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Published on: October 15, 2015
Vancomycin resistant enterococci (VRE) in Swedish sewage sludge.
Leena Sahlström1, Verena Rehbinder, Ann Albihn
1Finnish Food Safety Authority, Evira, Mustialankatu 3, Helsinki, Finland. Leena.Sahlstrom@evira.fi
Vancomycin-resistant enterococci (VRE) were widespread in Swedish sewage sludge, posing an environmental risk. However, VRE strains in sludge did not link back to local chickens or humans in this study.
Area of Science:
- Environmental microbiology
- Veterinary medicine
- Public health
Background:
- Antimicrobial resistance (AMR) is a global threat, with resistance genes potentially spreading between animals, humans, and the environment.
- Sewage sludge is a potential conduit for the transmission of AMR between human and animal populations.
- Vancomycin-resistant enterococci (VRE) are a significant concern in both human and animal healthcare.
Purpose of the Study:
- To investigate the presence and prevalence of VRE in treated sewage sludge at a Swedish wastewater treatment plant (WWTP).
- To compare VRE isolates from sewage sludge with those from human and chicken sources.
- To assess the potential role of sewage sludge in the One Health context of AMR transmission.
Main Methods:
- Weekly collection and culturing of sewage sludge for VRE over a four-month period.
- Biochemical typing (PhenePlate) and pulsed-field gel electrophoresis (PFGE) for VRE strain analysis.
- Comparison of VRE isolates from sludge, humans, and chickens using antibiograms and molecular typing.
Main Results:
- Specific VRE strains were consistently detected in sewage sludge for up to 16 weeks.
- No epidemiological link was established between VRE strains found in sewage sludge and those isolated from humans or chickens in Sweden.
- Findings suggest that local chicken populations were not the source of VRE found in the studied sewage sludge.
Conclusions:
- The study confirms the widespread occurrence of VRE in treated sewage sludge, highlighting a potential environmental reservoir for AMR.
- The use of contaminated sewage sludge on agricultural land could facilitate the dissemination of VRE into the environment and potentially to new hosts.
- Further research is needed to understand the dynamics of VRE transmission through sewage sludge and its implications for One Health initiatives.
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