Spread Of Antibiotic Resistance Research Articles

УНИВЕРСАЛЬНЫЕ ПРИНЦИПЫ БАКТЕРИАЛЬНОЙ КОММУНИКАЦИИ

This article presents up-to-date information on the phenomenon of intercellular communication in bacteria, its role in the expression of virulence genes and, in particular, in the spread of antibiotic resistance. The basic principles of quorum functioning inherent in all currently known bacterial communication systems are highlighted. The main signaling molecules (autoinducers) of intraspecies, interspecies, epinephrine and peptide communication have been analyzed. The role of blocking information communication (signaling molecules) between bacteria as an alternative to the discovery of new antibiotics against bacteria with extreme and complete antibiotic resistance have been evaluated. Key words: quorum sensing, signaling molecules, receptors, gene expression, quorum suppression.

Genotyping and antibiotic susceptibility of Campylobacter species isolated from raw milk samples in Qazvin, Iran

ObjectiveCampylobacter species are major causes of foodborne illnesses, with unpasteurized milk being a significant carrier of these bacteria, posing a public health risk. One of the challenges in managing Campylobacter infections is the emergence and spread of antibiotic resistance. We conducted a study in Qazvin, Iran, testing 84 raw cow’s milk samples to determine the frequency of C. jejuni and C. coli using culture-based and multiplex PCR methods. Additionally, the disk diffusion and RAPD-PCR approaches were utilized to evaluate the phenotypic antibiotic resistance profile and genetic diversity of Campylobacter strains.ResultsThe findings indicated that Campylobacter spp. was present in 19.05% of the samples, with C. coli being the predominant isolate. We tested eight antibiotic agents, and the resistance levels of the isolates were as follows: erythromycin 100%, tetracycline 75%, doxycycline 56.25%, ceftriaxone 43.75%, chloramphenicol 37.5%, amoxicillin-clavulanic acid 25%, nalidixic acid 12.5%, and azithromycin 6.25%. Genetic diversity analysis categorized Campylobacter isolates into 39 clusters, indicating a wide diversity among strains. However, no significant correlation was observed between antibiotic resistance and cluster patterns. These findings underscore the role of raw milk as a reservoir for Campylobacter spp. and highlight the substantial antibiotic resistance and genetic diversity within the species population.

Virulence And Drug Resistance Pattern Of Escherichia Coli Isolates From Various Clinical Sample

Introduction: E. coli is one of the most common pathogens, and its infection has resulted in a global burden due to its increased medication resistance and virulence factors. The goal of this study was to examine the drug resistance pattern and pathogenicity properties of Escherichia coli isolates. Methods: Over the course of six months (March 2019-August 2019), a laboratory-based cross-sectional study was done among patients visiting Manmohan Memorial Teaching Hospital in Kathmandu, Nepal. Standard microbiological procedures were used to identify bacterial isolates from clinical specimens. The modified Kirby Bauer disk diffusion method was used to determine antibiotic susceptibilities. The combined disk test method was used to confirm the ESBL and MBL. To determine their virulence, serum bactericidal activity and biofilm productions were determined. Results: 59.60 percent (n=81) of the 136 Escherichia coli isolates were multidrug resistant, 25.70 percent (n=35) were ESBL producers, and 11.80 percent (n=16) were MBL producers. Serum resistance was discovered in 22.8 percent (n=31) of the total isolates, while biofilm formation was found in 19.11 percent (n=26). Amoxycillin had the highest level of resistance (87.5%), whereas Chloramphenicol (93.4%) and Imipenem (80.9%) were the most susceptible antibiotics. Polymyxin B and Colistin sulphate were absolutely sensitive. In our investigation, 61.5 percent of biofilm producers were MDR, with non-beta lactamase types being the most common. MBL producers were discovered to be more serum resistant. Amikacin and Imipenem were found to be more sensitive to biofilm makers. Conclusions: The expression of Escherichia coli virulence factors varied depending on the kind of infection. Escherichia coli has a high rate of multidrug resistance. To minimize the emergence and spread of antibiotic resistance in bacteria, proper identification of drug-resistant bacteria, careful use of antibiotics, and effective antibiotic policy are required.

