[Antimicrobial resistance in human and veterinary medicine: where are we?]

Abstract

Antimicrobial resistance in human and veterinary medicine: WHERE ARE WE ? In both human and veterinary medicine, the evolution of antimicrobial resistance is worrying for some antibiotics or bacterial species, but less for others. In humans and animals, the picture for respiratory infections is rather favorable. On the other hand, resistance to fluoroquinolones of bacteria causing sexually transmitted infections in humans, or of Campylobacter_in animals, has increased significantly. Two major indicators of antimicrobial resistance, common to both sectors, are resistance to 3rd generation cephalosporins in Enterobacterales and resistance to methicillin in Staphylococcus aureus. Favorable trends in humans and animals are shown ; they remind of the dual importance, in the fight against antimicrobial resistance in a One Health approach of controlling antibiotic consumption on the one hand, and of respecting hygiene practices, on the other.