Antimicrobial Resistance of Waste Water Microbiome in an Urban Waste Water Treatment Plant

Waste water treatment plants (WWTP) are considered as a hotspot for the acquisition and dissemination of antimicrobial resistance (AMR). The present study aimed to assess the AMR rate of the waste water microbiome in a selected WWTP and the treatment efficiency. Culture-dependent and PCR methods were used in the AMR study of raw and treated waste water (TWW) microbiomes. The population proportion of heterotrophic plate count (HPC) bacteria resistant to five antibiotic classes was assessed, as well as the AMR phenotype of a total of 238 Enterobacteriaceae and 259 Enterococcus spp. strains. Waste water treatment increased tetracycline- and ciprofloxacin-resistant bacteria by 67% and 61%, as well as the incidence of Enterobacteriaceae resistant to ciprofloxacin, co-trimoxazole, and cephalosporins. Multiple resistance increased, and 8.8% of TWW isolates exhibited an ESBL-producing phenotype, most often encoded by blaTEM and blaCTX-M genes. The most common resistance among Enterococcus spp. was to erythromycin and tetracycline, and despite the increased AMR rate among TWW isolates, only the increase in tetracycline resistance and the decrease in high-level gentamicin resistance were significant. All parameters analysed demonstrated limited removal of resistant HPC or faecal indicator bacteria in the studied WWTP and a positive selective effect towards some of them, most often to ciprofloxacin.