Assessing the impact of recreational water use on carriage of antimicrobial resistant organisms
dc.contributor.author | Farrell, ML | |
dc.contributor.author | Chueiri, A | |
dc.contributor.author | O'Connor, L | |
dc.contributor.author | Duane, S | |
dc.contributor.author | Maguire, M | |
dc.contributor.author | Miliotis, G | |
dc.contributor.author | Cormican, M | |
dc.contributor.author | Hooban, B | |
dc.contributor.author | Leonard, A | |
dc.contributor.author | Gaze, WH | |
dc.contributor.author | Devane, G | |
dc.contributor.author | Tuohy, A | |
dc.contributor.author | Burke, LP | |
dc.contributor.author | Morris, D | |
dc.date.accessioned | 2023-10-03T13:39:27Z | |
dc.date.issued | 2023-05-15 | |
dc.date.updated | 2023-10-03T12:33:35Z | |
dc.description.abstract | Understanding the role of exposure to natural recreational waters in the acquisition and transmission of antimicrobial resistance (AMR) is an area of increasing interest. A point prevalence study was carried out in the island of Ireland to determine the prevalence of colonisation with extended-spectrum beta-lactamase-producing Enterobacterales (ESBL-PE) and carbapenem-resistant Enterobacterales (CRE) in recreational water users (WU) and matched controls. A total of 411 adult participants (199 WU, 212 controls) submitted at least one faecal sample between September 2020 - October 2021. In total, 80 Enterobacterales were isolated from 73 participants. ESBL-PE were detected in 29 (7.1 %) participants (7 WU, 22 controls), and CRE were detected in nine (2.2 %) participants (4 WU, 5 controls). No carbapenemase-producing Enterobacterales (CPE) were detected. WU were significantly less likely to harbour ESBL-PE than controls (risk ratio = 0.34, 95 % CI 0.148 to 0.776, χ2 7.37, p = 0.007). This study demonstrates the occurrence of ESBL-PE and CRE in healthy participants in Ireland. Recreational exposure to bathing water in Ireland was associated with a decreased prevalence of colonisation with ESBL-PE and CRE. | en_GB |
dc.description.sponsorship | EPA Research Programme | en_GB |
dc.format.extent | 164201- | |
dc.format.medium | Print-Electronic | |
dc.identifier.citation | Vol. 888, article 164201 | en_GB |
dc.identifier.doi | https://doi.org/10.1016/j.scitotenv.2023.164201 | |
dc.identifier.grantnumber | 2018-HW-LS-2 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/134153 | |
dc.identifier | ORCID: 0000-0002-8231-602X (Leonard, Anne) | |
dc.identifier | ORCID: 0000-0002-9345-6204 (Gaze, William H) | |
dc.language.iso | en | en_GB |
dc.publisher | Elsevier | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/37196970 | en_GB |
dc.rights | © 2023 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/) | en_GB |
dc.subject | Antimicrobial resistance | en_GB |
dc.subject | Carbapenem resistance | en_GB |
dc.subject | Extended spectrum beta-lactamase | en_GB |
dc.subject | Public health | en_GB |
dc.subject | Recreational water | en_GB |
dc.title | Assessing the impact of recreational water use on carriage of antimicrobial resistant organisms | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2023-10-03T13:39:27Z | |
dc.identifier.issn | 0048-9697 | |
exeter.article-number | 164201 | |
exeter.place-of-publication | Netherlands | |
dc.description | This is the final version. Available on open access from Elsevier via the DOI in this record | en_GB |
dc.description | Data availability: Genbank accession code is included in article | en_GB |
dc.identifier.eissn | 1879-1026 | |
dc.identifier.journal | Science of The Total Environment | en_GB |
dc.relation.ispartof | Sci Total Environ, 888 | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2023-05-12 | |
dc.rights.license | CC BY | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2023-05-15 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2023-10-03T13:36:31Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2023-10-03T13:39:28Z | |
refterms.panel | A | en_GB |
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Except where otherwise noted, this item's licence is described as © 2023 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)