Research article Special Issues

Comparison of antibiotic resistance in the influent and effluent of two wastewater treatment plants

  • † These two authors contributed equally.
  • Received: 30 November 2020 Accepted: 08 March 2021 Published: 16 March 2021
  • The antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARGs) are considered new classes of water contaminants due to their potential adverse effects on aquatic ecosystems and human health. This paper describes the susceptibility evaluation of Escherichia coli, isolated from the influent and effluent of the biological reactors in two wastewater treatment plants (WWTP1 and WWTP2), and the evaluation of the disinfection efficiency of the UV radiation system in WWTP2.

    The exposure to different families of antibiotics was evaluated, namely, macrolides (erythromycin, azithromycin, clarithromycin), quinolones (ofloxacin, ciprofloxacin), nitroimidazoles (metronidazole), sulfanilamides (sulfamethoxazole) and trimethoprim, the latter is used in combination with sulfamethoxazole due to its synergistic effect.

    The results of the antimicrobial susceptibility tests, using disc diffusion (Kirby–Bauer) method, showed the occurrence of E. coli strains resistance. The analysis performed indicated an overall resistance (considering both influents and effluents) in WWTP1 and WWTP2, of respectively: 33.3% and 37.5% to erythromycin; 0.0% and 4.0% to azithromycin; 25.0% and 29.2% to clarithromycin; 12.5% and 4.2% to ofloxacin; 16.7% and 4.2% to ciprofloxacin; 29.2% and 12.5% to trimethoprim; 41.7% and 12.5% to sulfamethoxazole. A variability of resistance was observed along the studied period, from WWTP1 and WWTP2, and from influent to effluent.

    Disinfection by UV demonstrated good performance, achieving in some samples 100% removal of E. coli that has growth in TBX agar. However, a proper supervision is needed in order to achieve the allowed limits concerning the number of bacteria.

    The results from this work contribute to a better awareness of ARB dissemination from wastewater treatment plants to the aquatic environment.

    Citation: Vera Barbosa, Madalena Morais, Aurora Silva, Cristina Delerue-Matos, Sónia A. Figueiredo, Valentina F. Domingues. Comparison of antibiotic resistance in the influent and effluent of two wastewater treatment plants[J]. AIMS Environmental Science, 2021, 8(2): 101-116. doi: 10.3934/environsci.2021008

    Related Papers:

  • The antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARGs) are considered new classes of water contaminants due to their potential adverse effects on aquatic ecosystems and human health. This paper describes the susceptibility evaluation of Escherichia coli, isolated from the influent and effluent of the biological reactors in two wastewater treatment plants (WWTP1 and WWTP2), and the evaluation of the disinfection efficiency of the UV radiation system in WWTP2.

    The exposure to different families of antibiotics was evaluated, namely, macrolides (erythromycin, azithromycin, clarithromycin), quinolones (ofloxacin, ciprofloxacin), nitroimidazoles (metronidazole), sulfanilamides (sulfamethoxazole) and trimethoprim, the latter is used in combination with sulfamethoxazole due to its synergistic effect.

    The results of the antimicrobial susceptibility tests, using disc diffusion (Kirby–Bauer) method, showed the occurrence of E. coli strains resistance. The analysis performed indicated an overall resistance (considering both influents and effluents) in WWTP1 and WWTP2, of respectively: 33.3% and 37.5% to erythromycin; 0.0% and 4.0% to azithromycin; 25.0% and 29.2% to clarithromycin; 12.5% and 4.2% to ofloxacin; 16.7% and 4.2% to ciprofloxacin; 29.2% and 12.5% to trimethoprim; 41.7% and 12.5% to sulfamethoxazole. A variability of resistance was observed along the studied period, from WWTP1 and WWTP2, and from influent to effluent.

    Disinfection by UV demonstrated good performance, achieving in some samples 100% removal of E. coli that has growth in TBX agar. However, a proper supervision is needed in order to achieve the allowed limits concerning the number of bacteria.

    The results from this work contribute to a better awareness of ARB dissemination from wastewater treatment plants to the aquatic environment.