Large Scale Nationwide Screening of Bioavailable Tetracyclines and Arsenic Using Whole-cell Bioreporter from Pangasius and Tilapia Aquaculture System in Bangladesh

In this study, a large-scale screening of bioavailable tetracycline (TC) and arsenic (As) was carried out using Whole-Cell biosensor bacteria from the pond surface waters of selected pangasius and tilapia farms across Bangladesh. Bioavailability of Tetracyclines and Arsenic was detected using biosensor bacteria E. coli K12 pTetLux1 and E. coli DH5R (pJAMA-arsR), respectively. 62 samples were within the tetracycline detection limit; others were below the detection limit. The highest concentration 31.27µg/l was found in a pond of Jashore and the lowest concentration 2.57µg/l, was measured from Trishal, Mymensingh. Tetracyclines were detected in 19.57 % of all analyzed samples and varied from below the detection limit to a maximum of 31.27 μg/l. Khulna showed the maximum percentage of detected samples (90%), followed by Mymensingh (52%), Cumilla (27.5%), Jashore (14%), Bogura (14%), and Sathkhira (10%). Bioavailable As were detected in only 5.7% of all analyzed samples. Detectable as samples were higher in number among the collected samples at Madaripur and higher in percentage at Sathkhira (30%) followed by Madaripur (20%), Cumilla (5%), and Gopalgonj (3.2%). The pick level of Arsenic was found in Madaripur, which was 9.45 µg/l and the lowest figure was 2.35 µg/l, found in Cumilla. Though the concentrations of arsenic in groundwater (tube well water) were high in all studied regions, the concentrations of arsenic in pond water were low in every region. The concentration of as in the experimental ponds was neither very high nor in the danger limit. Use of shallow tube well water, fertilizers, drugs, pesticides, and herbicides possessed with as during fish culture might be the source of as contamination. However, extensive use of antibiotics results in the emergence and spread of antibiotic resistance in the aquatic environment.

Changes in the behavior of Staphylococcus aureus strains in the presence of oxacillin under the effect of gamma radiation

Staphylococcus aureus (S. aureus) as a major pathogen is implicated in a wide range of foodborne and hospital-acquired infections, its methicillin resistant variants contribute to the spread of β-lactam antibiotic resistance. It is essentially important to destroy these pathogens, their resistance genes and the antibiotics in wastewaters. For this purpose reactions of reactive radicals (advanced oxidation processes), first of all hydroxyl radicals (•OH), are suggested. Here the radiolysis of water supplied these radicals. In the experiments B.01755 oxacillin sensitive and B.02174 resistant S. aureus strains were used to study their behaviorr in suspensions under the effect of irradiation in presence and absence of oxacillin. Oxacillin inactivation depended on concentration of the antibiotic used (0.042 and 1 g dm−3), higher concentration required a higher dose. When 106–109 CFU cm−3 S. aureus suspensions were irradiated with γ-radiation the bacteria were inactivated at low absorbed doses: 4 orders of magnitude decrease ocurred in the number of culturable cells at ∼0.6 kGy dose. Both cell membrane and DNA suffered considerable damages during irradiation. Due to the membrane damage the cells could not be stained, and the DNA content of cells in several days period was released into the solution. In DNA damage the oxacillin resistance mecA gene was also modified, it did not multiply in PCR test. These findings are important from the point of view of applying irradiation technology to stop the spread of antibiotic resistance.

