Original Articles Open access

Presence of carbepenemase-producing Enterobacteriaceae in the River Lambro basin, Italy: might sediment represent an important resistance reservoir?

Authors

Published
20 July 2021
Section
Original Articles

Abstract

In the last years, the rapid spread in anthropized ecosystems of pathogens which are resistant to carbapenem antibiotics has raised great concern. In this study, KPC-producing Klebsiella pneumoniae was found in the River Lambro in June 2019, whereas KPC-producing Klebsiella oxytoca and Citrobacter braakii were identified in untreated wastewaters. Susceptibility profiles indicated resistance to imipenem, ertapenem and meropenem. Different carbapenamase genes (blaKPC, blaNDM, blaVIM, blaOXA-48) were also found in the River Lambro, although not associated to living bacteria. The presence of a wide set of carbapenemase genes and resistant pathogens show that river sediments could act as a reservoir of antibiotic resistance potentially threatening human health.

References

  1. Bonomo RA, Burd EM, Conly J, Limbago BM, Poirel L, Segre JA, Westblade LF, 2018. Carbapenemase-Producing Organisms: A Global Scourge. Clin. Infect. Dis. 66:1290–1297. DOI: https://doi.org/10.1093/cid/cix893
  2. Caltagirone M, Nucleo E, Spalla M, Zara F, Novazzi F, Marchetti VM, Piazza A, Bitar I, Cicco M De, Paolucci S, Pilla G, Migliavacca R, et al., 2017. Occurrence of extended spectrum β-lactamases, KPC-Type, and MCR-1.2-producing enterobacteriaceae from wells, river water, and wastewater treatment plants in Oltrepò Pavese area, Northern Italy. Front. Microbiol. 8:1–12. DOI: https://doi.org/10.3389/fmicb.2017.02232
  3. Izdebski R, Baraniak A, Zabicka D, Sekowska A, Gospodarek-Komkowska E, Hryniewicz W, Gniadkowski M, 2018. VIM/IMP carbapenemase-producing enterobacteriaceae in Poland: Epidemic Enterobacter hormaechei and Klebsiella oxytoca lineages. J. Antimicrob. Chemother. 73:2675–2681. DOI: https://doi.org/10.1093/jac/dky257
  4. Khan FA, Hellmark B, Ehricht R, Söderquist B, Jass J, 2018. Related carbapenemase-producing Klebsiella isolates detected in both a hospital and associated aquatic environment in Sweden. Eur. J. Clin. Microbiol. Infect. Dis. 37:2241–2251. DOI: https://doi.org/10.1007/s10096-018-3365-9
  5. Kümmerer K, 2004. Resistance in the environment. J. Antimicrob. Chemother. 54:311–320. DOI: https://doi.org/10.1093/jac/dkh325
  6. Kwong JC, Lane CR, Romanes F, Silva AG da, Easton M, Cronin K, Waters MJ, Tomita T, Stevens K, Schultz MB, Baines SL, Sherry NL, et al., 2018. Translating genomics into practice for real-time surveillance and response to carbapenemase-producing Enterobacteriaceae: Evidence from a complex multi-institutional KPC outbreak. PeerJ 2018. DOI: https://doi.org/10.7717/peerj.4210
  7. Liu L, Qin L, Hao S, Lan R, Xu B, Guo Y, Jiang R, Sun H, Chen X, Lv X, Xu J, Zhao C, 2020. Lineage, antimicrobial resistance and virulence of Citrobacter spp. Pathogens 9:1–21. DOI: https://doi.org/10.3390/pathogens9030195
  8. Mills MC, Lee J, 2019. The threat of carbapenem-resistant bacteria in the environment: Evidence of widespread contamination of reservoirs at a global scale. Environ. Pollut. 255:113143. DOI: https://doi.org/10.1016/j.envpol.2019.113143
  9. Perilli M, Bottoni C, Pontieri E, Segatore B, Celenza G, Setacci D, Bellio P, Strom R, Amicosante G, 2013. Emergence of blaKPC-3-Tn4401a in Klebsiella pneumoniae ST512 in the municipal wastewater treatment plant and in the university hospital of a town in central Italy. J. Glob. Antimicrob. Resist. 1:217–220. DOI: https://doi.org/10.1016/j.jgar.2013.07.002
  10. Proia L, Anzil A, Borrego C, Farrè M, Llorca M, Sanchis J, Bogaerts P, Balcázar JL, Servais P, 2018. Occurrence and persistence of carbapenemases genes in hospital and wastewater treatment plants and propagation in the receiving river. J. Hazard. Mater. 358:33–43. DOI: https://doi.org/10.1016/j.jhazmat.2018.06.058
  11. Rimoldi SG, Stefani F, Gigantiello A, Polesello S, Comandatore F, Mileto D, Maresca M, Longobardi C, Mancon A, Romeri F, Pagani C, Cappelli F, et al., 2020. Presence and infectivity of SARS-CoV-2 virus in wastewaters and rivers. Sci. Total Environ. 744:140911. DOI: https://doi.org/10.1016/j.scitotenv.2020.140911
  12. Shen Z, Gao Q, Qin J, Liu Y, Li M, 2020. Emergence of an NDM-5-Producing Hypervirulent Klebsiella pneumoniae Sequence Type 35 Strain with Chromosomal Integration of an Integrative and Conjugative Element, ICEKp1. Antimicrob. Agents Chemother. 64:e01675-19. DOI: https://doi.org/10.1128/AAC.01675-19
  13. Viganò L, Mascolo G, Roscioli C, 2015. Emerging and priority contaminants with endocrine active potentials in sediments and fish from the River Po (Italy). Environ. Sci. Poll. Res. 22:14050–14066. DOI: https://doi.org/10.1007/s11356-015-4388-8
  14. Viganò L, Loizeau JL, Mandich A, Mascolo G, 2016. Medium- and long-term effects of estrogenic contaminants on the middle River Po fish community as reconstructed from a sediment core. Arch. Environ. Contam. Toxicol. 71:454–472. DOI: https://doi.org/10.1007/s00244-016-0315-3
  15. Wyres KL, Holt KE, 2018. Klebsiella pneumoniae as a key trafficker of drug resistance genes from environmental to clinically important bacteria. Curr. Opin. Microbiol. 45:131–139. DOI: https://doi.org/10.1016/j.mib.2018.04.004

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