Frontiers in Public Health,
Journal Year:
2025,
Volume and Issue:
13
Published: March 21, 2025
Antimicrobial
resistance
is
a
major
global
health
threat,
characterized
by
the
ability
of
microorganisms
to
withstand
effects
antimicrobial
agents.
Biofilms,
as
unique
microbial
communities,
significantly
contribute
this
threat.
They
provide
protective
environment
for
pathogens,
facilitate
horizontal
gene
transfer,
and
create
an
ideal
setting
persistence
evolution
resistant
bacteria.
This
issue
can
be
particularly
important
in
low-income
settings
vulnerable
such
formal
informal
refugee
migrant
camps.
These
usually
have
limited
access
healthcare
resources
appropriate
treatments,
contributing
selective
pressure
that
promotes
survival
proliferation
Thus,
biofilms
formed
wastewater
these
areas
play
critical
role
spreading
or
acting
hidden
reservoirs
future
outbreaks.
While
emerging
efforts
focus
on
detecting
antibiotic
genes
planktonic
bacteria
wastewater,
may
source
under-appreciated
resistance,
creating
significant
gap
our
understanding
dynamics
systems.
Incorporating
biofilm
surveillance
into
monitoring
strategies
help
develop
more
comprehensive
transmission
effective
intervention
measures
settings.
Journal of Environmental Science and Economics,
Journal Year:
2023,
Volume and Issue:
2(3), P. 36 - 58
Published: Sept. 17, 2023
Climate
change
causes
long-term
weather
changes
from
the
tropics
to
polls.
It
is
a
global
threat
that
strains
several
sectors.
The
present
study
conducts
review
analysis
theoretically
explores
how
climatic
variability
degrading
sector
sustainability.
Due
irreversible
variations,
agricultural
particularly
vulnerable.
In
turn,
it
disrupting
worldwide
consumption
patterns,
especially
in
countries
where
agriculture
central
their
economy
and
productivity.
shifting
optimum
temperature
ranges,
climate
also
increasing
biodiversity
loss
through
modifying
ecosystem
architecture.
increases
risk
of
food,
water,
vector-borne
diseases.
Antimicrobial
resistance,
which
developing
due
resistant
pathogenic
infections,
accelerated
by
change.
hurts
forestry
tourism
business.
This
examines
socio-economic
environmental
mitigation
adaptation
strategies
economic
consequences.
According
findings,
knotted
answerability
resources
laws
created
past
generate
progressive
policy
need
government
involvement
for
development.
Thus,
addressing
change's
dire
consequences
demands
cooperation
maintain
world
survival.
Clinical Microbiology Reviews,
Journal Year:
2023,
Volume and Issue:
37(1)
Published: Dec. 14, 2023
SUMMARY
Wastewater-based
surveillance
(WBS)
has
undergone
dramatic
advancement
in
the
context
of
coronavirus
disease
2019
(COVID-19)
pandemic.
The
power
and
potential
this
platform
technology
were
rapidly
realized
when
it
became
evident
that
not
only
did
WBS-measured
SARS-CoV-2
RNA
correlate
strongly
with
COVID-19
clinical
within
monitored
populations
but
also,
fact,
functioned
as
a
leading
indicator.
Teams
from
across
globe
innovated
novel
approaches
by
which
wastewater
could
be
collected
diverse
sewersheds
ranging
treatment
plants
(enabling
community-level
surveillance)
to
more
granular
locations
including
individual
neighborhoods
high-risk
buildings
such
long-term
care
facilities
(LTCF).
Efficient
processes
enabled
extraction
concentration
highly
dilute
matrix.
Molecular
genomic
tools
identify,
quantify,
characterize
its
various
variants
adapted
programs
applied
these
mixed
environmental
systems.
Novel
data-sharing
allowed
information
mobilized
made
immediately
available
public
health
government
decision-makers
even
public,
enabling
evidence-informed
decision-making
based
on
local
dynamics.
WBS
since
been
recognized
tool
transformative
potential,
providing
near-real-time
cost-effective,
objective,
comprehensive,
inclusive
data
changing
prevalence
measured
analytes
space
time
populations.
However,
consequence
rapid
innovation
hundreds
teams
simultaneously,
tremendous
heterogeneity
currently
exists
literature.
This
manuscript
provides
state-of-the-art
review
established
details
current
work
underway
expanding
scope
other
infectious
targets.
