2020
DOI: 10.1038/s41598-020-75065-x
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The level of antimicrobial resistance of sewage isolates is higher than that of river isolates in different Escherichia coli lineages

Abstract: The dissemination of antimicrobial-resistant bacteria in environmental water is an emerging concern in medical and industrial settings. Here, we analysed the antimicrobial resistance of Escherichia coli isolates from river water and sewage by the use of a combined experimental phenotypic and whole-genome-based genetic approach. Among the 283 tested strains, 52 were phenotypically resistant to one or more antimicrobial agents. The E. coli isolates from the river and sewage samples were phylogenetically indistin… Show more

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Cited by 15 publications
(12 citation statements)
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“…In the absence of selective pressure from sulfonamide, sulfonamide-resistant bacteria may remain stable in the environment for at least 5–10 years longer than sulfonamide itself ( 100 ). The sulfonamide-resistant phenotypes that carried no resistant determinants was most likely due to the acquisition of other mechanisms (e.g., mutations in the chromosomal DHPS gene flop ), as environmental E. coli strains may acquire genetically unrecognized resistance mechanisms more frequently compared to clinical E. coli strains ( 101 , 102 ).…”
Section: Resultsmentioning
confidence: 99%
“…In the absence of selective pressure from sulfonamide, sulfonamide-resistant bacteria may remain stable in the environment for at least 5–10 years longer than sulfonamide itself ( 100 ). The sulfonamide-resistant phenotypes that carried no resistant determinants was most likely due to the acquisition of other mechanisms (e.g., mutations in the chromosomal DHPS gene flop ), as environmental E. coli strains may acquire genetically unrecognized resistance mechanisms more frequently compared to clinical E. coli strains ( 101 , 102 ).…”
Section: Resultsmentioning
confidence: 99%
“…Available studies on AMR and the environment are predominantly from high resource settings [ 7 , 8 , 9 ], with a gap in knowledge from low and middle-income settings [ 10 , 11 ]. AMR is facilitated by the discharge of poorly treated human and animal waste as well as antimicrobials from pharmaceutical industries and health facilities into the environment [ 12 , 13 ].…”
Section: Introductionmentioning
confidence: 99%
“…Of the 37 articles, 26 (70%) were on AMR, 10 (27%) were on antimicrobials, and 1 (3%) was on both. Almost all the articles on AMR in sewage (25 articles, 93%) used culture-based methods, and nearly half (12 articles, 44%) of the articles were focused on Escherichia coli as the target bacterial species [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. The remaining two articles (7%) reported on the use of consecutive ultrafiltration [ 39 ] and metagenomic analysis [ 40 ] to directly detect ARGs in water.…”
Section: Resultsmentioning
confidence: 99%