“…Presence of specific genes encoding resistance to tetracyclines (tetQ [48], tetA [49], and tetO [50]), sulfonamide (sul1 [49] sul2 [50]), erythromycin (mphB [49]), quinolone (qnrD [49] and qnrS [50]), beta-lactams (cepA, cfxA [48], bla CTX-M , and bla TEM [50]), erythromycin (ermB), methicillin (mecA), vancomycin (vanA) [50], and aminoglycoside (aac(3)-II, aacA4, aadA, aadB, aadE, aphA1, aphA2, strA and strB [51]) were analyzed and confirmed by recent studies. The results of these studies prove that WWTPs are the main source of antibiotic resistance transmission.…”