National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Colistin is a polypeptide cationic antibiotic with wide spectrum of activity against gram negative organisms especially bacteria of Enterobacteriaceae family. It was mainly used for multi-drug resistant gram-negative bacteria like Acinetobacter baumannii, Pseudomonas aeruginosa, and Klebsiella pneumoniae. Due to its potential Neuro- and Nephrotoxicity these were replaced by less toxic compounds like gentamicin, fosfomycin and sulphonamides etc. Emergence of multidrug drug resitant bacterial infections led to the reconsideration of colistin use in humans. Colistin is widely used in veterinary for theraupetic, prophylactic and metaphylactic use. China is the largest consumer and producer of colistin in the world and it is mainly used in pigs and poultry production. Overuse and misuse of colistin as animal growth promoters and underdosing for prolonged time has led to the emergence of transferable colistin resistance. Most common gut bacteria of animals commonly acquire mobile colistin resistant (mcr) genes like E. coli, Salmonella, Klebsiella etc., these genes can be transferred horizontally between bacteria, which pose a threat to public health worldwide. This article reviews the use of colistin resistance in human and veterinary medicine along with global distribution and impact of colistin resistance on public health.
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