1. Extended Spectrum Beta-Lactamase Escherichia coli in River Waters Collected from Two Cities in Ghana, 2018-2020
- Author
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Banu, Regina Ama, Alvarez, Jorge Matheu, Reid, Anthony J, Enbiale, Wendemagegn, Labi, Appiah-Korang, Ansa, Ebenezer D O, Annan, Edith Andrews, Akrong, Mark Osa, Borbor, Selorm, Adomako, Lady A B, Ahmed, Hawa, Mustapha, Mohammed Bello, Davtyan, Hayk, Owiti, Phillip, Hedidor, George Kwesi, Quarcoo, Gerard, Opare, David, Kikimoto, Boi, Osei-Atwenebanoa, Mike Y, Schmitt, Heike, LS Religiewetenschap, OFR - Religious Studies, IRAS OH Epidemiology Microbial Agents, dIRAS RA-I&I I&I, LS Religiewetenschap, OFR - Religious Studies, IRAS OH Epidemiology Microbial Agents, and dIRAS RA-I&I I&I
- Subjects
0301 basic medicine ,Veterinary medicine ,medicine.medical_treatment ,030106 microbiology ,010501 environmental sciences ,Environment ,medicine.disease_cause ,Antimicrobial resistance ,01 natural sciences ,Ghana ,Operational research ,03 medical and health sciences ,Rivers ,Immunology and Microbiology(all) ,medicine ,Effluent ,Escherichia coli ,0105 earth and related environmental sciences ,General Immunology and Microbiology ,Environmental and Occupational Health ,Tricycle protocol ,Public Health, Environmental and Occupational Health ,Contamination ,biochemical phenomena, metabolism, and nutrition ,Infectious Diseases ,Wastewater ,Beta-lactamase ,Medicine ,Environmental science ,Sort it ,ESBL-E. coli ,Public Health - Abstract
Infections by Extended-Spectrum Beta-Lactamase producing Escherichia coli (ESBL-Ec) are on the increase in Ghana, but the level of environmental contamination with this organism, which may contribute to growing Antimicrobial Resistance (AMR), is unknown. Using the WHO OneHealth Tricycle Protocol, we investigated the contamination of E. coli (Ec) and ESBL-Ec in two rivers in Ghana (Odaw in Accra and Okurudu in Kasoa) that receive effluents from human and animal wastewater hotspots over a 12-month period. Concentrations of Ec, ESBL-Ec and percent ESBL-Ec/Ec were determined per 100 mL sample. Of 96 samples, 94 (98%) were positive for ESBL-Ec. concentrations per 100 mL (MCs100) of ESBL-Ec and %ESBL-Ec from both rivers were 4.2 × 104 (IQR, 3.1 × 103–2.3 × 105) and 2.79 (IQR, 0.96–6.03), respectively. MCs100 were significantly lower in upstream waters: 1.8 × 104 (IQR, 9.0 × 103–3.9 × 104) as compared to downstream waters: 1.9 × 106 (IQR, 3.7 × 105–5.4 × 106). Both human and animal wastewater effluents contributed to the increased contamination downstream. This study revealed high levels of ESBL-Ec in rivers flowing through two cities in Ghana. There is a need to manage the sources of contamination as they may contribute to the acquisition and spread of ESBL-Ec in humans and animals, thereby contributing to AMR.
- Published
- 2021