What question did this study set out to answer?

To explore the challenges of translating environmental AMR surveillance outputs into actionable insights for risk management.

July 8, 2026Open Access

Environmental AMR surveillance from detection to interpretation and action

Key Points

To explore the challenges of translating environmental AMR surveillance outputs into actionable insights for risk management.
Analyzed current surveillance practices across aquatic systems and wildlife.
Proposed frameworks for aligning surveillance objectives with environmental contexts.
Emphasized the importance of methodological design in data interpretation.
Improved understanding of resistant bacteria and determinants has been achieved.
Identified gaps in translating surveillance data into meaningful action.
Recommended purposeful frameworks to enhance decision-making in One Health systems.

Abstract

Environmental antimicrobial resistance (AMR) surveillance has expanded substantially across aquatic systems, wildlife, and other ecological compartments. While these efforts have improved our understanding of resistant bacteria and resistance determinants, translating surveillance outputs into meaningful interpretation, risk assessment, and operational decision-making remains challenging. We argue that the next challenge for environmental AMR surveillance is to develop purpose-driven and context-aware frameworks that align surveillance objectives, environmental context, and methodological design and enable interpretation and action across One Health systems.

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