The Science of The Total Environment,
Journal Year:
2024,
Volume and Issue:
945, P. 173862 - 173862
Published: June 12, 2024
Wastewater
surveillance
(WWS)
has
received
significant
attention
as
a
rapid,
sensitive,
and
cost-effective
tool
for
monitoring
various
pathogens
in
community.
WWS
is
employed
to
assess
the
spatial
temporal
trends
of
diseases
identify
their
early
appearances
reappearances,
well
detect
novel
mutated
variants.
However,
shedding
rates
vary
significantly
depending
on
factors
such
disease
severity,
physiology
affected
individuals,
characteristics
pathogen.
Furthermore,
may
exhibit
differential
fate
decay
kinetics
sewerage
system.
Variable
affect
detection
wastewater.
This
influence
interpretation
results
conclusions
studies.
When
selecting
pathogen
WWS,
it
essential
consider
it's
specific
characteristics.
If
data
are
not
readily
available,
fate,
decay,
should
be
assessed
before
conducting
surveillance.
Alternatively,
these
can
compared
those
similar
which
available.
Water,
Journal Year:
2023,
Volume and Issue:
15(6), P. 1018 - 1018
Published: March 7, 2023
The
emergence
of
new
variants
SARS-CoV-2
associated
with
varying
infectivity,
pathogenicity,
diagnosis,
and
effectiveness
against
treatments
challenged
the
overall
management
COVID-19
pandemic.
Wastewater
surveillance
(WWS),
i.e.,
monitoring
infections
in
communities
through
detecting
viruses
wastewater,
was
applied
to
track
spread
globally.
However,
there
is
a
lack
comprehensive
understanding
use
WWS
for
variants.
Here
we
systematically
reviewed
published
articles
reporting
different
wastewater
by
following
PRISMA
guidelines
provided
current
state
art
this
study
area.
A
total
80
studies
were
found
that
reported
until
November
2022.
Most
these
(66
out
80,
82.5%)
conducted
Europe
North
America,
resource-rich
countries.
There
high
variation
sampling
strategy
around
world,
composite
(50/66
studies,
76%)
as
primary
method
In
contrast,
grab
more
common
(8/14
57%)
resource-limited
Among
detection
methods,
reverse
transcriptase
polymerase
chain
reaction
(RT-PCR)-based
sequencing
quantitative
RT-PCR
commonly
used
wastewater.
variants,
B1.1.7
(Alpha)
variant
appeared
earlier
pandemic
most
(48/80
studies),
followed
B.1.617.2
(Delta),
B.1.351
(Beta),
P.1
(Gamma),
others
All
same
pattern
clinical
within
timeline,
demonstrating
tracked
all
timely
way
when
emerged.
Thus,
may
be
utilized
identify
presence
or
absence
follow
development
transmission
existing
emerging
Routine
powerful
infectious
disease
tool
implemented
Life,
Journal Year:
2023,
Volume and Issue:
13(7), P. 1521 - 1521
Published: July 7, 2023
The
rise
of
antibiotic-resistant
bacteria
and
the
emergence
new
pathogens
have
created
a
need
for
strategies
to
fight
against
infectious
diseases.
One
promising
approach
is
use
antimicrobial
peptides
produced
by
certain
species
bacteria,
known
as
bacteriocins,
which
are
active
other
strains
same
or
related
species.
Bacteriocins
can
help
in
treatment
prevention
Moreover,
bacteriocins
be
obtained
prokaryotic
organisms,
contribute
s
their
widespread
use.
While
currently
limited
food
industry
(for
example,
nisin
used
preservative,
E234),
large
number
studies
on
microbicidal
properties
suggest
that
medicine
may
increase
foreseeable
future.
However,
successful
medicine,
it
necessary
understand
effect
immune
system,
especially
cases
where
immunity
weakened
due
processes,
oncological,
allergic,
autoimmune
Studies
immuno-modulatory
activity
animal
models
human
cells
revealed
ability
induce
both
pro-inflammatory
anti-inflammatory
factors
involved
implementation
innate
immunity.
influence
acquired
an
T-lymphocytes
with
simultaneous
decrease
B-lymphocyte
levels,
makes
them
attractive
substances
reducing
inflammation.
industry,
low
toxicity,
broad
narrow
specificity
reasons
researchers
pay
attention
immunomodulatory
explore
medical
applications.
