Occurrence of Antibiotic Resistant E. coli in Surface Water: A Study in a Typical Urban Watershed, Korea

Elevated levels of antibiotic-resistant (AR) bacteria are routinely detected in surface water, whereas the dissemination of such bacteria across tributaries, rivers, or watersheds is often unknown. In a present study, one year of water quality monitoring was conducted to assess the sources, occurrence, and distribution of AR bacteria in a typical urban watershed, the Gwangju Watershed, Korea. For this study, a total of 828 Escherichia coli (E. coli) isolates obtained from 8 sites in stream water were tested for their resistance against 15 different antibiotics. Results revealed that while antibiotic resistance of the E. coli isolates showed no significant difference among sites, resistance rates to one and more antibiotics were always higher than those of non-antibiotic (below 50%), representing a high incidence of antibiotic resistance in the surface water. Among the antibiotics tested, the isolates were most resistant to tetracycline (50%), followed by carbenicillin (33%) and ampicillin (32%). However, the resistance rates showed no measurable difference between the isolates from the wastewater treatment plants and those from downstream sites, except for streptomycin (p < 0.05), indicating that untreated sewage discharge was not a primary source of the resistance. In addition, no significant difference in resistance rates was observed between summer and winter seasons. When the relationship between resistance rates in 828 E. coli isolates to antibiotics and those of multiple antibiotic resistance was further examined, a high correlation was found in streptomycin, carbenicillin, piperacillin, tetracycline, and ampicillin, thus suggesting that these antibiotics could be used as potential indicators for representing the resistance rate of E. coli isolates in surface water.

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Characterization of Antibiotic Resistance E. Coli and Antibiotic Resistance Genes in Aquatic Environment of Taihu Lake, China

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.295-298.630 ◽

2013 ◽

Vol 295-298 ◽

pp. 630-634 ◽

Cited By ~ 1

Author(s):

Ni Ni Han ◽

Song He Zhang ◽

Pei Fang Wang ◽

Chao Wang

Keyword(s):

Escherichia Coli ◽

Antibiotic Resistance ◽

Surface Water ◽

Resistance Genes ◽

Taihu Lake ◽

Antibiotic Resistance Genes ◽

Antibiotic Resistant ◽

E Coli ◽

Realtime Pcr

The aims of this study are to evaluate multiple antibiotic resistant Escherichia coli isolated from surface water and to investigate the presence and distribution antibiotic resistance genes (ARGs) in sediments of Taihu Lake. The results show that the presentence of four ARGs concentrations in the sediments of the lake was in sequence: strB>qnrB>strA>qnrS, as determined by realtime-PCR technique. The southwest and east areas of Taihu Lake were polluted seriously than other areas from all kinds of antibiotics. The screening Escherichia coli had a higher resistance to streptomycin, tetracycline and ampicillin than other four antibiotics, and had a lowest resistance to levofloxacin.

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Plasmid-Mediated Antibiotic Resistant Escherichia coli in Sarawak Rivers and Aquaculture Farms, Northwest of Borneo

Antibiotics ◽

10.3390/antibiotics10070776 ◽

2021 ◽

Vol 10 (7) ◽

pp. 776

Author(s):

Samuel Lihan ◽

Sai Y. Lee ◽

Seng C. Toh ◽

Sui S. Leong

Keyword(s):

