Issue
Insufficient decontamination in Sewage treatment plants induce the risk of artificial selection of extended-spectrum β-lactamase producing Escherichia coli
Corresponding Author(s) : A. Gundogdu
Cellular and Molecular Biology,
Vol. 63 No. 9: Issue 9
Abstract
Quantitative data about extended-spectrum beta-lactamase producing E. coli (ESBLEC) in the wastewaters are scarce, especially in developing countries. These data could be useful to raise awareness about the potential risk of spreading ESBLEC strains in the community. Water samples were collected weekly over a 10-week period, from one urban sewage treatment plant (STP), one rural STP and one hospital complex's wastewater (HWW) in Turkey. Mean E. coli and ESBLEC loads were determined for each sampling point. For the 580 ESBLEC isolated, antimicrobial resistance profiles, phylogenetic grouping, presence of common beta-lactamese-typesand integrons were studied using PCR. The mean ESBLEC ratio was accounted for 0.58%, 0,12%, 1.53% of the total E. coli in urban, rural untreated wastewater and HWW, respectively. These values were higher for the outlets. The mean number of different antimicrobial classes to which the strains were resistant was highest in urban STP (4.0± 1.6). The antimicrobial resistance ratios of ESBLEC strains isolated from HWW were observed to be in between those of urban and rural STPs. The most common phylogenetic group was C composing (29.7%) and the most susceptible strains belonged to phylogroup B1. Wastewater treatments without sufficient decontamination, resulting in artificial selection of ESBLEC might lead to public health risk as these strains reach communities through environment. To avoid such risks and protect the human health as well as the environment, well-established decontamination measures imposing barriers against this artificial selection should be implemented.
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- Meek RW, Vyas H, Piddock LJV. Nonmedical Uses of Antibiotics: Time to Restrict Their Use? PLoS Biol, 2015; 13(10): e1002266.
- Kummerer K. Resistance in the environment. J Antimicrob Chemother, 2004; 544: 311-320.
- Martinez JL. Environmental pollution by antibiotics and by antibiotic resistance determinants. Environ Pollut, 2009; 157: 2893-2902.
- Berendonk TU, Manaia CM, Merlin C. Tackling antibitic resistance: the environmental framework. Nat Rev Microbiol, 2015; doi:10.1038/nrmicro3439.
- Allen HK, Donato J, Wang HH. Call of the wild: antibiotic resistance genes in natural environments. Nat Rev Microbiol, 2010; 8: 251-259.
- Blaak H, Kruijf P, Hamidjaja RA. Prevalence and characteristics of ESBL-producing E. coli in Dutch recreational waters influenced by wastewater treatment plants.Vet Microbiol, 2014; 171:448-459.
- Gundogdu A, Jennison AV, Smith HV, Stratton H, Katouli M. Extended spectrum beta-lactamase producing Escherichia coli in hospital wastewaters and sewage treatment plants in Queensland, Australia. Can J Microbiol, 2013;59:737-745.
- Rizzo L, Manaia C, Merlin C, et al. Urban wastewater treatment plants as hotspots for antibiotic resistant bacteria and genes spread into the environment: a review. Sci Total Environ, 2013; 447:345-360.
- Brechet C, Plantin J, Sauget M, et al. Wastewater treatment plants release large amount of Extended-spectrum beta-lactamase producing Escherichia coli into the environment. Clin Infect Diseas, 2014; 58:1658-1665.
- Drieux L, Haenn S, Moulin L, Jarlier V. Quantitative evaluation of extended-spectrum beta-lactamase-producing Escherichia coli strains in the wastewater of a French teaching hospital and relation to patient strain. ARIC; 2016: 5:9.
- Sosa AJ, Byarugaba DK, Amabile-Cuevas CF, Hsueh P, Kariuki S, Okeke IN. Antimicrobial Resistance in Developing Countries. Springer.2010. Doi: 10.1007/978-0-387-89370-9.
- Australian and New Zealand Standard (1998) Australian/New Zealand Standard Water Quality - Sampling Part 10: Guidance on sampling of wastewaters. AS/NZS 5667.10.
- Australian and New Zealand Standard (1998) Australian/New Zealand Standard Water Quality - Sampling Part 1: Guidance on the design of sampling programs, sampling techniques and the preservation of handling samples. AS/NZS 5667.1.
