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Updated: Nov 3, 2025

Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
Antibiotic-Resistant Bacteria in Clams-A Study on Mussels in the River Rhine
Nicole Zacharias1, Iris Löckener2, Sarah M Essert1
1Institute for Hygiene and Public Health, University Hospital Bonn, Medical Faculty University of Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.
Abstract:
Bacterial infections have been treated effectively by antibiotics since the discovery of penicillin in 1928. A worldwide increase in the use of antibiotics led to the emergence of antibiotic resistant strains in almost all bacterial pathogens, which complicates the treatment of infectious diseases. Antibiotic-resistant bacteria play an important role in increasing the risk associated with the usage of surface waters (e.g., irrigation, recreation) and the spread of the resistance genes. Many studies show that important pathogenic antibiotic-resistant bacteria can enter the environment by the discharge of sewage treatment plants and combined sewage overflow events. Mussels have successfully been used as bio-indicators of heavy metals, chemicals and parasites; they may also be efficient bio-indicators for viruses and bacteria. In this study an influence of the discharge of a sewage treatment plant could be shown in regard to the presence of E. coli in higher concentrations in the mussels downstream the treatment plant. Antibiotic-resistant bacteria, resistant against one or two classes of antibiotics and relevance for human health could be detected in the mussels at different sampling sites of the river Rhine. No multidrug-resistant bacteria could be isolated from the mussels, although they were found in samples of the surrounding water body.
Insights
Sewage discharge increases antibiotic-resistant bacteria like E. coli in river mussels. While not multidrug-resistant, these bacteria pose risks for surface water use and public health.
Area of Science:
- Environmental microbiology
- Public health
- Aquatic ecology
Background:
- Antibiotic resistance is a growing global health concern, complicating infectious disease treatment.
- Antibiotic-resistant bacteria (ARB) in surface waters pose risks for recreation and irrigation.
- Sewage treatment plant (STP) discharges are a known source of ARB entering aquatic environments.
Purpose of the Study:
- To investigate the influence of STP discharge on the presence and concentration of E. coli in mussels.
- To detect antibiotic-resistant bacteria in mussels as potential bio-indicators of river contamination.
- To assess the public health relevance of ARB found in mussels from the Rhine River.
Main Methods:
- Sampling of mussels and river water at various sites along the Rhine River.
- Microbiological analysis to quantify E. coli concentrations.
- Culturing and identification of bacteria from mussels to determine antibiotic resistance profiles.
Main Results:
- Significantly higher concentrations of E. coli were found in mussels downstream of the STP discharge.
- Antibiotic-resistant bacteria, resistant to one or two classes of antibiotics, were detected in mussels.
- No multidrug-resistant bacteria were isolated from mussels, though present in surrounding water samples.
Conclusions:
- Mussels can serve as effective bio-indicators for monitoring bacterial contamination, including antibiotic resistance, from sewage discharge.
- STP effluent contributes to the presence of clinically relevant antibiotic-resistant bacteria in aquatic ecosystems.
- While multidrug resistance was not found in mussels, the presence of single/double resistance highlights potential risks to surface water quality.
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