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Could the Increased Consumption of Azithromycin during the COVID-19 Pandemic Have Affected the Sensitivity of Bacteria of Aquatic Environment to This Antibiotic?

Could the Increased Consumption of Azithromycin during the COVID-19 Pandemic Have Affected the Sensitivity of Bacteria of Aquatic Environment to This Antibiotic?
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摘要 The increased consumption of azithromycin during the COVID-19 pandemic may have led to its presence in the waterways. This study aims to evaluate the effect of this situation on aquatic bacteria. Methodology: Over a four-month period following the official recognition of the COVID-19 outbreak in Yaoundé, water samples were collected from four rivers selected on the basis of their vicinity to care centers for COVID-19. Bacteria within azithromycin’s spectrum of activity were isolated, and the antibiotic’s efficacy was tested against the most frequently isolated species. The influence of COVID-19 incidence and other external factors was also assessed. Results: The most frequently isolated bacteria were Bacillus spp., Enterococcus spp., Listeria spp. and Staphylococcus epidermidis. These strains exhibited varying levels of sensitivity to azithromycin, ranging from 0% to 100%. The observed resistance rates were 12.5%, 14.29%, 16.67%, and 0%, respectively. Neither COVID-19 incidence, proximity to hospitals, nor rainfall significantly influenced bacterial resistance rates to azithromycin (P > 0.05). These resistance levels may be attributed to the relatively short exposure of bacteria to azithromycin at the sampled locations, as well as the impact of agricultural and livestock-related chemicals, such as biocides and antibiotics, present in the watershed. Conclusion: These results highlight the need to integrate into anti-COVID-19 activities, the monitoring of bacteria’s sensitivity in aquatic environments. The increased consumption of azithromycin during the COVID-19 pandemic may have led to its presence in the waterways. This study aims to evaluate the effect of this situation on aquatic bacteria. Methodology: Over a four-month period following the official recognition of the COVID-19 outbreak in Yaoundé, water samples were collected from four rivers selected on the basis of their vicinity to care centers for COVID-19. Bacteria within azithromycin’s spectrum of activity were isolated, and the antibiotic’s efficacy was tested against the most frequently isolated species. The influence of COVID-19 incidence and other external factors was also assessed. Results: The most frequently isolated bacteria were Bacillus spp., Enterococcus spp., Listeria spp. and Staphylococcus epidermidis. These strains exhibited varying levels of sensitivity to azithromycin, ranging from 0% to 100%. The observed resistance rates were 12.5%, 14.29%, 16.67%, and 0%, respectively. Neither COVID-19 incidence, proximity to hospitals, nor rainfall significantly influenced bacterial resistance rates to azithromycin (P > 0.05). These resistance levels may be attributed to the relatively short exposure of bacteria to azithromycin at the sampled locations, as well as the impact of agricultural and livestock-related chemicals, such as biocides and antibiotics, present in the watershed. Conclusion: These results highlight the need to integrate into anti-COVID-19 activities, the monitoring of bacteria’s sensitivity in aquatic environments.
作者 Ntsama Essomba Claudine Tombedi Marie Christine Ambada Ndzengue Georgia Elna Eteme Enama Serge Leme Banock Lucie Avomo Jeanne Bilong Bilong Charles Félix Ntsama Essomba Claudine;Tombedi Marie Christine;Ambada Ndzengue Georgia Elna;Eteme Enama Serge;Leme Banock Lucie;Avomo Jeanne;Bilong Bilong Charles Félix(Department of Animal Biology and Physiology, Faculty of Science, University of Yaound I, Yaound, Cameroon;Pharmacy Unit, Faculty of Medicine and Biomedical Sciences, University of Yaound I, Yaound, Cameroon)
出处 《Advances in Infectious Diseases》 2024年第4期645-658,共14页 传染病进展(英文)
关键词 COVID-19 AZITHROMYCIN Aquatic Bacteria Antibiotic Resistance Yaoundé RIVERS COVID-19 Azithromycin Aquatic Bacteria Antibiotic Resistance Yaoundé Rivers
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