    加载中


    [1] ECDC (2018) Annual Epidemiological Report for 2017 (Antimicrobial Consumption).
    [2] Fernandes MJ, Paíga P, Silva A, et al. (2020) Antibiotics and antidepressants occurrence in surface waters and sediments collected in the north of Portugal. Chemosphere 239.
    [3] Maia AS, Paíga P, Delerue-Matos C, et al. (2020) Quantification of fluoroquinolones in wastewaters by liquid chromatography-tandem mass spectrometry. Environ Pollut 259.
    [4] von Wintersdorff CJH, Penders J, van Niekerk JM, et al. (2016) Dissemination of Antimicrobial Resistance in Microbial Ecosystems through Horizontal Gene Transfer. Front Microbiol 7: 75–82. doi: 10.3389/fmicb.2016.00173
    [5] Korzeniewska E, Harnisz M (2018) Relationship between modification of activated sludge wastewater treatment and changes in antibiotic resistance of bacteria. Sci Total Environ 639: 304–315. doi: 10.1016/j.scitotenv.2018.05.165
    [6] Rodriguez-mozaz S, Chamorro S, Marti E, et al. (2015) Occurrence of antibiotics and antibiotic resistance genes in hospital and urban wastewaters and their impact on the receiving river. Water Res 69.
    [7] McConnell MM, Truelstrup Hansen L, Jamieson RC, et al. (2018) Removal of antibiotic resistance genes in two tertiary level municipal wastewater treatment plants. Sci Total Environ 643: 292–300. doi: 10.1016/j.scitotenv.2018.06.212
    [8] Chen Y, Shen W, Wang B, et al. (2020) Occurrence and fate of antibiotics, antimicrobial resistance determinants and potential human pathogens in a wastewater treatment plant and their effects on receiving waters in Nanjing, China. Ecotoxicol Environ Saf 206: 111371. doi: 10.1016/j.ecoenv.2020.111371
    [9] Adefisoye MA, Okoh AI (2016) Identification and antimicrobial resistance prevalence of pathogenic Escherichia coli strains from treated wastewater effluents in Eastern Cape, South Africa. Microbiologyopen 5: 143–151. doi: 10.1002/mbo3.319
    [10] Lamba M, Ahammad SZ (2017) Performance comparison of secondary and tertiary treatment systems for treating antibiotic resistance. Water Res 127: 172–182. doi: 10.1016/j.watres.2017.10.025
    [11] Varela AR, André S, Nunes OC, et al. (2014) Insights into the relationship between antimicrobial residues and bacterial populations in a hospital-urban wastewater treatment plant system. Water Res 54: 327–336. doi: 10.1016/j.watres.2014.02.003
    [12] Narciso-da-Rocha C, Varela AR, Schwartz T, et al. (2014) blaTEM and vanA as indicator genes of antibiotic resistance contamination in a hospital–urban wastewater treatment plant system. J Glob Antimicrob Resist 2: 309–315. doi: 10.1016/j.jgar.2014.10.001
    [13] Voigt AM, Skutlarek AD, Timm AC, et al. (2019) Liquid chromatography-tandem mass spectrometry as a fast and simple method for the determination of several antibiotics in different aqueous matrices. Enviromental Chem.
    [14] Rita A, Ferro G, Vredenburg J, et al. (2013) Vancomycin resistant enterococci : From the hospital effluent to the urban wastewater treatment plant. Sci Total Environ 450–451: 155–161.
    [15] Martins da Costa P, Vaz-Pires P, Bernardo F (2006) Antimicrobial resistance in Enterococcus spp. isolated in inflow, effluent and sludge from municipal sewage water treatment plants. Water Res 40: 1735–1740.
    [16] Girijan SK, Paul R, Rejish Kumar VJ, et al. (2020) Investigating the impact of hospital antibiotic usage on aquatic environment and aquaculture systems: A molecular study of quinolone resistance in Escherichia coli. Sci Total Environ 748: 141538. doi: 10.1016/j.scitotenv.2020.141538
