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An update on wastewater multi-resistant bacteria: identification of clinical pathogens such as Escherichia coli O25b:H4-B2-ST131-producing CTX-M-15 ESBL and KPC-3 carbapenemase-producing Klebsiella oxytoca

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorMesquita, Elsa
dc.contributor.authorRibeiro, Rita
dc.contributor.authorSilva, Carla J. C.
dc.contributor.authorAlves, Rita
dc.contributor.authorBaptista, Rita
dc.contributor.authorCondinho, Sílvia
dc.contributor.authorRosa, Maria João
dc.contributor.authorPerdigão, João
dc.contributor.authorCaneiras, Cátia
dc.contributor.authorDuarte, Aida
dc.date.accessioned2025-09-08T14:58:58Z
dc.date.available2025-09-08T14:58:58Z
dc.date.issued2021-03
dc.description.abstractWastewater treatment plants (WWTPs) are significant reservoirs of bacterial resistance. This work aims to identify the determinants of resistance produced by Gram-negative bacteria in the influent and effluent of two WWTPs in Portugal. A total of 96 wastewater samples were obtained between 2016 and 2019. The numbers of total aerobic and fecal contamination bacteria were evaluated, and genomic features were searched by polymerase chain reaction (PCR) and Next-Generation Sequencing (NGS). Enterobacteriaceae corresponded to 78.6% (n = 161) of the 205 isolates identified by 16sRNA. The most frequent isolates were Escherichia spp. (57.1%, n = 117), followed by Aeromonas spp. (16.1%, n = 33) and Klebsiella spp. (12.7%, n = 26). The remaining 29 isolates (14.1%) were distributed across 10 different genera. Among the 183 resistant genes detected, 54 isolates produced extended spectrum β-lactamases (ESBL), of which blaCTX-M-15 was predominant (37 isolates; 68.5%). A KPC-3 carbapenemase-producing K. oxytoca was identified (n = 1), with blaKPC-3 included in a transposon Tn4401 isoform b. A higher number of virulence genes (VG) (19 genes) was found in the E. coli 5301 (O25b-ST131-B2) isolate compared with a commensal E. coli 5281 (O25b-ST410-A) (six genes). Both shared five VG [Enterobactin; Aerobactin, CFA/1 (clade α); Type1 (clade γ1); Type IV]. In conclusion, this work highlights the role of relevant clinical bacteria in WWTPs, such as KPC-3-producing K. oxytoca, and, for the first time, a CTX-M-15-producing Ochromobactrum intermedium, a human opportunistic pathogen, and a SED-1-producing Citrobacter farmeri, an uncommon CTX-M-type extended-spectrum beta-lactamase.eng
dc.identifier.citationMesquita E, Ribeiro R, Silva CJC, Alves R, Baptista R, Condinho S, Rosa MJ, Perdigão J, Caneiras C, Duarte A. An Update on Wastewater Multi-Resistant Bacteria: Identification of Clinical Pathogens Such as Escherichia coli O25b:H4-B2-ST131-Producing CTX-M-15 ESBL and KPC-3 Carbapenemase-Producing Klebsiella oxytoca. Microorganisms. 2021; 9(3):576. https://doi.org/10.3390/microorganisms9030576
dc.identifier.doi10.3390/microorganisms9030576
dc.identifier.issn2076-2607
dc.identifier.urihttp://hdl.handle.net/10400.26/58617
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/microorganisms9030576
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectwastewater treatment plant (WWTP)
dc.subjectCTX-M-15
dc.subjectSED-1
dc.subjectESBL
dc.subjectKPC-3 carbapenemase
dc.subjectKlebsiella oxytoca
dc.subjectOchromobactrum intermedium
dc.subjectCitrobacter farmeri
dc.subjectPortugal
dc.titleAn update on wastewater multi-resistant bacteria: identification of clinical pathogens such as Escherichia coli O25b:H4-B2-ST131-producing CTX-M-15 ESBL and KPC-3 carbapenemase-producing Klebsiella oxytocaeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue3
oaire.citation.startPage576
oaire.citation.titleMicroorganisms
oaire.citation.volume9
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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