Public Health ◽

Escherichia Coli ◽

Molecular Weight ◽

Antibiotic Resistance ◽

Plasmid Copy Number ◽

Resistance Rate ◽

Climatic Conditions ◽

Plasmid Copy ◽

Antibiotic Resistant ◽

E Coli

Background: The emergence of plasmid-mediated antibiotic resistance in Escherichia coli in water resources could pose a serious threat to public health. The study aims to investigate the dispersion of plasmid-mediated antibiotic-resistant E. coli from six rivers in Sarawak and two aquaculture farms in Borneo. Methods: A total of 74 water samples were collected for the determination of their bacteria colony count. An IMViC test identified 31 E. coli isolates and tested their susceptibility against twelve clinically important antibiotics. The extraction of plasmid DNA was done using alkali lysis SDS procedures. Characteristics, including plasmid copy number, molecular weight size, resistance rate and multiple antibiotic resistance (MAR), were assessed. Results: Our findings revealed that bacterial counts in rivers and aquaculture farms ranged from log 2.00 to 3.68 CFU/mL and log 1.70 to 5.48 cfu/mL, respectively. Resistance to piperacillin (100%) was observed in all E. coli; resistance to amoxicillin (100%) and ampicillin (100%) was observed in E. coli found in aquaculture farms; resistance to streptomycin (93%) was observed in E. coli found in rivers. All E. coli were resistant to ≥2 antibiotics and formed 26 MAR profiles, ranging from an index of 0.17 to 0.83, indicating that there are high risks of contamination. Some (48.4%) of the E. coli were detected with plasmids (1.2 to >10 kb), whereas 51.6% of the E. coli did not harbor any plasmids. The plasmid copy numbers reported were one plasmid (n = 7), two plasmids (n = 4), ≥ two plasmids (4). E. coli isolated from the Muara Tuang River showed the highest-molecular-weight plasmids. A statistical analysis revealed that there is no significant correlation (r = 0.21, p = 0.253) between the number of plasmids and the MAR index of the tested isolates. Conclusion: The distribution of MAR in E. coli from rivers is higher compared to the aquaculture environment. Our study suggests that MAR in isolates could be chromosome-mediated. Our results suggest that riverbed sediments could serve as reservoirs for MAR bacteria, including pathogens, under different climatic conditions, and their analysis could provide information for public health concerns.

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Relationship of antibiotic resistance to results of treatment in sepsis patients in Hue Central Hospital 2017 – 2018

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2019.5.7 ◽

2019 ◽

pp. 48-54

Author(s):

Duy Binh Nguyen ◽

Trung Tien Phan ◽

Trong Hanh Hoang ◽

Van Tuan Mai ◽

Xuan Chuong Tran

Keyword(s):

Antibiotic Resistance ◽

Bacterial Infection ◽

Resistant Bacteria ◽

Central Hospital ◽

International Consensus ◽

Antibiotic Resistant ◽

E Coli ◽

Results Of Treatment ◽

Amoxicillin Clavulanic Acid ◽

Relationship Of

Sepsis is a serious bacterial infection. The main treatment is using antibiotics. However, the rate of antibiotic resistance is very high and this resistance is related to the outcome of treatment. Objectives: To evaluate the situation of antibiotic resistance of some isolated bacteria in sepsis patients treated at Hue Central Hospital; to evaluate the relationship of antibiotic resistance to the treatment results in patients with sepsis. Subjects and methods: prospective study of 60 sepsis patients diagnosed according to the criteria of the 3rd International Consensus-Sepsis 3 and its susceptibility patterns from April 2017 to August 2018. Results and Conclusions: The current agents of sepsis are mainly S. suis, Burkhoderiae spp. and E. coli. E. coli is resistant to cephalosporins 3rd, 4th generation and quinolone group is over 75%; resistance to imipenem 11.1%; the ESBL rate is 60%. S. suis resistant to ampicilline 11.1%; no resistance has been recorded to ceftriaxone and vancomycine. Resistance of Burkholderiae spp. to cefepime and amoxicillin/clavulanic acid was 42.9% and 55.6%, resistant to imipenem and meropenem is 20%, resistance to ceftazidime was not recorded. The deaths were mostly dued to E. coli and K. pneumoniae. The mortality for patients infected with antibiotic-resistant bacteria are higher than for sensitive groups. Key words: Sepsis, bacterial infection, antibiotics

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The Characterization of Antibiotic Resistance of Bacterial Isolates from Intensive Care Unit Patient Samples in a University Affiliated Hospital in Romania

Revista de Chimie ◽

10.37358/rc.19.5.7214 ◽

2019 ◽

Vol 70 (5) ◽

pp. 1778-1783

Author(s):

Andreea-Loredana Golli ◽

Floarea Mimi Nitu ◽

Maria Balasoiu ◽

Marina Alina Lungu ◽

Cristiana Cerasella Dragomirescu ◽

...

Keyword(s):

