|
Abstract
Aim: This study aimed to
assess the physico-chemical and microbiological quality of hospital effluents
and evaluate the prevalence of multidrug-resistant (MDR), extensively
drug-resistant (XDR), and pan-drug-resistant (PDR) bacteria.
Methodology:
Wastewater
samples were collected from nine hospitals and analysed for physico-chemical
and microbiological parameters. Statistical analysis was performed to compare
variations among the sites, and antibiotic susceptibility testing of
Gram-negative isolates was conducted by disc diffusion method to classify
bacterial resistance profiles.
Results:
Most
of the means and medians of physico-chemical parameters showed no significant
variations among the samples (p > 0.05), except for BOD and COD. Among 179
bacterial isolates 91.6% were MDR, 17.3% XDR and 1.7% PDR. Pseudomonas
spp. and over 80% of Klebsiella, E. coli, Shigella, Salmonella,
and Proteus spp. exhibited multidrug resistance. The MAR index of all bacterial
species isolated from wastewater was higher than 0.5.
Interpretation:
High
Multiple Antibiotic Resistance (MAR) indices indicate a substantial risk of
horizontal transfer of resistance traits in the aquatic environments. The
study underscores the urgent need for effective hospital wastewater
management and treatment strategies to prevent environmental dissemination of
antibiotic resistance.
Key
words: Antibiotics,
Enterobacteriaceae, Hospital wastewater, Pan-drug-resistant
|