Clinical Microbiology and Infection

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Clinical Microbiology and Infection Metagenomic epidemiology: a public health need for the control of antimicrobial resistance  F. Baquero  Clinical Microbiology and Infection  Volume 18, Pages 67-73 (July 2012) DOI: 10.1111/j.1469-0691.2012.03860.x Copyright © 2012 European Society of Clinical Infectious Diseases Terms and Conditions

FIG. 1 Universal processes in biological units. These processes are valid for evolutionary individuals (evolutionary units) at any level of the genetical hierarchy, from metagenomes to species, clones, mobile genetic elements, genes or modular genetic sequences; and possibly for operational taxonomic units, such as those that might be based on barcoding data. Vertical rectangles represent individuals recombining or associating with the horizontal rectangles. Clinical Microbiology and Infection 2012 18, 67-73DOI: (10.1111/j.1469-0691.2012.03860.x) Copyright © 2012 European Society of Clinical Infectious Diseases Terms and Conditions

FIG. 2 Multilevel metagenomic epidemiology. Small circles represent evolutionary individuals (evolutionary units) that constitute populations (large circles). Arrows indicate possible evolutionary trajectories constituted by trans-hierarchical interactions between evolutionary units. High risk interactions are those that might give rise to a particularly successful combination able to disseminate or perpetuate antibiotic resistance, and therefore should be targeted by public health epidemiology. Clinical Microbiology and Infection 2012 18, 67-73DOI: (10.1111/j.1469-0691.2012.03860.x) Copyright © 2012 European Society of Clinical Infectious Diseases Terms and Conditions