2014
DOI: 10.1007/s11356-014-3665-2
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Antibiotic-resistant genes and antibiotic-resistant bacteria in the effluent of urban residential areas, hospitals, and a municipal wastewater treatment plant system

Abstract: In this study, we determined the abundance of 8 antibiotics (3 tetracyclines, 4 sulfonamides, and 1 trimethoprim), 12 antibiotic-resistant genes (10 tet, 2 sul), 4 antibiotic-resistant bacteria (tetracycline, sulfamethoxazole, and combined resistance), and class 1 integron integrase gene (intI1) in the effluent of residential areas, hospitals, and municipal wastewater treatment plant (WWTP) systems. The concentrations of total/individual targets (antibiotics, genes, and bacteria) varied remarkably among differ… Show more

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Cited by 152 publications
(70 citation statements)
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“…Wastewater discharge from clinical isolation wards housing patients recovering from severe infections tends to harbor higher levels of ARB detection. In this study, the average level of intI1 genes detected was at least 2 orders of magnitude lower than that detected in hospital wastewaters in China, with tet and sul genes detected in a lower range as well (37). Class 1 integrons are responsible for the spread and carriage of antibiotic resistance gene cassettes in Gram-negative pathogens (38,39).…”
Section: Discussionmentioning
confidence: 62%
“…Wastewater discharge from clinical isolation wards housing patients recovering from severe infections tends to harbor higher levels of ARB detection. In this study, the average level of intI1 genes detected was at least 2 orders of magnitude lower than that detected in hospital wastewaters in China, with tet and sul genes detected in a lower range as well (37). Class 1 integrons are responsible for the spread and carriage of antibiotic resistance gene cassettes in Gram-negative pathogens (38,39).…”
Section: Discussionmentioning
confidence: 62%
“…In addition, it has been reported that antibiotics could only be partially metabolized by humans or animals [3]. Then, active substances associated with the antibiotics pass through artificial environments, and may end up in different environmental compartments including water, sediment, and soil, attributed to the fact that most of these chemicals are water soluble and not susceptible to degradation and transformation [6][7][8]. Consequently, it is inevitable that environmental organisms are more or less exposed to these compounds, which are still active with ecotoxic effects even in a very low concentration.…”
Section: Introductionmentioning
confidence: 99%
“…On the other hand, water distribution systems are places where bacteria remain viable for a long time; there bacteria can to exchange genetic material and it provides resistance to antibiotics (Armstrong et al, 1981;Li et al, 2015). In this context it has been common to find reports regarding the presence of antibiotics in wastewater, water from treatment plants or river water (Li et al, 2015;Martínez et al, 2010).…”
Section: Discussionmentioning
confidence: 99%
“…In this context it has been common to find reports regarding the presence of antibiotics in wastewater, water from treatment plants or river water (Li et al, 2015;Martínez et al, 2010). However, in recent years it has been of interest to notice the presence of bacteria in drinking water pipes, especially bacteria that are resistant to different antibiotics.…”
Section: Discussionmentioning
confidence: 99%