“…A possible explanation is the formation of biofilm on pipe surfaces and in deposited sediments along the sewer system (Chen, Leung & Hung, 2003), another possibility is that the presence of multiple antibiotics, heavy metals or xenobiotics in wastewater, even at very low concentrations is selecting for A. cryaerophilus , which contains multiple ARGs (Heberer, 2002; Hawkey & Jones, 2009; Gullberg et al, 2014; Jutkina et al, 2016). Similar to our observation, selection for antibiotic resistant bacteria has been described from other wastewater treatment plants (Goñi Urriza et al, 2000; Czekalski et al, 2012; Mao et al, 2015); consequently, constant monitoring of both pre- and post-treatment sewage is warranted because of the risk of reintroducing bacteria replete with ARGs and virulence factors into natural environments (Fahrenfeld et al, 2013; Czekalski, Gasco & Burgmann, 2014; Mao et al, 2015; Pehrsson et al, 2016). …”