
  15. Article
  16. Review
  17. Article
  18. Culture, qPCR, and genome-based surveillance ofFrontiers in microbiology · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rhiannon PunchSchool of Environmental Studies, Queen's University, Kingston, Ontario, Canada.
Rayane AzaniSchool of Environmental Studies, Queen's University, Kingston, Ontario, Canada.
Claire EllisonDept. of Civil Engineering, Queen's University, Kingston, Ontario, Canada.
Anna MajurySchool of Environmental Studies, Queen's University, Kingston, Ontario, Canada.
Paul D HyndsSchool of Environmental Studies, Queen's University, Kingston, Ontario, Canada.
Sarah Jane PayneBeaty Water Research Centre, Queen's University, Kingston, Ontario, Canada.
R Stephen BrownSchool of Environmental Studies, Queen's University, Kingston, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surveillance of antimicrobial resistance (AMR) via a One Health approach must consider the interconnectivity between humans, animals, and the environment. Traditionally, AMR surveillance has relied upon patient-based surveillance in healthcare settings. Wastewater surveillance (WWS) has recently been demonstrated for monitoring AMR to and/or from wastewater treatment plants (WWTPs) which represent a point of intersection between humans, animals and the environment. WWS can be associated with AMR presence and dissemination across entire communities or WWTP catchments, as well as the transfer of AMR to agricultural lands and receiving waters via genes and/or organisms. In this review, the various methodologies used for WWS of AMR and their interpretative significance are identified and discussed, in addition to the potential approaches and outcomes associated with AMR monitoring within WWTPs. A total of 177 reports were identified covering the period 2014 to October 2024, with 136 (76.8 %) appearing after 2019. These recent papers show a distinct emphasis on qPCR and sequencing-based approaches. Surveillance is now global in scope, albeit with a current emphasis on WWTPs in high-income countries. To achieve more effective, global WWS of AMR under a One Health lens, all relevant sectors must understand the principles and capabilities of available methodologies and technologies. Overall, this review seeks to illuminate the diverse interpretations that can be made from WWS of AMR in a One Health context and identify how best to inform future directions regarding AMR monitoring and prevention efforts.

Indexed as

Antibiotic resistant genesAntibiotic resistant organismsAntimicrobial resistanceOne healthWastewater surveillanceWastewater treatment plants

Identifiers

PMID40727444
PMCPMC12301844

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.