Seasonal Surveillance of Urban Water Quality in Southern Brazil Reveals Persistent Carbapenem Resistance Genes Despite Compliance with Bacteriological Standards

Quality control of drinking water is essential for safeguarding public health, particularly in densely populated urban environments. Environmental microbiological monitoring can complement conventional surveillance by providing deeper insights into the dissemination of pathogens and antimicrobial resistance genes within aquatic systems. In this study, we assessed the quality of wastewater and treated water from two urban water supply systems, representing the southern and northern regions of Porto Alegre, Rio Grande do Sul, Brazil, across four climatic seasons between 2024 and 2025. Fifteen water samples were analyzed, including raw water from Guaíba Lake and treated water collected from public distribution points. The Water Quality Index was calculated, microbiological indicators were quantified, and carbapenem resistance genes were detected using molecular assays. Most treated water samples complied with established bacteriological standards; however, the blaOXA-48-like gene was recurrently detected in both wastewater and treated water. No resistance genes were identified during the summer, whereas the blaVIM gene was detected exclusively in spring samples. The presence of carbapenem resistance genes in the absence of cultivable coliforms suggests the persistence of extracellular DNA or viable but non-culturable bacteria, highlighting limitations inherent to conventional microbiological monitoring. Integrating classical microbiological methods with molecular assays enables a more comprehensive assessment of water quality and strengthens evidence-based decision-making within a One Health framework.