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Sampling Considerations for Wastewater Surveillance of Antibiotic Resistance in Fecal Bacteria

Bibliographic Data

ID15515520
AuthorsP M C Huijbers (University of Gothenburg), Julián Bobis Camacho (0009-0002-5030-2018, University of Gothenburg), Marion Hutinel (0000-0003-4548-7724, University of Gothenburg), D G Joakim Larsson (0000-0002-5496-0328, University of Gothenburg), Carl‐Fredrik Flach (0000-0002-4101-5095, University of Gothenburg, corresponding author)
Year2023
Volume20
Issue5
Pages4555-4555
Publication date2023-03-04
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20054555
PMID36901565
OpenAlexW4323317748
LanguageEN
Citations received2
References cited1

Wastewaters can be analyzed to generate population-level data for public health surveillance, such as antibiotic resistance monitoring. To provide representative data for the contributing population, bacterial isolates collected from wastewater should originate from different individuals and not be distorted by a selection pressure in the wastewater. Here we use Escherichia coli diversity as a proxy for representativeness when comparing grab and composite sampling at a major municipal wastewater treatment plant influent and an untreated hospital effluent in Gothenburg, Sweden. All municipal samples showed high E. coli diversity irrespective of the sampling method. In contrast, a marked increase in diversity was seen for composite compared to grab samples from the hospital effluent. Virtual resampling also showed the value of collecting fewer isolates on multiple occasions rather than many isolates from a single sample. Time-kill tests where individual E. coli strains were exposed to sterile-filtered hospital wastewater showed rapid killing of antibiotic-susceptible strains and significant selection of multi-resistant strains when incubated at 20 °C, an effect which could be avoided at 4 °C. In conclusion, depending on the wastewater collection site, both sampling method and collection/storage temperature could significantly impact the representativeness of the wastewater sample

Antibiotic resistance · Antibiotics · Biology · Effluent · Environmental health · Population · Representativeness heuristic · Sewage treatment · Statistics · Veterinary medicine · Wastewater · Environmental Science · Fecal contamination and water quality · Gut microbiota and health · Mathematics · Medicine · Pharmaceutical and Antibiotic Environmental Impacts · Environmental Engineering · Microbiology

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  • Wastewater metagenomics in Africa

    Open Access•Stephen Kanyerezi, Fatma Z Guerfali et al.•PLOS Global Public Health•2024

  • The Conceptualization and Measurement of Diversity

    Open Access•Daniel G Mcdonald, John Dimmick•Communication Research•2003

Citations per year1
Citation span2024 - 2025 (2)
Highly citedNo

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Open DOIOpen Access
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