Pathology

Biotechnology

Meteorology

Disease

Antibiotics

Infectious disease (medical specialty)

Biology

Microbiology

Geography

Ecology

Bioaerosol

Integron

Resistome

Aerosol

Indoor bioaerosol

Human health

Environmental science

Medicine

Antibiotic resistance

Environmental health

Reviews in Environmental Science and Bio/Technology

Despite significant public health concerns regarding infectious diseases in air environments, potentially harmful microbiological indicators, such as antibiotic resistance genes (ARGs) in bioaerosols, have not received significant attention. Traditionally, bioaerosol studies have focused on the characterization of microbial communities; however, a more serious problem has recently arisen due to the presence of ARGs in bioaerosols, leading to an increased prevalence of horizontal gene transfer (HGT). This constitutes a process by which bacteria transfer genes to other environmental media and consequently cause infectious disease. Antibiotic resistance in water and soil environments has been extensively investigated in the past few years by applying advanced molecular and biotechnological methods. However, ARGs in bioaerosols have not received much attention. In addition, ARG and HGT profiling in air environments is greatly limited in field studies due to the absence of suitable methodological approaches. Therefore, this study comprehensively describes recent findings from published studies and some of the appropriate molecular and biotechnological methods for monitoring antibiotic resistance in bioaerosols. In addition, this review discusses the main knowledge gaps regarding current methodological issues and future research directions.

A review of the emergence of antibiotic resistance in bioaerosols and its monitoring methods