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Phenotypic antibiotic resistance of Escherichia coli and E. coli O157 isolated from
water, sediment and biolms in an agricultural watershed in British Columbia
Rasha Maal-Bared a,, Karen H. Bartlett b, 1, William R. Bowie c, 2, Eric R. Hall d, 3
a
Resource Management and Environmental Studies, University of British Columbia, Vancouver, Canada
School of Environment and Health, 2206 East Mall, University of British Columbia, Vancouver, BC, Canada V6Z 1Z3
University of British Columbia, Division of Infectious Diseases, 452D Heather Pavilion East, Vancouver General Hospital, 2733 Heather Street, Vancouver, BC, Canada V5Z 3J5
d
Department of Civil Engineering, 6250 Applied Science Lane, The University of British Columbia, Vancouver, BC, Canada V6Z 1Z4
b
c
H I G H L I G H T S
Antibiotic resistant E. coli and E. coli O157 were prevalent in Elk Creek.
Resistance was highest to tetracycline, ampicillin and streptomycin.
Biolm and sediment isolates were more likely to be resistant than water isolates.
Some water quality variables (nutrients, temperature, DO and salinity) impact AMR.
Biolms and sediment are important reservoirs of AMR E. coli that could pose a risk to public health.
a r t i c l e
i n f o
Article history:
Received 10 August 2012
Received in revised form 25 October 2012
Accepted 25 October 2012
Available online xxxx
Keywords:
Biolms
Sediment
Minimum inhibitory concentration (MIC)
E. coli O157
Multiple antibiotic resistance (MAR)
a b s t r a c t
This study examined the distribution of antibiotic resistant Escherichia coli and E. coli O157 isolated from
water, sediment and biolms in an intensive agricultural watershed (Elk Creek, British Columbia) between
2005 and 2007. It also examined physical and chemical water parameters associated with antibiotic resistance. Broth microdilution techniques were used to determine minimum inhibitory concentrations (MIC)
for E. coli (n = 214) and E. coli O157 (n = 27) recovered isolates for ampicillin, cefotaxime, ciprooxacin,
nalidixic acid, streptomycin and tetracycline. Both E. coli and E. coli O157 isolates showed highest frequency
of resistance to tetracycline, ampicillin, streptomycin and nalidixic acid; respectively. For E. coli, the highest
frequency of resistance was observed at the most agriculturally-impacted site, while the lowest frequency
of resistance was found at the headwaters. Sediment and river rock biolms were the most likely to be associated with resistant E. coli, while water was the least likely. While seasonality (wet versus dry) had no
relationship with resistance frequency, length of biolm colonization of the substratum in the aquatic environment only affected resistance frequency to nalidixic acid and tetracycline. Multivariate logistic regressions
showed that water depth, nutrient concentrations, temperature, dissolved oxygen and salinity had statistically signicant associations with frequency of E. coli resistance to nalidixic acid, streptomycin, ampicillin
and tetracycline. The results indicate that antibiotic resistant E. coli and E. coli O157 were prevalent in an
agricultural stream. Since E. coli is adept at horizontal gene transfer and prevalent in biolms and sediment,
where ample opportunities for genetic exchange with potential environmental pathogens present themselves, resistant isolates may present a risk to ecosystem, wildlife and public health.
2012 Elsevier B.V. All rights reserved.
1. Introduction
The increase in antimicrobial resistance (AMR) of microbial populations is an issue of global concern (Kmmerer, 2004). Antibiotics are
extensively used in agriculture to prevent and treat disease, as well as
to promote growth (Martinez, 2009; Rooklidge, 2004). Consequently,
animal waste produced in agricultural settings can contain resistant bacteria, resistance determinants present in gene-transfer units, or combinations of both (Taylor et al., 2011; Martinez, 2009; Diarra et al., 2007;
Witte, 2000). Animal waste can also contain some concentrations of antimicrobial agents that can drive selective pressures and affect microbial
316
317
318
Isolate
Susceptible (%)
Moderate (%)
Resistant (%)
Ampicillin
E.
E.
E.
E.
E.
E.
E.
E.
E.
E.
E.
E.
