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.

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.