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Joakim Larsson
Professor
Avd för infektionssjukdomarOm Joakim Larsson
The Larsson group is engaged in research on several aspects of antibiotic resistance, but has a particular expertise in the environmental dimensions, spawning from a long-standing interest in pharmaceuticals in the environment. For more info, please visit Larsson's website:https://www.gu.se/en/biomedicine/about-us/department-of-infectious-diseases/joakim-larsson-group
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Environmental dimensions of the ethics of antimicrobial
resistance
Christian Munthe, D. G. Joakim Larsson
The Oxford Handbook of Environmental Bioethics (ed. Cristina Richie). Oxford: Oxford University Press. Accepted for publication, in press. - 2026 -
Unraveling the origins of mobile antibiotic resistance genes using random forest classification of large-scale genomic
data
Stefan Ebmeyer, Erik Kristiansson, D. G. Joakim Larsson
Environment International - 2025 -
The transfer of antibiotic resistance genes between evolutionarily distant
bacteria
Marcos Parras-Moltó, David Lund, Stefan Ebmeyer, D. G. Joakim Larsson, Anna Johnning, Erik Kristiansson
MSPHERE - 2025 -
Genetic compatibility and ecological connectivity drive the dissemination of antibiotic resistance
genes
David Lund, Marcos Parras-Moltó, Juan Salvador Inda Díaz, Stefan Ebmeyer, D. G. Joakim Larsson, Anna Johnning, Erik Kristiansson
NATURE COMMUNICATIONS - 2025 -
Identification of novel FosX family determinants from diverse environmental
samples
Nicolas Kieffer, Maria-Elisabeth Böhm, Fanny Berglund, Nachiket P. Marathe, Michael R. Gillings, D. G. Joakim Larsson
JOURNAL OF GLOBAL ANTIMICROBIAL RESISTANCE - 2025 -
WHO global research priorities for antimicrobial resistance in human
health
Silvia Bertagnolio, Zlatina Dobreva, Chad M. Centner, Ioana Diana Olaru, Daniele Donà, Stefano Burzo, Benedikt D. Huttner, Antoine Chaillon, Nebiat Gebreselassie, Teodora Wi, Mateusz Hasso-Agopsowicz, Benedetta Allegranzi, Hatim Sati, Verica Ivanovska, Kavita U. Kothari, Hanan H. Balkhy, Alessandro Cassini, Raph L. Hamers, Kitty Van Weezenbeek, D. G. Joakim Larsson, WHO Research Agenda for AMR in Human Health Collaborators
The Lancet Microbe - 2024 -
Identification of Novel FosX Family Determinants from Diverse Environmental
Samples
Nicolas Kieffer, Maria-Elisabeth Böhm, Fanny Berglund, Nachiket P. Marathe, Michael R Gillings, D. G. Joakim Larsson
bioRxiv - 2024 -
The transfer of antibiotic resistance genes between evolutionary distant
bacteria
Marcos Parras-Moltó, David Lund, Stefan Ebmeyer, D. G. Joakim Larsson, Anna Johnning, Erik Kristiansson
bioRxiv - 2024 -
Genetic compatibility and ecological connectivity drive the dissemination of antibiotic resistance
genes
David Lund, Marcos Parras-Moltó, Juan Salvador Inda Díaz, Stefan Ebmeyer, D. G. Joakim Larsson, Anna Johnning, Erik Kristiansson
bioRxiv - 2024 -
Barriers and Pathways to Environmental Surveillance of Antibiotic Resistance in Middle-and Low-Income Settings: An Exploratory Qualitative Key Expert
Study
Ann-Christin Peters, D. G. Joakim Larsson, Ramanan Laxminarayan, Christian Munthe
Global Health Action - 2024 -
Evaluation of culture conditions for sewage-based surveillance of antibiotic resistance in Klebsiella
pneumoniae.
Julián Bobis Camacho, Johanna Nilsson, D. G. Joakim Larsson, Carl-Fredrik Flach
Journal of global antimicrobial resistance - 2024 -
Metagenomic Profiling of Internationally Sourced Sewage Influents and Effluents Yields Insight into Selecting Targets for Antibiotic Resistance
Monitoring
Emily Garner, Ayella Maile-Moskowitz, Luisa F. Angeles, Carl-Fredrik Flach, Diana S. Aga, Indumathi Nambi, D. G. Joakim Larsson, Helmut Bu''rgmann, Tong Zhang, Peter J. Vikesland, Amy Pruden
ENVIRONMENTAL SCIENCE & TECHNOLOGY - 2024 -
Understanding Stimulation of Conjugal Gene Transfer by Nonantibiotic Compounds: How Far Are
We?
