How healthy eating causes resistance to antibiotics

Widespread use of antibiotics in human healthcare and livestock husbandry has led to trace amounts of the drugs ending up in food products. An interesting new piece of research has been able to identify a number of medication compounds in some of the most common staples in our diet.

Antibiotics can be present at trace amounts in meat, eggs and milk if the animals aren’t withdrawn from the drugs for a sufficient period of time before the products are collected. Also, antibiotics can accumulate in cereals, vegetables and fruits from manure fertilizer or treated wastewater applied to crops. Consuming these foods over a long period of time could lead to increased antibiotic resistance of bacterial pathogens or to an imbalance in the gut microbiome. However, most previous monitoring methods for antibiotics in foods have been limited to a few compounds at a time, usually within a single class of antibiotics with similar structures and chemical properties. Other methods have analyzed multiple antibiotics in only a single food type, such as eggs or milk. Yujie Ben and colleagues wanted to develop a time- and cost-effective method that could detect a wide range of antibiotics in different types of foods.

The researchers added trace amounts of 81 antibiotics from seven categories to vegetable samples and tested 20 different methods for extracting the drugs from the food. Only one extraction process, which involved treating freeze-dried, homogenized food samples with an acidified acetonitrile solution and a mixture of magnesium sulfate and sodium acetate, allowed the researchers to isolate 77 of the antibiotics. After establishing that their method was sensitive and accurate with spiked antibiotics in several foods, the team applied it to store-bought samples of wheat flour, mutton, eggs, milk, cabbage and bananas, detecting a total of 10 antibiotics. One of them, roxithromycin, was detected at trace amounts in all six food types. The new method should help with understanding, monitoring and regulating antibiotic levels in foods, the researchers say.

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