    [17] Sib E, Lenz-Plet F, Barabasch V, et al. (2020) Bacteria isolated from hospital, municipal and slaughterhouse wastewaters show characteristic, different resistance profiles. Sci Total Environ 746.
    [18] Manaia CM, Rocha J, Scaccia N, et al. (2018) Antibiotic resistance in wastewater treatment plants: Tackling the black box. Environ Int 115: 312–324. doi: 10.1016/j.envint.2018.03.044
    [19] Sabri NA, Schmitt H, Van der Zaan B, et al. (2018) Prevalence of antibiotics and antibiotic resistance genes in a wastewater effluent-receiving river in the Netherlands. J Environ Chem Eng.
    [20] Karkman A, Do TT, Walsh F, et al. (2018) Antibiotic-Resistance Genes in Waste Water. Trends Microbiol 26: 220–228. doi: 10.1016/j.tim.2017.09.005
    [21] Brown KD, Kulis J, Thomson B, et al. (2006) Occurrence of antibiotics in hospital, residential, and dairy effluent, municipal wastewater, and the Rio Grande in New Mexico. Sci Total Environ 366: 772–783. doi: 10.1016/j.scitotenv.2005.10.007
    [22] Wang J, Chu L, Wojnárovits L, et al. (2020) Occurrence and fate of antibiotics, antibiotic resistant genes (ARGs) and antibiotic resistant bacteria (ARB) in municipal wastewater treatment plant: An overview. Sci Total Environ 744: 140997. doi: 10.1016/j.scitotenv.2020.140997
    [23] Ding H, Qiao M, Zhong J, et al. (2020) Characterization of antibiotic resistance genes and bacterial community in selected municipal and industrial sewage treatment plants beside Poyang Lake. Water Res 174: 115603. doi: 10.1016/j.watres.2020.115603
    [24] Silva I, Tacão M, Tavares RDS, et al. (2018) Fate of cefotaxime-resistant Enterobacteriaceae and ESBL-producers over a full-scale wastewater treatment process with UV disinfection. Sci Total Environ 639: 1028–1037. doi: 10.1016/j.scitotenv.2018.05.229
    [25] Eddy M (2007) Wastewater Engineering, Mc Graw Hill.
    [26] Dodd MC (2012) Potential impacts of disinfection processes on elimination and deactivation of antibiotic resistance genes during water and wastewater treatment. J Environ Monit 14: 1754–1771. doi: 10.1039/c2em00006g
    [27] Sousa JM, Macedo G, Pedrosa M, et al. (2017) Ozonation and UV 254 nm radiation for the removal of microorganisms and antibiotic resistance genes from urban wastewater. J Hazard Mater 323: 434–441. doi: 10.1016/j.jhazmat.2016.03.096
    [28] Becerra-Castro C, Macedo G, Silva AMT, et al. (2016) Proteobacteria become predominant during regrowth after water disinfection. Sci Total Environ 573: 313–323. doi: 10.1016/j.scitotenv.2016.08.054
    [29] Li N, Sheng GP, Lu YZ, et al. (2017) Removal of antibiotic resistance genes from wastewater treatment plant effluent by coagulation. Water Res 111: 204–212. doi: 10.1016/j.watres.2017.01.010
    [30] Santos LHMLM, Gros M, Rodriguez-Mozaz S, et al. (2013) Contribution of hospital effluents to the load of pharmaceuticals in urban wastewaters: Identification of ecologically relevant pharmaceuticals. Sci Total Environ 461–462: 302–316. doi: 10.1016/j.scitotenv.2013.04.077
    [31] Baird R, Laura B (2017) Standard methods for the examination of water and wastewater, Washington, D.C., American Public Health Association.
    [32] Tascini C, Sozio E, Viaggi B, et al. (2016) Reading and understanding an antibiogram. Ital J Med 10: 289–300. doi: 10.4081/itjm.2016.794
    [33] European Commission (2018) Commission implementing decision establishing a watch list of substances for union-wide monitoring in the field of water policy pursuant to Directive 2008/105/EC of the European Parliament and of the Council.