Zhiming He, Arnaud Dechesne, Frank Schreiber, Yong-Guan Zhu, D. G. Joakim Larsson, Barth F. Smets
ENVIRONMENTAL SCIENCE & TECHNOLOGY - 2024 -
The resistome and microbiome of wastewater treatment plant workers - The AWARE
study.
Fanny Berglund, Daloha Rodríguez-Molina, Gratiela Gradisteanu Pircalabioru, Hetty Blaak, Mariana-Carmen Chifiriuc, Ilda Czobor Barbu, Carl-Fredrik Flach, Irina Gheorghe-Barbu, Luminița Măruțescu, Marcela Popa, Ana Maria de Roda Husman, Laura Wengenroth, Heike Schmitt, D. G. Joakim Larsson
Environment international - 2023 -
Pharmaceutical Pollution from Human use and the Polluter Pays
Principle
Erik Malmqvist, Davide Fumagalli, Christian Munthe, D. G. Joakim Larsson
Public Health Ethics - 2023 -
Sampling Considerations for Wastewater Surveillance of Antibiotic Resistance in Fecal
Bacteria
Patricia Huijbers, Julián Bobis Camacho, Marion Hutinel, D. G. Joakim Larsson, Carl-Fredrik Flach
International Journal of Environmental Research and Public Health - 2023 -
Evidence for wastewaters as environments where mobile antibiotic resistance genes
emerge
Fanny Berglund, Stefan Ebmeyer, Erik Kristiansson, D. G. Joakim Larsson
Communications Biology - 2023 -
Extensive screening reveals previously undiscovered aminoglycoside resistance genes in human
pathogens
David Lund, Roelof Dirk Coertze, Marcos Parras-Moltó, Fanny Berglund, Carl-Fredrik Flach, Anna Johnning, D. G. Joakim Larsson, Erik Kristiansson
Communications Biology - 2023 -
AMR, One Health and the
environment
D. G. Joakim Larsson, W. H. Gaze, R. Laxminarayan, E. Topp
Nature Microbiology - 2023 -
Opportunities to tackle antibiotic resistance development in the aquatic environment through the Water Framework
Directive
M. Agestrand, H. Josefsson, A. S. Wernersson, D. G. Joakim Larsson
Ambio - 2023 -
Wastewater treatment plants, an "escape gate" for ESCAPE
pathogens
L. G. Marutescu, M. Popa, I. Gheorghe-Barbu, I. C. Barbu, D. Rodriguez-Molina, Fanny Berglund, H. Blaak, Carl-Fredrik Flach, M. A. Kemper, B. Spiessberger, L. Wengenroth, D. G. Joakim Larsson, D. Nowak, K. Radon, A. M. D. Husman, A. Wieser, H. Schmitt, G. P. Gradisteanu, C. O. Vrancianu, M. C. Chifiriuc
Frontiers in Microbiology - 2023 -
Sewage surveillance of antibiotic resistance holds both opportunities and
challenges
D. G. Joakim Larsson, Carl-Fredrik Flach, Ramanan Laxminarayan
Nature Reviews Microbiology - 2022 -
Long-read metagenomic sequencing reveals shifts in associations of antibiotic resistance genes with mobile genetic elements from sewage to activated
sludge
D. J. Dai, C. Brown, H. Burgmann, D. G. Joakim Larsson, I. Nambi, T. Zhang, Carl-Fredrik Flach, A. Pruden, P. J. Vikesland
Microbiome - 2022 -
Antibiotic resistance in the
environment
D. G. Joakim Larsson, Carl-Fredrik Flach
Nature Reviews Microbiology - 2022 -
Demonstrating a Comprehensive Wastewater-Based Surveillance Approach That Differentiates Globally Sourced
Resistomes
M. V. P. Riquelme, E. Garner, S. Gupta, J. Metch, N. Zhu, M. F. Blair, G. Arango-Argoty, A. Maile-Moskowitz, A. D. Li, Carl-Fredrik Flach, D. S. Aga, I. M. Nambi, D. G. Joakim Larsson, H. Burgmann, T. Zhang, A. Pruden, P. J. Vikesland
Environmental Science and Technology - 2022 -
Genomic analysis of sewage from 101 countries reveals global landscape of antimicrobial
resistance
