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Carbapenem-resistant isolates of Acinetobacter baumannii in a municipal wastewater treatment plant, Croatia, 2014
- Jasna Hrenovic1 , Ivana Goic-Barisic2 , Snjezana Kazazic3 , Ana Kovacic4 , Marin Ganjto5 , Marija Tonkic2
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View Affiliations Hide AffiliationsAffiliations: 1 University of Zagreb, Faculty of Science, Department of Biology, Zagreb, Croatia 2 University Hospital Centre Split, Department of Clinical Microbiology and University of Split School of Medicine, Split, Croatia 3 Ruđer Boskovic Institute, Division of Physical Chemistry, Zagreb, Croatia 4 Institute of Public Health of Split and Dalmatia County, Split, Croatia 5 Zagreb Wastewater - Management and Operation Ltd., Zagreb, CroatiaJasna Hrenovicjasna.hrenovic biol.pmf.hr
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Citation style for this article: Hrenovic Jasna, Goic-Barisic Ivana, Kazazic Snjezana, Kovacic Ana, Ganjto Marin, Tonkic Marija. Carbapenem-resistant isolates of Acinetobacter baumannii in a municipal wastewater treatment plant, Croatia, 2014. Euro Surveill. 2016;21(15):pii=30195. https://doi.org/10.2807/1560-7917.ES.2016.21.15.30195 Received: 05 Feb 2015; Accepted: 14 Apr 2016
Abstract
Acinetobacter baumannii is an emerging hospital pathogen. Whereas A. baumannii isolated from patients or hospitals has been reported, there are few data regarding propagation of viable A. baumannii in the natural environment. This study investigates the occurrence and antimicrobial susceptibility of viable A. baumannii in municipal wastewater and its persistence through the wastewater treatment process. A total of 21 A. baumannii isolates were recovered at a secondary type of municipal wastewater treatment plant in Zagreb, Croatia: 15 from raw influent wastewater and six from final effluent. All isolates were carbapenem- and multidrug-resistant. Among 14 isolates tested for blaOXA genes, all harboured the constitutive blaOXA-51-like gene, while the acquired blaOXA-23-like and blaOXA-40-like genes were found in 10 and three isolates respectively. Six A. baumannii isolates recovered from effluent wastewater multiplied and survived in sterilised effluent wastewater up to 50 days. These findings support the idea that multidrug-resistant A. baumannii can occur and have the ability to survive in the environment.
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