AI Article Synopsis

  • Beta-lactamase-producing Enterobacterales bacteria are causing increasingly severe infections, spreading outside hospitals, and posing a global health threat.
  • A study in Ardabil, Iran, examined wastewater from livestock and poultry slaughterhouses, identifying 80 Enterobacterales isolates, primarily from Escherichia coli and Citrobacter spp.
  • Among these, 18.7% were ESBL producers and 2.5% were AmpC producers, with all isolates being multidrug-resistant, raising concerns for zoonotic transmission to humans through contaminated food and the environment.

Article Abstract

Beta-lactamase-producing Enterobacterales bacteria cause severe hard-to-treat infections. Currently, they are spreading beyond hospitals and becoming a serious global health concern. This study investigated the prevalence and molecular characterization of extended-spectrum β-lactamase and AmpC-type β-lactamase-producing Enterobacterales (ESBL-PE, AmpC-PE) in wastewater from livestock and poultry slaughterhouses in Ardabil, Iran. A total of 80 Enterobacterales bacteria belonging to 9 species were identified. Among the isolates, Escherichia coli (n = 21/80; 26.2%) and Citrobacter spp. (n = 18/80; 22.5%) exhibited the highest frequency. Overall, 18.7% (n = 15/80) and 2.5% (n = 2/80) of Enterobacterales were found to be ESBL and AmpC producers, respectively. The most common ESBL producer isolates were E. coli (n = 9/21; 42.8%) and Klebsiella pneumoniae (n = 6/7; 85.7%). All AmpC-PE isolates belonged to E. coli strains (n = 2/21; 9.5%). In this study, 80% of ESBL-PE and 100% of AmpC-PE isolates were recovered from poultry slaughterhouse wastewater. All ESBL-PE and AmpC-PE isolates were multidrug-resistant. In total, 93.3% of ESBL-PE isolates harbored the bla gene, with the bla being the most common subgroup. The emergence of ESBL-PE and AmpC-PE in wastewater of food-producing animals allows for zoonotic transmission to humans through contaminated food products and contaminations of the environment.

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http://dx.doi.org/10.2166/wh.2024.321DOI Listing

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Article Synopsis
  • Beta-lactamase-producing Enterobacterales bacteria are causing increasingly severe infections, spreading outside hospitals, and posing a global health threat.
  • A study in Ardabil, Iran, examined wastewater from livestock and poultry slaughterhouses, identifying 80 Enterobacterales isolates, primarily from Escherichia coli and Citrobacter spp.
  • Among these, 18.7% were ESBL producers and 2.5% were AmpC producers, with all isolates being multidrug-resistant, raising concerns for zoonotic transmission to humans through contaminated food and the environment.
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Article Synopsis
  • * Out of 146 isolates, 8.9% were ESBL-producers and 15.75% were AmpC-producers, with common resistant strains identified across all sections of the wastewater facility, particularly in effluent samples.
  • * A significant number of these isolates showed multi-drug resistance, with the highest resistance rates against ampicillin, nalidixic acid, and cephalexin, raising concerns about antibiotic resistance in treated waste.
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This study aimed to determine the prevalence and risk factors associated with intestinal carriage of extended-spectrum β-lactamases producing (ESBL-PE) and plasmid-mediated AmpC β-lactamase producing (AmpC-PE) in healthy children in Ardabil, Iran. A total of 305 fecal samples were collected. Isolates underwent antimicrobial susceptibility testing, phenotypic and genotypic identification of β-lactamase production, and epidemiologic molecular typing.

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