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We have assessed the prevalence of Escherichia coli O157 in diarrhoeal patients and surface waters from some selected sources in Zaria (Nigeria), evaluating the antibiotic susceptibility and plasmid profiles of 184 E. coli isolates, obtained from 228 water samples and 112 diarrhoeal stool specimens (collected from children aged <15 years), using standard methods. The detection rate of E. coli O157 in surface waters was 2.2% and its prevalence in children with diarrhoea was 5.4%. The most active antibiotics were gentamicin, chloramphenicol and fluoroquinolones. Seventy-nine (42.9%) of 184 E. coli isolates were resistant to four or more antibiotics. Multidrug resistance (MDR) was higher amongst aquatic isolates than the clinical isolates. Out of 35 MDR isolates (20 of which were O157 strains), 22 (62.9%) harboured plasmids all of which were no less than 2.1 kb in size. Amongst the 20 E. coli O157 strains, only seven (35.0%) contained multiple plasmids. An aquatic O157 isolate containing two plasmids was resistant to seven drugs, including ampicillin, cefuroxime, ciprofloxacin, cotrimoxazole, nalidixic acid, nitrofurantoin and tetracycline. Loss of plasmid correlated with loss of resistance to antibiotics in cured (mutant) strains selected in tetracycline (50 μg/mL)-nutrient agar plates. Our findings revealed that plasmids were prevalent in both the aquatic and clinical isolates, and suggest that the observed MDR is plasmid-mediated. The occurrence of plasmid-mediated multidrug resistant E. coli O157 in surface waters used as sources for drinking, recreation and fresh produce irrigation heightens public health concern.

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We assessed the quality and pollution status of source surface waters in Zaria, Nigeria by monitoring the nature, cause and extent of pollution in Samaru stream, Kubanni River and Kubanni dam over a period of 10 months, between March and December 2002. A total of 228 water samples was collected from 12 sites and analysed for a total of ten physicochemical and one bacteriological quality indicators, using standard methods. Aesthetic water quality impairment parameters were also observed. The mean values of most water quality parameters were significantly higher (P < 0.05) in both the stream and river than in the dam. There was no significant correlation between faecal coliform counts (FCC) and water temperature (in the range 15-33°C); pH (5.77-7.32); and turbidity (1.4-567 NTU). The high FCC ranged from 2.0 × 10(1) to 1.6 × 10(6) MPN/100 ml and exceeded the WHO standards for drinking water and water used for fresh-produce irrigation, and correlated positively (P < 0.05) with conductivity (in the range 68-1,029 μS/cm); TDS (10.0-70.0 mg/l); TSS (10.0-70.0 mg/l); Cl (7.5-181 mg/l); PO(4)(-) P (0.01-0.41 mg/l); NO(3)(-) N (0.6-3.8 mg/l) and BOD(5) (0.1-14.9 mg/l). The main pollution sources were municipal wastewater, stormwater runoffs, the ABU sewage treatment plant, abattoir effluents and irrigation farms treated with chemical fertilisers. We conclude that these water bodies are potentially hazardous to public health and that proper sewage treatment and river quality monitoring are needed to warn against hazards to public health.