Antibiotic Resistance and Antibiotic Compounds in Waste Water Treatment Plants in Europe Marko Virta University of Helsinki Finland [email protected] Dynamics of antibiotic resistance Davies & Davies Microbiol. Mol. Biol. Rev. 2010;74:417-433 More use, more resistance • ~75% of the compounds are excreted • ~80 % of antibiotics are used for animals • Mostly to healthy animals • Also in EU, Japan, Canada, … http://apps.who.int/medicinedocs/documents/s7920e/p1.jpg 4 Stopping antibiotic resistance evolution (StARE) 2015-2017 Aims • Harmonized protocols to measure antibiotic resistance in aquatic environments • The occurrence of antibiotic residues and ARB&G and potentially interacting emerging chemical pollutants in the final effluent of urban wastewater treatment plants (UWTP) • Critical factors (e.g. antimicrobial residues, heavy metals, temperature, organic matter) coinciding with the highest AR prevalence • Develop and improve advanced WW treatment technologies and/or their combination with biological processes to be implemented in critical points • COST Action TD 0803 as background • Water JPI funding 5 StARE Partners • CéliaManaia, UniversidadeCatólicaPortuguesa, Consortium leader • Marko Virta, Universityof Helsinki • DespoFatta-Kassinos, Univesityof Cyprus • Sara Rodriguez, Catalan Institute for Water Research(ICRA) • Thomas Schwartz, Karlsruhe Institute of Technology (KIT), • Jose Luiz Martinez, Agencia EstatalConsejoSuperior de InvestigacionesCientíficas • Henning Sørum, Norwegian School of Veterinary Science • Thomas Berendonk, TechnischeUniversitätDresden • IsabelHenriques, Universityof Aveiro • Fiona Walsh, NUI Maynooth • Christian Elpers, AquantecGmbH 6 Antibiotic resistance • Natural phenomena • Genetically encoded • acquired vs. intrinsic resistance • Clinical data dominates • Cultured isolates • MIC values (Minimum Inhibitory Concentration) • How well antibiotics work in treatment • Sequence data • Culture-based methods are not suitable for environmental samples since <1% on the species grow • Can transfer by Horizontal Gene Transfer (HGT) 7 Horizontal gene transfer (HGT) • HGT activity increases with bacterial stress Furuya& Lowy 2006, Nat Rev Microbiol. 4: 36–45 Integrons collect resistance genes Collection activity increases with bacterial stress Wellington et al. Lancet Infect Dis , Volume 13, Issue 2, 2013, 155–165 Transposons move between genetic elements Levy & Marshall 2004. Nature Medicine 10:S122c
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