Identification of functional microflora underlying the biodegradation of sulfadiazine-contaminated substrates by Hermetia illucens

The increasing discharge of antibiotic residues into the natural environment, stemming from both human activities and animal farming, has detrimental effects on natural ecosystems and serves as a significant driving force for the spread of antibiotic resistance. Biodegradation is an important method for the elimination of antibiotics from contaminated substrates, but the identifying in situ microbial populations involved in antibiotic degradation is challenging. Here, DNA stable isotope probing (DNA-SIP) was employed to identify active sulfadiazine (SDZ) degrading microbes in the gut of black soldier fly larvae (BSFLs). At an initial SDZ concentration of 100 mg kg−1, the highest degradation efficiency reached 73.99% after 6 days at 28 °C. DNA-SIP revealed the incorporation of 13C6 from labeled SDZ in 9 genera, namely, Clostridum sensu stricto 1, Nesterenkonia, Bacillus, Halomonas, Dysgonomonas, Caldalkalibacillus, Enterococcus, g_unclassified_f_Xanthomonadaceae and g_unclassified_f_Micrococcaceae. Co-occurrence network analysis revealed that a significant positive correlation existed among SDZ degrading microbes in the gut microbiota, e.g., between Clostridium sensu stricto 1 and Nesterenkonia. Significant increases in carbohydrate metabolism, membrane transport and translation were crucial in the biodegradation of SDZ in the BSFL gut. These results elucidate the structure of SDZ-degrading microbial communities in the BSFL gut and in situ degradation mechanisms.

Evaluation of antibiotic resistance in bacterial strains isolated from sewage of slaughterhouses

Abstract Background The frequent and incorrect use of antibiotics in animal husbandry has led to the spread of antimicrobial resistance. The issue should be addressed in a One Health vision, since human and animal health, as well as the environment are interconnected. Wastewater from slaughterhouses can be contaminated with multidrug-resistant bacteria, representing a possible cross-contamination route. This study evaluated the presence of antibiotic-resistant bacteria in wastewater from slaughterhouses to highlight their role in the spread of antibiotic resistance. Methods In total, 18 out 35 slaughterhouses in Sicily (Italy) were considered. For each wastewater system the samples were collected before any treatment, and cultured within 24 h of sampling. The isolates were identified by API20NE, API20E profiles (bioMerieux, France). Using the Kirby Bauer test, the isolated strains were classified as resistant (R), intermediately resistant (I), or sensitive (S) to the tested antibiotics. Results Proteus mirabilis (85.7%) and Peudomonas aeruginosa (27.3%) were the most frequently isolated microorganisms, followed by Enterobacter cloacae, Aeromonas hydrophila, and Citrobacter freundii. The most resistant strains belonged to Enterobacter spp., which showed the highest resistance rate for macrolides, penicillins and cephalosporins. Aeromonas spp. was resistant to carbapenems while E. coli showed the highest resistance to colistine. Finally, Citrobacter spp. was completely resistant to macrolides, rifampicin, and tetracycline. Conclusions High resistance levels were detected for some antibiotics widely used in human medicine such as macrolides, penicillins, and cephalosporins. Resistance to carbapenems and colistine, which are now considered key drugs in human medicine for the treatment of severe multidrug-resistant infections, was also reported. Thus, continuous monitoring on the correct use of antibiotics in animal husbandry is necessary. Key messages • Wastewater from slaughterhouses may be a vehicle of antibiotic-resistant bacteria. • The One Health approach should be used for the management of health security, food safety and antimicrobial resistance.

Detection of multidrug resistant Vibrio parahaemolyticus and anti-Vibrio Streptomyces sp. MUM 178J

