FN Archimer Export Format PT J TI Genomic analysis of sewage from 101 countries reveals global landscape of antimicrobial resistance BT AF Munk, Patrick Brinch, Christian Duus Møller, Frederik Petersen, Thomas N. Hendriksen, Rene S. Seyfarth, Anne Mette Kjeldgaard, Jette S. Svendsen, Christina Aaby van Bunnik, Bram Berglund, Fanny Bego, Artan Power, Pablo Rees, Catherine Lambrinidis, Dionisia Neilson, Elizabeth Heather Jakobsen Gibb, Karen Coventry, Kris Collignon, Peter Cassar, Susan Allerberger, Franz Begum, Anowara Hossain, Zenat Zebin Worrell, Carlon Vandenberg, Olivier Pieters, Ilse Victorien, Dougnon Tamègnon Gutierrez, Angela Daniela Salazar Soria, Freddy Grujić, Vesna Rudić Mazalica, Nataša Rahube, Teddie O. Tagliati, Carlos Alberto Rodrigues, Dalia Oliveira, Guilherme de Souza, Larissa Camila Ribeiro Ivanov, Ivan Juste, Bonkoungou Isidore Oumar, Traoré Sopheak, Thet Vuthy, Yith Ngandijo, Antoinette Nzouankeu, Ariane Olivier, Ziem A. Abah Jacques Yost, Christopher K. Kumar, Pratik Brar, Satinder Kaur Tabo, Djim-Adjim Adell, Aiko D. Paredes-Osses, Esteban Martinez, Maria Cristina Cuadros-Orellana, Sara Ke, Changwen Zheng, Huanying Baisheng, Li Lau, Lok Ting Chung, Teresa Jiao, Xiaoyang Yu, Yongjie JiaYong, Zhao Morales, Johan F. Bernal Valencia, Maria Fernanda Donado-Godoy, Pilar Coulibaly, Kalpy Julien Hrenovic, Jasna Jergović, Matijana Karpíšková, Renáta Deogratias, Zozo Nyarukweba Elsborg, Bodil Hansen, Lisbeth Truelstrup Jensen, Pernille Erland Abouelnaga, Mohamed Salem, Mohamed Fathy Koolmeister, Marliin Legesse, Mengistu Eguale, Tadesse Heikinheimo, Annamari Le Guyader, Soizick Schaeffer, Julien Villacis, Jose Eduardo Sanneh, Bakary Malania, Lile Nitsche, Andreas Brinkmann, Annika Schubert, Sara Hesse, Sina Berendonk, Thomas U. Saba, Courage Kosi Setsoafia Mohammed, Jibril Feglo, Patrick Kwame Banu, Regina Ama Kotzamanidis, Charalampos Lytras, Efthymios Lickes, Sergio A. Kocsis, Bela Solymosi, Norbert Thorsteinsdottir, Thorunn R. Hatha, Abdulla Mohamed Ballal, Mamatha Bangera, Sohan Rodney Fani, Fereshteh Alebouyeh, Masoud Morris, Dearbhaile O’Connor, Louise Cormican, Martin Moran-Gilad, Jacob Battisti, Antonio Diaconu, Elena Lavinia Corno, Gianluca Di Cesare, Andrea Alba, Patricia Hisatsune, Junzo Yu, Liansheng Kuroda, Makoto Sugai, Motoyuki Kayama, Shizuo Shakenova, Zeinegul Kiiyukia, Ciira Ng’eno, Eric Raka, Lul Jamil, Kazi Fakhraldeen, Saja Adel Alaati, Tareq Bērziņš, Aivars Avsejenko, Jeļena Kokina, Kristina Streikisa, Madara Bartkevics, Vadims Matar, Ghassan M. Daoud, Ziad Pereckienė, Asta Butrimaite-Ambrozeviciene, Ceslova Penny, Christian Bastaraud, Alexandra Rasolofoarison, Tiavina Collard, Jean-Marc Samison, Luc Hervé Andrianarivelo, Mala Rakoto Banda, Daniel Lawadi Amin, Arshana Rajandas, Heraa Parimannan, Sivachandran Spiteri, David Haber, Malcolm Vella Santchurn, Sunita J. Vujacic, Aleksandar Djurovic, Dijana Bouchrif, Brahim Karraouan, Bouchra Vubil, Delfino Carlos Pal, Pushkar Schmitt, Heike van Passel, Mark Jeunen, Gert-Jan Gemmell, Neil Chambers, Stephen T. Mendoza, Fania Perez Huete-Pιrez, Jorge Vilchez, Samuel Ahmed, Akeem Olayiwola Adisa, Ibrahim Raufu Odetokun, Ismail