Geospatial Patterns of Antimicrobial Resistance Genes in U.S. Rivers and Streams

Antimicrobial resistance (AR) is a serious human-health problem in the United States because each year 2 million individuals are infected with antimicrobial resistant bacteria (ARB) resulting in 23,000 deaths. Here we use a stratified, probabilistic survey to determine the geospatial patterns of antimicrobial resistance genes (ARG) and fecal pollution in 1.2 million kilometers of US rivers and streams.