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We sampled three UWSs for clinically important extended spectrum β-lactamase (ESBL) and carbapenemase (CP) genes, mobile genetic elements and microbial communities. Sewage-especially from hospitals-carried substantial loads of ESBL and CP genes (10 6-10 7 per person equivalent), but those loads progressively declined along the UWS, resulting in minimal emissions (10 1-10 4 copies per person equivalent). Removal was primarily during sewage conveyance (65% ± 36%) rather than within sewage treatment (34% ± 23%). The ARGs clustered in groups based on their persistence; less persistent groups were associated to putative host taxa (especially Enterobacteriaceae and Moraxellaceae), while more persistent groups appear horizontally transferred as they correlated with mobile genetic elements. This first documentation of a substantial ARG reduction during sewage conveyance provides opportunities for antibiotic resistance management and a caution for sewage-based ARG surveillance. .","publication_date":"2020,11,12","publication_name":"bioRxiv (Cold Spring Harbor Laboratory)","grobid_abstract_attachment_id":"110242897"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Extended spectrum β-lactamase and carbapenemase genes are substantially and sequentially reduced during conveyance and treatment of urban sewage","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [29194678]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; 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href="https://www.academia.edu/61313519/blaTEM_and_vanA_as_indicator_genes_of_antibiotic_resistance_contamination_in_a_hospital_urban_wastewater_treatment_plant_system"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="59452428" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/59452428/Bacterial_lineages_putatively_associated_with_the_dissemination_of_antibiotic_resistance_genes_in_a_full_scale_urban_wastewater_treatment_plant">Bacterial lineages putatively associated with the dissemination of antibiotic resistance genes in a full-scale urban wastewater treatment plant</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="63296130" href="https://independent.academia.edu/IvoneVazMoreira">Ivone Vaz-Moreira</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Environment international, 2018</p><p class="ds-related-work--abstract ds2-5-body-sm">Urban wastewater treatment plants (UWTPs) are reservoirs of antibiotic resistance. Wastewater treatment changes the bacterial community and inevitably impacts the fate of antibiotic resistant bacteria and antibiotic resistance genes (ARGs). Some bacterial groups are major carriers of ARGs and hence, their elimination during wastewater treatment may contribute to increasing resistance removal efficiency. This study, conducted at a full-scale UWTP, evaluated variations in the bacterial community and ARGs loads and explored possible associations among them. With that aim, the bacterial community composition (16S rRNA gene Illumina sequencing) and ARGs abundance (real-time PCR) were characterized in samples of raw wastewater (RWW), secondary effluent (sTWW), after UV disinfection (tTWW), and after a period of 3 days storage to monitoring possible bacterial regrowth (tTWW-RE). Culturable enterobacteria were also enumerated. Secondary treatment was associated with the most dramatic bacter...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Bacterial lineages putatively associated with the dissemination of antibiotic resistance genes in a full-scale urban wastewater treatment plant","attachmentId":73367475,"attachmentType":"pdf","work_url":"https://www.academia.edu/59452428/Bacterial_lineages_putatively_associated_with_the_dissemination_of_antibiotic_resistance_genes_in_a_full_scale_urban_wastewater_treatment_plant","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/59452428/Bacterial_lineages_putatively_associated_with_the_dissemination_of_antibiotic_resistance_genes_in_a_full_scale_urban_wastewater_treatment_plant"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="92188864" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/92188864/Repeated_Isolation_of_Extended_Spectrum_%CE%B2_Lactamase_Positive_Escherichia_coli_Sequence_Types_648_and_131_from_Community_Wastewater_Indicates_that_Sewage_Systems_Are_Important_Sources_of_Emerging_Clones_of_Antibiotic_Resistant_Bacteria">Repeated Isolation of Extended-Spectrum-β-Lactamase-Positive Escherichia coli Sequence Types 648 and 131 from Community Wastewater Indicates that Sewage Systems Are Important Sources of Emerging Clones of Antibiotic-Resistant Bacteria</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="40468513" href="https://independent.academia.edu/PatriciaColquenavarro">Patricia Colque-navarro</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Antimicrobial Agents and Chemotherapy, 2019</p><p class="ds-related-work--abstract ds2-5-body-sm">Antibiotic resistance in bacteria is an emerging problem globally. Resistant bacteria are found in human and animal microbiota, as well as in the environment. Wastewater receives bacteria from all these sources and thus can provide a measurement of abundance and diversity of antibiotic-resistant bacteria circulating in communities. In this study, water samples were collected from a wastewater pump station in a Norwegian suburban community over a period of 15 months.