“…Accordingly, hospital wastewater could increase the numbers of resistant bacteria in the recipient sewers by both mechanisms of introduction and selection pressure [5]. The release of resistant bacteria to the receiving environment can pose public health impact through, carrying transmissible gene, by acting as a vector or reservoir of resistant gene [6] [7]. The most common bacterial pathogens found in hospital wastewater are Salmonella, Shigella, S. aureus, P. aeruginosa, Vibrio, Clostridium, Yersinia, Campylobacter, Leptospira and groups of total coliforms consisting of Serratia, Enterobacter, Klebsiella, and Escherichia coli (E. coli) [8] [9].…”