Pseudomonas Aeruginosa ◽

Antibiotic Resistance ◽

Bacterial Pathogens ◽

Resistance Rate ◽

Resistance Pattern ◽

Bacterial Isolates ◽

E Coli ◽

Acinetobacter Spp ◽

Almost All ◽

Klebsiella Spp

To determine the resistance pattern of bacterial pathogens involved in infections of the patients aged between 18-64 years, admitted in a ICU from a 1518-bed university-affiliated hospital. A retrospective study of bacterial pathogens was carried out on 351 patients aged between 18-64 years admitted to the ICU, from January to December 2017. In this study there were analysed 469 samples from 351 patients (18-64 years). A total of 566 bacterial isolates were obtained, of which 120 strains of Klebsiella spp. (35.39%%), followed by Nonfermenting Gram negative bacilli, other than Pseudomonas and Acinetobacter (NFB) (75- 22.12%), Acinetobacter spp. (53 - 15.63%), Pseudomonas aeruginosa and Proteus (51 - 15.04%), and Escherichia coli (49 - 14.45%). The most common isolates were from respiratory tract (394 isolates � 69.61%). High rates of MDR were found for Pseudomonas aeruginosa (64.70%), MRSA (62.65%) and Klebsiella spp. (53.33%), while almost all of the isolated NFB strains were MDR (97.33%). There was statistic difference between the drug resistance rate of Klebsiella and E. coli strains to ceftazidime and ceftriaxone (p[0.001), cefuroxime (p[0.01) and to cefepime (p[0.01). The study revealed an alarming pattern of antibiotic resistance in the majority of ICU isolates.

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Comparison of Antibiotic Resistance Profile of Escherichia coli between Pristine and Human-Impacted Sites in a River

Antibiotics ◽

10.3390/antibiotics10050575 ◽

2021 ◽

Vol 10 (5) ◽

pp. 575

Author(s):

Emi Nishimura ◽

Masateru Nishiyama ◽

Kei Nukazawa ◽

Yoshihiro Suzuki

Keyword(s):

Escherichia Coli ◽

Antibiotic Resistance ◽

Resistant Bacteria ◽

Downstream Site ◽

Antibiotic Resistant Bacteria ◽

Antibiotic Resistant ◽

Upstream Site ◽

Resistance Profile ◽

Antibiotic Resistance Profile ◽

Significant Difference

Information on the actual existence of antibiotic-resistant bacteria in rivers where sewage, urban wastewater, and livestock wastewater do not load is essential to prevent the spread of antibiotic-resistant bacteria in water environments. This study compared the antibiotic resistance profile of Escherichia coli upstream and downstream of human habitation. The survey was conducted in the summer, winter, and spring seasons. Resistance to one or more antibiotics at upstream and downstream sites was on average 18% and 20%, respectively, and no significant difference was observed between the survey sites. The resistance rates at the upstream site (total of 98 isolated strains) to each antibiotic were cefazolin 17%, tetracycline 12%, and ampicillin 8%, in descending order. Conversely, for the downstream site (total of 89 isolated strains), the rates were ampicillin 16%, cefazolin 16%, and tetracycline 1% in descending order. The resistance rate of tetracycline in the downstream site was significantly lower than that of the upstream site. Furthermore, phylogenetic analysis revealed that many strains showed different resistance profiles even in the same cluster of the Pulsed-Field Gel Electrophoresis (PFGE) pattern. Moreover, the resistance profiles differed in the same cluster of the upstream and the downstream sites. In flowing from the upstream to the downstream site, it is plausible that E. coli transmitted or lacked the antibiotic resistance gene.

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Methicillin-resistant Staphylococcus aureus of the clonal lineage ST5-SCCmecII-t2460 was associated with high mortality in a Wuhan hospital

Brazilian Journal of Microbiology ◽

10.1007/s42770-021-00557-5 ◽

2021 ◽

Author(s):

Xuehan Li ◽

Jing Zhang ◽

Yifan Zhang ◽

Junying Zhou ◽

Xinwei Li ◽

...

Keyword(s):

Staphylococcus Aureus ◽

Antibiotic Resistance ◽

White Blood Cells ◽

Resistance Rate ◽

Molecular Characteristics ◽

Invasive Procedures ◽

Methicillin Resistant ◽

Small Colony Variant ◽

Recent Emergence ◽

Resistance Rates

AbstractMethicillin-resistant Staphylococcus aureus (MRSA) is an important human pathogen that can cause serious infectious diseases. An emerging MRSA strain, ST5-SCCmecII spa-type-t2460 (SMRSA), has spread rapidly since its recent emergence in China, but little information is available about this lineage. In this study, 91 MRSA isolates were collected from patients treated in the Zhongnan Hospital, Wuhan University, from 2018 to 2019, and investigated for their molecular characteristics, antibiotic resistance profiles, and clinical characteristics. The predominant lineage, SMRSA, accounted for 37.4% (34/91) of the isolates, followed by ST239-SCCmecIII-t030 (19.8%, 18/91) and ST59-SCCmecIV-t437 (8.8%, 8/91). In contrast to the latter two non-SMRSA (nSMRSA) lineages, which are among the main MRSA found in Chinese settings, SMRSA exhibited small colony variant (SCV) phenotype and had extremely high resistance rates to erythromycin (100.0%), clindamycin (100.0%), levofloxacin (100.0%), tetracycline (97.1%), moxifloxacin (97.1%), and ciprofloxacin (100%), but was more susceptible to rifampicin (resistance rate 3%). The levels of white blood cells (WBC) and procalcitonin (PCT) and the 30-day mortality in patients infected with SMRSA were (12.54 ± 6.61) × 109/L, 0.66 ng/mL, and 52.9%, respectively, which were much higher than those in patients infected with nSMRSA. In addition, patients infected with SMRSA were more frequently admitted to the intensive care unit (ICU) and submitted to invasive procedures than those infected with nSMRSA. In conclusion, SMRSA showed SCV phenotype and exhibited multiple antibiotic-resistance profiles. In this study, SMRSA was associated with serious infections and poor prognosis. Compared with ST239, ST59, or other nSMRSA strains, patients infected with SMRSA strains have higher 30-day mortality, increased levels of inflammatory biomarkers, and more frequent ICU hospitalization and invasive procedures.