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Repeated Isolation of Extended-Spectrum-β-Lactamase-Positive Escherichia coli Sequence Types 648 and 131 from Community Wastewater Indicates that Sewage Systems Are Important Sources of Emerging Clones of Antibiotic-Resistant Bacteria","attachmentId":95263955,"attachmentType":"pdf","work_url":"https://www.academia.edu/92188864/Repeated_Isolation_of_Extended_Spectrum_%CE%B2_Lactamase_Positive_Escherichia_coli_Sequence_Types_648_and_131_from_Community_Wastewater_Indicates_that_Sewage_Systems_Are_Important_Sources_of_Emerging_Clones_of_Antibiotic_Resistant_Bacteria","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/92188864/Repeated_Isolation_of_Extended_Spectrum_%CE%B2_Lactamase_Positive_Escherichia_coli_Sequence_Types_648_and_131_from_Community_Wastewater_Indicates_that_Sewage_Systems_Are_Important_Sources_of_Emerging_Clones_of_Antibiotic_Resistant_Bacteria"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="115762239" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/115762239/Antibiotic_resistance_in_a_predominantly_occurring_Gram_negative_bacterial_community_from_treated_sewage_to_assess_the_need_for_going_beyond_coliform_standards">Antibiotic resistance in a predominantly occurring Gram-negative bacterial community from treated sewage to assess the need for going beyond coliform standards</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="298499437" href="https://independent.academia.edu/DrSandeepSinghShekhawat">Dr. Sandeep Singh Shekhawat</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Water Quality Research Journal, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Antibiotic resistance surveillance is an objective of global action plan on antimicrobial resistance endorsed by the World Health Organization. The current study reports the identification of frequently occurring Gram-negative bacterial community (GNBC) previously isolated from municipal treated wastewater and their antibiotic resistance profiles. Further, the genes responsible for extended-spectrum beta lactamases (ESBL) activity were identified in ESBL-positive organisms. The isolates were characterized using biochemical assays and identification was confirmed by VITEK®2 automated system. Antibiotic susceptibility testing against seven different classes of antibiotics was also performed on the same system using AST-N280 cards. The most dominant isolates identified were Acinetobacter baumannii, Morganella morganii, Kluyvera intermedia, Stenotrophomonas maltophilia, Escherichia coli, Aeromonas hydrophila/caviae, Klebsiella pneumoniae, Enterobacter cloacae and Citrobacter freundii. T...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Antibiotic resistance in a predominantly occurring Gram-negative bacterial community from treated sewage to assess the need for going beyond coliform standards","attachmentId":112077639,"attachmentType":"pdf","work_url":"https://www.academia.edu/115762239/Antibiotic_resistance_in_a_predominantly_occurring_Gram_negative_bacterial_community_from_treated_sewage_to_assess_the_need_for_going_beyond_coliform_standards","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/115762239/Antibiotic_resistance_in_a_predominantly_occurring_Gram_negative_bacterial_community_from_treated_sewage_to_assess_the_need_for_going_beyond_coliform_standards"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="20589922" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/20589922/Antibiotic_resistance_in_wastewater_Occurrence_and_fate_of_Enterobacteriaceae_producers_of_Class_A_and_Class_C_%CE%B2_lactamases">Antibiotic resistance in wastewater: Occurrence and fate of Enterobacteriaceae producers of Class A and Class C β-lactamases</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="42190401" href="https://ipc.academia.edu/IsabelDuarte">Isabel M Duarte</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="41936069" href="https://independent.academia.edu/AmadorPaula">Paula Amador</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Environmental Science and Health, Part A, 2014</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Antibiotic resistance in wastewater: Occurrence and fate of Enterobacteriaceae producers of Class A and Class C β-lactamases","attachmentId":41453288,"attachmentType":"pdf","work_url":"https://www.academia.edu/20589922/Antibiotic_resistance_in_wastewater_Occurrence_and_fate_of_Enterobacteriaceae_producers_of_Class_A_and_Class_C_%CE%B2_lactamases","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/20589922/Antibiotic_resistance_in_wastewater_Occurrence_and_fate_of_Enterobacteriaceae_producers_of_Class_A_and_Class_C_%CE%B2_lactamases"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":110242897,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":110242897,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_110242897" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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href="https://www.academia.edu/111251360/Genetic_diversity_and_prevalence_of_extended_spectrum_beta_lactamase_producing_Escherichia_coli_and_Klebsiella_pneumoniae_in_aquatic_environment_receiving_untreated_hospital_effluents">Genetic