IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i21p8034-d438265.html
   My bibliography  Save this article

Antibiotic Resistance in Recreational Waters: State of the Science

Author

Listed:
  • Sharon P. Nappier

    (U.S. Environmental Protection Agency, Office of Water, Office of Science and Technology, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, USA)

  • Krista Liguori

    (U.S. Environmental Protection Agency, Office of Water, Office of Science and Technology, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, USA)

  • Audrey M. Ichida

    (ICF, LLC, 9300 Lee Highway, Fairfax, VA 22031, USA)

  • Jill R. Stewart

    (1301 Michael Hooker Research Center, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Kaedra R. Jones

    (ICF, LLC, 9300 Lee Highway, Fairfax, VA 22031, USA)

Abstract

Ambient recreational waters can act as both recipients and natural reservoirs for antimicrobial resistant (AMR) bacteria and antimicrobial resistant genes (ARGs), where they may persist and replicate. Contact with AMR bacteria and ARGs potentially puts recreators at risk, which can thus decrease their ability to fight infections. A variety of point and nonpoint sources, including contaminated wastewater effluents, runoff from animal feeding operations, and sewer overflow events, can contribute to environmental loading of AMR bacteria and ARGs. The overall goal of this article is to provide the state of the science related to recreational exposure and AMR, which has been an area of increasing interest. Specific objectives of the review include (1) a description of potential sources of antibiotics, AMR bacteria, and ARGs in recreational waters, as documented in the available literature; (2) a discussion of what is known about human recreational exposures to AMR bacteria and ARGs, using findings from health studies and exposure assessments; and (3) identification of knowledge gaps and future research needs. To better understand the dynamics related to AMR and associated recreational water risks, future research should focus on source contribution, fate and transport—across treatment and in the environment; human health risk assessment; and standardized methods.