    [34] Hernández F, Calısto-Ulloa N, Gómez-Fuentes C, et al. (2019) Occurrence of antibiotics and bacterial resistance in wastewater and sea water from the Antarctic. J Hazard Mater 363: 447–456. doi: 10.1016/j.jhazmat.2018.07.027
    [35] Barreto A, Luis LG, Pinto E, et al. (2019) Genotoxicity of gold nanoparticles in the gilthead seabream (Sparus aurata) after single exposure and combined with the pharmaceutical gemfibrozil. Chemosphere 220: 11–19. doi: 10.1016/j.chemosphere.2018.12.090
    [36] Girard AE, Girard D, English AR, et al. (1987) Pharmacokinetic and in vivo studies with azithromycin (CP-62,993), a new macrolide with an extended half-life and excellent tissue distribution. Antimicrob Agents Chemother 31: 1948–1954. doi: 10.1128/AAC.31.12.1948
    [37] Dinos GP (2017) The macrolide antibiotic renaissance. Br J Pharmacol 174: 2967–2983. doi: 10.1111/bph.13936
    [38] Aldred KJ, Kerns RJ, Osheroff N (2014) Mechanism of quinolone action and resistance. Biochemistry 53: 1565–1574. doi: 10.1021/bi5000564
    [39] Yeshurun M, Vaxman I, Shargian L, et al. (2018) Antibacterial prophylaxis with ciprofloxacin for patients with multiple myeloma and lymphoma undergoing autologous haematopoietic cell transplantation: a quasi-experimental single-centre before-after study. Clin Microbiol Infect 24: 749–754. doi: 10.1016/j.cmi.2017.11.019
    [40] Correia S, Poeta P, Hébraud M, et al. (2017) Mechanisms of quinolone action and resistance: where do we stand? J Med Microbiol 66: 551–559.
    [41] Castiglioni S, Bagnati R, Fanelli R, et al. (2006) Removal of pharmaceuticals in sewage treatment plants in Italy. Environ Sci Technol 40: 357–363. doi: 10.1021/es050991m
    [42] Varela AR, Ferro G, Vredenburg J, et al. (2013) Vancomycin resistant enterococci: From the hospital effluent to the urban wastewater treatment plant. Sci Total Environ 450–451: 155–161. doi: 10.1016/j.scitotenv.2013.02.015
    [43] Fàbrega A, Madurga S, Giralt E, et al. (2009) Mechanism of action of and resistance to quinolones. Microb Biotechnol 2: 40–61. doi: 10.1111/j.1751-7915.2008.00063.x
    [44] Šeputiene V, Povilonis J, Ružauskas M, et al. (2010) Prevalence of trimethoprim resistance genes in Escherichia coli isolates of human and animal origin in Lithuania. J Med Microbiol 59: 315–322. doi: 10.1099/jmm.0.015008-0
    [45] Onderdonk AB, Louie TJ, Tally FP, et al. (1979) Activity of metronidazole against escherichia coli in experimental infra-abdominal sepsis. J Antimicrob Chemother 5: 201–210. doi: 10.1093/jac/5.2.201
    [46] Manaia CM, Macedo G, Fatta-kassinos D, et al. (2016) Antibiotic resistance in urban aquatic environments : can it be controlled ? 1543–1557.
    [47] Alexander J, Hembach N, Schwartz T (2020) Evaluation of antibiotic resistance dissemination by wastewater treatment plant effluents with different catchment areas in Germany. Sci Rep 1–9.
    [48] Fewtrell L, Bartram J (2001) Guidelines, Standards and Health : Assessment of. IWA Publ 1–431.
    [49] Chen X, Yin H, Li G, et al. (2019) Antibiotic-resistance gene transfer in antibiotic-resistance bacteria under different light irradiation: Implications from oxidative stress and gene expression. Water Res 149: 282–291. doi: 10.1016/j.watres.2018.11.019
  • Reader Comments
  • © 2021 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
通讯作者: 陈斌, bchen63@163.com
  • 1. 

    沈阳化工大学材料科学与工程学院 沈阳 110142

  1. 本站搜索
  2. 百度学术搜索
  3. 万方数据库搜索
  4. CNKI搜索

Metrics

Article views(3679) PDF downloads(473) Cited by(4)

Article outline

Figures and Tables

Figures(8)  /  Tables(1)

/

DownLoad:  Full-Size Img  PowerPoint
Return
Return

Catalog