Antibiotic Resistance Patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> Isolated from Hospital Wastewater

Antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) in treated hospital wastewater effluents constitute a major environmental and public health concern. The aim of this study was to investigate the antibiotic resistance patterns of <i>Escherichia coli</i>, <i>...

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Main Authors: Petro Karungamye, Anita Rugaika, Kelvin Mtei, Revocatus Machunda
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Applied Microbiology
Subjects:
Online Access:https://www.mdpi.com/2673-8007/3/3/60
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author Petro Karungamye
Anita Rugaika
Kelvin Mtei
Revocatus Machunda
author_facet Petro Karungamye
Anita Rugaika
Kelvin Mtei
Revocatus Machunda
author_sort Petro Karungamye
collection DOAJ
description Antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) in treated hospital wastewater effluents constitute a major environmental and public health concern. The aim of this study was to investigate the antibiotic resistance patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> isolated from wastewater effluent at the Benjamin Mkapa Hospital (BMH) in Dodoma, Tanzania. These bacteria were selected to represent the most prevalent gram-negative bacteria found in hospital wastewater, and they have the potential to generate resistance and spread resistance genes to antibiotics. The wastewater BMH is treated in a Constructed Wetland (CW) planted with <i>Typha latifolia</i> before being released into the environment. The bacteria were isolated from wastewater effluent collected at the outlet of the CW. Isolated bacteria were analyzed for antibiotic resistance by disc diffusion method. Molecular identification of bacterial species was performed by using 16S rRNA. The results show that <i>Klebsiella</i> ssp. was the most common isolate detected, with a prevalence of 39.3%, followed by <i>E. coli</i> (27.9%) and <i>Pseudomonas</i> ssp. (18.0%). <i>Klebsiella</i> ssp. were more resistant than <i>Pseudomonas</i> ssp. for Tetracycline, Gentamycin, Ciprofloxacin, and Sulfamethoxazole. <i>Pseudomonas</i> ssp. were more resistant than <i>Klebsiella</i> ssp. for Ceftriaxone and Azithromycin. <i>Klebsiella</i> ssp. harbored more resistance genes (40%), followed by <i>Pseudomonas</i> ssp. (35%) and <i>E. coli</i> (20%). The findings of this investigation indicate that the effluent from the CW requires additional treatment to reduce discharged ARB and ARGs in the receiving water bodies. As a result, the effluent quality of the CW should be continuously monitored and assessed, and further developments for treating the final effluent are necessary.
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spelling doaj.art-5e32018fb9004fc789be17acd18127b72023-11-19T09:21:14ZengMDPI AGApplied Microbiology2673-80072023-08-013386788210.3390/applmicrobiol3030060Antibiotic Resistance Patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> Isolated from Hospital WastewaterPetro Karungamye0Anita Rugaika1Kelvin Mtei2Revocatus Machunda3Department of Chemistry, The University of Dodoma (UDOM), Dodoma P.O. Box 338, TanzaniaSchool of Materials Energy Water and Environmental Sciences, The Nelson Mandela African Institution of Science and Technology, Arusha P.O. Box 447, TanzaniaSchool of Materials Energy Water and Environmental Sciences, The Nelson Mandela African Institution of Science and Technology, Arusha P.O. Box 447, TanzaniaSchool of Materials Energy Water and Environmental Sciences, The Nelson Mandela African Institution of Science and Technology, Arusha P.O. Box 447, TanzaniaAntibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) in treated hospital wastewater effluents constitute a major environmental and public health concern. The aim of this study was to investigate the antibiotic resistance patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> isolated from wastewater effluent at the Benjamin Mkapa Hospital (BMH) in Dodoma, Tanzania. These bacteria were selected to represent the most prevalent gram-negative bacteria found in hospital wastewater, and they have the potential to generate resistance and spread resistance genes to antibiotics. The wastewater BMH is treated in a Constructed Wetland (CW) planted with <i>Typha latifolia</i> before being released into the environment. The bacteria were isolated from wastewater effluent collected at the outlet of the CW. Isolated bacteria were analyzed for antibiotic resistance by disc diffusion method. Molecular identification of bacterial species was performed by using 16S rRNA. The results show that <i>Klebsiella</i> ssp. was the most common isolate detected, with a prevalence of 39.3%, followed by <i>E. coli</i> (27.9%) and <i>Pseudomonas</i> ssp. (18.0%). <i>Klebsiella</i> ssp. were more resistant than <i>Pseudomonas</i> ssp. for Tetracycline, Gentamycin, Ciprofloxacin, and Sulfamethoxazole. <i>Pseudomonas</i> ssp. were more resistant than <i>Klebsiella</i> ssp. for Ceftriaxone and Azithromycin. <i>Klebsiella</i> ssp. harbored more resistance genes (40%), followed by <i>Pseudomonas</i> ssp. (35%) and <i>E. coli</i> (20%). The findings of this investigation indicate that the effluent from the CW requires additional treatment to reduce discharged ARB and ARGs in the receiving water bodies. As a result, the effluent quality of the CW should be continuously monitored and assessed, and further developments for treating the final effluent are necessary.https://www.mdpi.com/2673-8007/3/3/60<i>Escherichia coli</i><i>Klebsiella pneumoniae</i><i>Pseudomonas aeruginosa</i>antibiotic-resistant bacteriaantibiotic resistance geneshospital wastewater
spellingShingle Petro Karungamye
Anita Rugaika
Kelvin Mtei
Revocatus Machunda
Antibiotic Resistance Patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> Isolated from Hospital Wastewater
Applied Microbiology
<i>Escherichia coli</i>
<i>Klebsiella pneumoniae</i>
<i>Pseudomonas aeruginosa</i>
antibiotic-resistant bacteria
antibiotic resistance genes
hospital wastewater
title Antibiotic Resistance Patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> Isolated from Hospital Wastewater
title_full Antibiotic Resistance Patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> Isolated from Hospital Wastewater
title_fullStr Antibiotic Resistance Patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> Isolated from Hospital Wastewater
title_full_unstemmed Antibiotic Resistance Patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> Isolated from Hospital Wastewater
title_short Antibiotic Resistance Patterns of <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i>, and <i>Pseudomonas aeruginosa</i> Isolated from Hospital Wastewater
title_sort antibiotic resistance patterns of i escherichia coli i i klebsiella pneumoniae i and i pseudomonas aeruginosa i isolated from hospital wastewater
topic <i>Escherichia coli</i>
<i>Klebsiella pneumoniae</i>
<i>Pseudomonas aeruginosa</i>
antibiotic-resistant bacteria
antibiotic resistance genes
hospital wastewater
url https://www.mdpi.com/2673-8007/3/3/60
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AT kelvinmtei antibioticresistancepatternsofiescherichiacoliiiklebsiellapneumoniaeiandipseudomonasaeruginosaiisolatedfromhospitalwastewater
AT revocatusmachunda antibioticresistancepatternsofiescherichiacoliiiklebsiellapneumoniaeiandipseudomonasaeruginosaiisolatedfromhospitalwastewater