Ayoade Fashae, Kayode Sørgaard, Anne-Marie Wester, Astrid Louise Ryrfors, Pia Holmstad, Rune Mohsin, Mashkoor Hasan, Rumina Shakoor, Sadia Gustafson, Natalie Weiler Schill, Claudia Huber Rojas, Maria Luz Zamudio Velasquez, Jorge Echevarria Magtibay, Bonifacio B. Catangcatang, Kris Sibulo, Ruby Yauce, Felipe Campos Wasyl, Dariusz Manaia, Celia Rocha, Jaqueline Martins, Jose Álvaro, Pedro Di Yoong Wen, Doris Shin, Hanseob Hur, Hor-Gil Yoon, Sukhwan Bosevska, Golubinka Kochubovski, Mihail Cojocaru, Radu Burduniuc, Olga Hong, Pei-Ying Perry, Meghan Rose Gassama, Amy Radosavljevic, Vladimir Tay, Moon Y. F. Zuniga-Montanez, Rogelio Wuertz, Stefan Gavačová, Dagmar Pastuchová, Katarína Truska, Peter Trkov, Marija Keddy, Karen Esterhuyse, Kerneels Song, Min Joon Quintela-Baluja, Marcos Lopez, Mariano Gomez Cerdà-Cuéllar, Marta Perera, R. R. D. P. Bandara, N. K. B. K. R. G. W. Premasiri, H. I. Pathirage, Sujatha Charlemagne, Kareem Rutgersson, Carolin Norrgren, Leif Örn, Stefan Boss, Renate Van der Heijden, Tanja Hong, Yu-Ping Kumburu, Happiness Houka Mdegela, Robinson Hammerthon Hounmanou, Yaovi Mahuton Gildas Chonsin, Kaknokrat Suthienkul, Orasa Thamlikitkul, Visanu de Roda Husman, Ana Maria Bidjada, Bawimodom Njanpop-Lafourcade, Berthe-Marie Nikiema-Pessinaba, Somtinda Christelle Levent, Belkis Kurekci, Cemil Ejobi, Francis Kalule, John Bosco Thomsen, Jens Obaidi, Ouidiane Jassim, Laila Mohamed Moore, Andrew Leonard, Anne Graham, David W. Bunce, Joshua T. Zhang, Lihong Gaze, William H. Lefor, Brett Capone, Drew Sozzi, Emanuele Brown, Joe Meschke, John Scott Sobsey, Mark D. Davis, Michael Beck, Nicola Koren Sukapanpatharam, Pardi Truong, Phuong Lilienthal, Ronald Kang, Sanghoon Wittum, Thomas E. Rigamonti, Natalia Baklayan, Patricia Van, Chinh Dang Tran, Doan Minh Nguyen Do Phuc, Nguyen Kwenda, Geoffrey Larsson, D. G. Joakim Koopmans, Marion Woolhouse, Mark Aarestrup, Frank M. AS 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C1 Research Group for Genomic Epidemiology, Technical University of Denmark, Kgs, Lyngby, Denmark Centre for Immunity, Infection and Evolution, University of Edinburgh, Edinburgh, UK Centre for Antibiotic Resistance Research (CARe), University of Gothenburg, Gothenburg, Sweden Department of Viroscience, Erasmus MC, Rotterdam, The Netherlands Institute of Public Health, Tirana, Albania Universidad de Buenos Aires, Buenos Aires, Argentina Melbourne Water Corporation, Melbourne, Australia Charles Darwin University, Darwin, Australia University of Copenhagen, Frederiksberg C, Denmark Charles Darwin University, Darwin Northern Territory, Australia Canberra Hospital, Canberra, Australia ALS Water, Scoresby, Australia Austrian Agency for Health and Food Safety (AGES), Vienna, Austria University of Dhaka, Dhaka, Bangladesh Environmental Protection Department, Bridgetown, St. Michael, Barbados Laboratoire Hospitalier Universitaire de Bruxelles (LHUB-ULB), Brussels, Belgium AQUAFIN NV, Aartselaar, Belgium Polytechnic School of Abomey-Calavi, Abomey-Calavi, Benin Universidad Catσlica Boliviana San Pablo, La Paz, Bolivia Public Health Institute of the Republic of Srpska, Faculty of Medicine