Prevalence and Removal Efficiency of Enterococcal Species and Vancomycin-resistant Enterococci of a Hospital Wastewater Treatment Plant

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Article Notes and Dates
To Cite : Karimi F, Samarghandi M R, Shokoohi R, Godini K, Arabestani M R. et al. Prevalence and Removal Efficiency of Enterococcal Species and Vancomycin-resistant Enterococci of a Hospital Wastewater Treatment Plant, Avicenna J Environ Health Eng. 2016 ;3(2):e8623. doi: 10.5812/ajehe.8623.
1. Introduction
2. Methods
3. Results and Discussion
4. Conclusions
  • 1. Sood S, Malhotra M, Das BK, Kapil A. Enterococcal infections & antimicrobial resistance. Indian J Med Res. 2008; 128(2): 111-21[PubMed]
  • 2. Blanch AR, Caplin JL, Iversen A, Kuhn I, Manero A, Taylor HD, et al. Comparison of enterococcal populations related to urban and hospital wastewater in various climatic and geographic European regions. J Appl Microbiol. 2003; 94(6): 994-1002[PubMed]
  • 3. Zhanel GG, Karlowsky JA, Hoban DJ. In vitro activities of six fluoroquinolones against Canadian isolates of vancomycin-sensitive and vancomycin-resistant Enterococcus species. Diagn Microbiol Infect Dis. 1998; 31(2): 343-7[PubMed]
  • 4. Rizzo L, Manaia C, Merlin C, Schwartz T, Dagot C, Ploy MC, et al. Urban wastewater treatment plants as hotspots for antibiotic resistant bacteria and genes spread into the environment: a review. Sci Total Environ. 2013; 447: 345-60[DOI][PubMed]
  • 5. Kummerer K, Henninger A. Promoting resistance by the emission of antibiotics from hospitals and households into effluent. Clin Microbiol Infect. 2003; 9(12): 1203-14[PubMed]
  • 6. Batt AL, Bruce IB, Aga DS. Evaluating the vulnerability of surface waters to antibiotic contamination from varying wastewater treatment plant discharges. Environ Pollut. 2006; 142(2): 295-302[DOI][PubMed]
  • 7. Zhou LJ, Ying GG, Liu S, Zhao JL, Yang B, Chen ZF, et al. Occurrence and fate of eleven classes of antibiotics in two typical wastewater treatment plants in South China. Sci Total Environ. 2013; 452-453: 365-76[DOI][PubMed]
  • 8. Rosenberg Goldstein RE, Micallef SA, Gibbs SG, George A, Claye E, Sapkota A, et al. Detection of vancomycin-resistant enterococci (VRE) at four U.S. wastewater treatment plants that provide effluent for reuse. Sci Total Environ. 2014; 466-467: 404-11[DOI][PubMed]
  • 9. Lukasova J, Sustackova A. Enterococci and Antibiotic Resistance. Acta Veterinaria Brno. 2003; 72(2): 315-23[DOI]
  • 10. Najafi Mosleh M, Nasaj M, Rahimi F, Arabestani MR. Distribution rates and antibiotic resistance pattern of Enterococcus Spp. isolated from clinical specimens of hospitals in hamedan. J Mazandaran Univ Med Sci. 2014; 24(117): 92-102
  • 11. Mohammadi F, Tabaraie B, Davudian E, Maleki A, Maleknia S, Nejati M, et al. Evaluation of drug resistance frequency among Entrococcus faecium and Entrococcus faecalis strains and detection of vanA/B genes in vancomycin resistance isolated by PCR method in Ilam and Kermanshah hospitals. Iran J Med Microbiol. 2011; 5(1): 14-8
  • 12. Ahmadi A, Soltan Dallal MM, Purshafi MR. Determine antimicrobial susceptibility gene detection of vancomycin resistance in enterococci resistant to vancomycin isolated from wastewater. J Ilam Univ Med Sci. 2006; 14(3)
  • 13. Talebi M, Rahimi F, Katouli M, Mollby R, Pourshafie MR. Epidemiological link between wastewater and human vancomycin-resistant Enterococcus faecium isolates. Curr Microbiol. 2008; 56(5): 468-73[DOI][PubMed]
  • 14. Martins da Costa P, Vaz-Pires P, Bernardo F. Antimicrobial resistance in Enterococcus spp. isolated in inflow, effluent and sludge from municipal sewage water treatment plants. Water Res. 2006; 40(8): 1735-40[DOI][PubMed]
  • 15. Marothi YA, Agnihotri H, Dubey D. Enterococcal resistance--an overview. Indian J Med Microbiol. 2005; 23(4): 214-9[PubMed]
  • 16. Facklam RR, Collins MD. Identification of Enterococcus species isolated from human infections by a conventional test scheme. J Clin Microbiol. 1989; 27(4): 731-4[PubMed]
