Carbapenem-resistant bacteria in a secondary wastewater treatment plant

Bacterial resistance to carbapenems is an emerging problem of this century. A carbapenem-resistant bacterial population (CRBP) grown at 42°C was monitored in the influent and effluent of a secondary municipal wastewater treatment plant over 10 months. The municipal wastewater consisted of domestic, industrial, hospital and storm wastewaters. Median numbers of CRBP in influent and effluent water were 3.5 and 1.3 log CFU/mL, with its prevalence among total heterotrophic bacteria at 47% and 26%, respectively. Correlation of CRBP with physico-chemical and other bacteriological parameters of wastewater was estimated. Higher numbers of CRBP in influent and effluent were found in cases of nutrient-rich wastewater with higher concentrations of total heterotrophic bacteria and intestinal enterococci. Reduction of CRBP in the wastewater treatment process of 54% was comparable to the reduction of intestinal enterococci. Despite the significant elimination of CRBP in the secondary type of wastewater treatment plant, substantial numbers of CRBP are released through the effluent into the natural receiving waters. Since the CRBP grown at 42°C was not found in natural water samples beyond the vicinity of hospitals, these bacteria may be used as an indicator of hospital wastewaters.Keywords: environmental bacteria, carbapenem-resistant bacteria, public health, wastewate

Transmission and survival of carbapenem-resistant Acinetobacter baumannii outside hospital setting

Acinetobacter baumannii origin and its epidemiology is under a great concern worldwide since this microorganism has become a leading nosocomial pathogen of the 21th century among the "ESKAPE" group of microorganisms. The aim of the study was to monitor and explore the epidemiology of this important hospital pathogen in the second largest clinical university hospital in Croatia. The presence of A. baumannii in hospital wastewater, as a route for possible transmission outside of the hospital setting, as well as its survival in environmental conditions including seawater, was investigated. During the examination period, ten both carbapenem and multidrug-resistant isolates of A. baumannii were recovered from hospital wastewater and compared to the clinical isolates originating from the same monitoring period. Multiplex PCR confirmed that four wastewater isolates harboured blaOXA-23-like, while five wastewater isolates harboured blaOXA-40-like genes sharing 100% sequence identity with blaOXA-72 sequence described in the same hospital in 2009, confirming the presence of an endemic cluster. Survival of A. baumannii in natural seawater was examined during 50 days of monitoring and to the best of our knowledge, was performed for the first time.Keywords: Acinetobacter baumannii · hospital wastewater · transmission · seawate

Setting a baseline for global urban virome surveillance in sewage

The rapid development of megacities, and their growing connectedness across the world is becoming a distinct driver for emerging disease outbreaks. Early detection of unusual disease emergence and spread should therefore include such cities as part of risk-based surveillance. A catch-all metagenomic sequencing approach of urban sewage could potentially provide an unbiased insight into the dynamics of viral pathogens circulating in a community irrespective of access to care, a potential which already has been proven for the surveillance of poliovirus. Here, we present a detailed characterization of sewage viromes from a snapshot of 81 high density urban areas across the globe, including in-depth assessment of potential biases, as a proof of concept for catch-all viral pathogen surveillance. We show the ability to detect a wide range of viruses and geographical and seasonal differences for specific viral groups. Our findings offer a cross-sectional baseline for further research in viral surveillance from urban sewage samples and place previous studies in a global perspective

Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage

Antimicrobial resistance (AMR) is a serious threat to global public health, but obtaining representative data on AMR for healthy human populations is difficult. Here, we use meta-genomic analysis of untreated sewage to characterize the bacterial resistome from 79 sites in 60 countries. We find systematic differences in abundance and diversity of AMR genes between Europe/North-America/Oceania and Africa/Asia/South-America. Antimicrobial use data and bacterial taxonomy only explains a minor part of the AMR variation that we observe. We find no evidence for cross-selection between antimicrobial classes, or for effect of air travel between sites. However, AMR gene abundance strongly correlates with socio-economic, health and environmental factors, which we use to predict AMR gene abundances in all countries in the world. Our findings suggest that global AMR gene diversity and abundance vary by region, and that improving sanitation and health could potentially limit the global burden of AMR. We propose metagenomic analysis of sewage as an ethically acceptable and economically feasible approach for continuous global surveillance and prediction of AMR.Peer reviewe

Setting a baseline for global urban virome surveillance in sewage

The rapid development of megacities, and their growing connectedness across the world is becoming a distinct driver for emerging disease outbreaks. Early detection of unusual disease emergence and spread should therefore include such cities as part of risk-based surveillance. A catch-all metagenomic sequencing approach of urban sewage could potentially provide an unbiased insight into the dynamics of viral pathogens circulating in a community irrespective of access to care, a potential which already has been proven for the surveillance of poliovirus. Here, we present a detailed characterization of sewage viromes from a snapshot of 81 high density urban areas across the globe, including in-depth assessment of potential biases, as a proof of concept for catch-all viral pathogen surveillance. We show the ability to detect a wide range of viruses and geographical and seasonal differences for specific viral groups. Our findings offer a cross-sectional baseline for further research in viral surveillance from urban sewage samples and place previous studies in a global perspective

Geomicrobio Logical Observation in Majdanska Reka, Allchar, Macedonia

Allchar and surrounding area is well-known as polymetallic ore deposit with elevated concentrations of As, Tl, and Sb. Such ore deposit has unique impact to environment in sense of elevated heavy metals concentration in waters, soils and air. Constant influence of these toxic elements enhanced with weathering process(es) of the outcrops containing rare sulfide minerals produce environment with endemic species like Violica Allcharica (Boev & al., 2014). Due to fact that Allchar area is distant from intensive anthropogenic influence, it represents an unique geochemical environent, but it was not studied yet for describing the geomicrobiological conditons. This study tries to identify specific interaction between mineral and living world