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A global multinational survey of cefotaxime-resistant coliforms in urban wastewater treatment plants

Title
A global multinational survey of cefotaxime-resistant coliforms in urban wastewater treatment plants
Type
Article in International Scientific Journal
Year
2020
Authors
Marano, RBM
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Fernandes, T
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Manaia, CM
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Olga C Nunes
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Morrison, D
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Berendonk, TU
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Kreuzinger, N
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Telson, T
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Corno, G
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Fatta Kassinos, D
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Merlin, C
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Topp, E
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Jurkevitch, E
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Henn, L
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Scott, A
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Hess, S
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Slipko, K
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Laht, M
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Kisand, V
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Di Cesare, A
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Karaolia, P
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Michael, SG
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Petre, AL
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Rosal, R
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Pruden, A
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Riquelme, V
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Stenstrom, TA
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Salerno, C
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Henriques, I
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Yang, Y
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Journal
Vol. 144
ISSN: 0160-4120
Publisher: Elsevier
Indexing
Other information
Authenticus ID: P-00S-MJ9
Abstract (EN): The World Health Organization Global Action Plan recommends integrated surveillance programs as crucial strategies for monitoring antibiotic resistance. Although several national surveillance programs are in place for clinical and veterinary settings, no such schemes exist for monitoring antibiotic-resistant bacteria in the environment. In this transnational study, we developed, validated, and tested a low-cost surveillance and easy to implement approach to evaluate antibiotic resistance in wastewater treatment plants (WWTPs) by targeting cefotaxime-resistant (CTX-R) coliforms as indicators. The rationale for this approach was: i) coliform quantification methods are internationally accepted as indicators of fecal contamination in recreational waters and are therefore routinely applied in analytical labs; ii) CTX-R coliforms are clinically relevant, associated with extended-spectrum beta-lactamases (ESBLs), and are rare in pristine environments. We analyzed 57 WWTPs in 22 countries across Europe, Asia, Africa, Australia, and North America. CTX-R coliforms were ubiquitous in raw sewage and their relative abundance varied significantly (< 0.1% to 38.3%), being positively correlated (p < 0.001) with regional atmospheric temperatures. Although most WWTPs removed large proportions of CTX-R coliforms, loads over 10(3) colony-forming units per mL were occasionally observed in final effluents. We demonstrate that CTX-R coliform monitoring is a feasible and affordable approach to assess wastewater antibiotic resistance status.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 11
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