Abstract: The extensive use of antibiotics in the medical and aquaculture industries has led to antibiotic resistance, be a global public health concern. Compared with soil and water, there are few reports on antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) in the air. To provide theoretical support for scientific and effective response to the cross-media migration of microbial resistance, this paper comprehensively reviewed the occurrence status, influencing factors and transmission mechanism of ARB and ARGs in different types of ambient air at home and abroad. The results showed that the abundance of ARB and ARGs in the air was affected by environmental conditions and sampling factors. The pollution was more serious in typical polluted areas such as animal farms, sewage treatment plants and hospitals. The dominant types of ARGs in the above environment were tetracyclines, sulfonamides and β-lactams. Among them, the abundance of ARGs in the air of animal farms was about 2−3 orders of magnitude higher than that in other environments. The highest abundance was found in pig farm compared to other animal houses. At present, there was still no standard for the sampling requirements of ARB and ARGs in the air. The sampling season, duration, particle size and coexisting pollutants all affected their detection. Air pollution, soil water content, rainfall and air mass movement were proved to play a certain role in affecting the spread of ARB and ARGs in the air. Based on it, the research on the migration mechanism of ARB and ARGs at the soil-air interface needs to be further intensified. The review aimed to comprehensively reveal the occurrence characteristics of ARB and ARGs in the air, and provide theoretical support for the scientific and effective response to the cross-media migration of microbial resistance.

Key words: Ambient air, Antibiotic resistance genes, Antibiotic-resistant bacteria, Sampling factors, Cross-media migration