P. Munk, C. Brinch, F. D. Møller, T. N. Petersen, R. S. Hendriksen, A. M. Seyfarth, J. S. Kjeldgaard, C. A. Svendsen, B. van Bunnik, Fanny Berglund, A. Bego, P. Power, C. Rees, D. Lambrinidis, E. H. J. Neilson, K. Gibb, K. Coventry, P. Collignon, S. Cassar, F. Allerberger, A. Begum, Z. Z. Hossain, C. Worrell, O. Vandenberg, I. Pieters, D. T. Victorien, A. D. S. Gutierrez, F. Soria, V. R. Grujić, N. Mazalica, T. O. Rahube, C. A. Tagliati, D. Rodrigues, G. Oliveira, L. C. R. de Souza, I. Ivanov, B. I. Juste, T. Oumar, T. Sopheak, Y. Vuthy, A. Ngandijo, A. Nzouankeu, Z. A. A. J. Olivier, C. K. Yost, P. Kumar, S. K. Brar, D. A. Tabo, A. D. Adell, E. Paredes-Osses, M. C. Martinez, S. Cuadros-Orellana, C. Ke, H. Zheng, L. Baisheng, L. T. Lau, T. Chung, X. Jiao, Y. Yu, Z. JiaYong, J. F. B. Morales, M. F. Valencia, P. Donado-Godoy, K. J. Coulibaly, J. Hrenovic, M. Jergović, R. Karpíšková, Z. N. Deogratias, B. Elsborg, L. T. Hansen, P. E. Jensen, M. Abouelnaga, M. F. Salem, M. Koolmeister, M. Legesse, T. Eguale, A. Heikinheimo, S. Le Guyader, J. Schaeffer, J. E. Villacis, B. Sanneh, L. Malania, A. Nitsche, A. Brinkmann, S. Schubert, S. Hesse, T. U. Berendonk, C. K. S. Saba, J. Mohammed, P. K. Feglo, R. A. Banu, C. Kotzamanidis, E. Lytras, S. A. Lickes, B. Kocsis, N. Solymosi, T. R. Thorsteinsdottir, A. M. Hatha, M. Ballal, S. R. Bangera, F. Fani, M. Alebouyeh, D. Morris, L. O’Connor, M. Cormican, J. Moran-Gilad, A. Battisti, E. L. Diaconu, G. Corno, A. Di Cesare, P. Alba, J. Hisatsune, L. Yu, M. Kuroda, M. Sugai, S. Kayama, Z. Shakenova, C. Kiiyukia, E. Ng’eno, L. Raka, K. Jamil, S. A. Fakhraldeen, T. Alaati, A. Bērziņš, J. Avsejenko, K. Kokina, M. Streikisa, V. Bartkevics, G. M. Matar, Z. Daoud, A. Pereckienė, C. Butrimaite-Ambrozeviciene, C. Penny, A. Bastaraud, T. Rasolofoarison, J. M. Collard, L. H. Samison, M. R. Andrianarivelo, D. L. Banda, A. Amin, H. Rajandas, S. Parimannan, D. Spiteri, M. V. Haber, S. J. Santchurn, A. Vujacic, D. Djurovic, B. Bouchrif, B. Karraouan, D. C. Vubil, P. Pal, H. Schmitt, M. van Passel, G. J. Jeunen, N. Gemmell, S. T. Chambers, F. P. Mendoza, J. Huete-Pιrez, S. Vilchez, A. O. Ahmed, I. R. Adisa, I. A. Odetokun, K. Fashae, A. M. Sørgaard, A. L. Wester, P. Ryrfors, R. Holmstad, M. Mohsin, R. Hasan, S. Shakoor, N. W. Gustafson, C. H. Schill, M. L. Z. Rojas, J. E. Velasquez, B. B. Magtibay, K. Catangcatang, R. Sibulo, F. C. Yauce, D. Wasyl, C. Manaia, J. Rocha, J. Martins, P. Álvaro, D. Di Yoong Wen, H. Shin, H. G. Hur, S. Yoon, G. Bosevska, M. Kochubovski, R. Cojocaru, O. Burduniuc, P. Y. Hong, M. R. Perry, A. Gassama, V. Radosavljevic, M. Y. F. Tay, R. Zuniga-Montanez, S. Wuertz, D. Gavačová, K. Pastuchová, P. Truska, M. Trkov, K. Keddy, K. Esterhuyse, M. J. Song, M. Quintela-Baluja, M. G. Lopez, M. Cerdà-Cuéllar, R. R. D. P. Perera, N. K. B. K. R. G. W. Bandara, H. I. Premasiri, S. Pathirage, K. Charlemagne, Carolin Rutgersson, L. Norrgren, S. Örn, R. Boss, T. Van der Heijden, Y. P. Hong, H. H. Kumburu, R. H. Mdegela, Y. M. G. Hounmanou, K. Chonsin, O. Suthienkul, V. Thamlikitkul, A. M. de Roda Husman, B. Bidjada, B. M. Njanpop-Lafourcade, S. C. Nikiema-Pessinaba, B. Levent, C. Kurekci, F. Ejobi, J. B. Kalule, J. Thomsen, O. Obaidi, L. M. Jassim, A. Moore, A. Leonard, D. W. Graham, J. T. Bunce, L. Zhang, W. H. Gaze, B. Lefor, D. Capone, E. Sozzi, J. Brown, J. S. Meschke, M. D. Sobsey, M. Davis, N. K. Beck, P. Sukapanpatharam, P. Truong, R. Lilienthal, S. Kang, T. E. Wittum, N. Rigamonti, P. Baklayan, C. D. Van, D. M. N. Tran, N. Do Phuc, G. Kwenda, M. Koopmans, M. Woolhouse, F. M. Aarestrup, D. G. Joakim Larsson
Nature Communications - 2022 -
Development of Dicationic Bisguanidine-Arylfuran Derivatives as Potent Agents against Gram-Negative
Bacteria.
