Are we correctly targeting the research on disinfection of antibiotic-resistant bacteria (ARB)?

Antibiotic-resistant bacteria (ARB) is one of the biggest public health challenges of our time since causes thousands of human deaths per year. ARB are bacteria which acquire resistance over time through different mechanism and no longer respond to antibiotics. Numerous bacteria and hydrophilic anti...

Descripción completa

Detalles Bibliográficos
Autores: Herraiz Carboné, Miguel, Cotillas, Salvador, Lacasa Fernández, Engracia, Sainz de Baranda, Caridad, Riquelme, Eva, Cañizares Cañizares, Pablo, Rodrigo Rodrigo, Manuel Andrés, Sáez Jiménez, Cristina
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/30026
Acceso en línea:https://hdl.handle.net/10578/30026
Access Level:acceso abierto
Palabra clave:Antibiotic-resistant bacteria
Wastewater
Hospital urine
Disinfection
Bacterias resistentes a los antibióticos
Aguas residuales
Orina hospitalaria
Desinfección
Descripción
Sumario:Antibiotic-resistant bacteria (ARB) is one of the biggest public health challenges of our time since causes thousands of human deaths per year. ARB are bacteria which acquire resistance over time through different mechanism and no longer respond to antibiotics. Numerous bacteria and hydrophilic antibiotics are mainly excreted in patients' urine from sanitary facilities that are directly discharge into municipal sewers. The inefficiency of conventional wastewater treatment plants (WWTPs) for killing ARB leads to their spread in the natural water sources. In this work, a statistical study of the main microorganisms contained in patients’ urines with urinary tract infections (UTIs) was analysed using the data supplied from the microbiology and parasitology service in the university hospital complex of Albacete (Spain). A total of 14,368 urine samples were analysed on five hospital units (geriatrics, haematology, oncology, reanimation, and intensive care unit (ICU)) from 2014 to 2018. A chi-square (X2) study demonstrated the female prevalence to suffer UTIs in geriatrics, oncology and reanimation units. In addition, the analysis of ARB producing extended spectrum beta-lactamases (ARBESBLs), carbapenemase-producing bacteria (ARBCPB) and methicillin-resistant Staphyloccocus aureus (ARBMRSA) were also evaluated. Finally, the literature related to the disinfection of the main ARB previously found in hospital urine was analysed to evaluate the importance given to ARB from an environmental scientific viewpoint.