Suggested Citation

  • Sharon P. Nappier & Krista Liguori & Audrey M. Ichida & Jill R. Stewart & Kaedra R. Jones, 2020. "Antibiotic Resistance in Recreational Waters: State of the Science," IJERPH, MDPI, vol. 17(21), pages 1-28, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8034-:d:438265
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/21/8034/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/21/8034/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Vanessa M. D’Costa & Christine E. King & Lindsay Kalan & Mariya Morar & Wilson W. L. Sung & Carsten Schwarz & Duane Froese & Grant Zazula & Fabrice Calmels & Regis Debruyne & G. Brian Golding & Hendri, 2011. "Antibiotic resistance is ancient," Nature, Nature, vol. 477(7365), pages 457-461, September.
    2. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Herbert Galler & Gebhard Feierl & Christian Petternel & Franz F. Reinthaler & Doris Haas & Juliana Habib & Clemens Kittinger & Josefa Luxner & Gernot Zarfel, 2018. "Multiresistant Bacteria Isolated from Activated Sludge in Austria," IJERPH, MDPI, vol. 15(3), pages 1-11, March.
    2. Shahnawaz Hassan & Zulaykha Khurshid & Sabreena & Bikram Singh Bali & Bashir Ah Ganai & R. Z. Sayyed & Peter Poczai & Muzafar Zaman, 2022. "A Critical Assessment of the Congruency between Environmental DNA and Palaeoecology for the Biodiversity Monitoring and Palaeoenvironmental Reconstruction," IJERPH, MDPI, vol. 19(15), pages 1-25, August.
    3. Laura C. Scott & Nicholas Lee & Tiong Gim Aw, 2020. "Antibiotic Resistance in Minimally Human-Impacted Environments," IJERPH, MDPI, vol. 17(11), pages 1-12, June.
    4. Merja Ahonen & Anne Kahru & Angela Ivask & Kaja Kasemets & Siiri Kõljalg & Paride Mantecca & Ivana Vinković Vrček & Minna M. Keinänen-Toivola & Francy Crijns, 2017. "Proactive Approach for Safe Use of Antimicrobial Coatings in Healthcare Settings: Opinion of the COST Action Network AMiCI," IJERPH, MDPI, vol. 14(4), pages 1-23, March.
    5. Na Li & Hongna Li & Changxiong Zhu & Chong Liu & Guofeng Su & Jianguo Chen, 2022. "Controlling AMR in the Pig Industry: Is It Enough to Restrict Heavy Metals?," IJERPH, MDPI, vol. 19(18), pages 1-12, September.
    6. Asit Kumar Chakraborty, 2017. "Mechanisms of AMR: Mdr Genes and Antibiotics Decoys Retard the New Antibiotic Discovery against Superbugs," Novel Approaches in Drug Designing & Development, Juniper Publishers Inc., vol. 2(1), pages 1-5, June.
    7. Ming Ni & Antoine L Decrulle & Fanette Fontaine & Alice Demarez & Francois Taddei & Ariel B Lindner, 2012. "Pre-Disposition and Epigenetics Govern Variation in Bacterial Survival upon Stress," PLOS Genetics, Public Library of Science, vol. 8(12), pages 1-11, December.
    8. Na Li & Chong Liu & Zhiguo Zhang & Hongna Li & Tingting Song & Ting Liang & Binxu Li & Luyao Li & Shuo Feng & Qianqian Su & Jing Ye & Changxiong Zhu, 2019. "Research and Technological Advances Regarding the Study of the Spread of Antimicrobial Resistance Genes and Antimicrobial-Resistant Bacteria Related to Animal Husbandry," IJERPH, MDPI, vol. 16(24), pages 1-19, December.
    9. 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.
    10. Rita Batista & Margarida Saraiva & Teresa Lopes & Leonor Silveira & Anabela Coelho & Rosália Furtado & Rita Castro & Cristina Belo Correia & David Rodrigues & Pedro Henriques & Sara Lóio & Vanessa Soe, 2022. "Genotypic and Phenotypic Characterization of Pathogenic Escherichia coli , Salmonella spp., and Campylobacter spp., in Free-Living Birds in Mainland Portugal," IJERPH, MDPI, vol. 20(1), pages 1-14, December.
    11. Iyiola Olatunji Oladunjoye & Yusuf Amuda Tajudeen & Habeebullah Jayeola Oladipo & Mona Said El-Sherbini, 2022. "Planetary Health and Traditional Medicine: A Potential Synergistic Approach to Tackle Antimicrobial Resistance," Challenges, MDPI, vol. 13(1), pages 1-10, June.
    12. Łukasz Jałowiecki & Jakub Hubeny & Monika Harnisz & Grażyna Płaza, 2021. "Seasonal and Technological Shifts of the WHO Priority Multi-Resistant Pathogens in Municipal Wastewater Treatment Plant and Its Receiving Surface Water: A Case Study," IJERPH, MDPI, vol. 19(1), pages 1-13, December.
    13. Stacy Slobodiuk & Caitlin Niven & Greer Arthur & Siddhartha Thakur & Ayse Ercumen, 2021. "Does Irrigation with Treated and Untreated Wastewater Increase Antimicrobial Resistance in Soil and Water: A Systematic Review," IJERPH, MDPI, vol. 18(21), pages 1-19, October.
    14. Milva Pepi & Silvano Focardi, 2021. "Antibiotic-Resistant Bacteria in Aquaculture and Climate Change: A Challenge for Health in the Mediterranean Area," IJERPH, MDPI, vol. 18(11), pages 1-31, May.
    15. Nolonwabo Nontongana & Timothy Sibanda & Elvis Ngwenya & Anthony I. Okoh, 2014. "Prevalence and Antibiogram Profiling of Escherichia coli Pathotypes Isolated from the Kat River and the Fort Beaufort Abstraction Water," IJERPH, MDPI, vol. 11(8), pages 1-15, August.
    16. Valentin Duvauchelle & Elsa Causse & Julien Michon & Patrick Rateau & Karine Weiss & Patrick Meffre & Zohra Benfodda, 2021. "Evaluation of Knowledge and Risk Perception about Antibiotic Resistance in Biology and Mathematics Young Students in Nîmes University in France," IJERPH, MDPI, vol. 18(18), pages 1-12, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8034-:d:438265. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.