Acta Scientific Microbiology

Review Article Volume 7 Issue 8

Swimming Pools: A Favourable Environment for the Transfer of Bacterial Resistance

Paola Andrea Caro-Hernández1*, Edward Fabian Carrillo-Borda1 and Lucia Castaño-Henao2

1Faculty of Health Sciences, Universidad Libre, Colombia
2Faculty of Engineering, Universidad del Valle, Colombia

*Corresponding Author:Paola Andrea Caro-Hernández, Faculty of Health Sciences, Universidad Libre, Colombia.

Received: June 26, 2024; Published: July 23, 2024

Abstract

Bacterial resistance to diverse antimicrobials and biocides is a growing public health concern of global implications, which is why resistant bacteria are considered emerging environmental contaminants. Due to the selective pressure exerted by antimicrobials such as chlorine and other strong oxidants, this problem tends to increase, especially in environments such as swimming pools, where antimicrobials are being used in strong but non-lethal concentrations. Some bacteria report, in addition to a marked resistance to disinfection, the ability to live for prolonged periods in the presence of chlorine, which has important implications for public health. Through a review in different databases, the most relevant and updated articles on microbiological analysis in swimming pool water were chosen. The results showed that most of the studies are focused on the analysis of water quality, only considering indicator groups, but few studies focus on antibiotic-resistant bacteria capable of withstanding chlorination while retaining antibiotic resistance genes in the environment.
All this considered, the main objective of this review is to present updated information and delve into the role of swimming pools as an environment conducive to the harboring of antibiotic-resistant bacteria.

Keywords: Antibiotic Resistance; Bacterial Resistance; Swimming Pools; Health Risk rds