The growing global population has increased the demand for seafood, making the aquaculture industry a vital food source. However, climate change has negatively impacted the industry as natural inhabitants of aquatic environments such as Vibrio parahaemolyticus are thriving in the warming waters. These foodborne pathogens can cause disease in marine animals, resulting in lowered production rates and substantial economic losses. V. parahaemolyticus is transmitted from these marine animals in aquaculture to humans via raw or undercooked seafood, resulting in gastroenteritis outbreaks. In addition, the extensive use of antibiotics in aquaculture to treat infections within marine animals has led to the development of multidrug-resistant (MDR) V. parahaemolyticus, which threatens the effectiveness of antimicrobial treatments. Thus, it is vital to explore the alternatives of antibiotics in aquaculture to manage the spread of antibiotic resistance. This study aimed to investigate the prevalence of MDR V. parahaemolyticus to provide insight into the current antibiotic resistance patterns of this pathogen and to determine potential anti-Vibrio properties of Streptomyces MUM 178J which was previously isolated from the soils of a mangrove forest in Sarawak, Malaysia. Colony morphology and toxR-assay indicated that all samples tested positive for V. parahaemolyticus. Further identification with genomic analyses confirmed that 64% (64/100) of the isolates were V. parahaemolyticus. The multiple antibiotic resistance index (MAR) of the isolates ranged between 0.07 and 0.57, with 81% (52/64) of the isolates resistant to more than one antibiotic. The isolates were most resistant to ampicillin (98.4%), followed by ceftazidime (53.1%). In contrast, the isolates were highly susceptible to nalidixic acid (98.4%), tetracycline (93.8%), and sulfamethoxazole/trimethoprim (90.6%). They also demonstrated susceptibilities of 89.1% to levofloxacin, oxytetracycline, and gentamicin. Streptomyces sp. MUM 178J exhibited antagonistic effects on select V. parahaemolyticus strain, RP0132, with a minimum inhibitory concentration of 12.5 mg/mL and a minimum bactericidal concentration of 50 mg/mL.

The Impact of COVID-19 on Knowledge, Beliefs, and Practices of Ni-Vanuatu Health Workers Regarding Antibiotic Prescribing and Antibiotic Resistance, 2018 and 2022: A Mixed Methods Study.

Antimicrobial resistance (AMR) is included in the ten most urgent global public health threats. Global evidence suggests that antibiotics were over prescribed during the early waves of the COVID-19 pandemic, particularly in low- and middle-income countries. Inappropriate use of antibiotics drives the emergence and spread of antibiotic resistance. This study aimed to examine the impact of COVID-19 on Ni-Vanuatu health worker knowledge, beliefs, and practices (KBP) regarding antibiotic prescribing and awareness of antibacterial AMR. A mixed methods study was conducted using questionnaires and in-depth interviews in 2018 and 2022. A total of 49 respondents completed both baseline (2018) and follow-up (2022) questionnaires. Knowledge scores about prescribing improved between surveys, although health workers were less confident about some prescribing activities. Respondents identified barriers to optimal hand hygiene performance. More than three-quarters of respondents reported that COVID-19 influenced their prescribing practice and heightened their awareness of ABR: "more careful", "more aware", "stricter", and "need more community awareness". Recommendations include providing ongoing continuing professional development to improve knowledge, enhance skills, and maintain prescribing competency; formalising antibiotic stewardship and infection, prevention, and control (IPC) programmes to optimise prescribing and IPC practices; and raising community awareness about ABR to support more effective use of medications.

Evaluation of Antibiotic Resistant Bacteria from Organic Fertilized Farm Soils and Waterleaf (Talinum triangulare) in Aluu, Rivers State, Nigeria