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Mechanisms of Resistance in Multiple-Antibiotic-Resistant Escherichia coli Strains of Human, Animal, and Food Origins

Antimicrobial Agents and Chemotherapy ◽

10.1128/aac.48.10.3996-4001.2004 ◽

2004 ◽

Vol 48 (10) ◽

pp. 3996-4001 ◽

Cited By ~ 269

Author(s):

Yolanda Sáenz ◽

Laura Briñas ◽

Elena Domínguez ◽

Joaquim Ruiz ◽

Myriam Zarazaga ◽

...

Keyword(s):

Escherichia Coli ◽

Antibiotic Resistance ◽

Amino Acid ◽

Resistance Genes ◽

Antibiotic Resistance Genes ◽

Mechanisms Of Resistance ◽

Antibiotic Resistant ◽

E Coli ◽

Class 1 ◽

Human Animal

ABSTRACT Seventeen multiple-antibiotic-resistant nonpathogenic Escherichia coli strains of human, animal, and food origins showed a wide variety of antibiotic resistance genes, many of them carried by class 1 and class 2 integrons. Amino acid changes in MarR and mutations in marO were identified for 15 and 14 E. coli strains, respectively.

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Antibiotic-resistant Escherichia coli and Salmonella spp. associated with dairy cattle and farm environment having public health significance

Veterinary World ◽

10.14202/vetworld.2019.984-993 ◽

2019 ◽

Vol 12 (7) ◽

pp. 984-993 ◽

Cited By ~ 14

Author(s):

Md. Abdus Sobur ◽

Abdullah Al Momen Sabuj ◽

Ripon Sarker ◽

A. M. M. Taufiqur Rahman ◽

S. M. Lutful Kabir ◽

...

Keyword(s):

Public Health ◽

Escherichia Coli ◽

Antibiotic Resistance ◽

Resistance Genes ◽

One Health ◽

Dairy Farm ◽

Antibiotic Resistance Genes ◽

Salmonella Spp ◽

Antibiotic Resistant ◽

E Coli

Aim: The present study was carried out to determine load of total bacteria, Escherichia coli and Salmonella spp. in dairy farm and its environmental components. In addition, the antibiogram profile of the isolated bacteria having public health impact was also determined along with identification of virulence and resistance genes by polymerase chain reaction (PCR) under a one-health approach. Materials and Methods: A total of 240 samples of six types (cow dung - 15, milk - 10, milkers' hand wash - 10, soil - 10 water - 5, and vegetables - 10) were collected from four dairy farms. For enumeration, the samples were cultured onto plate count agar, eosin methylene blue, and xylose-lysine deoxycholate agar and the isolation and identification of the E. coli and Salmonella spp. were performed based on morphology, cultural, staining, and biochemical properties followed by PCR. The pathogenic strains of E. coli stx1, stx2, and rfbO157 were also identified through PCR. The isolates were subjected to antimicrobial susceptibility test against 12 commonly used antibiotics by disk diffusion method. Detection of antibiotic resistance genes ereA, tetA, tetB, and SHV were performed by PCR. Results: The mean total bacterial count, E. coli and Salmonella spp. count in the samples ranged from 4.54±0.05 to 8.65±0.06, 3.62±0.07 to 7.04±0.48, and 2.52±0.08 to 5.87±0.05 log colony-forming unit/g or ml, respectively. Out of 240 samples, 180 (75%) isolates of E. coli and 136 (56.67%) isolates of Salmonella spp. were recovered through cultural and molecular tests. Among the 180 E. coli isolates, 47 (26.11%) were found positive for the presence of all the three virulent genes, of which stx1 was the most prevalent (13.33%). Only three isolates were identified as enterohemorrhagic E. coli. Antibiotic sensitivity test revealed that both E. coli and Salmonella spp. were found highly resistant to azithromycin, tetracycline, erythromycin, oxytetracycline, and ertapenem and susceptible to gentamycin, ciprofloxacin, and imipenem. Among the four antibiotic resistance genes, the most observable was tetA (80.51-84.74%) in E. coli and Salmonella spp. and SHV genes were the lowest one (22.06-25%). Conclusion: Dairy farm and their environmental components carry antibiotic-resistant pathogenic E. coli and Salmonella spp. that are potential threat for human health which requires a one-health approach to combat the threat.

