Faecal indicator bacteria and antibiotic-resistant β-lactamase producing Escherichia coli in blackwater: a pilot study

Detection of clinically relevant antibiotic-resistant bacteria in shared fomites, waste water and municipal solid wastes disposed near residential areas of a Nigerian city

Studies investigating environmental hotspots of antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) in Nigeria are limited. This study was designed to assess various environmental sources and commonly touched surfaces as potential carriers of ARB and ARGs with implications for public health. A total of 392 samples, including sewage (36), sludge (36), diapers (20), plastics (20), water sachet polythene bags (20), food wastes (20), soil beneath dump sites (20), and frequently touched surfaces such as restroom floors (80), corridors (24), door handles (56), and room floors and walls (60), were collected and screened for the presence of resistant bacteria carrying genes such as bla KPC, bla NDM-1, bla CMY-2, bla IMP, bla OXA66 and MecA. Additionally, we employed standard techniques to detect methicillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum β-lactamase (ESBL)-producing Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa and Acinetobacter baumannii . We also evaluated the effectiveness of routine disinfection procedures in eliminating ARB from restroom floors. Our findings revealed that sewage, sludge, diapers, food wastes and restroom floors are frequently contaminated with highly and moderately resistant strains of E. coli, K. pneumoniae, P. aeruginosa and MRSA. Notably, we identified two variants of the bla OXA51-like gene (bla OXA-66 and bla OXA-180) in A. baumannii isolated from these environmental sources. Furthermore, we detected seven ESBL- K. pneumoniae , five ESBL- A. baumannii , two ESBL- E. coli and one ESBL- P. aeruginosa , all carrying one or more ARGs (bla KPC, bla NDM-1, bla CMY-2), in isolates recovered from sewage, sludge, restroom floors and plastics. It is of note that ARB persisted on restroom floors even after disinfection procedures. In conclusion, this study highlights that environmental wastes indiscriminately discarded in residential areas and shared surfaces among individuals are heavily colonized by ARB carrying ARGs of significant public health importance.

A review on hospital wastewater treatment: A special emphasis on occurrence and removal of pharmaceutically active compounds, resistant microorganisms, and SARS-CoV-2

The hospital wastewater imposes a potent threat to the security of human health concerning its high vulnerability towards the outbreak of several diseases. Furthermore, the outbreak of COVID-19 pandemic demanded a global attention towards monitoring viruses and other infectious pathogens in hospital wastewater and their removal. Apart from that, the presence of various recalcitrant organics, pharmaceutically active compounds (PhACs), etc. imparts a complex pollution load to water resources and ecosystem. In this review, an insight into the occurrence, persistence and removal of drug-resistant microorganisms and infectious viruses as well as other micro-pollutants have been documented. The performance of various pilot/full-scale studies have been evaluated in terms of removal of biochemical oxygen demand (BOD), chemical oxygen demand (COD), total suspended solids (TSS), PhACs, pathogens, etc. It was found that many biological processes, such as membrane bioreactor, activated sludge process, constructed wetlands, etc. provided more than 80% removal of BOD, COD, TSS, etc. However, the removal of several recalcitrant organic pollutants are less responsive to those processes and demands the application of tertiary treatments, such as adsorption, ozone treatment, UV treatment, etc. Antibiotic-resistant microorganisms, viruses were found to be persistent even after the treatment of hospital wastewater, and high dose of chlorination or UV treatment was required to inactivate them. This article circumscribes the various emerging technologies, which have been used to treat PhACs and pathogens. The present review also emphasized the global concern of the presence of SARS-CoV-2 RNA in hospital wastewater and its removal by the existing treatment facilities.