Inflammation
regulation
various
pathologies.
aim
review
was
analyze
scientific
publications
activity,
bioavailability,
safety
order
data
organize
preclinical
clinical
studies.
The Science of The Total Environment,
Journal Year:
2024,
Volume and Issue:
926, P. 171401 - 171401
Published: March 11, 2024
Wastewater
comprises
multiple
pathogens
and
offers
a
potential
for
wastewater-based
surveillance
(WBS)
to
track
the
prevalence
of
communicable
diseases.
The
Finnish
WastPan
project
aimed
establish
pandemic
preparedness
(viruses,
bacteria,
parasites,
fungi),
including
antimicrobial
resistance
(AMR).
This
article
outlines
WastPan's
experiences
in
this
project,
criteria
target
selection,
sampling
locations,
frequency,
analysis
methods
results
communication.
Target
selection
relied
on
epidemiological
microbiological
evidence
practical
feasibility.
Within
framework,
wastewater
samples
were
collected
between
2021
2023
from
10
treatment
plants
(WWTPs)
covering
40
%
Finland's
population.
WWTP
was
validated
reported
cases
Extended
Spectrum
Beta-lactamase-producing
bacterial
(Escherichia
coli
Klebsiella
pneumoniae)
National
Infectious
Disease
Register.
workflow
included
24-h
composite
influent
samples,
with
one
fraction
culture-based
(bacteria
fungi)
rest
sample
reserved
molecular
antibiotic
genes,
parasites).
reproducibility
monitoring
assessed
SARS-CoV-2
through
inter-laboratory
comparisons
using
N2
N1
assays.
Identical
protocols
applied
same-day
yielding
similar
positivity
trends
two
laboratories,
but
assay
achieved
significantly
higher
detection
rate
(Laboratory
1:
91.5
%;
Laboratory
2:
87.4
%)
than
(76.6
monitored
only
2
(McNemar,
p
<
0.001
Lab
1,
=
0.006
2).
result
indicates
that
primers
assays
may
impact
sensitivity
WBS.
Overall,
current
study
recommends
frequencies
population
coverage
should
be
based
pathogen-specific
characteristics.
For
example,
are
stable
over
time
need
less
frequent
annual
sampling,
while
those
occurring
across
regions
require
reduced
coverage.
Here,
successfully
piloted
WBS
pathogens,
highlighting
significance
one-litre
community
assessing
health.
infrastructure
established
COVID-19
is
valuable
various
pathogens.
Prioritizing
targets
optimizes
resource
utilization,
legislative
support
determination
sustained
funding
advisable
future.
Antimicrobial Resistance and Infection Control,
Journal Year:
2024,
Volume and Issue:
13(1)
Published: Jan. 30, 2024
Abstract
Background
Antimicrobial
resistance
(AMR)
is
a
critical
threat
to
human
health.
Escherichia
coli
and
Klebsiella
pneumoniae
are
clinically
the
most
important
species
associated
with
AMR
common
carbapenemase-producing
(CP)
Enterobacterales
detected
in
specimens
Finland.
Wastewater
surveillance
has
emerged
as
potential
approach
for
population-level
of
AMR,
wastewater
could
offer
reflection
from
larger
population
one
sample
minimal
recognized
ethical
issues.
In
this
study,
we
investigated
detect
CP
E.
K.
strains
similar
those
specimens.
Methods
Altogether,
89
composite
samples
untreated
community
were
collected
10
treatment
plants
across
Finland
2021–2022.
isolated
using
selective
culture
media
identified
MALDI-TOF
MS.
susceptibility
testing
was
performed
disk
diffusion
test
broth
microdilution
method,
subset
isolates
characterized
whole-genome
sequencing.
Results
26
(29.2%)
25
(28.1%)
samples.
Among
coli,
sequence
type
(ST)
ST410
(
n
=
7/26,
26.9%),
while
ST359
4/25,
16.0%)
predominated
among
.
Globally
successful
STs
both
(ST410,
ST1284,
ST167,
ST405)
(ST512,
ST101,
ST307).
carbapenemases
(KPC)
11/26,
42.3%)
13/25,
52.0%),
yet
also
other
carbapenemases,
such
bla
NDM-5,
OXA-48,
OXA-181
,
detected.
We
harboring
ST
enzyme
combinations
previously
linked
clusters
Finland,
KPC-2
ST512
KPC-3
Conclusions
Our
study
highlights
presence
relevant
wastewater.
