scholarly journals The Prevalence and Characterization of Extended-Spectrum β-Lactamase- and Carbapenemase-Producing Bacteria from Hospital Sewage, Treated Effluents and Receiving Rivers

2020 ◽  
Vol 17 (4) ◽  
pp. 1183 ◽  
Author(s):  
Luhua Zhang ◽  
Xinyue Ma ◽  
Li Luo ◽  
Nan Hu ◽  
Jiayao Duan ◽  
...  
Keyword(s):  
Resistance Genes ◽  
Wastewater Treatment Plants ◽  
Bacterial Species ◽  
Resistant Bacteria ◽  
Antibiotic Resistant ◽  
Carbapenem Resistant ◽  
High Prevalence ◽  
Treated Effluents ◽  
Hospital Sewage

Hospital sewage plays a key role in the dissemination of antibiotic-resistant genes (ARGs) by serving as an environmental antimicrobial resistance reservoir. In this study, we aimed to characterize the cephalosporin- and carbapenem-resistant isolates from hospital sewage and receiving rivers. The results showed that ESBL (blaCTX-M) and carbapenemase genes (blaNDM and blaKPC) were widely detected in a number of different bacterial species. These resistance genes were mainly harbored in Enterobacteriaceae, followed by Acinetobacter and Aeromonas isolates. More attention should be given to these bacteria as important vectors of ARGs in the environment. Furthermore, we showed that the multidrug resistance phenotype was highly prevalent, which was found in 85.5% Enterobacteriaceae and 75% Acinetobacter strains. Notably, the presence of carbapenemase genes in isolates from treated effluents and receiving rivers indicates that the discharges of wastewater treatment plants could be an important source for high-risk resistance genes propagation to the environment. In conclusion, this study shows a high prevalence of ESBL- and carbapenemase-producing bacteria in hospital sewage and receiving rivers in China. These findings have serious implications for human health, and also suggest the need for more efforts to control the dissemination of resistant bacteria from hospital sewage into the environment.

scholarly journals On-Site Pilot Testing of Hospital Wastewater Ozonation to Reduce Pharmaceutical Residues and Antibiotic-Resistant Bacteria

Antibiotics ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 684
Author(s):  
Sofia Svebrant ◽  
Robert Spörndly ◽  
Richard H. Lindberg ◽  
Therese Olsen Sköldstam ◽  
Jim Larsson ◽  
...  
Keyword(s):  
Municipal Wastewater ◽  
Wastewater Treatment Plants ◽  
High Flow ◽  
Resistant Bacteria ◽  
Municipal Wastewater Treatment ◽  
Antibiotic Resistant Bacteria ◽  
Antibiotic Resistant ◽  
Untreated Wastewater ◽  
Significant Difference ◽  
Hospital Sewage

Hospital sewage constitutes an important point source for antibiotics and antibiotic-resistant bacteria due to the high antibiotic use. Antibiotic resistance can develop and cause problems in sewage systems within hospitals and municipal wastewater treatment plants, thus, interventions to treat hospital sewage on-site are important. Ozonation has proven effective in treating relatively clean wastewater, but the effect on untreated wastewater is unclear. Therefore, we piloted implementation of ozonation to treat wastewater in a tertiary hospital in Uppsala, Sweden. We measured active pharmaceutical ingredients (APIs) using liquid chromatography-mass spectrometry and antibiotic-resistant Enterobacteriaceae using selective culturing pre- and post-ozonation. Comparing low (1 m3/h) and high (2 m3/h) flow, we obtained a ‘dose-dependent’ effect of API reduction (significant reduction of 12/29 APIs using low and 2/29 APIs using high flow, and a mean reduction of antibiotics of 41% using low vs. 6% using high flow, 25% vs. 6% for all APIs). There was no significant difference in the amount of antibiotic-resistant Enterobacteiaceae pre- and post-ozonation. Our results demonstrate that ozonation of untreated wastewater can reduce API content. However, due to the moderate API decrease and numerous practical challenges in the on-site setting, this specific ozonation system is not suitable to implement at full scale in our hospital.

scholarly journals Technologies in Wastewater Treatment Plants for the Removal of Antibiotics, Resistant Bacteria and Antibiotic Resistance Genes: a Review of the Current Literature