The use of antibiotics in agriculture is believed to contribute to the spread of antibiotic resistance, and consumption of vegetables represents a route of direct human exposure to resistant bacteria found in soil. This study was carried out to isolate and characterize antibiotic resistant bacteria from poultry dropping fertilized farm soils in Aluu community Rivers State. Thirty-six (36) soil and waterleaf (Talinum triangulare) samples were collected for a period of three months from the vegetable farms and subjected to standard microbiological procedures such as standard plate counts, identification, sensitivity testing using Kirby-Bauer disk diffusion method and molecular identification. The total heterotrophic bacterial (THB), Staphylococcal, and total coliform counts ranged from2.72±0.52x106 to 7.30±3.54x106Cfu/g; 0x105to 4.30±0.28x105Cfu/g; 0x105 to 21.40±2.26x105Cfu/g and 2.65±0.21x105 to 3.10±0.85x105Cfu/g for FarmsA, B and C respectively. There was a significant difference (p˂0.05) in the total heterotrophic, coliform bacterial count but no significant difference in Staphylococcal and Salmonella-Shigella count between the different vegetable farms sampled in month one. THB, Staphylococcal, Faecal coliform (FC), coliform, Salmonella-Shigella counts ranged from3.80±1.83x106 to 4.69±1.69x106cfu/g; 1.08±0.04x105 to 1.40±0.11x105Cfu/g; 2.00±0.42x104 to 8.30±2.12x104Cfu/g; 3.95±0.21x105 to 5.95±0.21x105Cfu/g and 1.20±0.28x104to 2.40±0.85x104Cfu/g for FarmsA and B respectively. There was no significant difference (p˂0.05) in the THB, Salmonella-Shigella, Total coliform (TC) counts, but there was a significant difference in the Staphylococcal and faecal coliform counts between the different vegetable farms sampled for month two. The bacterial isolates identified were as follows; Escherichia coli, Enterobacter spp, Shigella spp, Salmonella spp, Pseudomonas spp Proteus spp, Staphylococcus aureus, Bacillus subtilis, Bacillus licheniformis, Serratia marcesens and Serratia nematodiphila. Forty-six (46) bacterial isolates were isolated from the soils and vegetables. Escherichia coli had the highest occurrence (75%) and Bacillus spp (9.09%) had the least occurrence. The susceptibility pattern of Bacillus spp, Staphylococcus spp, Enterobacter spp, Salmonella spp, Escherichia coli, Shigella spp, Pseudomonas sppand Proteus sppwere all susceptible to Ofloxacin, and gentamicin (100%) and resistant to Ceftazidime, Cefixime and Augmentin (100%). Hundred-percent (100%) of the bacterial isolates had multidrug resistance index greater than 0.2 and QnrA resistant gene were found in the resistant bacterial isolates. In conclusion, the use of antibiotic indiscriminately for agricultural purposes should be discouraged because of multiple antibiotic resistance.

Natural transformation and cell division delay in competent Staphylococcus aureus.

Genetic competence for natural transformation, considered one of the three main mechanisms leading to horizontal gene transfer in bacteria, is able to promote evolution, through genomic plasticity, and foster antibiotic resistance and virulence factors spreading. Conserved machinery and actors required to perform natural transformation have been shown to accumulate at different cellular localizations depending on the model organism considered. In this study, we investigate the transformation apparatus composition, localization, and dynamics in the human pathogen Staphylococcus aureus. We particularly show that most of the natural transformation actors co-localize in clusters. We also reveal that the localization of natural transformation proteins is dynamic, following the cell cycle. Ultimately, the natural transformation apparatus is preferentially established in the vicinity of the division septum. All these results demonstrate that DNA binding, uptake, and recombination are spatially and temporally coordinated to ensure S. aureus natural transformation. Finally, we hypothesize that S. aureus competent cells would initiate and then block cell division to ensure the success of natural transformation before the final constriction of the cytokinetic ring. IMPORTANCE Natural transformation, considered one of the three main mechanisms leading to horizontal gene transfer in bacteria, is able to promote genomic plasticity and foster antibiotic resistance spreading. Conserved machinery and actors required to perform natural transformation have been shown to accumulate at different cellular localizations depending on the model organism considered. Here, we show in the human pathogen Staphylococcus aureus that DNA binding, uptake, and recombination are spatially and temporally coordinated to ensure S. aureus natural transformation. We also reveal that localization of natural transformation proteins occurs in the vicinity of the division septum allowing S. aureus competent cells to block cell division to ensure the success of natural transformation before the final constriction of the cytokinetic ring.

