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Such considerations are crucial to investigate the transmission of many pathogens, including drug-resistant bacteria and parasites. The highest rates of antimicrobial resistance (AMR)-associated deaths are observed in sub-Saharan Africa, where concurrently the waterborne parasitic disease schistosomiasis can be highly endemic in both humans and animals. Although there is growing acknowledgment of significant interactions between bacteria and parasites, knowledge of relationships between schistosomes, microbes and AMR remains inadequate. In addition, newly emergent research has revealed the previously underappreciated roles of animals and the environment in both AMR and schistosomiasis transmission. We consider shared environmental drivers and colonisation linkage in this narrative review, with a focus on extended-spectrum beta-lactamase-mediated resistance among bacteria from the Enterobacteriaceae family, which is exceedingly prevalent and responsible for a high burden of AMR-associated deaths. Then we examine novel findings from Malawi, where the landscapes of AMR and schistosomiasis are rapidly evolving, and make comparisons to other geographic areas with similar co-infection epidemiology. We identify several knowledge gaps that could be addressed in future research, including the need to characterise the impact of intestinal schistosomiasis and freshwater contact on intestinal AMR colonisation, before proposing a rationale for connecting AMR surveillance and schistosomiasis research within a One Health framework.<\/jats:p>","DOI":"10.1093\/trstmh\/trae035","type":"journal-article","created":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T17:21:21Z","timestamp":1717694481000},"page":"498-504","source":"Crossref","is-referenced-by-count":9,"title":["Aligning antimicrobial resistance surveillance with schistosomiasis research: an interlinked One Health approach"],"prefix":"10.1093","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1077-968X","authenticated-orcid":false,"given":"Angus M","family":"O'Ferrall","sequence":"first","affiliation":[{"name":"Department of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place , Liverpool L3\u00a05QA , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2928-0133","authenticated-orcid":false,"given":"Janelisa","family":"Musaya","sequence":"additional","affiliation":[{"name":"Malawi Liverpool Wellcome Clinical Research Programme, Queen Elizabeth Central Hospital, College of Medicine , P.O. Box 30096 Chichiri, Blantyre 3 , Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9370-3420","authenticated-orcid":false,"given":"J Russell","family":"Stothard","sequence":"additional","affiliation":[{"name":"Department of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place , Liverpool L3\u00a05QA , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0760-3088","authenticated-orcid":false,"given":"Adam P","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Tropical Disease Biology, Liverpool School of Tropical Medicine, Pembroke Place , Liverpool L3\u00a05QA , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,6,6]]},"reference":[{"key":"2024080516361461700_bib1","article-title":"One Health","author":"World Health 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