References

  1. Yewale VN. “Antimicrobial resistance--a ticking bomb!”. Indian Pediatrics 51 (2014): 171-172.
  2. Bengtsson-Palme J., et al. Environmental factors influencing the development and spread of antibiotic resistance”. FEMS Microbiology Reviews 42 (2018): 68-80.
  3. Rasheed M., et al. “Resistência microbiana a drogas em li-nhagens de Escherichia coli isoladas de fontes alimentares”. Revista do Instituto de Medicina Tropical de Sao Paulo. 56 (2014): 341-346.
  4. Rizzo L., et al. “Urban wastewater treatment plants as hotspots for antibiotic resistant bacteria and genes spread into the environment: a review”. Science of the Total Environment 447 (2013): 345-360.
  5. MacFadden D., et al. “Antibiotic resistance increases with local temperature”. Nature Climate Change 8 (2018): 510-514.
  6. Cantón, R., et al. “Antimicrobial resistance in ICUs: an update in the light of the COVID-19 pandemic”. Current Opinion on Critical Care 26 (2020): 433-441.
  7. Mirzaei R., et al. “Bacterial co-infections with SARS-CoV-2”. IUBMB Life 72 (2020): 2097-2111.
  8. Sanganyado E., et al. “Antibiotic resistance in drinking water systems: Occurrence, removal, and human health risks”. Science of the Total Environment 15 (2019): 785-797.
  9. O’Neill J. “Antimicrobial resistance: tackling a crisis for the health and wealth of nations”. Review on Antimicrobial Resistance (2014).
  10. Li Z., et al. “Characterization of the human skin resistome and identification of two microbiota cutotypes” Microbiome. 9.47 (2021).
  11. Shuai X., et al. “Dissemination of antibiotic resistance genes in swimming pools and implication for human skin”. Science of the Total Environment 10 (2021): 148693.
  12. Shannon M., et al. “Science and technology for water purification in the coming decades”. Nature 452 (2008): 301-310.
  13. Shuyu J., et al. “Bacterial Community Shift Drives Antibiotic Resistance Promotion during Drinking Water Chlorination”. Environmental Science and Technology 49 (2015): 12271-12279.
  14. Hou AM. “Chlorine injury enhances antibiotic resistance in Pseudomonas aeruginosa through over expression of drug efflux pumps”. Water Research 156 (2019): 366-371.
  15. Yang ZW., et al. “Study on the transfer mechanism and destructive law of the bacterial antibiotic resistance genes disinfected by chlorination”. Zhonghua Yu Fang Yi Xue Za Zhi. 52 (2018): 892-897.
  16. Ghanem MA. “Injured coliforms in swimming pools : How big a threat?” Journal of Egypt Public Health Association 92 (2017): 137-143.
  17. Guida M., et al. “Pseudomonas aeruginosa in Swimming Pool Water: Evidences and Perspectives for a New Control Strategy”. International Journal of Environmental Research and Public Health 13 (2016): 919.
  18. March GA., et al. “Epidemiological surveillance and wild-type MIC distribution of Legionella pneumophila in north-western Spain 2003-2016”. Enfermedades Infecciosas y Microbiología Clínica 37 (2019): 514-520.
  19. Barna Z., et al. “ The risk of contracting infectious diseases in public swimming pools. A review”. Ann Ist Super Sanita. 48 (2012): 374-386.
  20. Hall C., et al. “Molecular mechanisms of biofilm-based antibiotic resistance and tolerance in pathogenic bacteria”. FEMS Microbiology Review 41 (2017): 276-301.
  21. Livermore DM. “Epidemiology of antibiotic resistance”. Intensive Care Medicine
  22. Goff DA., et al. “A global call from five countries to collaborate in antibiotic stewardship: united we succeed, divided we might fail”. Lancet Infectious Disease 17 (2017): e56-e63.
  23. Ministerio de Salud y Protección Social de Colombia. Plan Nacional de respuesta a los antimicrobianos.
  24. Clemente JC., et al. “The microbiome of uncontacted Amerindians”. Science Advances 3 (2015): e1500183.
  25. D’Costa V., et al. “Antibiotic resistance is ancient”. Nature 477 (2011): 457-461.
  26. Caro-Hernández PA., et al. “Evaluating bacterial resistance to antimicrobials in isolated bacteria from food contact surfaces”. Entramado 18 (2022): e-7331.
  27. Davies J. “Inactivation of antibiotics and the dissemination of resistance genes”. Science 1264 (1994): 75-382.
  28. Venkobachar C., et al. “Mechanism of disinfection: Effect of chlorine on cell membrane functions”. Water Research 11 (1977): 727-729.
  29. Lechevallier MW., et al. “Water treatment and Pathogen Control: Process Efficiency in Achieving Safe Drinking Water”. WHO Drinking Water Quality Series, IWA Publishing (2004).
  30. Yuan J., et al. “Oxidative stress and DNA damage induced by a drink-ing-water chlorination disinfection byproduct 3-chloro-4- (dichloromethyl)-5-hydroxy-2 (5H)-furanone (MX) in mice”. Mutation Research. 609 (2006): 129-136.
  31. Allen HK., et al. “Call of the wild: antibiotic resistance genes in natural environments”. Nature Reviews Microbiology 8 (2010): 251-259.
  32. Alonso A., et al. “Environmental selection of antibiotic resistance genes”. Environmental Microbiology 3 (2001): 1-9.
  33. Adefisoye MA., et al. “Does Chlorination Promote Antimicrobial Resistance in Waterborne Patho-gens? Mechanistic Insight into Co-Resistance and Its Implication for Public Health”. Antibiotics 11 (2022): 564.
  34. Armstrong JL., et al. “Antibiotic-resistant bacteria in drinking water”. Applied and Environmental Microbiology 42 (1981): 277-283.
  35. Murray GE., et al. “Effect of chlorination on antibiotic resistance profiles of sewage-related bacteria”. Applied and Environmental Microbiology 48 (1984): 73.
