Publications by authors named "A P Meijs"

Article Synopsis
  • The study explores the relationship between antimicrobial use (AMU) in livestock and antimicrobial resistance (AMR) in human infections in the Netherlands from 2004 to 2020.
  • It finds that while AMU in livestock is decreasing, AMR among human infections is still increasing, indicating that reducing livestock AMU alone may not effectively combat AMR in humans.
  • The research highlights the need for further investigation into the genetic and evolutionary factors contributing to AMR, suggesting that a broader strategy may be needed to address this public health issue.
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Background: In the last decade, veterinary antimicrobial usage (AMU) and antimicrobial resistance (AMR) among indicator bacteria in livestock have decreased substantially in the Netherlands. The extent to which this decrease has affected AMR levels among human infections remains unclear.

Objectives: To assess the association between AMU in livestock and AMR in Escherichia coli isolates from human urinary tract infections (UTIs).

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It is estimated that only 0.02% of disseminated tumour cells are able to seed overt metastases. While this suggests the presence of environmental constraints to metastatic seeding, the landscape of host factors controlling this process remains largely unclear.

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Background: Antimicrobial use (AMU) in livestock contributes to antimicrobial resistance (AMR) among zoonotic pathogens, such as non-typhoid (NTS). Since 2009, the Netherlands has made substantial efforts to reduce AMU in livestock.

Objectives: To assess the association between AMU in livestock and AMR in NTS human isolates.

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We investigated to what extent the consumption of raw or undercooked vegetables, fruits, and fresh herbs influences carriage rates of ESBL/pAmpC-producing and (ESBL-E/K) in the general population. We assessed long-term carriage and changes in ESBL-E/K prevalence over time, by comparing the results to findings in the same population 5 years earlier. Between July and December 2021, participants sent in two fecal samples and questionnaires, 3 months apart.

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