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However, as open systems, surface waters are highly exposed to microbial and chemical pollutants, including antimicrobials. These contaminants exert selective pressure on densely packed bacterial genomes and drive mutations leading to adaptation. This review explores the dynamics and key drivers underlying the emergence and persistence of antibiotic\u2010resistant bacteria (ARB) in aquatic environments. It delineates both classical and novel horizontal gene transfer (HGT) mechanisms, ranging from conjugation, transduction, and transformation to outer membrane vesicles, gene transfer agents, and intercellular nanotubes. These mechanisms promote the evolution, distribution, and stable persistence of antibiotic resistance genes (ARGs) in aquatic systems, including freshwater sources. Furthermore, the review outlines surface water contaminants and their biomagnification risks in the environment and through the consumption of food from freshwater food webs, drinking water, and animal products. Finally, the review discusses potential mitigation strategies, highlighting advanced treatment technologies, constructed wetlands, and biocontrol approaches using aquatic macrophytes (e.g., water hyacinth), microalgae, and phage\u2010based remediation, while addressing concerns regarding safety, applicability, and scalability. Stewardship programs aligned with One Health frameworks remain vital to mitigating these global risks.<\/jats:p>","DOI":"10.1111\/1462-2920.70451","type":"journal-article","created":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:11:40Z","timestamp":1792365100000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dynamics of Antimicrobial Resistant Bacteria in Water Environments: Risks via Surface Waters and Combating Strategies"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0231-5320","authenticated-orcid":false,"given":"Getachew Gezehagn","family":"Kussia","sequence":"first","affiliation":[{"name":"Bio and Emerging Technology Institute  Addis Ababa Ethiopia"},{"name":"Biotechnology Research Center Institute of Advanced Science and Technology, Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bayable Atnafu","family":"Kassa","sequence":"additional","affiliation":[{"name":"Biotechnology Research Center Institute of Advanced Science and Technology, Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1305-4135","authenticated-orcid":false,"given":"Alazar Amare","family":"Amdiyee","sequence":"additional","affiliation":[{"name":"Biotechnology Research Center Institute of Advanced Science and Technology, Addis Ababa University  Addis Ababa Ethiopia"},{"name":"Department of Medical Laboratory Sciences Dilla University College of Medicine and Health Science  Dilla Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3687-8230","authenticated-orcid":false,"given":"Tesfaye Admassu","family":"Abate","sequence":"additional","affiliation":[{"name":"Biotechnology Research Center Institute of Advanced Science and Technology, Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4103-5029","authenticated-orcid":false,"given":"Tesfaye Sisay","family":"Tessema","sequence":"additional","affiliation":[{"name":"Biotechnology Research Center Institute of Advanced Science and Technology, Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,18]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1128\/aem.01983\u201025"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1422137"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2012.11.077"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/sumbio\/qvaf010"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42779\u2010025\u201000273\u20107"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.36347\/sajb.2025.v13i07.004"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467\u2010022\u201035"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/w16223306"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/15226514.2025.2516250"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s44259\u2010024\u201000024\u20109"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/mbo3.70067"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.12911\/22998993\/202658"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/genes14051124"},{"key":"e_1_2_15_15_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jenvman.2021.112527","article-title":"Adsorptive Batch and Biological Treatments of Produced Water: Recent Progresses, Challenges, and Potentials","volume":"290","author":"Al\u2010Kaabi M. 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