- Australian and New Zealand Standard (2007) Australian/New Zealand Standard Water Microbiology Method 1. In General information and procedures, AS/NZS.
- Chen J, Griffiths MW. PCR differentiation of Escherichia coli from other Gram-negative bacteria using primers derived from the nucleotide sequences flanking the gene encoding the universal stress protein. LettAppl Microbiol, 1998;27:369-371.
- Clinical and Laboratory Standards Institute (CLSI), 2015. "Performance Standards for Antimicrobial Susceptibility Testing; Twenty Fifth Informational Supplement”, CLSI document M100-S25. Clinical and Laboratory Standards Institute, Wayne, PA.
- Gündoğdu A, Long YB, Katouli M. Prevalence and pathogenesis of extended-spectrum beta-lactamase producing Escherichia coli causing urinary tract infection in hospitalized patients. Eur J Clin Micro Inf Dis, 2012;31:3107-3116.
- Pitout JDD, Hossain A, Hanson ND. Phenotypic and moleculer detection of CTX-M-beta-lactamases produced by Escherichia coli and Klebsiella spp. J Clin Microbiol, 2004;42: 5715-5721.
- Vahaboglu H, Ozturk R, Akbal H, Saribas S, Tansel O, Coskunkan F. Practical approach for detection and identification of OXA-10-derived ceftazidime-hydrolyzing ESBL. J Clin Microbiol, 1998;36: 827–829.
- Dillon B, Thomas L, Mohmand G, Zelynski A, Iredell J. Multiplex PCR for screening of integrons in bacterial lysates.J Microbiol Methods, 2005; 62:221-232.
- Clermont O, Christenson JK, Denamur E, Gordon DM. The Clermont Escherichia coliphylo-typing method revisited: improvement of specificity and detection of new phylo-groups”, Env Microbiol Rep, 2013;5:58-65.
- Blaak H, van Hoek AHAM, Hamidjaja RA, et al. Distribution, Numbers, and Diversity of ESBL-Producing E. coli in the Poultry Farm Environment. PLoS ONE, 2015; 10(8): e0135402.
- Said LB, Jouini AJ, Klibi N, et al. Detection of extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae in vegetables, soil and water of the farm environment in Tunisia. Int J Food Microbiol, 2015; 203; 86-92.
- Mesa RJ, Blanc V, Blanch AR, Cortes P, Navarro F. Extended-spectrum beta-lactamase-producing Enterobacteriaceae in different environments (humans, food, animal farms and sewage). J AntimicrobChemother, 2006; 58:211-215.
- Hocquet D, Muller A, Bertand X. What happens in hospitals does not stay in hospitals: antibitic-resistant bacteria in hospital wastewater system. J Hosp Infect, 2016;93(4):395-402.
- Kummerer, K. Antibiotics in the aquatic environment -A review - Part 2. Chemosphere, 2009b;75: 435-441.
- Baquero F, Martinez J-L, Canton R. Antibiotics and antibiotic resistance in water environments. Curr Opinion Biotechnology, 2008; 19: 260-265.
- Oberle K, Capdeville MJ, Berthe T, Budzinski H, Petit F. Evidence for a complex relationship between antibiotics and antibiotic-resistant Escherichia coli: from medical center patients to a receiving environment. Environ Sci Technol, 2012; 46:1859-1868.
- Silva J, Castillo G, Callejas L, Lopez H, Olmos J. Frequency of transferable multiple antibiotic resistance amongst coliform bacteria from treated sewage in Antpfagasta, Chile. J Biotechnol, 2006;9: 533-540.
- Kim S, Aga DS. Potential ecological and human health impacts of antibiotics and antibiotic-resistant bacteria from wastewater treatment plants. J Toxicol Environ Health B Crit Rev, 2007;10: 559-573.
- Kummerer K. Antibiotics in the aquatic environment - A review - Part1. Chemosphere, 2009a;75:417-434.
- Galvin S, Boyle F, Hickey P, Vellinga A, Morris D, Cormican M. Enumeration and characterization of antimicrobial-resistant Escherichia coli bacteria in effluent from municipal hospital and secondry tretment facility sources. App Environ Microbiol 2010; 76:4772-4779.
- Gullberg E, Cao S, Berg OG et al. Selection of resistant bacteria at very low antibiotic concentrations. PLoS Pathog, 2011; 7:e1002158.
