The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)

The extensive use of antibiotics led to the rise and dissemination of antibiotic-resistant bacteria. One of the most important factors facilitating the spread of resistance determinants is mobile genetic elements. Understanding the mechanisms associated with their circulation in the environment is e...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Moussa, Jennifer J. (author)
التنسيق: masterThesis
منشور في: 2019
الموضوعات:
الوصول للمادة أونلاين:http://hdl.handle.net/10725/11499
https://doi.org/10.26756/th.2019.134
http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php
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author Moussa, Jennifer J.
author_facet Moussa, Jennifer J.
author_role author
dc.creator.none.fl_str_mv Moussa, Jennifer J.
dc.date.none.fl_str_mv 2019-11-06T13:40:08Z
2019-11-06T13:40:08Z
2019
2019-11-06
2019-07-29
dc.identifier.none.fl_str_mv http://hdl.handle.net/10725/11499
https://doi.org/10.26756/th.2019.134
http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php
dc.language.none.fl_str_mv en
dc.publisher.none.fl_str_mv Lebanese American University
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Lebanese American University -- Dissertations
Dissertations, Academic
Drug resistance in microorganisms
Antibiotics -- Environmental aspects
Water reuse -- Lebanon -- Case studies
Gene mapping
dc.title.none.fl_str_mv The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)
dc.type.none.fl_str_mv Thesis
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/masterThesis
description The extensive use of antibiotics led to the rise and dissemination of antibiotic-resistant bacteria. One of the most important factors facilitating the spread of resistance determinants is mobile genetic elements. Understanding the mechanisms associated with their circulation in the environment is essential to public health. The prevalence of antibiotic-resistant bacteria in surface water is a growing concern. We aimed at studying and defining the role of mobile genetic elements, particularly that of plasmids, in the propagation of resistance determinants in non-clinical environments. Water samples were collected from El Qa’a refugee camp and five major rivers in Lebanon. All collected samples were diluted and inoculated on MacConkey agar. The recovered isolates (n=91) were tested using the Kirby-Bauer disc diffusion assay. Multidrug-resistant (MDR) isolates were further characterized using whole-genome sequencing (WGS), pulse-field gel electrophoresis (PFGE) and multi-locus sequence typing (MLST). Escherichia coli (36/91) and Klebsiella pneumoniae (11/91) were the most common among the recovered isolates. In silico plasmid analysis was performed and validated using PCR-based replicon typing (PBRT) to identify and confirm incompatibility groups. Isolates from El Qa’a refugee camp were diverse and multidrug-resistant (MDR), with a multi-replicon blaNDM-5 positive E. coli being recovered from the site. blaCTX-M-15 and blaTEM-1B were also detected in the majority of the MDR isolates. Different ST types were identified including five isolates from Saida, Zahle, Beirut and El Qa’a belonging to the highly virulent E. coli ST131 phylogroup B2 and serotype O25: H4b. In this study, we determined the role of antibiotic resistance determinants in the contamination of water supplies in Lebanon. Our results showed a common occurrence of bacterial contaminants in surface water including ESBL- and carbapenemase-producing Enterobacteriaceae and an increase in the risk of resistance genes dissemination with the rise in the human population, population mobility and widespread lack of wastewater treatment.
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spelling The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)Moussa, Jennifer J.Lebanese American University -- DissertationsDissertations, AcademicDrug resistance in microorganismsAntibiotics -- Environmental aspectsWater reuse -- Lebanon -- Case studiesGene mappingThe extensive use of antibiotics led to the rise and dissemination of antibiotic-resistant bacteria. One of the most important factors facilitating the spread of resistance determinants is mobile genetic elements. Understanding the mechanisms associated with their circulation in the environment is essential to public health. The prevalence of antibiotic-resistant bacteria in surface water is a growing concern. We aimed at studying and defining the role of mobile genetic elements, particularly that of plasmids, in the propagation of resistance determinants in non-clinical environments. Water samples were collected from El Qa’a refugee camp and five major rivers in Lebanon. All collected samples were diluted and inoculated on MacConkey agar. The recovered isolates (n=91) were tested using the Kirby-Bauer disc diffusion assay. Multidrug-resistant (MDR) isolates were further characterized using whole-genome sequencing (WGS), pulse-field gel electrophoresis (PFGE) and multi-locus sequence typing (MLST). Escherichia coli (36/91) and Klebsiella pneumoniae (11/91) were the most common among the recovered isolates. In silico plasmid analysis was performed and validated using PCR-based replicon typing (PBRT) to identify and confirm incompatibility groups. Isolates from El Qa’a refugee camp were diverse and multidrug-resistant (MDR), with a multi-replicon blaNDM-5 positive E. coli being recovered from the site. blaCTX-M-15 and blaTEM-1B were also detected in the majority of the MDR isolates. Different ST types were identified including five isolates from Saida, Zahle, Beirut and El Qa’a belonging to the highly virulent E. coli ST131 phylogroup B2 and serotype O25: H4b. In this study, we determined the role of antibiotic resistance determinants in the contamination of water supplies in Lebanon. Our results showed a common occurrence of bacterial contaminants in surface water including ESBL- and carbapenemase-producing Enterobacteriaceae and an increase in the risk of resistance genes dissemination with the rise in the human population, population mobility and widespread lack of wastewater treatment.N/A1 hard copy: xiv, 59 leaves; col. ill.; 31 cm. available at RNL.Includes bibliographical references (leaves 48-59).Lebanese American University2019-11-06T13:40:08Z2019-11-06T13:40:08Z20192019-11-062019-07-29Thesisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttp://hdl.handle.net/10725/11499https://doi.org/10.26756/th.2019.134http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.phpeninfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/114992021-03-19T10:47:38Z
spellingShingle The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)
Moussa, Jennifer J.
Lebanese American University -- Dissertations
Dissertations, Academic
Drug resistance in microorganisms
Antibiotics -- Environmental aspects
Water reuse -- Lebanon -- Case studies
Gene mapping
status_str publishedVersion
title The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)
title_full The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)
title_fullStr The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)
title_full_unstemmed The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)
title_short The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)
title_sort The dissemination of antimicrobial resistance determinants in the environment through horizontal gene transfer. (c2019)
topic Lebanese American University -- Dissertations
Dissertations, Academic
Drug resistance in microorganisms
Antibiotics -- Environmental aspects
Water reuse -- Lebanon -- Case studies
Gene mapping
url http://hdl.handle.net/10725/11499
https://doi.org/10.26756/th.2019.134
http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php