University of Banja Luka, Banja Luka, Bosnia and Herzegovina Public Health Institute of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina Botswana International University of Science and Technology, Palapye, Botswana Universidade Federal de Minas Gerais, Belo Horizonte, Brazil Oswaldo Cruz Institute, Rio de Janeiro, Brazil Vale Institute of Technology, Belιm, PA, Brazil National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria University of Ouagadougou, Ouagadougou, Burkina Faso Institut Pasteur du Cambodge, Phnom Penh, Cambodia Centre Pasteur du Cameroun, Yaoundι, Cameroon University of Regina, Regina, Canada Eau Terre Environnement Research Centre (INRS-ETE), Quebec City G1K 9A9, Canada and Indian Institute of Technology, Jammu, India Eau Terre Environnement Research Centre (INRS-ETE), Quebec City G1K 9A9, Canada and Lassonde School of Enginerring, York University, Toronto, Canada University of N’Djamena, N’Djamena, Chad Escuela de Medicina Veterinaria, Facultad de Ciencias de la Vida, Universidad Andres Bello, Santiago, Chile Institute of Public Health, Santiago, Chile Centro de Biotecnologνa de los Recursos Naturales, Facultad de Ciencias Agrarias y Forestales, Talca, Chile Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China The Hong Kong Polytechnic University, Hong Kong, China Shantou University Medical College, Shantou, China Nanjing University of Information Science and Technology, Nanjing, China Center for Disease Control and Prevention of Henan province, Zhengzhou, China Colombian Integrated Program for Antimicrobial Resistance Surveillance - Coipars, CI Tibaitatα, Corporaciσn Colombiana de Investigaciσn Agropecuaria (AGROSAVIA), Tibaitatα - Mosquera, Cundinamarca, Colombia Institut Pasteur de Côte d’Ivoire, Abidjan, Côte d’Ivoire University of Zagreb, Zagreb, Croatia Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia Veterinary Research Institute, Brno, Czech Republic Centre de Recherche en Sciences Naturelles de Lwiro (CRSN-LWIRO), Bukavu, Democratic Republic of Congo BIOFOS A/S, Copenhagen K, Denmark Technical University of Denmark, Kgs., Lyngby, Denmark Suez Canal University, Ismailia, Egypt University of Sadat City, Sadat City, Egypt Ministry of Health, Environmental Microbiology, Tallinn, Estonia Addis Ababa University, Addis Ababa, Ethiopia University of Helsinki, Helsinki, Finland French Institute Search Pour L’exploitation De La Mer (Ifremer), Nantes, France Instituto Nacional de Investigaciσn en Salud Pϊblica-INSPI (CRNRAM), Galαpagos, Quito, Ecuador National Public Health Laboratories, Ministry of Health and Social Welfare, Kotu, Gambia National Center for Disease Control and Public Health, Tbilisi, Georgia Robert Koch Institute, Berlin, Germany Technische Universitδt Dresden, Institute of Hydrobiology, Dresden, Germany University for Development Studies, Tamale, Ghana University of Ghana, Accra, Ghana Kwame Nkrumah University of Science and Technology, Kumasi, PMB, Ghana Council for Scientific and Industrial Research Water Research Institute, Accra, Ghana Veterinary Research Institute of Thessaloniki, Hellenic Agricultural Organisation-DEMETER, Thermi, Greece Athens