- Czekalski N, Berthold T, Caucci S, Egli A, Burgmann H. Increased levels of multi-resistant bacteria and resistance genes after wastewater treatment and their dissemination into Lake Geneva, Switzerland. Front Microbiol, 2012; 3:106.
- Johnson J, Delavari P, Kuskowski M, Stell AL. Phylogenetic distribution of extra-intestinal virulence-associated traits in Escherichia coli. J Infect Dis, 2001;183:78-88.
- Bingen E, Picard B, Brahimi N, et al. Phylogenetic analysis of Escherichia coli strains causing neonatal meningitis suggests horizontal gene transfer from a predominant pool of highly virulence B2 group strains. J Infect Dis, 1998;177: 642-650.
- Paterson DL, Bonomo RA. Extended-spectrum beta-lactamases: a clinical update. Clin Microbiol Rev, 2005;18: 657– 686.
References
Meek RW, Vyas H, Piddock LJV. Nonmedical Uses of Antibiotics: Time to Restrict Their Use? PLoS Biol, 2015; 13(10): e1002266.
Kummerer K. Resistance in the environment. J Antimicrob Chemother, 2004; 544: 311-320.
Martinez JL. Environmental pollution by antibiotics and by antibiotic resistance determinants. Environ Pollut, 2009; 157: 2893-2902.
Berendonk TU, Manaia CM, Merlin C. Tackling antibitic resistance: the environmental framework. Nat Rev Microbiol, 2015; doi:10.1038/nrmicro3439.
Allen HK, Donato J, Wang HH. Call of the wild: antibiotic resistance genes in natural environments. Nat Rev Microbiol, 2010; 8: 251-259.
Blaak H, Kruijf P, Hamidjaja RA. Prevalence and characteristics of ESBL-producing E. coli in Dutch recreational waters influenced by wastewater treatment plants.Vet Microbiol, 2014; 171:448-459.
Gundogdu A, Jennison AV, Smith HV, Stratton H, Katouli M. Extended spectrum beta-lactamase producing Escherichia coli in hospital wastewaters and sewage treatment plants in Queensland, Australia. Can J Microbiol, 2013;59:737-745.
Rizzo L, Manaia C, Merlin C, et al. Urban wastewater treatment plants as hotspots for antibiotic resistant bacteria and genes spread into the environment: a review. Sci Total Environ, 2013; 447:345-360.
Brechet C, Plantin J, Sauget M, et al. Wastewater treatment plants release large amount of Extended-spectrum beta-lactamase producing Escherichia coli into the environment. Clin Infect Diseas, 2014; 58:1658-1665.
Drieux L, Haenn S, Moulin L, Jarlier V. Quantitative evaluation of extended-spectrum beta-lactamase-producing Escherichia coli strains in the wastewater of a French teaching hospital and relation to patient strain. ARIC; 2016: 5:9.
Sosa AJ, Byarugaba DK, Amabile-Cuevas CF, Hsueh P, Kariuki S, Okeke IN. Antimicrobial Resistance in Developing Countries. Springer.2010. Doi: 10.1007/978-0-387-89370-9.
Australian and New Zealand Standard (1998) Australian/New Zealand Standard Water Quality - Sampling Part 10: Guidance on sampling of wastewaters. AS/NZS 5667.10.
Australian and New Zealand Standard (1998) Australian/New Zealand Standard Water Quality - Sampling Part 1: Guidance on the design of sampling programs, sampling techniques and the preservation of handling samples. AS/NZS 5667.1.
Australian and New Zealand Standard (2007) Australian/New Zealand Standard Water Microbiology Method 1. In General information and procedures, AS/NZS.
Chen J, Griffiths MW. PCR differentiation of Escherichia coli from other Gram-negative bacteria using primers derived from the nucleotide sequences flanking the gene encoding the universal stress protein. LettAppl Microbiol, 1998;27:369-371.
Clinical and Laboratory Standards Institute (CLSI), 2015. "Performance Standards for Antimicrobial Susceptibility Testing; Twenty Fifth Informational Supplement”, CLSI document M100-S25. Clinical and Laboratory Standards Institute, Wayne, PA.
Gündoğdu A, Long YB, Katouli M. Prevalence and pathogenesis of extended-spectrum beta-lactamase producing Escherichia coli causing urinary tract infection in hospitalized patients. Eur J Clin Micro Inf Dis, 2012;31:3107-3116.