165 (77)
23 (85)
198 (93)
24 (89)
213 (99.5)
27 (100)
203 (95)
25 (93)
197 (92)
25 (93)
85 (40)
9 (33)
14 (7)
1 (4)
16 (8)
3 (11)
0
0
1
0
0
0
2 (0.9)
0
35 (16)
3 (11)
0
0
1 (0.5)
0
10 (5)
2 (7)
17 (8)
2 (7)
127 (59)
18 (67)
Cefotaxime
Ciprooxacin
Nalidixic Acid
Streptomycin
Tetracycline
coli
coli
coli
coli
coli
coli
coli
coli
coli
coli
coli
coli
O157
O157
O157
O157
O157
O157
319
(Meng et al., 1998; Papandreou et al., 2000; Ash et al., 2002; Aslam
et al., 2009; Allen et al., 2011; Blanco et al., 2009; Mudryk et al., 2010).
The presence of resistant E. coli in less impacted environments,
such as site 1 in the headwaters, has been reported in other watersheds, and has been explained by wildlife contamination (Blanco
et al., 2009; Meays et al., 2006; Allen et al., 2011). The presence of
E. coli O157 is not as easily understood, as it is mostly associated
with livestock (Hancock et al., 1998; Seurinck et al., 2003), which
do not have access to site 1. Resistant E. coli O157 has been isolated
from other unpolluted aquatic environments (Hamelin et al., 2007)
and contamination of deer, possums, raccoons and birds' feces with
E. coli O157 (Renter et al., 2001, 2003; Shere et al., 1998; Hancock
et al., 1998) has been repeatedly reported in the literature. Studies
have suggested that this prevalence of resistant E. coli O157 is the result of AMR crossover between domesticated animals, livestock and
wildlife (Hagedorn et al., 1999; Sayah et al., 2005). However, since
AMR is a natural phenomenon and since E. coli is highly adept to
horizontal transfer, the observed resistance may be the product of
natural processes as well.
3.3. Differences in phenotypic antibiotic resistance by substratum
Fig. 1. Multiple antibiotic resistance (MAR) of E. coli (EC) and E. coli O157 (ECO)
isolates from Elk Creek (British Columbia) between December 2005 and April 2007
to ampicillin, cefotaxime, ciprooxacin, nalidixic acid, streptomycin and tetracycline
by site between December 2005 and April 2007.
Fig. 2. Distribution of MAR exhibited by E. coli (EC) and E. coli O157 (ECO) isolates
from Elk Creek (British Columbia) to ampicillin, cefotaxime, ciprooxacin, nalidixic
acid, streptomycin and tetracycline by sampled substratum biolm or medium
(water or sediment) between December 2005 and April 2007.
320
Two chi-square tests were performed to evaluate whether the differences in E. coli resistance levels among different substrata types
were statistically signicant. The rst tests evaluating general E. coli
resistance levels (susceptible, moderately susceptible and resistant)
on different substrata were not statistically signicant (p-value =
0.432). The second chi-square test evaluated the differences in
E. coli antibiotics' resistance levels for each antibiotic and each substratum separately using the actual MICs (MIC data not shown). The
differences in ampicillin, cefotaxime and tetracycline were statistically signicant, with p-values of b0.0001, 0.008 and 0.0427 respectively. Differences in E. coli resistance to ciprooxacin, nalidixic acid,
and streptomycin on different substrata were not statistically signicant. Due to the very small numbers of E. coli O157, the results were
not subjected to statistical treatment separately.
Similar to other studies conducted in beach, marine and aquaculture environments (Samuelson et al., 1992; Andersen and Sandaa,
1994; Mudryk et al., 2010) the results show that sediment was a
major reservoir of antibiotic resistant E. coli. While the ability of
biolms to avoid the effects of antibiotics better than their planktonic
counterparts has also been reported in the literature (Lejeune, 2003),
to our knowledge this is the rst study comparing prevalence of resistant E. coli and E. coli O157 on various surface biolms in situ. The sole
occurrence of isolates resistant to 3 or 4 antibiotics in biolms and
sediment is interesting and could be inuenced by the fact that
biolms are known to facilitate genetic exchanges among its bacterial
residents, which leads to improved horizontal resistance determinants transfer. Since rocks and sediment were shown to harbor
other pathogens, such as Campylobacter, in other studies in this watershed (Maal-Bared et al., 2012), this raises concerns related to the
potential of horizontal transfer between E. coli and pathogens that
impact animal and human health. Also, the occurrence of MAR on
substrata that are naturally present in the environment should encourage other microbiologists to investigate biolms more frequently
as they could present an important reservoir of resistance.
3.4. Relationships between antibiotic resistance and other water quality
parameters in the watershed
3.4.1. Spearman correlations
Spearman correlations were used to evaluate correlations between
MICs of different antibiotics and the other measured parameters.