Water Supply and Sewerage Company (EYDAP S.A.), Athens, Greece Universidad de San Carlos de Guatemala, Guatemala City, Guatemala Semmelweis University, Institute of Medical Microbiology, Budapest, Hungary University of Veterinary Medicine, Budapest, Hungary University of Iceland, Reykjavνk, Iceland Cochin University of Science and Technology, Cochin, India Kasturba Medical College, Manipal, India Apollo Diagnostics, Mangalore, India Shiraz University of Medical Sciences, Shiraz, Iran Shahid Beheshti University of Medical Sciences, Tehran, Iran National University of Ireland Galway, Galway, Ireland Ben Gurion University of the Negev and Ministry of Health, Beer-Sheva, Israel Istituto Zooprofilattico Sperimentale del Lazio e della Toscana, Rome, Italy CNR - Water Research Institute, Verbania, Italy National Institute of Infectious Diseases, Tokyo, Japan National Center of Expertise, Taldykorgan, Kazakhstan Mount Kenya University, Thika, Kenya Kenya Medical Research Institute, Nairobi, Kenya University of Prishtina “Hasan Prishtina” & National Institute of Public Health of Kosovo, Pristina, Kosovo Kuwait Institute for Scientific Research, Kuwait City, Kuwait Institute of Food Safety, Riga, Latvia American University of Beirut, Beirut, Lebanon Central Michigan University & Michigan Health Clinics, Saginaw, MI, USA National Food and Veterinary Risk Assessment Institute, Vilnius, Lithuania Luxembourg Institute of Science and Technology, Belvaux, Luxembourg Institut Pasteur de Madagascar, Antananarivo, Madagascar University of Antananarivo, Centre d’Infectiologie Charles Mιrieux, Antananarivo, Madagascar University of Malawi, Blantyre, Malawi Malaysian Genomics Resource Centre Berhad, Kuala Lumpur, Malaysia AIMST University, COMBio, Kedah, Malaysia Water Services Corporation, Luqa, Malta Environmental Health Directorate, St. Venera, Malta University of Mauritius, Reduit, Mauritius Institute for Public Health Montenegro, Podgorica, Montenegro Institut Pasteur du Maroc, Casablanca, Morocco Centro de Investigaηγo em Saϊde de Manhiηa (CISM), Maputo, Mozambique Agriculture and Forestry University, Kathmandu, Nepal National Institute for Public, Health and the Environment (RIVM), Bilthoven, The Netherlands University of Otago, Dunedin, New Zealand University of Otago, Christchurch, New Zealand University of Central America, Managua, Nicaragua Universidad Nacional Autσnoma de Nicaragua-Leσn, Leσn, Nicaragua University of Ilorin, Ilorin, Nigeria University of Ibadan, Ibadan, Nigeria Norwegian Institute of Public Health, Oslo, Norway VEAS, Slemmestad, Norway University of Agriculture, Faisalabad, Pakistan Aga Khan University, Karachi, Pakistan Laboratorio Central de Salud Publica, Asuncion, Paraguay Instituto Nacional de Salud, Lima, Peru Universidad de Piura, Piura, Peru WHO Environmental and Occupational Health, Manila, Philippines Maynilad Water Services, Inc., Quezon City, Philippines National Veterinary Research Institute, Pulawy, Poland Universidade Catσlica Portuguesa, CBQF - Centro de Biotecnologia e Quνmica Fina - Laboratσrio Associado, Escola Superior de Biotecnologia, Porto, Portugal Aguas do Tejo