  • 17. Manero A, Blanch AR. Identification of Enterococcus spp. with a biochemical key. Appl Environ Microbiol. 1999; 65(10): 4425-30[PubMed]
  • 18. Orasch C, Marchetti O, Garbino J, Schrenzel J, Zimmerli S, Muhlethaler K, et al. Candida species distribution and antifungal susceptibility testing according to European Committee on Antimicrobial Susceptibility Testing and new vs. old Clinical and Laboratory Standards Institute clinical breakpoints: a 6-year prospective candidaemia survey from the fungal infection network of Switzerland. Clin Microbiol Infect. 2014; 20(7): 698-705[DOI][PubMed]
  • 19. Creti R, Imperi M, Bertuccini L, Fabretti F, Orefici G, Di Rosa R, et al. Survey for virulence determinants among Enterococcus faecalis isolated from different sources. J Med Microbiol. 2004; 53: 13-20[DOI][PubMed]
  • 20. Mevhibe T, ErgINkaya T. The relationship between virulence factors and vancomycin resistance among Enterococci collected from food and human samples in Southern Turkey. Ankara Universitesi Veteriner Fakultesi Dergisi. 2014; 61(2): 133-40[DOI]
  • 21. Klare I, Konstabel C, Badstubner D, Werner G, Witte W. Occurrence and spread of antibiotic resistances in Enterococcus faecium. Int J Food Microbiol. 2003; 88(2-3): 269-90[PubMed]
  • 22. Araujo C, Torres C, Silva N, Carneiro C, Goncalves A, Radhouani H, et al. Vancomycin-resistant enterococci from Portuguese wastewater treatment plants. J Basic Microbiol. 2010; 50(6): 605-9[DOI][PubMed]
  • 23. Morris D, Galvin S, Boyle F, Hickey P, Mulligan M, Cormican M. Enterococcus faecium of the vanA genotype in rural drinking water, effluent, and the aqueous environment. Appl Environ Microbiol. 2012; 78(2): 596-8[DOI][PubMed]
  • 24. Kotzamanidis C, Zdragas A, Kourelis A, Moraitou E, Papa A, Yiantzi V, et al. Characterization of vanA-type Enterococcus faecium isolates from urban and hospital wastewater and pigs. J Appl Microbiol. 2009; 107(3): 997-1005[DOI][PubMed]
  • 25. Luczkiewicz A, Jankowska K, Bray R, Kulbat E, Quant B, Sokolowska A, et al. Antimicrobial resistance of fecal indicators in disinfected wastewater. Water Sci Technol. 2011; 64(12): 2352-61[DOI][PubMed]
  • 26. Nagulapally SR, Ahmad A, Henry A, Marchin GL, Zurek L, Bhandari A. Occurrence of ciprofloxacin-, trimethoprim-sulfamethoxazole-, and vancomycin-resistant bacteria in a municipal wastewater treatment plant. Water Environ Res. 2009; 81(1): 82-90[PubMed]
  • 27. Harwood VJ, Brownell M, Perusek W, Whitlock JE. Vancomycin-resistant Enterococcus spp. isolated from wastewater and chicken feces in the United States. Appl Environ Microbiol. 2001; 67(10): 4930-3[PubMed]
  • 28. Novais C, Coque TM, Ferreira H, Sousa JC, Peixe L. Environmental contamination with vancomycin-resistant enterococci from hospital sewage in Portugal. Appl Environ Microbiol. 2005; 71(6): 3364-8[DOI][PubMed]
  • 29. Fernandez-Hidalgo N, Almirante B, Gavalda J, Gurgui M, Pena C, de Alarcon A, et al. Ampicillin plus ceftriaxone is as effective as ampicillin plus gentamicin for treating enterococcus faecalis infective endocarditis. Clin Infect Dis. 2013; 56(9): 1261-8[DOI][PubMed]
  • 30. Brissaud F, Blin E, Hemous S, Garrelly L. Water reuse for urban landscape irrigation: aspersion and health related regulations. Water Sci Technol. 2008; 57(5): 781-7[DOI][PubMed]
  • 31. Murray BE. Diversity among multidrug-resistant enterococci. Emerg Infect Dis. 1998; 4(1): 37-47[DOI][PubMed]
  • 32. Lata P, Ram S, Agrawal M, Shanker R. Real time PCR for the rapid detection of vanA gene in surface waters and aquatic macrophyte by molecular beacon probe. Environ Sci Technol. 2009; 43(9): 3343-8[PubMed]
  • 33. Leclerc H, Mossel DA, Edberg SC, Struijk CB. Advances in the bacteriology of the coliform group: their suitability as markers of microbial water safety. Annu Rev Microbiol. 2001; 55: 201-34[DOI][PubMed]
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