2021 ◽  
Vol 26 ◽  
Author(s):  
Maria Camila Zapata Zúñiga ◽  
Miguel Angel Parra-Pérez ◽  
Johan Alexander Álvarez-Berrio ◽  
Nidia Isabel Molina-Gómez
Keyword(s):  
Antibiotic Resistance ◽  
Wastewater Treatment ◽  
Resistance Genes ◽  
Wastewater Treatment Plants ◽  
Antibiotic Resistance Genes ◽  
Resistant Bacteria ◽  
Sources Of Information ◽  
Antibiotic Resistant Bacteria ◽  
Antibiotic Resistant ◽  
Treatment Processes

This study aimed to evaluate the efficiency of technologies for removing antibiotics, antibiotic-resistant bacteria and their antibiotic resistance genes, and the countries where they have been developed. For this purpose, was conducted a systematic review to identify the tertiary treatments to remove the above-mentioned pollutants. The ScienceDirect and Scopus databases were used as sources of information, taking into account only experimental research from 2006 to 2019 and technologies with removal rates higher than 70% to the information analyses. From the analysis of 9 technologies evaluated, in a set of 47 investigations, photo-Fenton, and electrochemical treatments were found to be the most efficient in the removal of antibiotics; gamma radiation and photocatalysis with TiO2 and UV revealed better results in the removal of resistant microbial agents and their resistance genes, with efficiencies of 99.9%. As one of the largest producers and consumers of antibiotics, China appears to be the country with the most scientific research on the area. The importance of innovation in wastewater treatment processes to achieve better results in the remotion of antibiotics, antibiotic-resistant bacteria, and their resistance genes is highlighted, given the effects on the aquatic ecosystems and public health.

scholarly journals Impacts of florfenicol on the microbiota landscape and resistome as revealed by metagenomic analysis

Microbiome ◽  
2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Qifan Zeng ◽  
Chao Liao ◽  
Jeffery Terhune ◽  
Luxin Wang
Keyword(s):  
Resistance Genes ◽  
Production Systems ◽  
Bacterial Species ◽  
Economic Loss ◽  
Resistant Bacteria ◽  
Strong Correlations ◽  
Fish Pathogens ◽  
Antibiotic Resistant ◽  
Resistant Genes ◽  
The Impact

Abstract Background Drug-resistant fish pathogens can cause significant economic loss to fish farmers. Since 2012, florfenicol has become an approved drug for treating both septicemia and columnaris diseases in freshwater fish. Due to the limited drug options available for aquaculture, the impact of the therapeutical florfenicol treatment on the microbiota landscape as well as the resistome present in the aquaculture farm environment needs to be evaluated. Results Time-series metagenomic analyses were conducted to the aquatic microbiota present in the tank-based catfish production systems, in which catfish received standard therapeutic 10-day florfenicol treatment following the federal veterinary regulations. Results showed that the florfenicol treatment shifted the structure of the microbiota and reduced the biodiversity of it by acting as a strong stressor. Planctomycetes, Chloroflexi, and 13 other phyla were susceptible to the florfenicol treatment and their abundance was inhibited by the treatment. In contrast, the abundance of several bacteria belonging to the Proteobacteria, Bacteroidetes, Actinobacteria, and Verrucomicrobia phyla increased. These bacteria with increased abundance either harbor florfenicol-resistant genes (FRGs) or had beneficial mutations. The florfenicol treatment promoted the proliferation of florfenicol-resistant genes. The copy number of phenicol-specific resistance genes as well as multiple classes of antibiotic-resistant genes (ARGs) exhibited strong correlations across different genetic exchange communities (p < 0.05), indicating the horizontal transfer of florfenicol-resistant genes among these bacterial species or genera. Florfenicol treatment also induced mutation-driven resistance. Significant changes in single-nucleotide polymorphism (SNP) allele frequencies were observed in membrane transporters, genes involved in recombination, and in genes with primary functions of a resistance phenotype. Conclusions The therapeutical level of florfenicol treatment significantly altered the microbiome and resistome present in catfish tanks. Both intra-population and inter-population horizontal ARG transfer was observed, with the intra-population transfer being more common. The oxazolidinone/phenicol-resistant gene optrA was the most prevalent transferred ARG. In addition to horizontal gene transfer, bacteria could also acquire florfenicol resistance by regulating the innate efflux systems via mutations. The observations made by this study are of great importance for guiding the strategic use of florfenicol, thus preventing the formation, persistence, and spreading of florfenicol-resistant bacteria and resistance genes in aquaculture.