Atlantico, Lisboa, Portugal Gwangju Institute of Science and Technology, Gwangju, Republic of Korea Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea institute of Public Health of the Republic of North Macedonia, Skopje, Republic of North Macedonia State Medical and Pharmaceutical University, Chișinău, Republic of Moldova National Agency for Public Health, Chișinău, Republic of Moldova King Abdullah University of Science and Technology, Thuwal, Saudi Arabia University of Edinburgh, Edinburgh, Scotland, UK Institut Pasteur de Dakar, Dakar, Senegal Institute of Veterinary Medicine of Serbia, Belgrade, Serbia Nanyang Technological University, Singapore, Singapore Public Health Authority of the Slovak Republic, Bratislava, Slovakia National Laboratory of Health, Environment and Food, Ljubljana, Slovenia Independent consultant, Johannesburg, South Africa Daspoort Waste Water Treatment Works, Pretoria, South Africa Korea Advanced Institute of Science and Technology, Daejeon, South Korea School of Veterinary Sciences, Lugo, Spain Labaqua, Santiago de Compostela, Spain IRTA, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autonoma de Barcelona, Bellaterra, Spain University of Kelaniya, Ragama, Sri Lanka Medical Research Institute, Colombo, Sri Lanka Caribbean Public Health Agency, Catries, Saint Lucia The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden Swedish University of Agricultural Sciences, Uppsala, Sweden Federal Food Safety and Veterinary Office (FSVO), Bern, Switzerland Ara Region Bern AG, Herrenschwanden, Switzerland Centers for Disease Control, Taipei, Taiwan Kilimanjaro Clinical Research Institute, Moshi, Tanzania Sokoine University of Agriculture, Morogoro, Tanzania Faculty of Science and Technology, Suratthani Rajabhat University, Surat Thani, Thailand Faculty of Public Health, Mahidol University, Bangkok, Thailand Faculty of Medicine Siriraj Hospital, Bangkok, Thailand National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands National Institute of Hygiene, Lomι, Togo Agence de Médecine Préventive, Dapaong, Togo Division of Integrated Surveillance of Health Emergencies and Response, Lomι, Togo Public Health Institution of Turkey, Ankara, Turkey Hatay Mustafa Kemal University, Hatay, Turkey Makerere University, Kampala, Uganda Abu Dhabi Public Health Center, Abu Dhai, United Arab Emirates Dubai municipality, WWTP Al Aweer, Dubai, UAE Rashid Hospital, Dubai, UAE Northumbrian Water, Northumbria House, Abbey Road, Pity Me, Durham, UK University of Exeter Medical School, Cornwall, UK Newcastle University, Newcastle upon Tyne, UK Brightwater Treatment Plant, Woodinville, WA, USA Department of Environmental Sciences and Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA University of North Carolina, Chapel Hill, USA University of Washington, Seattle, WA, USA Baylor University, Waco, USA Columbia Boulevard WWTP, Portland, USA Eastern Illinois University, Charleston, USA The Ohio State University, Columbus Ohio, USA Laboratorio Tecnolσgico del Uruguay, Montevideo, Uruguay Institute of Public Health in Ho Chi Minh City, Ho Chi Minh, Vietnam University of Zambia, Lusaka, Zambia C2 UNIV