Pitout JDD, Hossain A, Hanson ND. Phenotypic and moleculer detection of CTX-M-beta-lactamases produced by Escherichia coli and Klebsiella spp. J Clin Microbiol, 2004;42: 5715-5721.
Vahaboglu H, Ozturk R, Akbal H, Saribas S, Tansel O, Coskunkan F. Practical approach for detection and identification of OXA-10-derived ceftazidime-hydrolyzing ESBL. J Clin Microbiol, 1998;36: 827–829.
Dillon B, Thomas L, Mohmand G, Zelynski A, Iredell J. Multiplex PCR for screening of integrons in bacterial lysates.J Microbiol Methods, 2005; 62:221-232.
Clermont O, Christenson JK, Denamur E, Gordon DM. The Clermont Escherichia coliphylo-typing method revisited: improvement of specificity and detection of new phylo-groups”, Env Microbiol Rep, 2013;5:58-65.
Blaak H, van Hoek AHAM, Hamidjaja RA, et al. Distribution, Numbers, and Diversity of ESBL-Producing E. coli in the Poultry Farm Environment. PLoS ONE, 2015; 10(8): e0135402.
Said LB, Jouini AJ, Klibi N, et al. Detection of extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae in vegetables, soil and water of the farm environment in Tunisia. Int J Food Microbiol, 2015; 203; 86-92.
Mesa RJ, Blanc V, Blanch AR, Cortes P, Navarro F. Extended-spectrum beta-lactamase-producing Enterobacteriaceae in different environments (humans, food, animal farms and sewage). J AntimicrobChemother, 2006; 58:211-215.
Hocquet D, Muller A, Bertand X. What happens in hospitals does not stay in hospitals: antibitic-resistant bacteria in hospital wastewater system. J Hosp Infect, 2016;93(4):395-402.
Kummerer, K. Antibiotics in the aquatic environment -A review - Part 2. Chemosphere, 2009b;75: 435-441.
Baquero F, Martinez J-L, Canton R. Antibiotics and antibiotic resistance in water environments. Curr Opinion Biotechnology, 2008; 19: 260-265.
Oberle K, Capdeville MJ, Berthe T, Budzinski H, Petit F. Evidence for a complex relationship between antibiotics and antibiotic-resistant Escherichia coli: from medical center patients to a receiving environment. Environ Sci Technol, 2012; 46:1859-1868.
Silva J, Castillo G, Callejas L, Lopez H, Olmos J. Frequency of transferable multiple antibiotic resistance amongst coliform bacteria from treated sewage in Antpfagasta, Chile. J Biotechnol, 2006;9: 533-540.
Kim S, Aga DS. Potential ecological and human health impacts of antibiotics and antibiotic-resistant bacteria from wastewater treatment plants. J Toxicol Environ Health B Crit Rev, 2007;10: 559-573.
Kummerer K. Antibiotics in the aquatic environment - A review - Part1. Chemosphere, 2009a;75:417-434.
Galvin S, Boyle F, Hickey P, Vellinga A, Morris D, Cormican M. Enumeration and characterization of antimicrobial-resistant Escherichia coli bacteria in effluent from municipal hospital and secondry tretment facility sources. App Environ Microbiol 2010; 76:4772-4779.
Gullberg E, Cao S, Berg OG et al. Selection of resistant bacteria at very low antibiotic concentrations. PLoS Pathog, 2011; 7:e1002158.
Czekalski N, Berthold T, Caucci S, Egli A, Burgmann H. Increased levels of multi-resistant bacteria and resistance genes after wastewater treatment and their dissemination into Lake Geneva, Switzerland. Front Microbiol, 2012; 3:106.
Johnson J, Delavari P, Kuskowski M, Stell AL. Phylogenetic distribution of extra-intestinal virulence-associated traits in Escherichia coli. J Infect Dis, 2001;183:78-88.
Bingen E, Picard B, Brahimi N, et al. Phylogenetic analysis of Escherichia coli strains causing neonatal meningitis suggests horizontal gene transfer from a predominant pool of highly virulence B2 group strains. J Infect Dis, 1998;177: 642-650.
Paterson DL, Bonomo RA. Extended-spectrum beta-lactamases: a clinical update. Clin Microbiol Rev, 2005;18: 657– 686.