scholarly journals Bacteriophage selection against a plasmid-encoded sex apparatus leads to the loss of antibiotic-resistance plasmids

2011 ◽  
Vol 7 (6) ◽  
pp. 902-905 ◽  
Author(s):  
Matti Jalasvuori ◽  
Ville-Petri Friman ◽  
Anne Nieminen ◽  
Jaana K. H. Bamford ◽  
Angus Buckling
Keyword(s):  
Antibiotic Resistance ◽  
Resistance Genes ◽  
Bacterial Species ◽  
Low Frequency ◽  
Antibiotic Resistance Genes ◽  
Resistant Bacteria ◽  
Bacterial Cells ◽  
Antibiotic Resistant ◽  
Resistance Plasmids ◽  
Resistant Mutants

Antibiotic-resistance genes are often carried by conjugative plasmids, which spread within and between bacterial species. It has long been recognized that some viruses of bacteria (bacteriophage; phage) have evolved to infect and kill plasmid-harbouring cells. This raises a question: can phages cause the loss of plasmid-associated antibiotic resistance by selecting for plasmid-free bacteria, or can bacteria or plasmids evolve resistance to phages in other ways? Here, we show that multiple antibiotic-resistance genes containing plasmids are stably maintained in both Escherichia coli and Salmonella enterica in the absence of phages, while plasmid-dependent phage PRD1 causes a dramatic reduction in the frequency of antibiotic-resistant bacteria. The loss of antibiotic resistance in cells initially harbouring RP4 plasmid was shown to result from evolution of phage resistance where bacterial cells expelled their plasmid (and hence the suitable receptor for phages). Phages also selected for a low frequency of plasmid-containing, phage-resistant bacteria, presumably as a result of modification of the plasmid-encoded receptor. However, these double-resistant mutants had a growth cost compared with phage-resistant but antibiotic-susceptible mutants and were unable to conjugate. These results suggest that bacteriophages could play a significant role in restricting the spread of plasmid-encoded antibiotic resistance.

scholarly journals Detection of antibiotic-resistant bacteria and their resistance genes from houseflies

2020 ◽  
Vol 13 (2) ◽  
pp. 266-274 ◽  
Author(s):  
Sharmin Akter ◽  
Abdullah Al Momen Sabuj ◽  
Zobayda Farzana Haque ◽  
Md. Tanvir Rahman ◽  
Md. Abdul Kafi ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Resistance Genes ◽  
Bacterial Species ◽  
Animal Health ◽  
Antibiotic Resistance Genes ◽  
Diffusion Method ◽  
Resistant Bacteria ◽  
Antibiotic Resistant Bacteria ◽  
Salmonella Spp ◽  
Antibiotic Resistant

Background and Aim: Houseflies (Musca domestica) are synanthropic insects which serve as biological or mechanical vectors for spreading multidrug-resistant bacteria responsible for many infectious diseases. This study aimed to detect antibiotic-resistant bacteria from houseflies, and to examine their resistance genes. Materials and Methods: A total of 140 houseflies were captured using sterile nylon net from seven places of Mymensingh city, Bangladesh. Immediately after collection, flies were transferred to a sterile zipper bag and brought to microbiology laboratory within 1 h. Three bacterial species were isolated from houseflies, based on cultural and molecular tests. After that, the isolates were subjected to antimicrobial susceptibility testing against commonly used antibiotics, by the disk diffusion method. Finally, the detection of antibiotic resistance genes tetA, tetB, mcr-3, mecA, and mecC was performed by a polymerase chain reaction. Results: The most common isolates were Staphylococcus aureus (78.6%), Salmonella spp., (66.4%), and Escherichia coli (51.4%). These species of bacteria were recovered from 78.3% of isolates from the Mymensingh Medical College Hospital areas. Most of the isolates of the three bacterial species were resistant to erythromycin, tetracycline, penicillin and amoxicillin and were sensitive to ciprofloxacin, ceftriaxone, chloramphenicol, gentamicin, and azithromycin. Five antibiotic resistance genes of three bacteria were detected: tetA, tetB, mcr-3, and mecA were found in 37%, 20%, 20%, and 14% isolates, respectively, and no isolates were positive for mecC gene. Conclusion: S. aureus, Salmonella spp., and E. coli with genetically-mediated multiple antibiotic resistance are carried in houseflies in the Mymensingh region. Flies may, therefore, represent an important means of transmission of these antibiotic-resistant bacteria, with consequent risks to human and animal health.