Poultry manure-derived microorganisms as a reservoir and source of antibiotic resistance genes transferred to soil autochthonous microorganisms

Animal husbandry is increasing yearly due to the growing demand for meat and livestock products, among other reasons. To meet these demands, prophylactic antibiotics are used in the livestock industry (i.e., poultry farming) to promote health and stimulate animal growth. However, antibiotics are not fully metabolized by animals, and they are evacuated to the environment with excreta. Animal manure is used as fertilizer to reduce the volume of waste generated in the livestock sector. However, manure often contains microorganisms harboring antibiotic resistance genes (ARGs). Then, the microbiome of manure applicate to the soil may contribute to the spread of antibiotic resistance in the environment, including autochthonous soil-dwelling microorganisms. The present study was conducted during the crops growing season in Poland (May to September 2019) to determine the influence of poultry manure as well as poultry manure supplemented with selected antibiotics on the diversity of the soil microbiome in treatments that had not been previously fertilized with manure and the ability of antibiotic-resistant bacteria to transfer ARGs to other soil bacteria. Antibiotic concentrations were elevated at the beginning of the study and decreased over time. Poultry manure induced significant changes in the structure of microbial communities in soil; the diversity of the soil microbiome decreased, and the abundance of bacterial genera Bradyrhizobium, Streptomyces, and Pseudomonas, which are characteristic of the analyzed manure, increased. Over time, soil microbial diversity was restored to the state observed before the application of manure. Genes conferring resistance to multiple drugs as well as genes encoding resistance to bacitracin and aminoglycosides were the most frequently identified ARGs in the analyzed bacteria, including on mobile genetic elements. Multidrug resistance was observed in 17 bacterial taxa, whereas ARGs were identified in 32 bacterial taxa identified in the soil microbiome. The results of the study conclude that the application of poultry manure supplemented with antibiotics initially affects soil microbiome and resistome diversity but finally, the soil shows resilience and returns to its original state after time, with most antibiotic resistance genes disappearing. This phenomenon is of great importance in sustainable soil health after manure application.

One Earth: The Equilibrium between the Human and the Bacterial Worlds.

Misuse and abuse of antibiotics on humans, cattle, and crops have led to the selection of multi-resistant pathogenic bacteria, the most feared 'superbugs'. Infections caused by superbugs are progressively difficult to treat, with a subsequent increase in lethality: the toll on human lives is predicted to reach 10 million by 2050. Here we review three concepts linked to the growing resistance to antibiotics, namely (i) the Resistome, which refers to the collection of bacterial genes that confer resistance to antibiotics, (ii) the Mobilome, which includes all the mobile genetic elements that participate in the spreading of antibiotic resistance among bacteria by horizontal gene transfer processes, and (iii) the Nichome, which refers to the set of genes that are expressed when bacteria try to colonize new niches. We also discuss the strategies that can be used to tackle bacterial infections and propose an entente cordiale with the bacterial world so that instead of war and destruction of the 'fierce enemy' we can achieve a peaceful coexistence (the One Earth concept) between the human and the bacterial worlds. This, in turn, will contribute to microbial biodiversity, which is crucial in a globally changing climate due to anthropogenic activities.

Биологические свойства штаммов L. helveticus

The biological properties of three strains of L. helvetcus were studied. All studied strains metabolize D-galactose. The L. helveticus AB strain utilizes D-glucose, D-fructose, N-acetylglucosamine, and D-trehalose; L. helveticus 20T — D-mannose, N-acetylglucosamine; L. helveticus H-9 — D-glucose, D-lactose, D-trehalose. All strains showed high β-galactosidase activity, as well as the activity of acid phosphatase, naphthol-AS-BI hydrolase, leucine arylamidase, and cystine arylamidase. For L. helveticus 20T and L. helveticus AB strains, valine arylamidase activity was found. All strains are sensitive to gentamicin, ampicillin, tetracycline, azithromycin, lincomycin, chloramphenicol. The data obtained indicate the safety of using strains as part of starter cultures and as producers of metabolite additives in terms of reducing the risk of spreading antibiotic resistance.