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Predicting Antibiotic Resistance in Gram-Negative Bacilli from Resistance Genes

Antimicrobial Agents and Chemotherapy ◽

10.1128/aac.02462-18 ◽

2019 ◽

Vol 63 (4) ◽

Cited By ~ 3

Author(s):

G. Terrance Walker ◽

Julia Quan ◽

Stephen G. Higgins ◽

Nikhil Toraskar ◽

Weizhong Chang ◽

...

Keyword(s):

Antibiotic Resistance ◽

Resistance Genes ◽

Antibiotic Resistance Genes ◽

Unknown Origin ◽

Bacterial Isolates ◽

Antibiotic Resistant ◽

Predictive Values ◽

Content Type ◽

Phenotypic Resistance ◽

E Coli

ABSTRACT We developed a rapid high-throughput PCR test and evaluated highly antibiotic-resistant clinical isolates of Escherichia coli (n = 2,919), Klebsiella pneumoniae (n = 1,974), Proteus mirabilis (n = 1,150), and Pseudomonas aeruginosa (n = 1,484) for several antibiotic resistance genes for comparison with phenotypic resistance across penicillins, cephalosporins, carbapenems, aminoglycosides, trimethoprim-sulfamethoxazole, fluoroquinolones, and macrolides. The isolates originated from hospitals in North America (34%), Europe (23%), Asia (13%), South America (12%), Africa (7%), or Oceania (1%) or were of unknown origin (9%). We developed statistical methods to predict phenotypic resistance from resistance genes for 49 antibiotic-organism combinations, including gentamicin, tobramycin, ciprofloxacin, levofloxacin, trimethoprim-sulfamethoxazole, ertapenem, imipenem, cefazolin, cefepime, cefotaxime, ceftazidime, ceftriaxone, ampicillin, and aztreonam. Average positive predictive values for genotypic prediction of phenotypic resistance were 91% for E. coli, 93% for K. pneumoniae, 87% for P. mirabilis, and 92% for P. aeruginosa across the various antibiotics for this highly resistant cohort of bacterial isolates.

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An Overview on Streptococcus bovis/Streptococcus equinus Complex Isolates: Identification to the Species/Subspecies Level and Antibiotic Resistance

International Journal of Molecular Sciences ◽

10.3390/ijms20030480 ◽

2019 ◽

Vol 20 (3) ◽

pp. 480 ◽

Cited By ~ 6

Author(s):

Arianna Pompilio ◽

Giovanni Di Bonaventura ◽

Giovanni Gherardi

Keyword(s):

Antibiotic Resistance ◽

Streptococcus Bovis ◽

Accurate Identification ◽

Carriage Rate ◽

Antibiotic Resistant ◽

Resistant Species ◽

Subspecies Level ◽

Resistance Rates ◽

Group D ◽

Streptococcus Equinus

Streptococcus bovis/Streptococcus equinus complex (SBSEC), a non-enterococcal group D Streptococcus spp. complex, has been described as commensal bacteria in humans and animals, with a fecal carriage rate in humans varying from 5% to over 60%. Among streptococci, SBSEC isolates represent the most antibiotic-resistant species—with variable resistance rates reported for clindamycin, erythromycin, tetracycline, and levofloxacin—and might act as a reservoir of multiple acquired genes. Moreover, reduced susceptibility to penicillin and vancomycin associated with mobile genetic elements have also been detected, although rarely. Since the association of SBSEC bacteremia and colon lesions, infective endocarditis and hepatobiliary diseases has been established, particularly in elderly individuals, an accurate identification of SBSEC isolates to the species and subspecies level, as well as the evaluation of antibiotic resistance, are needed. In this paper, we reviewed the major methods used to identify SBSEC isolates and the antimicrobial resistance rates reported in the scientific literature among SBSEC species.

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