scholarly journals Mitigating Antibiotic Resistance Genes in Wastewater by Sequential Treatment with Novel Nanomaterials

Polymers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 1593
Author(s):  
Lisa Paruch ◽  
Adam M. Paruch ◽  
Tanta-Verona Iordache ◽  
Andreea G. Olaru ◽  
Andrei Sarbu
Keyword(s):  
Antibiotic Resistance ◽  
Resistance Genes ◽  
Wastewater Treatment Plants ◽  
Antibiotic Resistance Genes ◽  
Bactericidal Effect ◽  
Resistant Bacteria ◽  
Emerging Pathogens ◽  
Antibiotic Resistant ◽  
Functionalized Nanomaterials ◽  
Treatment Technologies

Wastewater (WW) has been widely recognized as the major sink of a variety of emerging pathogens (EPs), antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs), which may disseminate and impact wider environments. Improving and maximizing WW treatment efficiency to remove these microbial hazards is fundamentally imperative. Despite a variety of physical, biological and chemical treatment technologies, the efficiency of ARG removal is still far from satisfactory. Within our recently accomplished M-ERA.NET project, novel functionalized nanomaterials, i.e., molecularly imprinted polymer (MIP) films and quaternary ammonium salt (QAS) modified kaolin microparticles, were developed and demonstrated to have significant EP removal effectiveness on both Gram-positive bacteria (GPB) and Gram-negative bacteria (GNB) from WW. As a continuation of this project, we took the further step of exploring their ARG mitigation potential. Strikingly, by applying MIP and QAS functionalized kaolin microparticles in tandem, the ARGs prevalent in wastewater treatment plants (WWTPs), e.g., blaCTXM, ermB and qnrS, can be drastically reduced by 2.7, 3.9 and 4.9 log (copies/100 mL), respectively, whereas sul1, tetO and mecA can be eliminated below their detection limits. In terms of class I integron-integrase I (intI1), a mobile genetic element (MGE) for horizontal gene transfer (HGT), 4.3 log (copies/100 mL) reduction was achieved. Overall, the novel nanomaterials exhibit outstanding performance on attenuating ARGs in WW, being superior to their control references. This finding provides additional merit to the application of developed nanomaterials for WW purification towards ARG elimination, in addition to the proven bactericidal effect.

scholarly journals Inactivation of antibiotic-resistant bacteria and antibiotic resistance genes by electrochemical oxidation/electro-Fenton process

2020 ◽  
Vol 81 (10) ◽  
pp. 2221-2231 ◽  
Author(s):  
Lei Chen ◽  
Zhi Zhou ◽  
Chaofeng Shen ◽  
Yilu Xu
Keyword(s):  
Antibiotic Resistance ◽  
Electrochemical Oxidation ◽  
Resistance Genes ◽  
Wastewater Treatment Plants ◽  
Antibiotic Resistance Genes ◽  
Resistant Bacteria ◽  
Fenton Process ◽  
Antibiotic Resistant Bacteria ◽  
Antibiotic Resistant ◽  
Treatment Technologies

Abstract Antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) in the environment are of great concern due to their potential risk to human health. The effluents from wastewater treatment plants and livestock production are major sources of ARB and ARGs. Chlorination, UV irradiation, and ozone disinfection cannot remove ARGs completely. In this study, the potential of electrochemical oxidation and electro-Fenton processes as alternative treatment technologies for inactivation of ARB and ARGs in both intracellular and extracellular forms was evaluated. Results showed that the electrochemical oxidation process was effective for the inactivation of selected ARB but not for the removal of intracellular ARGs or extracellular ARGs. The electro-Fenton process was more effective for the removal of both intracellular and extracellular ARGs. The removal efficiency after 120 min of electro-Fenton treatment under 21.42 mA/cm2 was 3.8 logs for intracellular tetA, 4.1 logs for intracellular ampC, 5.2 logs for extracellular tetA, and 4.8 logs for extracellular ampC, respectively in the presence of 1.0 mmol/L Fe2+. It is suggested that electrochemical oxidation is an effective disinfection method for ARB and the electro-Fenton process is a promising technology for the removal of both intracellular and extracellular ARGs in wastewater.

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