diversity and prevalence of extended spectrum beta-lactamase producing Escherichia coli and Klebsiella pneumoniae in aquatic environment receiving untreated hospital effluents</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="280166087" href="https://independent.academia.edu/DrRobinPaul">Dr. Robin Paul</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Research Square (Research Square), 2022</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Genetic diversity and prevalence of extended spectrum beta-lactamase producing 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href="https://www.academia.edu/73768262/Differentiating_Enterococcus_lineages_in_combined_sewer_overflow_and_potable_water_combating_to_hospital_acquired_high_level_%CE%B2_lactam_resistance"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="3" data-entity-id="48530037" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/48530037/Antibiotic_resistance_genes_in_treated_wastewater_and_in_the_receiving_water_bodies_A_pan_European_survey_of_urban_settings">Antibiotic resistance genes in treated wastewater and in the receiving water bodies: A pan-European survey of urban settings</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm 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href="https://www.academia.edu/48530037/Antibiotic_resistance_genes_in_treated_wastewater_and_in_the_receiving_water_bodies_A_pan_European_survey_of_urban_settings"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="4" data-entity-id="115603587" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/115603587/Quantitation_of_antibiotic_resistance_genes_pollution_in_hospital_waste_water_effluent_and_Urban_Clinton_River_Water_Michigan_USA">Quantitation of antibiotic resistance genes pollution in hospital waste water effluent and Urban Clinton River Water, Michigan, USA</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="203367078" href="https://independent.academia.edu/jeffreyband">jeffrey band</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Current Medicine Research and Practice, 2016</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Quantitation of antibiotic resistance genes pollution in hospital waste water effluent and Urban Clinton River Water, Michigan, USA","attachmentId":111963217,"attachmentType":"pdf","work_url":"https://www.academia.edu/115603587/Quantitation_of_antibiotic_resistance_genes_pollution_in_hospital_waste_water_effluent_and_Urban_Clinton_River_Water_Michigan_USA","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/115603587/Quantitation_of_antibiotic_resistance_genes_pollution_in_hospital_waste_water_effluent_and_Urban_Clinton_River_Water_Michigan_USA"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="5" data-entity-id="61313510" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/61313510/Urban_wastewater_treatment_plants_as_hotspots_for_antibiotic_resistant_bacteria_and_genes_spread_into_the_environment_A_review">Urban wastewater treatment plants as hotspots for antibiotic resistant bacteria and genes spread into the environment: A review</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="38754093" href="https://independent.academia.edu/SchwartzThomas">Thomas Schwartz</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Science of The Total Environment, 2013</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Urban wastewater treatment plants as hotspots for antibiotic resistant bacteria and genes spread into the environment: A review","attachmentId":74378733,"attachmentType":"pdf","work_url":"https://www.academia.edu/61313510/Urban_wastewater_treatment_plants_as_hotspots_for_antibiotic_resistant_bacteria_and_genes_spread_into_the_environment_A_review","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free 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ds2-5-body-link" data-author-id="1134462" href="https://pan-pl.academia.edu/EwaKotlarska">Ewa Kotlarska</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Environmental Research and Public Health, 2022</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Clinically Relevant β-Lactam Resistance Genes in Wastewater Treatment Plants","attachmentId":93190808,"attachmentType":"pdf","work_url":"https://www.academia.edu/89378765/Clinically_Relevant_%CE%B2_Lactam_Resistance_Genes_in_Wastewater_Treatment_Plants","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" 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ds2-5-body-xs">The Journal of antimicrobial chemotherapy, 2017</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Overexpression of antibiotic resistance genes in hospital effluents over time","attachmentId":66474105,"attachmentType":"pdf","work_url":"https://www.academia.edu/47318785/Overexpression_of_antibiotic_resistance_genes_in_hospital_effluents_over_time","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/47318785/Overexpression_of_antibiotic_resistance_genes_in_hospital_effluents_over_time"><span class="ds2-5-text-link__content">View PDF</span><span 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