Antimicrobial resistance in foodborne pathogens represents a critical global health challenge, with food handlers serving as key contributors in their transmission. This comprehensive review synthesizes evidence on the prevalence, transmission dynamics, and antimicrobial resistance patterns of three major pathogens, Staphylococcus spp., Escherichia coli, and Salmonella spp., among food handlers worldwide. Analysis of studies across diverse geographical regions reveals considerable variation in colonization rates, with Staphylococcus spp. prevalence ranging from 19.5% to 95.0%, Escherichia coli from 2.8% to 89.3%, and Salmonella spp. from 0.07% to 9.1%. Resistance profiles demonstrate alarming trends, including widespread β-lactam resistance and emerging resistance to last-resort antibiotics like carbapenems. Particularly concerning is the high occurrence of multidrug resistant (MDR) strains and extended spectrum β-lactamase (ESBL) producers in low- and middle-income countries. This review identified inadequate handwashing, poor hygiene infrastructure, and asymptomatic carriage as critical factors facilitating the transmission of antimicrobial resistant strains. These findings underscore the urgent need for enhanced surveillance systems, targeted decolonization strategies, improved hygiene protocols, and food handler education to mitigate the spread of resistant pathogens through the food chain.

Chicken meat production is a critical component of the global protein supply, significantly influenced by rearing advancements, including the use of antimicrobial agents. However, the pervasive use of antibiotics has raised concerns regarding the occurrence of antimicrobial resistance (AMR). This study examined the prevalence and AMR profiles of Salmonella spp., Escherichia coli, and Enterococcus spp. in chicken meat from conventional and antibiotic-free (ABF) production chains. A total of 284 samples were analyzed for Salmonella spp. and E. coli, while 164 samples were tested for Enterococcus spp. From that, 143 were from conventional production chains and 141 were from ABF chains. The results indicated a 10.9% prevalence of Salmonella spp., 22.1% for E. coli, and 93.9% for Enterococcus spp. Regarding production chains, the conventional chain had 18.2% of the isolates for Salmonella spp., 20.3% for E. coli, and 91.6% for Enterococcus spp., while the ABF chain had 3.5% of the isolates for Salmonella spp., 24.1% for E. coli, and 96.3% for Enterococcus spp. In terms of AMR, 86.1% of the Salmonella spp. isolates that underwent the disk diffusion test were resistant to at least one antibiotic tested, 95.1% of E. coli, and 88.4% of Enterococcus spp. Notably, carbapenem resistance was detected in Salmonella spp., with 2.3% of isolates being resistant to imipenem, while resistance to vancomycin and linezolid was detected in Enterococcus spp., all of which are critically important antimicrobials. Comparisons between these production chains revealed significant differences in antibiotic resistance patterns in Salmonella spp. for two antibiotics, amoxicillin/clavulanic acid and nitrofurantoin, while no differences were observed in E. coli. For Enterococcus spp., resistance varied for three antibiotics: streptomycin, penicillin, and tetracycline. For all other antibiotics tested, the resistance profiles were consistent across both conventional and ABF production chains. Multidrug resistance (MDR) was observed in 90.7% of Salmonella spp. isolates, 42.9% of E. coli isolates, and 12.0% of Enterococcus spp. isolates. Statistically significant differences were noted in MDR prevalence between production chains, with conventional production systems exhibiting higher levels of MDR isolates compared to ABF systems. These findings underscore the need for targeted AMR control strategies that consider the complexity of resistance dynamics across production systems.

The consumption of seafood is crucial for food security, but poor hygiene along the food production chain can result in low microbiological quality, posing significant risks for public health and seafood quality. Thus, this study aimed to assess the microbiological quality and antimicrobial sensitivity of E. coli from 69 samples of illegally marketed shrimp and mussels in the Vitória Region, Brazil. These foods exhibited poor microbiological quality due to high counts of mesophilic, psychrotrophic, and enterobacteria microorganisms. While this issue is widespread in this area, shrimp samples displayed higher microbial counts compared to mussels, and fresh mussels had elevated counts of enterobacteria compared to frozen ones. Among the 10 E. coli isolates, none carried the genes blaCTX-M-1, blaCTX-M-2, blaCTX-M-3, blaCTX-M-15, mcr-1, mcr-2, mcr-3, mcr-4, and tet, associated with antibiotic resistance. Phenotypical resistance to tetracycline and fosfomycin was not observed in any isolate, while only 20% demonstrated resistance to ciprofloxacin. Regarding ampicillin and amoxicillin with clavulanic acid, 60% of isolates were resistant, 10% showed intermediate susceptibility, and 30% were sensitive. One isolate was considered simultaneously resistant to β-lactams and quinolones, and none were conserved as ESBL producers. These findings highlight the inherent risks to local public health that arise from consuming improperly prepared seafood in this area.