  36. Siedlecka A., et al. “Antibiotic and Disinfectant Resistance in Tap Water Strains - Insight into the Resistance of Environmental Bacteria”. Polish Journal of Microbiology 70 (2021): 57-67.
  37. Leginowicz M., et al. “Biodiversity and antibiotic resistance of bacteria isolated from tap water in Wrocław, Poland”. Environment Protection Engineering. 44 (2018): 85-98.
  38. Khan S., et al. “Relationship between antibiotic- and disinfectant-resistance profiles in bacteria harvested from tap water”. Chemosphere 152 (2016): 132-141.
  39. Jin M., et al. “Chlorine disinfection promotes the exchange of antibiotic resistance genes across bacterial genera by natural transformation”. ISME Journal 14 (2020): 1847-1856.
  40. Gu Q., et al. “Characteristics of Antibiotic Resistance Genes and Antibiotic Resistant Bacteria in Full-Scale Drinking Water Treatment System Using Metagenomics and Culturing”. Frontiers in Microbiology 22 (2022): 798442.
  41. Tiwari A., et al. “Bacterial Genes Encoding Resistance Against Antibiotics and Metals in Well-Maintained Drinking Water Distribution Systems in Finland”. Frontiers in Microbiology 12 (2022): 803094.
  42. Ateba CN., et al. “Occurrence of Antibiotic-Resistant Bacteria and Genes in Two Drinking Water Treatment and Distribution Systems in the North-West Province of South Africa”. Antibiotics 9 (2022): 1-17.
  43. Zhang W., et al. “Large-scale pattern of resistance genes and bacterial community in the tap water along the middle and low reaches of the Yangtze River”. Ecotoxicology and Environmental Safety 208 (2021): 111517.
  44. Xi C., et al. “Prevalence of antibiotic resistance in drinking water treatment and distribution systems”. Applied and Environmental Microbiology 75 (2009): 5714-5718.
  45. WHO/UNICEF, “Progress on Drinking Water, Sanitation and Hygiene - Joint Monitoring Programme 2017 Update and SDG Baselines”. (2017).
  46. Rice SA., et al. “A risk assessment of Pseudomonas aeruginosa in swimming pools: a review”. Journal of Water Health 210 (2012): 181-196.
  47. Cohen-Dar M., et al. “Pseudomonas folliculitis outbreaks associated with swimming pools or whirlpools in two guest-room sites in the northern region of Israel”. Harefuah 151 (2012): 381-387, 437.
  48. Michl RK., et al. “Outbreak of hot-foot syndrome - caused by Pseudomonas aeruginosa”. Klin Padiatr 224 (2012): 252-255.
  49. Molina DN., et al. “Unusual presentation of Pseudomonas aeruginosa infections: a review”. Boletin de la Asociacion Medica de Puerto Rico 83 (1991): 160-163.
  50. Keene WE., et al. “A swimming associated outbreak of hemorrhagic colitis caused by coli O157:H7 and Shigella sonnei”. The New England Journal of Medicine 331 (1994): 579-584.
  51. Leoni E., et al. “Legionellosis Associated with Recreational Waters: A Systematic Review of Cases and Outbreaks in Swimming Pools, Spa Pools, and Similar Environments”. International Journal of Environmental Research and Public Health 15 (2018): 1612.
  52. Leoni E., et al. “Prevalence of mycobacteria in a swimming pool environment”. Journal of Applied Microbiology 87 (1999): 683-688.
  53. Doménech-Sánchez A., et al. “Infections related to recreational waters”. Enfermedades Infecciosas y Microbiología Clínica 26 (2008): 32-37.
  54. Barna Z., et al. “The risk of contracting infectious diseases in public swimming pools. A review”. Ann Ist Super Sanita 48 (2012): 374-386.
  55. Papadopoulou C., et al. “Microbiological quality of indoor and outdoor swimming pools in Greece: investigation of the antibiotic resistance of the bacterial isolates”. International Journal of Hygiene and Environmental Health 211 (2008): 385-397.
  56. Koeck DE., et al. “Occurrence of Antibiotic-Resistant Bacteria in Therapy Pools and Surrounding Surfaces”. International Journal of Environmental Research and Public Health 15 (2018): 2666.
  57. Wei X., et al. “Assessment of Microbiological Safety of Water in Public Swimming Pools in Guangzhou, China”. International Journal of Environmental Research and Public Health 15 (2018): 1416.
  58. Schiavano GF., et al. “Prevalence and antibiotic resistance of Pseudomonas aeruginosa in water samples in central Italy and molecular characterization of oprD in imipenem resistant isolates”. PLoS One 12 (2017): e0189172.
  59. Nielsen MC., et al. “Acquisition of antibiotic resistance genes on human skin after swimming in the ocean”. Environment Research 197 (2021): 110978.
  60. Zhang XX., et al. “Antibiotic resistance genes in water environment”. Applied Microbiology and Biotechnology 82 (2009): 397-414.
  61. Chih-Cheng L., et al. “Increased antimicrobial resistance during the COVID-19 pandemic”. International Journal of Antimicrobial Agents 57 (2021): 106324.
  62. Hao-Bin W., et al. “Risks, characteristics, and control strategies of disinfection-residual-bacteria (DRB) from the perspective of microbial community structure”. Water Research 204 (2021): 117606.
  63. CDC, “COVID-19 & Antibiotic Resistance CDC”. Antimicrobial Resistance (2022).

Citation

Citation: Paola Andrea Caro-Hernández., et al. “Swimming Pools: A Favourable Environment for the Transfer of Bacterial Resistance".Acta Scientific Microbiology 7.8 (2024): 70-79.

Copyright

Copyright: © 2024 Paola Andrea Caro-Hernández., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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