[Correspondence] Residual antimicrobials in food can select for antimicrobial resistance

In their recent article in The Lancet Microbe, Elissa Khamisse and colleagues propose that the impact of antimicrobial use in animal husbandry on antimicrobial resistance (AMR) in humans is exaggerated.1 The authors argue that there is little evidence of direct transmission of AMR in clinically relevant bacteria from animals to humans via food. However, Khamisse and colleagues omit one important pathway. Growing evidence indicates that antimicrobial residues in food can select for AMR in the human gut microbiome.