1. Risk assessments evaluating foodborne antimicrobial resistance in humans: A scoping review
- Author
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Caffrey, N, Invik, J, Waldner, C L, Ramsay, D, and Checkley, S L
- Abstract
Risk assessments are utilized to understand the risks associated with bacterial foodborne pathogens with increased antimicrobial resistance (AMR). This review aimed at identifying and describing the literature on risk assessments for the study of antimicrobial resistance of foodborne bacteria in humans, with focus only on products intended for the treatment of bacterial infections. The definition of what constituted a risk assessment from a methodological perspective is based on the Codex Guidelines for Risk Analysis of Foodborne Antimicrobial Resistance.Thirty-eight articles produced between 1989–2018 were identified following a comprehensive search strategy. Most articles (25/38) were quantitative risk assessments. The most frequently identified hazard of concern was the consumption of retail meat. Knowledge gaps were evident throughout the four components of the risk assessments, particularly in the hazard characterization component. There appears to be a lack of evidence available to inform risk assessments regarding the additional effects of disease with an AMR organism. The adverse health effects attributable to AMR were addressed in less than half of the articles identified. Additionally, vulnerable populations were not generally included in the risk assessment. There is the potential for risk assessments to consider a broader scope for sources of information to identify and characterize the hazard of concern. Codex guidelines provide a structured framework by which to conduct a risk assessment relating to the microbiological hazards and AMR and should be addressed in every risk assessment on these topics.
- Published
- 2019
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