Investigation of papA, papC, and papG virulence genes revealed their association with antimicrobial resistance among uropathogenic Escherichia coli strains isolated from patients in Thi-Qar province, Iraq

Infection of the urinary tract is one of the more common infections in the people of the world, which is more common in women due to the anatomical structure of the woman's body. The main cause of this infection is uropathogenic E. coli, followed by Klebsiella pneumoniae. This disease is controlled and treated by antibiotics, but one of the most important concerns in today's world is the spread of antibiotic resistance in different strains of bacteria. This resistance to antibiotics is caused by specific genes that increase the number of these identified genes every day. This study aims to find the frequency of three coding genes related to p fimbriae, namely papA, papC, and papG, from E. coli strains extracted from patients with urinary tract infections. Also, in this research, by conducting tests related to the detection of the antimicrobial resistance of the extracted strains and using statistical analysis, an attempt has been made to find a significant relationship between the presence or absence of a gene and resistance to antibacterials. At first, 110 urine samples were collected from patients with UTI in the Dhi Qar province of Iraq. In this research, bacterial culture methods in McConkey agar and advanced biochemical tests were used for primary confirmation of E. coli contamination, and Vitek2 and API E20 systems were used for secondary confirmation of bacterial contamination in suspected samples. Finally, the result of these tests was that all 110 samples were infected with E. coli. Then, samples resistant to the antibiotics Ampicillin, Tetracycline, Ciprofloxacin, Nitrofurantoin, and Cotrimoxazole, respectively, were detected by culturing in MuellerHinton agar medium and disc diffusion using the CLSI 2021 protocol. 36.36, 24.54, 29.09, 2.72, and 20% of the samples were resistant to these antibiotics, respectively. PCR was used to amplify gene fragments, and agarose gel electrophoresis was used to determine the presence of genes. The result was that the percentages of papG, papC, and papA genes were 61.81, 38.18, and 28.18, respectively. Finally, by performing a chisquare test in SPSS software, it was found that there is a significant relationship between the presence or absence of papA and papC genes with ampicillin and a significant relationship between papG and cotrimoxazole. These findings and the findings of other researchers can help us choose the right treatment and design new treatments by determining the antibiotic resistance factor

Editorial: Preventative strategies to stop the spread of antibiotic resistance

Editorial: Preventative strategies to stop the spread of antibiotic resistance

Unveiling Rare Pathogens and Antibiotic Resistance in Tanzanian Cholera Outbreak Waters.

The emergence of antibiotic resistance is a global health concern. Therefore, understanding the mechanisms of its spread is crucial for implementing evidence-based strategies to tackle resistance in the context of the One Health approach. In developing countries where sanitation systems and access to clean and safe water are still major challenges, contamination may introduce bacteria and bacteriophages harboring antibiotic resistance genes (ARGs) into the environment. This contamination can increase the risk of exposure and community transmission of ARGs and infectious pathogens. However, there is a paucity of information on the mechanisms of bacteriophage-mediated spread of ARGs and patterns through the environment. Here, we deploy Droplet Digital PCR (ddPCR) and metagenomics approaches to analyze the abundance of ARGs and bacterial pathogens disseminated through clean and wastewater systems. We detected a relatively less-studied and rare human zoonotic pathogen, Vibrio metschnikovii, known to spread through fecal--oral contamination, similarly to V. cholerae. Several antibiotic resistance genes were identified in both bacterial and bacteriophage fractions from water sources. Using metagenomics, we detected several resistance genes related to tetracyclines and beta-lactams in all the samples. Environmental samples from outlet wastewater had a high diversity of ARGs and contained high levels of blaOXA-48. Other identified resistance profiles included tetA, tetM, and blaCTX-M9. Specifically, we demonstrated that blaCTX-M1 is enriched in the bacteriophage fraction from wastewater. In general, however, the bacterial community has a significantly higher abundance of resistance genes compared to the bacteriophage population. In conclusion, the study highlights the need to implement environmental monitoring of clean and wastewater to inform the risk of infectious disease outbreaks and the spread of antibiotic resistance in the context of One Health.

