Heterotrophic bacteria in drinking water: evaluating antibiotic resistance and the presence of virulence genes.
Lesego G Molale-TomOluwaseyi Samuel OlanrewajuRinaldo K KritzingerJustine FriCornelius Carlos BezuidenhoutPublished in: Microbiology spectrum (2024)
Heterotrophic bacteria, impacting those with infections or compromised immunity, pose heightened health risks when resistant to antibiotics. This study investigates heterotrophic plate count bacteria in water from North West-C (NWC) and North West-G (NWG) facilities, revealing prevalent β-hemolysis (NWC 82.5%, NWG 86.7%), enzyme production (98%), and antibiotic resistance, especially in NWC. NWG exhibits variations in hemolysin ( P = 0.013), lipase ( P = 0.009), and DNase activity ( P = 0.006). Antibiotics, including ciprofloxacin, persist throughout treatment, with high resistance to β-lactams and trimethoprim (47%-100%), predominantly in NWC. Multiple antibiotic resistance index indicates that 90% of values exceed 0.20, signifying isolates from high antibiotic usage sources. Whole genome sequencing reveals diverse antibiotic resistance genes in heterotrophic strains, emphasizing their prevalence and health risks in water.IMPORTANCEThis study's findings are a stark reminder of a significant health concern: our water sources harbor antibiotic-resistant heterotrophic bacteria, which can potentially cause illness, especially in individuals with weakened immune systems or underlying infections. Antibiotic resistance among these bacteria is deeply concerning, as it threatens the effectiveness of antibiotics, critical for treating various infections. Moreover, detecting virulence factors in a notable proportion of these bacteria highlights their elevated risk to public health. This research underscores the immediate need for enhanced water treatment processes, rigorous water quality monitoring, and the development of strategies to combat antibiotic resistance in the environment. Safeguarding the safety of our drinking water is imperative to protect public health and mitigate the spread of antibiotic-resistant infections, making these findings a compelling call to action for policymakers and public health authorities alike.
Keyphrases
- drinking water
- public health
- health risk
- escherichia coli
- health risk assessment
- pseudomonas aeruginosa
- antibiotic resistance genes
- randomized controlled trial
- staphylococcus aureus
- systematic review
- mental health
- water quality
- healthcare
- global health
- gene expression
- microbial community
- dna methylation
- wastewater treatment
- tertiary care
- antimicrobial resistance
- climate change
- risk assessment
- peripheral blood
- genome wide
- cystic fibrosis
- anaerobic digestion
- human health