TECH DENMARK, DENMARK UNIV EDINBURGH, UK UNIV GOTHENBURG, SWEDEN ERASMUS MC, NETHERLANDS INST PUBLIC HEALTH, ALBANIA UNIV BUENOS AIRES, ARGENTINA MELBOURNE WATER CORP, AUSTRALIA UNIV CHARLES DARWIN, AUSTRALIA UNIV COPENHAGEN, DENMARK UNIV CHARLES DARWIN, AUSTRALIA HOSP CANBERRA, AUSTRALIA ALS WATER, AUSTRALIA AGES, AUSTRIA UNIV DHAKA, BANGLADESH ENVIRONM PROTECT DEPART, BARBADOS UNIV LIBRE BRUXELLES, BELGIUM AQUAFIN NV, BELGIUM POLYTECHNIC SCHOOL OF ABOMEY-CALAVI, BENIN UNIV CATOLICA BOLIVIANA SAN PABLO, BOLIVIA UNIV BANJA LUKA, BOSNIA AND HERZEGOVINA PUBLIC HEALTH INST REPUBLIC SRPSKA, BOSNIA AND HERZEGOVINA UNIV SCI & TECHNOL BOTSWANA, BOTSWANA UNIV FED MINAS GERAIS, BRAZIL OSWALDO CRUZ INST, BRAZIL VALE INST TECHNOL, BRAZIL NATL CENTER INFECTIOUS PARASITIC DISEASES, BULGARIA UNIV OUAGADOUGOU, BURKINA FASO INST PASTEUR CAMBODGE, CAMBODIA INST PASTEUR CAMEROUN, CAMEROON UNIV REGINA, CANADA INRS-ETE, INDIA INRS-ETE, CANADA UNIV N’DJAMENA, CHAD UNIV ANDRES BELLO, CHILE INST PUBLIC HEALTH, CHILE UNIV TALCA, CHILE GUANGDONG PROVINCIAL CENTER DISEASE CONTROL PREVENTION, CHINA UNIV POLYTECH HONG KONG, CHINA UNIV SHANTOU MEDICAL COLLEGE, CHINA UNIV NANJING, CHINA CENTER FOR DISEASE CONTROL AND PREVENTION OF HENAN PROVINCE, CHINA COIPARS, COLOMBIA INST PASTEUR COTE D'IVOIRE, COTE IVOIRE UNIV ZAGREB, CROATIA ASPHER, CROATIA VETERINARY RES INST, CZECH REPUBLIC CRSN-LWIRO, REP CONGO BIOFOS A/S, DENMARK UNIV TECH DENMARK, DENMARK UNIV SUEZ CANAL, EGYPT UNIV SADAT CITY, EGYPT MINISTHEALTH ENVIRONM MICROBIOL, ESTONIA UNIV ADDIS ABABA, ETHIOPIA UNIV HELSINKI, FINLAND IFREMER, FRANCE INSPI, ECUADOR NATL PUBLIC HEALTH LAB, GAMBIA NATL CENTER DISEASE CONTROL PUBLIC HEALTH, GEORGIA ROBERT KOCH INST, GERMANY UNIV DRESDEN, GERMANY UNIV FOR DEVELOPMENT STUDIES, GHANA UNIV GHANA, GHANA UNIV KWAME NKRUMAH, GHANA WATER RES INST, GHANA DEMETER, GREECE EYDAP SA, GREECE UNIV SAN CARLOS GUATEMALA, GUATEMALA UNIV SEMMELWEIS, HUNGARY UNIV VETERIN MED, HUNGARY UNIV ICELAND, ICELAND UNIV COCHIN, INDIA KASTURBA MEDICAL COLL, INDIA APOLLO DIAGNOSTICS, INDIA UNIV SHIRAZ, IRAN UNIV SHAHID BEHESHTI, IRAN UNIV NATL IRELAND, IRELAND UNIV BEN GURION, ISRAEL IZSLT, ITALY CNR, ITALY NIID, JAPAN NATL CENTER EXPERTISE, KAZAKHSTAN UNIV MOUNT KENYA, KENYA KENYA MEDIC RES INST, KENYA UNIV PRISHTINA, KOSOVO KISR, KUWAIT INST FOOD SAFETY, LATVIA UNIV AMERICAN BEIRUT, LEBANON UNIV CENTRAL MICHIGAN, USA NFVRAI, LITHUANIA LUXEMBOURG INST SCIENC TECHNOL, LUXEMBOURG INST PASTEUR MADAGASCAR, MADAGASCAR UNIV ANTANANARIVO, MADAGASCAR UNIV MALAWI, MALAWI MGRC, MALAYSIA UNIV AIMST, MALAYSIA WATER SERVICES CORP, MALTA ENVIRONMENTAL HEALTH DIRECT, MALTA UNIV MAURITIUS, MAURITIUS INST PUBLIC HEALTH MONTENEGRO, MONTENEGRO INST PASTEUR MAROC, MOROCCO CISM, MOZAMBIQUE UNIV AGRI FOREST, NEPAL RIVM, NETHERLANDS UNIV OTAGO, NEW ZEALAND UNIV OTAGO, NEW ZEALAND UNIV CENTRAL AMERICA, NICARAGUA UNIV NAC AUTONOMA NICARAGUA LEON, NICARAGUA UNIV ILORIN, NIGERIA UNIV IBADAN, NIGERIA NORWEGIAN INST PUBLIC HEALTH, NORWAY VEAS, NORWAY UNIV AGRICULTURE, PAKISTAN UNIV AGA KHAN, PAKISTAN LAB CENTRAL SALUD PUBLICA, PARAGUAY INST NACL SALUD, PERU UNIV PIURA, PERU WHO ENVIRONMENTAL