Catarina Bourgard, Diego Rodríguez-Hernández, Anastasia Rudenko, Carolin Rutgersson, Martin Palm, D. G. Joakim Larsson, Anne Farewell, Morten Grøtli, Per Sunnerhagen
Antibiotics - 2022 -
Three-Year Consecutive Field Application of Erythromycin Fermentation Residue Following Hydrothermal Treatment: Cumulative Effect on Soil Antibiotic Resistance
Genes
Ziming Han, Haodi Feng, Xiao Luan, Yunpeng Shen, Liren Ren, Liujie Deng, D. G. Joakim Larsson, Michael Gillings, Yu Zhang, Min Yang
Engineering - 2022 -
Evidence for Pseudoxanthomonas mexicana as the recent origin of the blaAIM-1 carbapenemase
gene
Nicolas Kieffer, Stefan Ebmeyer, D. G. Joakim Larsson
International Journal of Antimicrobial Agents - 2022 -
Large-scale characterization of the macrolide resistome reveals high diversity and several new pathogen-associated
genes
David Lund, Nicolas Kieffer, Marcos Parras-Moltó, Stefan Ebmeyer, Fanny Berglund, Anna Johnning, D. G. Joakim Larsson, Erik Kristiansson
Microbial genomics - 2022 -
Conjugative transfer of multi-drug resistance IncN plasmids from environmental waterborne bacteria to Escherichia
coli
J. Guzman-Otazo, E. Joffre, J. Agramont, N. Mamani, Jekaterina Jutkina, F. Boulund, Y. O. O. Hu, Daphne Jumilla-Lorenz, Anne Farewell, D. G. Joakim Larsson, Carl-Fredrik Flach, V. Iniguez, Åsa Sjöling
Frontiers in Microbiology - 2022 -
GEnView: a gene-centric, phylogeny-based comparative genomics pipeline for bacterial genomes and
plasmids
Stefan Ebmeyer, Roelof Dirk Coertze, Fanny Berglund, Erik Kristiansson, D. G. Joakim Larsson
Bioinformatics - 2022 -
International Travel as a Risk Factor for Carriage of Extended-Spectrum beta-Lactamase-Producing Escherichia coli in a Large Sample of European Individuals-The AWARE
Study
D. Rodriguez-Molina, Fanny Berglund, H. Blaak, Carl-Fredrik Flach, M. Kemper, L. Marutescu, G. P. Gradisteanu, M. Popa, B. Spiessberger, L. Wengenroth, M. C. Chifiriuc, D. G. Joakim Larsson, D. Nowak, K. Radon, A. M. D. Husman, A. Wieser, H. Schmitt
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH - 2022 -
Antibiotic resistance genes of emerging concern in municipal and hospital wastewater from a major Swedish
city
Marion Hutinel, D. G. Joakim Larsson, Carl-Fredrik Flach
Science of the Total Environment - 2022 -
Carriage of ESBL-producing Enterobacterales in wastewater treatment plant workers and surrounding residents - the AWARE
Study
D. Rodriguez-Molina, Fanny Berglund, H. Blaak, Carl-Fredrik Flach, M. Kemper, L. Marutescu, G. P. Gradisteanu, M. Popa, B. Spiessberger, T. Weinmann, L. Wengenroth, M. C. Chifiriuc, D. G. Joakim Larsson, D. Nowak, K. Radon, A. M. D. Husman, A. Wieser, H. Schmitt
European Journal of Clinical Microbiology & Infectious Diseases - 2021 -
An updated phylogeny of the
metallo-β-lactamases.