Table 2
Spearman correlation coefcients and their respective p-values describing relationships between the MICs of tested antibiotics (AMP = ampicillin, CEF = cefotaxime, CIPRO = ciprooxacin,
NA = nalidixic acid, STREP = streptomycin, TET = tetracycline) and other measured parameters. Statistically signicant relationships (pb 0.05) are bolded.
AMP
CEF
CIPRO
NA
STREP
TET
Variable
Spearman
Prob > ||
Spearman
Prob > ||
Spearman
Prob > ||
Spearman
Prob > ||
Spearman
Prob > ||
Spearman
Prob >||
Velocity
Depth
Width
Water temp
DO (mg/L)
DO %
Cond
Sp. cond
Salinity
NOX
PO4
NH4+
DOC
Amb temp
Rainfall
Flow
CEF
CIPRO
NA
STREP
TET
0.025
0.055
0.075
0.114
0.052
0.043
0.056
0.096
0.054
0.075
0.135
0.034
0.001
0.121
0.033
0.103
0.001
0.014
0.018
0.088
0.082
0.716
0.420
0.272
0.095
0.454
0.532
0.417
0.162
0.436
0.278
0.044
0.623
0.992
0.077
0.633
0.134
0.985
0.839
0.796
0.198
0.235
0.071
0.069
0.132
0.095
0.015
0.047
0.054
0.017
0.044
0.060
0.083
0.009
0.104
0.064
0.035
0.032
0.299
0.313
0.054
0.164
0.829
0.493
0.435
0.805
0.524
0.381
0.229
0.893
0.130
0.349
0.606
0.646
0.105
0.185
0.056
0.011
0.058
0.138
0.019
0.075
0.024
0.091
0.096
0.126
0.108
0.072
0.107
0.161
0.127
0.007
0.436
0.879
0.395
0.043
0.781
0.273
0.725
0.184
0.160
0.065
0.114
0.297
0.119
0.019
0.179
0.421
0.160
0.324
0.170
0.124
0.060
0.171
0.068
0.217
0.029
0.263
0.063
0.300
0.118
0.198
0.009
b.0001
0.020
b.0001
0.013
0.070
0.382
0.012
0.320
0.001
0.675
b.0001
0.361
b.0001
0.086
0.004
0.168
0.119
0.203
0.145
0.200
0.093
0.266
0.223
0.319
0.084
0.077
0.073
0.231
0.004
0.281
0.131
0.014
0.083
0.003
0.035
0.003
0.175
b.0001
0.001
b.0001
0.219
0.264
0.287
0.001
0.949
b.0001
0.056
0.138
0.160
0.076
0.078
0.237
0.093
0.047
0.089
0.069
0.016
0.149
0.074
0.050
0.065
0.139
0.046
0.045
0.019
0.270
0.255
0.001
0.175
0.496
0.196
0.315
0.819
0.030
0.279
0.468
0.342
0.042
0.508
0.098
0.196
0.025
0.076
0.153
0.004
0.718
0.270
0.165
0.134
0.175
0.016
0.050
0.010
0.031
0.142
0.648
0.039
0.035
0.610
321
Table 3
Water quality variables associated with the presence of E. coli resistant to ampicillin (AMP), nalidixic acid (NA), streptomycin (STREP) and tetracycline (TET) in Elk Creek (British
Columbia) from multivariable logistic regression models. Only statistically signicant parameters (p b 0.05) are listed along with their model estimate, standard error (SE), corresponding p-value, parameter odds ratio (OR), upper and lower 95% condence intervals (95% CI) and the summary of t (R2 and its corresponding p-value).
Antibiotic
Variable
Estimate
SE
p-Value
OR
95% CI
AMP
PO4
Ambient temp
Water temp
DO mg/L
NOX
Salinity
Depth
12.16
0.05
1.61
1.26
5.71
18.03
0.01
5.70
0.02
0.35
0.33
1.78
8.77
0.01
0.03
0.02
b0.0001
0.00
0.00
0.04
0.04
4.55
5.13
21.42
14.31
2.45
4.23
3.10
23.76
0.09
0.95
0.66
9.31
34.04
0.00
NA
STREP
TET
R2
1.02
0.01
2.36
1.97
10.24
2.40
0.02
p-Value
0.06
0.013
0.18
b0.0001
0.07
0.03
0.001
0.026
322
323
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