The interactive effects of the seawater intrusion-affected zones and types of waterways on the surface water quality from the coastal Tien Giang Province, Vietnam

Although inland surface water bodies have been studied intensively, few studies have looked at the interactive effects of seawater intrusion and waterway types on the water quality. The current study aimed to (1) assess the inland water quality as affected by waterway types and seawater intrusion-affected zones, (2) examine the longitudinal dynamics of the water quality, and (3) quantify the contributive percentage of pollution sources in the coastal Tien Giang Province, Vietnam. A total of 680 surface-water samples were taken from 34 sites distributed over the Tien River and its tributary canals from 2015 to 2019. The water samples were analyzed for 16 physical, chemical, and biological parameters, which were used for water quality index (WQI) estimation and subjected to two-way ANOVA and principal component analysis/factor analysis (PCA/FA). The WQI in both waterway types tended to get better from the downstream to the upstream zone with an improving rate of WQI faster in the River (from 79 to 88) than in the canals (from 82 to 85). The PCA/FA showed that water from the two waterway types could be polluted by six main pollution sources, one of which was derived from the seawater intrusion, one from aquaculture, and the others from agricultural, residential, and industrial activities. In brief, the inland surface water quality of a coastal area was interactively influenced by spatial distance and waterway types, transferring various pollutants in and out of the inland area.

Increased (Antibiotic-Resistant) Pathogen Indicator Organism Removal during (Hyper-)Thermophilic Anaerobic Digestion of Concentrated Black Water for Safe Nutrient Recovery

Source separated toilet water is a valuable resource for energy and fertilizers as it has a high concentration of organics and nutrients, which can be reused in agriculture. Recovery of nutrients such as nitrogen, phosphorous, and potassium (NPK) decreases the dependency on energy-intensive processes or processes that rely on depleting natural resources. In new sanitation systems, concentrated black water (BW) is obtained by source-separated collection of toilet water. BW-derived products are often associated with safety issues, amongst which pathogens and antibiotic-resistant pathogens. This study presents results showing that thermophilic (55–60 °C) and hyperthermophilic (70 °C) anaerobic treatments had higher (antibiotic-resistant) culturable pathogen indicators removal than mesophilic anaerobic treatment. Hyperthermophilic and thermophilic anaerobic treatment successfully removed Escherichia coli and extended-spectrum β-lactamases producing E. coli from source-separated vacuum collected BW at retention times of 6–11 days and reached significantly higher removal rates than mesophilic (35 °C) anaerobic treatment (p < 0.05). The difference between thermophilic and hyperthermophilic treatment was insignificant, which justifies operation at 55 °C rather than 70 °C. This study is the first to quantify (antibiotic-resistant) E. coli in concentrated BW (10–40 gCOD/L) and to show that both thermophilic and hyperthermophilic anaerobic treatment can adequately remove these pathogen indicators.

Assessment of groundwater quality based on principal component analysis and pollution source-based examination: a case study in Ho Chi Minh City, Vietnam

The current study aimed to assess the quality of apportion pollution sources and examine the impacts of anthropogenic activities on groundwater. The study was implemented in two sequential steps of (1) bulk examination of groundwater quality followed by principal component analysis/factor analysis (PCA/FA) to apportion pollution sources and (2) pollution source-based examination to assess the effects of anthropogenic activities. Well-water samples were taken in Ho Chi Minh City, Vietnam, in 2015 (233 samples) and 2019 (20 samples) and analyzed for 8 and 15 water quality parameters, respectively. The results showed that 99% of studied wells had pH value lower than the permissible limit, and 29, 20, 15, and 14% of studied wells had concentrations of Fe, NH₄⁺, COD (chemical oxygen demand), and coliform, respectively, higher than the maximum permissible limit. PCA/FA revealed that three pollution sources, ranked in the order of importance: agricultural, urban, and industrial activities, could mainly contribute to enriching the pollutant concentrations of groundwater. While agricultural activities may contaminate groundwater with organic substances, the urban area may enrich bacterial-pathogen density such as E. coli and coliform, and the industrial area may contribute to contaminating groundwater with some inorganic parameters. Groundwater quality index and ANOVA showed that groundwater of the studied area was poor to very poor in quality and that in the agricultural area was the worst of the three land-use types. In brief, the groundwater quality in the studied area was degraded and agricultural activities were the most important factor causing the degradation followed by urban and industrial activities.