Fanny Berglund, Anna Johnning, D. G. Joakim Larsson, Erik Kristiansson
The Journal of antimicrobial chemotherapy - 2021 -
Supply chain transparency and the availability of essential
medicines
C. Årdal, E. Baraldi, P. Beyer, Y. Lacotte, D. G. Joakim Larsson, M. C. Ploy, J. A. Røttingen, I. Smith
Bulletin of the World Health Organization - 2021 -
Neuroactive drugs and other pharmaceuticals found in blood plasma of wild European
fish
D. Cerveny, R. Grabic, K. Grabicová, T. Randák, D. G. Joakim Larsson, A. C. Johnson, M. D. Jürgens, M. Tysklind, R. H. Lindberg, J. Fick
Environmental International - 2021 -
Twenty-year trends in antimicrobial resistance from aquaculture and fisheries in
Asia
D. Schar, C. Zhao, Y. Wang, D. G. Joakim Larsson, M. Gilbert, T. P. Van Boeckel
Nature Communications - 2021 -
Monitoring of hospital sewage shows both promise and limitations as an early-warning system for carbapenemase-producing Enterobacterales in a low-prevalence
setting
Carl-Fredrik Flach, Marion Hutinel, Mohammad Razavi, Christina Åhrén, D. G. Joakim Larsson
Water Research - 2021 -
Antibiotic Resistance in Wastewater Treatment Plants and Transmission Risks for Employees and Residents: The Concept of the AWARE
Study
L. Wengenroth, Fanny Berglund, H. Blaak, M. C. Chifiriuc, Carl-Fredrik Flach, G. G. Pircalabioru, D. G. Joakim Larsson, L. Marutescu, M. W. J. van Passel, M. Popa, K. Radon, A. M. D. Husman, D. Rodriguez-Molina, T. Weinmann, A. Wieser, H. Schmitt
Antibiotics-Basel - 2021 -
Investigating the effects of municipal and hospital wastewaters on horizontal gene
transfer
Marion Hutinel, J. Fick, D. G. Joakim Larsson, Carl-Fredrik Flach
Environmental Pollution - 2021 -
Evidence for selection of multi-resistant E. coli by hospital
effluent.
Nadine Kraupner, Marion Hutinel, Kilian Schumacher, Declan A Gray, Maja Genheden, Jerker Fick, Carl-Fredrik Flach, D. G. Joakim Larsson
Environment international - 2021 -
A framework for identifying the recent origins of mobile antibiotic resistance
genes
Stefan Ebmeyer, Erik Kristiansson, D. G. Joakim Larsson
Communications Biology - 2021 -
The Lancet Infectious Diseases Commission on antimicrobial resistance: 6 years
later
Ramanan Laxminarayan, Thomas Van Boeckel, Isabel Frost, Samuel Kariuki, Ejaz Ahmed Khan, Direk Limmathurotsakul, D. G. Joakim Larsson, Gabriel Levy-Hara, Marc Mendelson, Kevin Outterson, Sharon J. Peacock, Yong Guan Zhu
The Lancet Infectious Diseases - 2020 -
Naproxen affects multiple organs in fish but is still an environmentally better alternative to
diclofenac
Johanna Näslund, Noomi Asker, Jerker Fick, D. G. Joakim Larsson, Leif Norrgren
Aquatic Toxicology - 2020 -
Every fifth published metagenome is not available to
science.
EM Eckert, Andrea Di Cesare, Diego Fontaneto, Thomas U Berendonk, Helmut Bürgmann, Eddie Cytryn, Despo Fatta-Kassinos, Andrea Franzetti, D. G. Joakim Larsson, Célia M Manaia, Amy Pruden, Andrew C Singer, Nikolina Udikovic-Kolic, Gianluca Corno
PLoS biology - 2020 -
Surveillance of antibiotic resistant Escherichia coli in human populations through urban wastewater in ten European
countries.
Patricia Huijbers, D. G. Joakim Larsson, Carl-Fredrik Flach
Environmental pollution (Barking, Essex : 1987) - 2020 -
Discovery of a novel integron-borne aminoglycoside resistance gene present in clinical pathogens by screening environmental bacterial
communities.
Maria-Elisabeth Böhm, Mohammad Razavi, Nachiket Marathe, Carl-Fredrik Flach, D. G. Joakim Larsson
Microbiome - 2020 -
Long-term application of Swedish sewage sludge on farmland does not cause clear changes in the soil bacterial
resistome.
Carolin Rutgersson, Stefan Ebmeyer, Simon Bo Lassen, Antti Karkman, Jerker Fick, Erik Kristiansson, Kristian K Brandt, Carl-Fredrik Flach, D. G. Joakim Larsson
Environment international - 2020
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