Antimicrobial Resistance and Infection Control,
Год журнала:
2024,
Номер
13(1)
Опубликована: Янв. 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.
The Science of The Total Environment,
Год журнала:
2021,
Номер
804, С. 150060 - 150060
Опубликована: Сен. 8, 2021
Successful
detection
of
SARS-COV-2
in
wastewater
suggests
the
potential
utility
wastewater-based
epidemiology
(WBE)
for
COVID-19
community
surveillance.
This
systematic
review
aims
to
assess
performance
surveillance
as
early
warning
system
transmission.
A
search
was
conducted
PubMed,
Medline,
Embase
and
WBE
Consortium
Registry
according
PRISMA
guidelines
relevant
articles
published
until
31st
July
2021.
Relevant
data
were
extracted
summarized.
Quality
each
paper
assessed
using
an
assessment
tool
adapted
from
Bilotta
et
al.'s
environmental
science.
Of
763
studies
identified,
92
distributed
across
34
countries
shortlisted
qualitative
synthesis.
total
26,197
samples
collected
between
January
2020
May
2021
various
locations
serving
population
ranging
321
11,400,000
inhabitants.
Overall
sample
positivity
moderate
at
29.2%
all
examined
settings
with
spike
(S)
gene
having
maximum
rate
positive
detections
nucleocapsid
(N)
being
most
targeted.
Wastewater
signals
preceded
confirmed
cases
by
up
63
days,
13
reporting
before
first
detected
community.
At
least
50
reported
association
viral
load
cases.
While
cannot
replace
large-scale
diagnostic
testing,
it
can
complement
clinical
providing
signs
transmission
more
active
public
health
responses.
However,
standardized
validated
methods
are
required
along
risk
analysis
modelling
understand
dynamics
outbreaks.
Journal of Hazardous Materials,
Год журнала:
2021,
Номер
424, С. 127456 - 127456
Опубликована: Окт. 9, 2021
The
COVID-19
pandemic
has
put
unprecedented
pressure
on
public
health
resources
around
the
world.
From
adversity,
opportunities
have
arisen
to
measure
state
and
dynamics
of
human
disease
at
a
scale
not
seen
before.
In
United
Kingdom,
evidence
that
wastewater
could
be
used
monitor
SARS-CoV-2
virus
prompted
development
National
surveillance
programmes.
pace
this
work
proven
unique
in
monitoring
national
level,
demonstrating
importance
wastewater-based
epidemiology
(WBE)
for
protection.
Beyond
COVID-19,
it
can
provide
additional
value
informing
range
biological
chemical
markers
health.
A
discussion
measurement
uncertainty
associated
with
wastewater,
focusing
lessons-learned
from
UK
programmes
is
presented,
showing
sources
impacting
quality
interpretation
data
decision-making,
are
varied
complex.
While
some
factors
remain
poorly
understood,
we
present
approaches
taken
by
manage
mitigate
more
tractable
uncertainty.
This
provides
platform
integrate
management
into
WBE
activities
as
part
global
One
Health
initiatives
beyond
pandemic.
Nature Communications,
Год журнала:
2022,
Номер
13(1)
Опубликована: Июль 25, 2022
Accurate
surveillance
of
the
COVID-19
pandemic
can
be
weakened
by
under-reporting
cases,
particularly
due
to
asymptomatic
or
pre-symptomatic
infections,
resulting
in
bias.
Quantification
SARS-CoV-2
RNA
wastewater
used
infer
infection
prevalence,
but
uncertainty
sensitivity
and
considerable
variability
has
meant
that
accurate
measurement
remains
elusive.
Here,
we
use
data
from
45
sewage
sites
England,
covering
31%
population,
estimate
prevalence
within
1.1%
estimates
representative
surveys
(with
95%
confidence).
Using
machine
learning
phenomenological
models,
show
differences
between
sampled
sites,
flow
rate,
influence
estimation
require
careful
interpretation.
We
find
signals
appear
4-5
days
earlier
comparison
clinical
testing
are
coincident
with
suggesting
a
leading
indicator
for
symptomatic
viral
infections.
Surveillance
viruses
complements
strengthens
surveillance,
significant
implications
public
health.
Clinical Microbiology Reviews,
Год журнала:
2023,
Номер
37(1)
Опубликована: Дек. 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.
Water Research X,
Год журнала:
2021,
Номер
12, С. 100111 - 100111
Опубликована: Июль 31, 2021
Wastewater
surveillance
for
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
RNA
can
be
integrated
with
COVID-19
case
data
to
inform
timely
pandemic
response.
However,
more
research
is
needed
apply
and
develop
systematic
methods
interpret
the
true
SARS-CoV-2
signal
from
noise
introduced
in
wastewater
samples
(e.g.,
sewer
conditions,
sampling
extraction
methods,
etc.).
In
this
study,
raw
was
collected
weekly
five
sewersheds
one
residential
facility.
The
concentrations
of
were
compared
geocoded
clinical
testing
data.
reliably
detected
(95%
positivity)
frozen
when
reported
daily
new
cases
2.4
or
per
100,000
people.
To
adjust
variation
sample
fecal
content,
four
normalization
biomarkers
evaluated:
crAssphage,
pepper
mild
mottle
virus,
Bacteroides
ribosomal
(rRNA),
human
18S
rRNA.
Of
these,
crAssphage
displayed
least
spatial
temporal
variability.
Both
unnormalized
normalized
had
positive
significant
correlation
(Kendall's
Tau-b
(τ)=0.43
0.38,
respectively),
but
no
biomarker
strengthened
Locational
dependencies
date
associated
impacted
lead
time
trends,
observed
collection
(versus
result
date)
used
both
This
study
supports
that
trends
reflect
disease
occurrence
presents
tools
could
applied
make
interpretable
comparable
across
studies.
The Science of The Total Environment,
Год журнала:
2021,
Номер
807, С. 150722 - 150722
Опубликована: Окт. 4, 2021
Polyethylene
glycol
(PEG)
precipitation
is
one
of
the
conventional
methods
for
virus
concentration.
This
technique
has
been
used
to
detect
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
RNA
in
wastewater.
The
procedures
and
seeded
surrogate
viruses
were
different
among
implementers;
thus,
reported
whole
process
recovery
efficiencies
considerably
varied
studies.
present
study
compared
five
PEG
procedures,
with
operational
parameters,
RT-qPCR-based
efficiency
murine
hepatitis
(MHV),
bacteriophage
phi6,
pepper
mild
mottle
(PMMoV),
molecular
norovirus
using
34
raw
wastewater
samples
collected
Japan.
yielded
significantly
MHV
(0.070%-2.6%)
phi6
(0.071%-0.51%).
observed
concentration
indigenous
PMMoV
ranged
from
8.9
9.7
log
(8.2
×
10