Antibiotic resistance in European wastewater treatment plants mirrors the pattern of clinical antibiotic resistance prevalence

Integrated antibiotic resistance (AR) surveillance is one of the objectives of the World Health Organization global action plan on antimicrobial resistance. Urban wastewater treatment plants (UWTPs) are among the most important receptors and sources of environmental AR. On the basis of the consisten...

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Detalles Bibliográficos
Autores: Pärnänen, K. M. M., Narciso-Da-Rocha, C., Kneis, D., Berendonk, Thomas Ulrich, Cacace, D., Do, T. T., Elpers, C., Fatta-Kassinos, Despo, Henriques, I., Jaeger, T., Karkman, A., Martínez, J. L., Michael, S.G., Michael-Kordatou, I., O'Sullivan, K., Rodríguez-Mozaz, Sara, Schwartz, T., Sheng, H., Sørum, H., Stedtfeld, R. D., Tiedje, James M., Giustina, S. V. D., Walsh, F., Vaz-Moreira, I., Virta, M., Manaia, Célia M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/213925
Acceso en línea:http://hdl.handle.net/10261/213925
Access Level:acceso abierto
Palabra clave:ddc:570
Descripción
Sumario:Integrated antibiotic resistance (AR) surveillance is one of the objectives of the World Health Organization global action plan on antimicrobial resistance. Urban wastewater treatment plants (UWTPs) are among the most important receptors and sources of environmental AR. On the basis of the consistent observation of an increasing north-to-south clinical AR prevalence in Europe, this study compared the influent and final effluent of 12 UWTPs located in seven countries (Portugal, Spain, Ireland, Cyprus, Germany, Finland, and Norway). Using highly parallel quantitative polymerase chain reaction, we analyzed 229 resistance genes and 25 mobile genetic elements. This first trans-Europe surveillance showed that UWTP AR profiles mirror the AR gradient observed in clinics. Antibiotic use, environmental temperature, and UWTP size were important factors related with resistance persistence and spread in the environment. These results highlight the need to implement regular surveillance and control measures, which may need to be appropriate for the geographic regions.