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Monitoring of Water Quality, Antibiotic Residues, and Antibiotic-Resistant Escherichia coli in the Kshipra River in India over a 3-Year Period

Author

Listed:
  • Nada Hanna

    (Department of Global Public Health, Health Systems and Policy (HSP): Medicines Focusing Antibiotics, Karolinska Institutet, 171 77 Stockholm, Sweden
    Shared first authorship.)

  • Manju Purohit

    (Department of Global Public Health, Health Systems and Policy (HSP): Medicines Focusing Antibiotics, Karolinska Institutet, 171 77 Stockholm, Sweden
    Department of Pathology, R.D. Gardi Medical College, Ujjain 456006, India
    Shared first authorship.)

  • Vishal Diwan

    (Department of Global Public Health, Health Systems and Policy (HSP): Medicines Focusing Antibiotics, Karolinska Institutet, 171 77 Stockholm, Sweden
    Department of Public Health and Environment, R.D. Gardi Medical College, Ujjain 456006, India
    ICMR—National Institute for Research in Environmental Health, Bhopal 462030, India
    Shared first authorship.)

  • Salesh P. Chandran

    (HLL Lifecare Ltd., Kharghar Navi, Mumbai 410210, India)

  • Emilia Riggi

    (SSD Epidemiologia screening—CPO, University Hospital ‘Cittàdella Salute della Scienza’, 10126 Turin, Italy)

  • Vivek Parashar

    (Department of Public Health and Environment, R.D. Gardi Medical College, Ujjain 456006, India)

  • Ashok J. Tamhankar

    (Department of Global Public Health, Health Systems and Policy (HSP): Medicines Focusing Antibiotics, Karolinska Institutet, 171 77 Stockholm, Sweden
    Indian Initiative for Management of Antibiotic Resistance, Department of Environmental Medicine, R.D. Gardi Medical College, Ujjain 456006, India
    Shared last authorship.)

  • Cecilia Stålsby Lundborg

    (Department of Global Public Health, Health Systems and Policy (HSP): Medicines Focusing Antibiotics, Karolinska Institutet, 171 77 Stockholm, Sweden
    Shared last authorship.)

Abstract

The emergence of antibiotic resistance is a major global and environmental health issue, yet the presence of antibiotic residues and resistance in the water and sediment of a river subjected to excessive anthropogenic activities and their relationship with water quality of the river are not well studied. The objectives of the present study were a) to investigate the occurrence of antibiotic residues and antibiotic-resistant Escherichia coli ( E. coli ) in the water and sediment of the Kshipra river in India at seven selected sites during different seasons of the years 2014, 2015, and 2016 and b) to investigate the association between antibiotic residues and antibiotic-resistant E. coli in water and sediment and measured water quality parameters of the river. Antibiotic residues and resistant E. coli were present in the water and sediment and were associated with the measured water quality parameters. Sulfamethoxazole was the most frequently detected antibiotic in water at the highest concentration of 4.66 µg/L and was positively correlated with the water quality parameters. Significant ( p < 0.05) seasonal and spatial variations of antibiotic-resistant E. coli in water and sediment were found. The resistance of E. coli to antibiotics (e.g., sulfamethiazole, norfloxacin, ciprofloxacine, cefotaxime, co-trimoxazole, ceftazidime, meropenem, ampicillin, amikacin, metronidazole, tetracycline, and tigecycline) had varying associations with the measured water and sediment quality parameters. Based on the results of this study, it is suggested that regular monitoring and surveillance of water quality, including antibiotic residues and antibiotic resistance, of all rivers should be taken up as a key priority, in national and Global Action Plans as these can have implications for the buildup of antibiotic resistance.

Suggested Citation

  • Nada Hanna & Manju Purohit & Vishal Diwan & Salesh P. Chandran & Emilia Riggi & Vivek Parashar & Ashok J. Tamhankar & Cecilia Stålsby Lundborg, 2020. "Monitoring of Water Quality, Antibiotic Residues, and Antibiotic-Resistant Escherichia coli in the Kshipra River in India over a 3-Year Period," IJERPH, MDPI, vol. 17(21), pages 1-22, October.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7706-:d:432776
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    References listed on IDEAS

    as
    1. Rutuja Dhawde & Ragini Macaden & Dhananjaya Saranath & Kayzad Nilgiriwala & Appasaheb Ghadge & Tannaz Birdi, 2018. "Antibiotic Resistance Characterization of Environmental E. coli Isolated from River Mula-Mutha, Pune District, India," IJERPH, MDPI, vol. 15(6), pages 1-15, June.
    2. Vishal Diwan & Nada Hanna & Manju Purohit & Salesh Chandran & Emilia Riggi & Vivek Parashar & Ashok J. Tamhankar & Cecilia Stålsby Lundborg, 2018. "Seasonal Variations in Water-Quality, Antibiotic Residues, Resistant Bacteria and Antibiotic Resistance Genes of Escherichia coli Isolates from Water and Sediments of the Kshipra River in Central Indi," IJERPH, MDPI, vol. 15(6), pages 1-16, June.
    3. Vishal Diwan & Manju Purohit & Salesh Chandran & Vivek Parashar & Harshada Shah & Vijay K. Mahadik & Cecilia Stålsby Lundborg & Ashok J. Tamhankar, 2017. "A Three-Year Follow-Up Study of Antibiotic and Metal Residues, Antibiotic Resistance and Resistance Genes, Focusing on Kshipra—A River Associated with Holy Religious Mass-Bathing in India: Protocol Pa," IJERPH, MDPI, vol. 14(6), pages 1-13, May.
    4. Hetty Blaak & Gretta Lynch & Ronald Italiaander & Raditijo A Hamidjaja & Franciska M Schets & Ana Maria de Roda Husman, 2015. "Multidrug-Resistant and Extended Spectrum Beta-Lactamase-Producing Escherichia coli in Dutch Surface Water and Wastewater," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-16, June.
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