OCCUPATIONAL HEALTH, PHILIPPINES MAYNILAD WATER SERVICES, PHILIPPINES NVRI, POLAND UNIV CATOLICA PORTUGUESA, PORTUGAL AGUAS DO TEJO ATLANTICO, PORTUGAL GIST, SOUTH KOREA KAIST, SOUTH KOREA INST PUBLIC HEALTH, MACEDONIA UNIV NICOLAE TESTEMITANU, MOLDOVA NATL AGCY PUBLIC HEALTH, MOLDOVA KAUST, SAUDI ARABIA UNIV EDINBURGH, UK INST PASTEUR DAKAR, SENEGAL UNIV BELGRADE, SERBIA UNIV NANYANG TECHNOL, SINGAPORE PUBLIC HEALTH AUTHORITY, SLOVAKIA NLZOH, SLOVENIA Independent consultant, Johannesburg, South Africa WWTW, SOUTH AFRICA KAIST, SOUTH KOREA UNIV SANTIAGO, SPAIN LABAQUA, SPAIN UNIV AUTONOMA BARCELONA, SPAIN UNIV KELANIYA, SRI LANKA MED RES INST, SRI LANKA CARIBBEAN PUBLIC HEALTH AGCY, SAINT LUCIA UNIV GOTHENBURG, SWEDEN UNIV UPPSALA, SWEDEN FSVO, SWITZERLAND ARA BERN, SWITZERLAND TAIWAN CENTER DISEASE CONTROL, TAIWAN KCRI, TANZANIA UNIV SOKOINE, TANZANIA UNIV SURAT THANI, THAILAND UNIV MAHIDOL, THAILAND HOSP BANGKOK, THAILAND RIVM, NETHERLANDS INH TOGO, TOGO AMP TOGO, TOGO IDSR, TOGO PUBLIC HEALTH INST, TURKEY UNIV HATAY, TURKEY UNIV MAKERERE, UGANDA ABU DHABI PUBLIC HEALTH CENTER, UNITED ARAB EMIRATES AL AWEER WASTEWATER TREATMENT PLANT, UNITED ARAB EMIRATES HOSP RASHID, UNITED ARAB EMIRATES NORTHUMBRIAN WATER, UK UNIV EXETER, UK UNIV NEWCASTLE, UK BRIGHTWATER TREATMENT PLANT, USA UNIV N CAROLINA, USA UNIV N CAROLINA, USA UNIV WASHINGTON, USA UNIV BAYLOR, USA COLUMBIA BOULEVARD WWTP, USA UNIV EASTERN ILLINOIS, USA UNIV OHIO STATE, USA LATU, URUGUAY INST PUBLIC HEALTH HO CHI MINH, VIETNAM UNIV ZAMBIA, ZAMBIA SI NANTES SE PDG-RBE-MASAE-LSEM IN WOS Ifremer UPR DOAJ copubli-europe copubli-int-hors-europe copubli-sud IF 16.6 TC 55 UR https://archimer.ifremer.fr/doc/00808/91994/97944.pdf https://archimer.ifremer.fr/doc/00808/91994/97945.pdf https://archimer.ifremer.fr/doc/00808/91994/97946.pdf https://archimer.ifremer.fr/doc/00808/91994/97947.xlsx https://archimer.ifremer.fr/doc/00808/91994/97948.zip https://archimer.ifremer.fr/doc/00808/91994/97949.pdf https://archimer.ifremer.fr/doc/00808/91994/99079.pdf LA English DT Article AB Antimicrobial resistance (AMR) is a major threat to global health. Understanding the emergence, evolution, and transmission of individual antibiotic resistance genes (ARGs) is essential to develop sustainable strategies combatting this threat. Here, we use metagenomic sequencing to analyse ARGs in 757 sewage samples from 243 cities in 101 countries, collected from 2016 to 2019. We find regional patterns in resistomes, and these differ between subsets corresponding to drug classes and are partly driven by taxonomic variation. The genetic environments of 49 common ARGs are highly diverse, with most common ARGs carried by multiple distinct genomic contexts globally and sometimes on plasmids. Analysis of flanking sequence revealed ARG-specific patterns of dispersal limitation and global transmission. Our data furthermore suggest certain geographies are more prone to transmission events and should receive additional attention. PY 2022 PD DEC SO Nature Communications SN 2041-1723 PU Springer Science and Business Media LLC VL 13 IS 1 UT 000929940300001 DI 10.1038/s41467-022-34312-7 ID 91994 ER EF