Metagenomic investigation reveals bacteriophage-mediated horizontal transfer of antibiotic resistance genes in microbial communities of an organic agricultural ecosystem.

Antibiotic resistance has become a serious health concern worldwide. The potential impact of viruses, bacteriophages in particular, on spreading antibiotic resistance genes is still controversial due to the complexity of bacteriophage-bacterial interactions within diverse environments. In this study, we determined the microbiome profiles and the potential antibiotic resistance gene (ARG) transfer between bacterial and viral populations in different agricultural samples using a high-resolution analysis of the metagenomes. The results of this study provide compelling genetic evidence for ARG transfer through bacteriophage-bacteria interactions, revealing the inherent risks associated with bacteriophage-mediated ARG transfer across the agricultural microbiome.

The influence of combined treatment of municipal wastewater and landfill leachate on the spread of antibiotic resistance in the environment – A preliminary case study

Environmentally-friendly management of landfill leachate (LL) poses a challenge, and LL is usually co-treated with municipal wastewater in wastewater treatment plants (WWTPs). The extent to which the co-treatment of LL and municipal wastewater influences the spread of antibiotic resistance (AR) in the environment has not been examined to date. Two WWTPs with similar wastewater composition and technology were studied. Landfill leachate was co-treated with wastewater in one of the studied WWTPs. Landfill leachate, untreated and treated wastewater from both WWTPs, and river water sampled upstream and downstream from the wastewater discharge point were analyzed. Physicochemical parameters, microbial diversity, and antibiotic resistance genes (ARGs) abundance were investigated to determine the impact of LL co-treatment on chemical and microbiological contamination in the environment. Landfill leachate increased pollutant concentrations in untreated wastewater and river water. Cotreatment of LL and wastewater could affect the abundance and diversity of microbial communities and the interactions between microbial species. Co-treatment also decreased the stability of microbial co-occurrence networks in the examined samples. The mexF gene was identified as a potential marker of environmental pollution with LL. This is the first study to explore the impact of LL on the occurrence of AR determinants in wastewater and rivers receiving effluents.

Microbial community and gene dynamics response to high concentrations of gadolinium and sulfamethoxazole in biological nitrogen removal system

The impact of high antibiotic and heavy metal pollution levels on biological nitrogen removal in wastewater treatment plants (WWTPs) remains poorly understood, posing a global concern regarding the issue spread of antibiotic resistance induced by these contaminants. Herein, we investigated the effects of gadolinium (Gd) and sulfamethoxazole (SMX), commonly found in medical wastewater, on biological nitrogen removal systems and microbial characteristics, and the fate of antibiotic resistance genes (ARGs), metal resistance genes (MRGs), and mobile genetic elements (MGEs). Our findings indicated that high SMX and Gd(III) concentrations adversely affected nitrification and denitrification, with Gd(III) exerting a strong inhibitory effect on microbial activity. Metagenomic analysis revealed that high SMX and Gd(III) concentrations could reduce microbial diversity, with Thauera and Pseudomonas emerging as dominant genera across all samples. While the relative abundance of most ARGs decreased under single Gd(III) stress, MRGs increased, and nitrification functional genes were inhibited. Conversely, combined SMX and Gd(III) pollution increased the relative abundance of intl1. Correlation analysis revealed that most genera could host ARGs and MRGs, indicating co-selection and competition between these resistance genes. However, most denitrifying functional genes exhibited a positive correlation with MRGs. Overall, our study provides novel insights into the impact of high concentrations of antibiotics and heavy metal pollution in WWTPs, and laying the groundwork for the spread and proliferation of resistance genes under combined SMX and Gd pollution.