The
results
indicate
that
serve
monitoring
tool
Enterobacterales.
However,
specificity
sensitivity
methods
should
be
improved,
technologies,
like
advanced
sequencing
methods,
utilized
distinguish
data
public
health
relevance,
harness
full
surveillance,
implement
surveillance.
Environment International,
Journal Year:
2024,
Volume and Issue:
185, P. 108554 - 108554
Published: March 1, 2024
Among
the
most
problematic
bacteria
with
clinical
relevance
are
carbapenem-resistant
Enterobacterales
(CRE),
as
there
very
limited
options
for
their
treatment.
Treated
wastewater
can
be
a
route
release
of
these
into
environment
and
population.
The
aim
this
study
was
to
isolate
CRE
from
treated
Zagreb
treatment
plant
determine
phenotypic
genomic
characteristics.
A
total
200
suspected
were
isolated,
148
which
confirmed
by
MALDI-TOF
MS.
predominant
species
Klebsiella
spp.
(n
=
47),
followed
Citrobacter
40)
Enterobacter
cloacae
complex
(cplx.)
35).
All
isolates
carbapenemase
producers
multidrug-resistant
phenotype.
Using
multi-locus
sequence
typing
whole-genome
sequencing
(WGS),
18
different
types
identified
among
isolates,
14
associated
human-associated
clones.
virulence
gene
analysis
sequenced
7)
revealed
potential
pathogenicity.
PCR
WGS
showed
that
frequent
genes
in
K.
pneumoniae
blaOXA-48
blaNDM-1,
frequently
occurred
together,
while
blaKPC-2
together
blaNDM-1
mainly
detected
oxytoca,
E.
cplx.
Colistin
resistance
observed
40
%
57
isolates.
Underlying
mechanisms
include
known
potentially
novel
intrinsic
(point
mutations
pmrA/B,
phoP/Q,
mgrB
crrB
genes)
acquired
(mcr-4.3
gene).
mcr-4.3
first
time
is
probably
located
on
conjugative
IncHI1B
plasmid.
In
addition,
13
various
other
clinically
relevant
antibiotics
well
plasmids
possibly
genes.
Our
demonstrates
important
role
municipal
plays
harboring
spreading
enterobacterial
pathogens
resistant
last-resort
antibiotics.
Environmental Research,
Journal Year:
2023,
Volume and Issue:
246, P. 118052 - 118052
Published: Dec. 30, 2023
The
Nordic
countries
(Denmark,
Finland,
Iceland,
Norway,
and
Sweden)
have
effectively
kept
lower
antibiotic-resistant
bacterial
(ARB)
pathogen
rates
than
many
other
countries.
However,
in
recent
years,
these
five
encountered
a
rise
ARB
cases
challenges
treating
infections
due
to
the
growing
prevalence
of
pathogens.
Wastewater-based
surveillance
(WBS)
is
valuable
supplement
clinical
methods
for
surveillance,
but
there
lack
comprehensive
understanding
WBS
application
This
review
aims
compile
latest
state-of-the-art
developments
monitoring
compare
them
with
practices.
After
reviewing
1480
papers
from
primary
search,
54
were
found
relevant,
15
additional
WBS-related
included.
Among
69
studies
analyzed,
42
dedicated
epidemiology,
while
27
focused
on
wastewater
monitoring.
PRISMA
literature
revealed
that
focus
four
major
objectives
ARB:
assessing
human
population,
identifying
evading
treatment,
quantifying
removal
rates,
evaluating
potential
evolution
during
treatment
process.
In
both
contexts,
most
studied
targets
pathogens
producing
carbapenemase
extended-spectrum
beta-lactamase
(ESBL),
primarily
Escherichia
coli
Klebsiella
spp.
vancomycin-resistant
Enterococcus
(VRE)
methicillin-resistant
Staphylococcus
aureus
(MRSA)
received
more
attention
epidemiology
studies,
probably
their
detection
wastewater.
Clinical
has
mostly
used
culturing,
antibiotic
susceptibility
testing,
genotyping,
employed
PCR-based
metagenomics
alongside
culture-based
techniques.
Imported
resulting
international
travel
hospitalization
abroad
appear
frequently
contributed
similarities
between
(e.g.,
knowledge
exchange
practices,
usage
patterns,
current
landscape)
could
facilitate
collaborative
efforts
developing
implementing
population-level
screening.