Flies are important vectors of antimicrobial resistance (AMR) in food production, but their role in meat processing environments remains poorly characterized. This study isolated Enterobacteriaceae and Staphylococcaceae (including Mammaliicoccus sciuri ) from flies collected in bovine and swine slaughterhouses and meat processing industries. Phenotypic AMR was assessed, and the presence of selected antimicrobial resistance and virulence genes ( mecA , sea , see , sec , stx1 , stx2 , and eae ) was verified. Out of 60 flies collected, a total of 34 isolates were identified using MALDI-TOF with 13 different bacterial species, including Escherichia coli , Citrobacter braakii , C. freundii , Klebsiella pneumoniae , Hafnia alvei , Enterobacter kobei , S. aureus , S. epidermidis , S. saprophyticus , S. simulans , S. warneri , S. xylosus , and M. sciuri . Among Staphylococcaceae isolates, 17.6% were resistant to oxacillin and 23.5% to gentamicin. Regarding the Enterobacteriaceae isolates, 41.2% were resistant to streptomycin. Ten isolates (two E. coli , one S . epidermidis , two S. saprophyticus , one S. simulans , one S . warneri and three M. sciuri ) were considered multidrug-resistant (MDR). Notably, none of the targeted genes ( mecA , sea , see , sec , stx1 , stx2 , eae ) were detected by PCR. These findings suggest that flies can disseminate important resistant opportunistic bacteria in meat processing environments, posing concerns due to the capacity of flies to transmit these bacteria across food, processing facilities, animals and humans. These results underscore the need for continuous AMR surveillance and effective vector control to reduce the risks posed by flies in meat processing environments.

Foods can be contaminated by a wide range of microorganisms, originating from multiple sources within domestic kitchens. However, the role of flies and ants as carriers of bacteria in these environments remains poorly understood, and data on the antimicrobial susceptibility profiles of insect-associated bacteria remain scarce. Therefore, this study aimed to identify Enterobacterales and Staphylococcus spp. recovered from flies and ants collected in domestic kitchens and to characterize the antimicrobial susceptibility profiles of the isolates. Additionally, selected virulence genes were investigated in Staphylococcus aureus and Escherichia coli, two recognized foodborne pathogens. A total of 240 insects (113 flies and 127 ants) were collected from 58 domestic kitchens. Twenty-six Enterobacterales isolates belonging to nine species were recovered from 17 kitchens, including a single multidrug-resistant (MDR) isolate identified as Enterobacter hormaechei. In addition, 45 staphylococcal isolates representing nine species were recovered from 25 kitchens, originating from 36 flies and 9 ants. Among these, 13 isolates exhibited an MDR phenotype, including S. aureus and several non-aureus Staphylococcus species. None of the E. coli isolates carried the eae or stx1/stx2 genes, whereas none of the S. aureus isolates harbored the sea, seb, sec, see, or mecA genes. To the best of our knowledge, this is the first study to report the simultaneous recovery of MDR bacteria from flies and ants collected in domestic kitchens. These findings provide new evidence that household insects may act as carriers of antimicrobial-resistant bacteria, highlighting their potential role in the dissemination of clinically relevant bacterial species, including MDR strains, within domestic environments. Effective insect control and good household food hygiene practices may help reduce the spread of antimicrobial-resistant bacteria and mitigate the risk of difficult-to-treat foodborne infections.

Background: Antimicrobial resistance (AMR) poses an escalating threat to global health, agriculture, and the environment, demanding urgent multisectoral action under the One Health framework. Despite global awareness efforts, understanding of AMR among the general population remains insufficient, particularly in low- and middle-income countries such as Brazil. This study aimed to evaluate the knowledge, attitudes, and perceptions (KAP) of the Brazilian population regarding AMR. Methods: An online questionnaire was distributed through social media platforms between April and August 2025, resulting in 945 valid responses after data cleaning. Quasi-Poisson models were applied to identify demographic predictors of KAP scores while logistic regression models were used to assess the association between KAP scores and antibiotic use-related practices. Results: Education level was the strongest predictor of higher KAP scores, whereas age and gender showed inconsistent influence. Only 40.3% of respondents correctly identified antibiotics among commonly used medicines, and 25.9% reported proper disposal of antibiotic packaging. More than half (54.2%) were willing to pay more for antibiotic-free products, although only 26.7% had ever noticed such labeling. Network analysis of open-ended responses indicated that concerns about potential health risks and AMR awareness were the primary motivators for purchasing antibiotic-free products. Conclusions: These findings reveal significant gaps in public understanding of antibiotic use and resistance in Brazil, emphasizing the urgent need for targeted educational initiatives, improved public communication, and behavioral interventions to support antimicrobial stewardship and sustainable antibiotic use.